All conditions listed in the discharge summary should be coded. (5 Points) True False
Added by Michael D.
Step 1
Step 1: Understand the purpose of coding in a discharge summary, which is to accurately represent the patient's diagnoses and treatments during the hospital stay. Show more…
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Following the ICD-10-CM guidelines is optional but highly encouraged. Group of answer choices True False
Jenny W.
Instructions: Read each question carefully and use competencies discussed in class to formulate your responses. There are 5 mini case studies assigned for this week, you must assign the codes and document the steps/how you found the code in addition to any guidelines used to select your code assignments. Case Scenario #1: Choose the correct diagnostic code assignment for the following case scenario: 45-year-old patient presents with persistent atrial fibrillation, benign hypertension, and poor BP medication compliance. ICD-10-CM Code(s): 1. 2. 3. Steps/Guidelines Referenced Case Scenario #2: Choose the correct code assignment for the following scenario: 47-year-old with chronic AF and chronic combined systolic and diastolic CHF. ICD-10-CM Code(s): 1. 2. Steps/Guidelines Referenced Case Scenario #3: Choose the correct diagnosis code(s) assignment for the following case scenario: The 59-year-old female was seen by the ENT physician for a consultation for her complaint of "sinus infections." After taking a complete history and performing a physical examination, the consultant concluded the patient had acute maxillary sinusitis in addition to chronic pansinusitis. ICD-10-CM Code(s): 1. 2. Steps/Guidelines Referenced Case Scenario #4: Choose the correct code assignment for the following scenario: 65-year-old admitted with viral parainfluenza pneumonia with associated influenza (unspecified type). ICD-10-CM Code(s): 1. 2. Steps/Guidelines Referenced Case Scenario #5: Choose the correct code assignment for the following scenario: 44-year-old seen today for malignant pleural effusion due to lung cancer. ICD-10-CM Code(s): 1. 2. Steps/Guidelines Referenced
Shu N.
9. A 25-year-old patient presents to the radiology department for a diagnostic test. The diagnostic statement for the test is rule out hiatal hernia. The diagnostic test is negative. No signs or symptoms are documented in the referral information that accompanied the patient. Which action should the coder take? a. Assign a V code for screening examination from ICD-10-CM. b. Contact the chief radiologist to obtain the patient's diagnosis. c. Request that the patient provide his signs and/or symptoms. d. Submit the insurance claim without an ICD-10-CM code. 10. A 20-year-old patient has just returned to the United States after working abroad. The patient is seeking medical evaluation due to an exposure to dengue fever while working abroad. The patient responds negatively when questioned if he has any symptoms of a severe headache or severe myalgia. The patient requests an evaluation and radiographic films of his left index finger because he suffered a fracture of his right index finger five months ago and now reports swelling of his left index finger. He does not report any pain associated with the swelling of his left index finger. An x-ray of his left hand, including fingers, is negative. Laboratory blood testing is pending at the time of coding. a. A90, M79.89, Z47.89 b. M79.89, Z11.59 c. R50.9, M79.89, Z11.59 d. Z11.59, Z20.828, M79.89
Supreeta N.
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