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Jerelyn Nevil

Numerade educator

Patient is admitted to the hospital with melena, abdominal pain and weight loss. The diagnosis documented at the time of discharge was “probable crohn’s disease.” What code(s) should be assigned? Query the physician Crohn's disease Melena, abdominal pain, weight loss Melena, abdominal pain, weight loss, Crohn's disease

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Jerelyn Nevil

Numerade educator

Which of the following would be coded as an adverse effect in ICD-10-CM? Tachycardia as a result of prescribed Lyrica taken correctly Rejection of transplanted kidney Non-functioning pacemaker due to defective soldering Drowsiness due to ingesting alcohol with prescribed anxiety medications

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Jenny Wu

Numerade educator

A Medicare patient has a MS-DRG of 71 which has a relative weight of 2.0000. The patient was in the hospital for 30 days and his total charges were $55,000. How much will Medicare pay this hospital that has a hospital base rate of $5,000? Group of answer choices $55,000 $7,000 $10,000 $5,000

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\begin{tabular}{|llll|} \hline Version & \multicolumn{3}{|c|}{ Medicare } \\ 40.1 & 693 & Weight & Total \\ \hline \end{tabular} Age: 68 Gender: Female Admit Date: 05/10/2024 Disch Date: 05/10/2024 LOS: 1 DSP: SNF (3) Charges $ \$ 0.00 $ ICD-10 Summary Messages/Edits Medicare DRG and MDC Information 693 URINARY STONES WITH MCC 011 DISEASES AND DISORDERS OF THE KIDNEY AND URINARY TRACT \begin{tabular}{|c|c|c|c|c|} \hline \multicolumn{5}{|c|}{+ Admit Diagnosis } \\ \hline Code & \multicolumn{4}{|l|}{ Description } \\ \hline R109 & Unspecified abdominal pain & & & \\ \hline \multicolumn{5}{|c|}{ + Diagnosis Code Detail } \\ \hline Code & Description & Affect & MCC & $ \mathrm{cc} $ \\ \hline N200 & Principal Calculus of kidney & $ \checkmark $ & & \\ \hline N186 & End stage renal disease & $ \checkmark $ & $ \checkmark $ & \\ \hline N10 & Acute pyelonephritis & & & $ \checkmark $ \\ \hline 1120 & Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease & & & $ \checkmark $ \\ \hline B951 & Streptococcus, group B, as the cause of diseases classified elsewhere & & & \\ \hline E) 279899 & Other long term (current) drug therapy & & & \\ \hline \multicolumn{5}{|c|}{ - Estimated Reimbursement - Medicare Inpatient } \\ \hline \multirow{2}{*}{$ \frac{\text { Total }}{\text { Status }} $} & $ \$ 0.00 $ & & & \\ \hline & Inller & & & \\ \hline \end{tabular}

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Review the case study below. Indicate if you agree with the CAC codes assigned or what changes you would make and the support for these changes: Patient is a 77 year old male patient diagnosed with emphysema 5 years ago was admitted with a COPD exacerbation and acute hypoxic respiratory failure. Treatment included oxygen requirements of 4L, nebulizer treatments and the initiation of oral steroids. Patient has a 60 year smoking history, recently quit, and is on 1L home oxygen as needed. CAC ICD-10-CM code selection: J44.1 - COPD with exacerbation (emphysema) J96.00 - Acute respiratory failure R09.02 - Hypoxia Z79.891 - History of nicotine dependence Z99.81 - Dependence on supplemental oxygen

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what are the cpt code what is the E/M service code

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NURSING DOCUMENTATION: MEDICATIONS ALLERGIES/REACTIONS: None CURRENT MEDICATIONS: BP: P: R: T: WT: OVS: CC: PMH: Mycotic toenails. Onychomycosis, diabetes type 2, neuropathy, hyperkeratoses. NOTES: Patient has no other concerns today. SIGNATURE OF NURSE: Reviewed and Approved: Albert Molina RN ATP-B- S:02:1001261385: Albert Molina RN (Signed: 8/26/YYYY 2:20:44 PM EST) PHYSICIAN DOCUMENTATION: Notes: DIAGNOSES: Onychomycosis. Hyperkeratoses. DM2, polyneuropathy Follow-up diabetic maintenance-care was provided with debridement of 10 mycotic toenails, hyperkeratoses, improving, continue topical at home. Mr. Yarrow has a diabetic ulcer on the right heel, which is under the care of Dr. Hoffman and appears to be healing well. When first examining Mr. Yarrow this morning, dried blood was noted on all toes of the left foot. Mr. Yarrow admits to attempting nail-care yesterday evening and apparently nicked the skin.There is an intact scab formation this morning. No further treatment is needed. The Plastizote chukka-style boots that were dispensed in April are comfortable, and patient likes them very much. No other concerns. Return to clinic in six weeks what are the ICD codes CPT codes is there need for modifier? is E/M needed or already included

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Patient seen for regular appointment today. He is pleasant, cooperative, and coherent. Reports he is still having some problem with the balance. He walks with the cane, which is helpful. He is oriented in all three. No evidence of delusions, hallucinations, or dangerous behavior. Still he reports that feels kind of depressed at times. However, he has been handling home situation fairly well. The patient has a good memory; insight and judgment seem very good. Takes the medication as prescribed, and fairly affective. DIAGNOSIS: Bipolar depression PLAN: Sertraline 50 mg every morning what is the appropriate E/M services code for the scenario

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Reports problems with balance PMH: alcoholism in remission NOTES: Came here for a regular appointment today SIGNATURE OF NURSE: Reviewed and Approved: Jeanette Allen RN ATP-B- S:02:1001261385: Jeanette Allen RN (Signed: 9/1/YYYY 2:20:44 PM EST) PHYSICIAN DOCUMENTATION: Notes: Patient seen for regular appointment today. He is pleasant, cooperative, and coherent. Reports he is still having some problem with the balance. He walks with the cane, which is helpful. He is oriented in all three. No evidence of delusions, hallucinations, or dangerous behavior. Still he reports that feels kind of depressed at times. However, he has been handling home situation fairly well. The patient has a good memory; insight and judgment seem very good. Takes the medication as prescribed, and fairly affective. DIAGNOSIS: Bipolar depression PLAN: Sertraline 50 mg every morning. SIGNATURE OF PROVIDER: Reviewed and Approved: Raymond Massey MD ATP-B- S:02:1001261385: Raymond Massey MD (Signed: 9/1/YYYY 2:20:44 PM EST) Raymond E. Massey, M.D. Psychiatrist what are the ICD 10 codes what are the cpt codes? what is the E/M services code? Any modifier needed?

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DIAGNOSES: Onychomycosis. Hyperkeratoses. DM2, polyneuropathy Follow-up diabetic maintenance-care was provided with debridement of 10 mycotic toenails, hyperkeratoses, improving, continue topical at home. Mr. Yarrow has a diabetic ulcer on the right heel, which is under the care of Dr. Hoffman and appears to be healing well. When first examining Mr. Yarrow this morning, dried blood was noted on all toes of the left foot. Mr. Yarrow admits to attempting nail-care yesterday evening and apparently nicked the skin.There is an intact scab formation this morning. No further treatment is needed. The Plastizote chukka-style boots that were dispensed in April are comfortable, and patient likes them very much. No other concerns. Return to clinic in six weeks. SIGNATURE OF PROVIDER: Reviewed and Approved: H.W. Pocket MD ATP-B- S:02:1001261385: H.W. Pocket MD (Signed: 8/26/YYYY 2:20:44 PM EST) H.W. Pocket, M.D. Internist What are the ICD 10 codes What are the CPT codes Any modifier needed?

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Coco J.