Determine a diagnosis code for the case studies

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Reference no: EM132333102

Comprehensive Coding Worksheet -

Complete Parts A through D of this worksheet.

Resources: Medical Insurance: A Revenue Cycle Process Approach (7th ed.), CMS.gov, and internet coding resources

Part A - Complete the tables below.

Determine a diagnosis code for the following case studies and include your reference.

Case Study

Diagnosis Code or Resource

1. Patient presents to ER with severe abdominal pain. Patient had coffee ground emesis. The diagnosis was determined to be gastritis with bleeding.


2. During the initial visit to the ER, a 14 year old presents with anaphylaxis after eating a peanut butter cookie. The diagnosis is anaphylactic shock from peanuts.

 

3. 10 year old sees her pediatrician for an ear piercing for her birthday. The diagnosis is encounter for health service for piercing.

 

4. 80 year old is evaluated for some memory loss without any behavior changes. The diagnosis is unspecified dementia without behavioral disturbance.

 

Part B: More Coding - Highlight the correct diagnosis code.

Diagnosis

Code

1. Unspecified open wound of right great toe with damage to nail, initial visit

A. S91.34

B. S91.30

C. S91.201A

D. S91.22

2. Insect bite, nonvenomous of right forearm, subsequent visit

A. S50.861D

B. S50.871

C. S51.051

D. S50.862

3. Other acute osteomyelitis, unspecified site

A. M86.30

B. M86.17

C. M86.14

D. M86.10

4. Benign neoplasm right ovary

A. D27.9

B. D27.0

C. D26.0

D. D27.1

5. Other specified arthritis, right shoulder

A. M13.811

B. M13.111

C. M13.119

D. M12.811

Part C - Highlight the correct HCPCS code.

HCPCS codes

Code

1. Injection Digoxin up to 0.5 mg

A.    J1160

B.    J1117

C.    J1162

D.    J0775

2. Electrode transducer for use with electrical stimulation device used for cancer treatment, replacement only

A.    A4658

B.    A4604

C.    A4555

D.    A4606

3. Power wheelchair component, actuator, replacement only

A.    E2378

B.    E2384

C.    E2328

D.    E2358

4. Adhesive remover, wipes, any type each

A.    A4510

B.    A4455

C.    A4450

D.    A4456

5. Syringe with needle sterile, 1 cc or less each

A.    A4244

B.    A4210

C.    A4206

D.    A4211

Part D - Highlight the correct modifier.

Code-Modifier

Meaning

1. Professional component-interpreting lab pathology results

A.    26

B.    25

C.    22

D.    99

2. Patient had a hip replacement. Dr. Ortega assisted Dr. James with the procedure. What modifier would be used to indicate the surgical assist code for Dr. Ortega?

A.    47

B.    50

C.    80

D.    25

3. Patient had an oophorectomy and total mastectomy performed during the same surgical episode. Which modifier would be used to indicate a multiple procedure performed?

A.    54

B.    50

C.    51

D.    66

4. Patient had a bilateral bunionectomy. Which modifier would be used for bilateral procedure?

A.    56

B.    32

C.    47

D.    50

5. Patient had an evaluation performed at the doctor's office. After the evaluation, the doctor removed a lesion from the leg. Which modifier would be used to indicate a separate procedure for the lesion removal?

A.    51

B.    26

C.    80

D.    59

Note - Please complete attached worksheet and leave in ms word format.

Attachment:- Comprehensive Coding Worksheet.rar

Reference no: EM132333102

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