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Assignment:
Discuss how to use the official guidelines for coding and reporting ICD-10-CM codes. Why are these guidelines important? What major differences exist between inpatient and outpatient coding guidelines?
What guidelines would you refer to in the following scenarios? Be sure to read each carefully.
Scenario 1: An HIV patient is injured in a motor vehicle accident sustaining a right hip fracture and a lacerated spleen and came to the ER. Which chapter-specific coding guideline will you refer to code this case and how did you come up with this guideline?
Scenario 2: Coders often have difficulty determining when to code signs and symptoms. A symptom is any subjective evidence of disease reported by the patient to the physician. A sign is objective evidence of disease by the physician. In this scenario the patient came to the physician's office with a cough and fever. The physician documents pneumonia in the chart. What coding guideline would you follow in coding this scenario?
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