Reference no: EM133178358

You will utilize your coding manual and review one of the three scenarios below. If your last name starts with the letter A-F, Scenario 1. If your last name starts with the letter G-P, review Scenario 2. If your last name starts with the letter Q-Z, review Scenario 3. After reviewing the scenario, answer the questions using the skills you learned assigning codes and coding guidelines for an outpatient setting.

Scenario #1

John is a 57-year old male who has been having severe abdominal pain for the past 4 hours. John called his primary care physician and was able to get a same-day appointment. John explained to his physician that he has had stabbing pain in the upper portion of his abdomen since he ate breakfast this morning. john's provider sent him for some diagnostic tests. When John reviewed the results in his electronic medical record online, the physician noted "possible gastroesophageal reflux disease-GERD."

• What condition would be considered the first-listed diagnosis?
• What would the documentation need to state for the coder to report the code for GERD?
• Should the coder be looking for the results of the diagnostic tests and coding any abnormalities they notice?

Scenario #2

Based on ICD-10-CM coding guidelines, clarify whether or not the following statement is True, or False about reporting codes for diabetes mellitus.

• If the type of diabetes mellitus is not documented in the medical record, the default type is E11.- Type 2 diabetes mellitus

Scenario #3

• If an ST elevation myocardial infarction (STEMI) converts to a non-ST elevation myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported, according to ICD-10-CM guidelines?
• According to the I10 guidelines, an MI can be coded from the I21 category if it is equal to or less than ____________ and the patient requires continued care.
• If an acute myocardial infarction is documented as nontransmural or subendocardial, but the site is provided, it is coded as a _____________ AMI