Week 5 project

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Bryant & Stratton College *

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137

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Mechanical Engineering

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Dec 6, 2023

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docx

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The correct way to code physician scenario #1 is to first check the index for the primary issue. I checked the index for bradycardia, and the code, R00.1, fit the description of the primary issue based on the scenario. The next step would be to check the code in its corresponding chapter and the guidelines for the chapter that the code is found in. I found the code in chapter 18 listed as, “Bradycardia, unspecified.” Instructions under the code also state to add an additional code from T36 through T50 for adverse effects. I checked the table of drugs and chemicals to find Demerol and followed the code over to code T40.2X5 labeled “adverse effect,” because the code fit the scenario best. I checked chapter 19 for the codes T36-T50 to verify if the code fit the scenario. The code is labeled “Adverse effect of other opioid,” and no other codes listed fit the scenario. I also checked the guidelines for chapter 18 and 19. There are no specific instructions to follow in the chapter 18 guidelines. I followed the guidelines listed for chapter 19 under section E for an adverse effect. My code follows the format and instructional notation of the example code given for an adverse effect of a drug that has been correctly prescribed and properly administered. Both codes would be included on a claim for this scenario. I checked the index for the term, “hemorrhage.” I then followed the term down to the word, “esophagus,” and then down to, “varix.” I checked chapter 9 for the most appropriate code. Code I85.11, labeled, “Secondary esophageal varices with bleeding,” fit the scenario best. The code tells that the condition is due to another condition because of the instructions to code the underlying disease first. I then checked the index for the term, “cirrhosis.” I followed the word down to the term, “liver.” I took the information from the index and checked chapter 11 to verify the most appropriate code. The code that fits the scenario best is K74.60, labeled, “Unspecified cirrhosis of the liver; Cirrhosis (of liver) NOS. The guidelines for both chapter 9 and 11 do not have any specific instructions to follow for this scenario. In the Tabular list, there is instructions to code the to code the underlying disease first, so K74.60 would be coded first, and both codes would be included on a claim for this scenario. Outpatient scenarios #2: A 55-year-old patient had a fracture of his left kneecap six months ago. The fracture has healed but he still has staggering gait in which he will be going to physical therapy. What ICD-10-CM codes are reported? This scenario describes a sequela effect because the gait is a residual effect of an injury. The condition would be coded first, then the sequela code. I checked the index for the term, “gait,” and followed the code down to the word, “staggering.” I checked the code in chapter to verify if the code is most appropriate for the scenario. No other code listed fit the scenario for a staggering gate, so code R26.0 would be coded on the claim for the primary

complaint. I checked the index for the term, “fracture,” and followed the term down to, “patella.” I checked chapter 19 for the codes Provide appropriate rationale. Summarize the rationale behind your decision. Explain how your code(s) follows ICD-10-CM coding guidelines. Explain your reasoning regarding format, symbols, and instructional notation. The minimum word count for each scenario should be at least 75 words.

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