RMcCormick_CodingSkills_Worksheet_081323

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St. Petersburg College *

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HIM1125

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Mechanical Engineering

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Dec 6, 2023

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docx

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2

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CODING SKILLS ASSESSMENT WORKSHEET Module 1 (Code from the code book Chapters 18 and 21 only unless Instructional Notes or Chapter Specific Guidelines indicate to use a specific code. Use the Coding Tips Document provided in the link in your worksheet instructions to help with this worksheet.) 1. Abnormal Liver Function Study. R94.5 2. Patient has a family history of lung cancer. R76.11 3. Long term use of Coumadin (anti-coagulant) therapy. Z79.01 4. Patient has a follow up examination after completed treatment of a fracture of the hand. Z09 5. Admission for chemotherapy treatment. (Code only the chemotherapy.) Z51.11 6. Patient’s lab results indicated an abnormal prothrombin time and the cause was undetermined. R79.1 7. A patient was admitted to the emergency room with complaints of dizziness and facial weakness. A possible stroke was suspected and after testing was ruled out. R29.810, Z04.9 8. Patient presents with dysuria of undetermined cause. Tests were further conducted and the cause remained undetermined. R30.0
9. A patient was admitted for vertigo, headache, and nausea without vomiting. While in the emergency room the symptoms resolved with no definitive diagnosis. R42, R11.0, R51 10.Left lower quadrant abdominal pain, cause undetermined. R10.32 11.Patient was complaining of coughing and pain in the chest. A diagnostic lung x-ray was done and results were nonspecific abnormal findings. R05.9, R07.9, R91.8 12. The patient was given a diagnosis of no evidence of recurrence of cancer of the ovary a year after chemotherapy and the removal of the ovary. Z01.411 13.A female patient presents for a routine mammogram to screen for breast cancer due to a family history of breast cancer. Z12.31, Z12.39 14.A patient has had a gastrostomy tube placed and is now presenting to the physician’s office for irrigation of the gastrostomy tube. Do not code the office visit. Z43.1 .
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