Coding Practice 6

.docx

School

St. Petersburg College *

*We aren’t endorsed by this school

Course

2810

Subject

Medicine

Date

Dec 6, 2023

Type

docx

Pages

Uploaded by KidSardinePerson512

Coding Price 6 Chapter 1 1.82 Von Willebrand’s disease and hemophilia C are both types of _____. a. Iron-deficiency anemia b. Hereditary hemolytic anemia c. Aplastic anemia d. Coagulation defects 1.94 Christmas disease ICD-10-CM Code(s): D67 1.100 Sarcoidosis of lung ICD-10-CM Code(s): D86.0 1.104 Opioid dependence with withdrawal ICD-10-CM Code(s): F11.23 1.116 Depression ICD-10-CM Code(s): F32.A 1.120 Alcoholic paranoia ICD-10-CM Code(s): F10.950 1.126 Contact blepharoconjuctivitis of both eyes ICD-10-CM Code(s): G00.3 1.136 What is the correct code for sensorineural hearing loss of both ears? a. H90.0 b. H90.3 c. H90.5 d. H90.6 1.142 Acute flaccid myelitis ICD-10-CM Code(s): G04.82 1.144 Reflex sympathetic dystrophy, both arms ICD-10-CM Code(s): G90.513 Chapter 6

6.8 This established patient comes to the physician’s office and after evaluation requires a glucose tolerance test. The physician drew the three specimens by venipuncture and performed the test at the office. List the correct CPT procedure code(s). CPT Codes: 36415, 82951 6.16 A patient is admitted with an acute exacerbation of congestive heart failure due to hypertensive heart disease. This patient has chronic systolic heart failure. The patient responds positively to Lasix therapy. The patient also has chronic kidney disease stage V and is a type 1 diabetic. Assign the correct diagnostic codes. ICD-10-CM Code(s): I13.2, I50.23, E10.22, N18.5 6.18 This 25-year-old female has been treated for Crohn’s disease of the small intestine since she was 18 years oof age. She has had several exacerbations but has been maintained on drug therapy. She is being seen now for extreme pain, which on x-ray shows small bowel obstruction. Patient is taken to surgery immediately. During the surgery, a partial excision of the terminal ileum is performed to release the obstruction. There is also a section of the jejunum that is very inflamed. This section is also resected. An end-to-end anastomosis is completed on all segments. The patient tolerates the procedure well. Which of the following is the correct ICD-10-CM and CPT code assignment? a. K56.600, K50.012, 44120, 44121-51 b. K50.012, 44120, 44121-51 c. K50.012, 44120, 44121 d. K50.012, 44020 6.40 A 6-year-old child, an established patient, is seen in the pediatrician’s office for routine immunization. The physician speaks with the child’s father about national immunization recommendations, and the risks and benefits of vaccine provided, and gives follow-up instructions for possible side-effect treatment. The patient receives a DtaP immunization IM. Assign the appropriate ICD- 10-CM and CPT procedure code(s). a. Z23, 90461, 90700 b. Z23, Z71.85, 99213, 90460, 90700 c. Z23, Z71.85, 90460, 90461, 90461, 90700 d. Z23, Z71.85, 90460 6.46 This 35-year-old male has had an eruption of molluscum contagiosum on the penis for several months. He finally sought medical attention. He was advised to have these lesions removed. He is here now for the procedure. The patient had extensive destruction of a penile molluscum contagiosum performed by cryosurgery and laser surgery. What are the correct codes? ICD-10-CM and CPT Code(s): B08.1, 54065 Chapter 9

9.6 The following documentation is from the health record of a 66-year-old male patient. Discharge Summary Admission Date: 6/19/XX Discharge Date: 6/28/XX History of Present Illness: This patient is a 66-year-old male admitted on 6/19 because of unstable postinfarct angina. He underwent cardiac bypass surgery here 15 years ago. He did well until two years ago, when he developed angina and underwent angioplasty here. On 6/19, he was awakened by severe chest pain and was taken to a nearby community hospital where he was found to have a small anterior wall myocardial infarction with the CPK only slightly elevated. He had cardiac catheterization performed at that time. Because of this small infarction, he was referred here for consideration for further surgical intervention. He was discharged from the hospital on 6/16. On 6/19, as the patient was walking from the car to the office, he developed significant chest pain and was therefore admitted to rule out further infarction. Documentation of recent cardiac catheterization showed that complete left heart catheterization, left ventricular cineangiography, and bypass visualization were performed. The left ventricle showed severe anterior hypokinesis, although it did still move. The left main coronary artery was narrowed by about 70 percent. The bypass to the circumflex looked good, but the bypass to the left anterior descending had a very severe stenosis in the body of the graft. There was a very large, marginal circumflex artery that had an orificial, 80 percent stenosis. He was thought not to be a candidate for angioplasty but bypass surgery instead. Surgical Procedure: Using extracorporeal, the left internal mammary artery was anastomosed to the left anterior descending coronary artery, and a venous graft was placed from the aorta to the marginal circumflex. It was found that the old venous graft to the main circumflex was in excellent condition with very soft, pliable walls so that the vessel was left intact. There were no complications of this surgery. His postoperative course was singularly uncomplicated. He never had any arrhythmia problems; his wounds healed nicely. He had a tiny left pleural effusion that never needed to be tapped. He was walking about the ward participating in the cardiac rehab program at the time of discharge. Discharge Instructions: Discharge medications will simply be aspirin grains 5 q.d., Tylenol with Codeine 1 or 2 p.r.n. for pain, Lopressor 50 mg a day, and Colace, as necessary. He was instructed to contact his private physician upon return home for resumption of his medical care. He is to call me here at the medical center if there are any questions or problems that he wishes to discuss. Discharge Diagnosis: 1. Unstable angina (intermediate coronary syndrome) 2. Recent incomplete, anterior wall myocardial infarction 3. Coronary atherosclerosis, three vessel 4. Successful double-bypass surgery What are the correct codes for this admission? a. I25.110, I25.700, I21.01, Z95.1, 33533, 33517, 33530

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help