WEEK 3 Coding Applications Test Essay

In the health care system, there are a lot of codes that help diagnose, treat, and discharge patients daily. Codes help nurses

Under the references comes the 3M Coding Reference Plus, and it contains AHA Coding Clinic for HCPCS, Coders’ Desk Reference for Procedures by Optum, Anesthesia Crosswalk, Faye Brown’s ICD-9-CM Coding Handbook, and ICD-10-CM and ICD-10-PCS Coding Handbook. The References include introductions, changes in the ICD coding, and guidelines for coders to find and better understand the coding process. For example, the Anesthesia section provides the section of the surgery and next to it the section where the right code can be assigned. Then, the Coding Clinic for HCPCS provide some articles and questions with their answers related to coding and the changes to some codes. These references are crucial in the coding sector, especially with the changes that occur on some codes and modifiers. Coders should be aware of the references and use them to avoid intention and non-intention mistakes, frauds or abuse.

Therefore, these codes should be used to identify stable angina and documentation should support that diagnosis.

Enter the 3-5 alpha/numeric character code from the ICD-9 related to the procedures, services, or supplies listed in Block #24e. List the primary diagnosis on Line A, with any subsequent codes to be entered on Lines B thru H (the highest level of specificity in priority order). Additional diagnoses are optional and may be listed on Lines I thru L. – Required

We as Coders and Billers should understand the interaction of the CPT procedural codes and the ICD diagnostic codes. The providers receive payment for their service, whether it is an office visit or an operation in the hospital. All services need to be coded for proper payment.

CPT code 99307: Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: a problem focused interval history, a problem focused examination, straightforward medical decision making. Usually the patient is stable, recovering, or improving.

ICD-10 – CM is a three- to seven character alphanumeric representation of a disease or condition. The first digit is alpha; Digit 2 is numeric. There is a decimal placed after the third character. There are 69,000 codes to better capture specificity, tis also

CPT codes are similar to ICD codes the both relating consistent information about medical services and procedures; aiming on the claim form of CPT identifies service rendered rather than patient diagnosis on the claim form. Every service you provide become a line item of (CPT) on an insurance claim form. Therefore, reimbursement claims actually necessitate the use to two coding systems. One identifies the patient's disease or physical state ICD-10 and another that describle the procedures, service or supplies you provide to your patient CPT. In ordination to get paid in every circumstance, whatever CPT code is submitted for payment you must attach at least one ICD code to confirm the reason for the encounter. I believe you should take diagnosed

The patient is alert and oriented to person, place, and time. Upon initial interaction, the patient is easy to communicate with and states she is doing well. Facial features are uneven and asymmetrical, as she has a slight left facial droop due to her stroke, which she states happened a couple of years ago. DG expresses multiple times that she has a hard time seeing and she wears prescription eyeglasses. PERRLA. Skin is pink, warm, dry; temperature is 97.5 and turgor is brisk. There is a 20 gauge IV in the right hand infusing Lactated Ringers at 20ml/hour per pump, no redness or edema noted at the insertion site. Respirations are even and non-labored at 22 breaths per minute. Lung sounds are bilaterally clear. The client has a nasal cannula infusing 2 liters of oxygen with an oxygen saturation of 96%. DG tells me she is a current smoker and she smokes

6 days old female with TOF, pulomanry atresia large VSD, right sided aortic arch with mirror image branching, left sided large PDA originating from the left innominate artery, confluent PA branches, and no significant AP collaterals.

To code this, the first code would be for the underlying systemic infection, then the second code would be from subcategory R65.2, which is severe sepsis.Also depending on the nature of severe sepsis, some cases may require checking with the provider prior to assigning

The CPC exam thoroughly tests a coder’s grasp of the entire coding process, from medical terminology to code sets and beyond. Per the AAPC’s website, the CPC exam covers 24 subject areas, including anesthesia, radiology, and medicine. You should recognize a number of these as sections of the CPT code manual. Others, like Anatomy and Physiology, are parts of the coder’s everyday skill set.

Abdominal ultrasound is a quick, accurate, and inexpensive imaging modality used for detecting AAA. It is reported that an ultrasound has “sensitivity of 95% and specificity close to 100%" (Morgan et al., 2015). The accuracy, sensitivity, and cost effective benefits of ultrasound in addition to discoveries of AAA in asymptomatic cases has brought attention to the Screening Abdominal Aortic Aneurysms Very Efficiently (SAAAVE) Act. This act was implemented in February 2007. Under this act, Medicare covers a one-time ultrasound screening for men between the ages of 65 to 75 who smoked 100 cigarettes or more during their lifetime, and both women and men who have a family history of AAA (Lee, Pickett, Hedayati, Dawson, & Pevec, 2009; Keisler & Carter,

codes, 2016-17). This diagnostic code would appear to be insensitive to the complex nature of

Aortography confirmed the diagnosis of severe calcified juxtaductal CoA. There was a 70 mmHg peak to peak gradient across the coarctation, 90 mmHg gradient across the aortic valve and the mean left ventricular pressure was 290/26 mmHg. Coronary evaluation demonstrated a significant proximal LAD lesion with a fractional flow reserve (FFR) value of 0.78. A significant dilatation of the left internal mammary artery was also noted.