Question

This exercise will give you experience in basic diagnostic coding for physicians' insurance claims. First list the ICM-10 CM code for the diagnosis, condition, problem, or other reason for the admission and/or encounter shown tin the medical record to be chiefly responsible for the services provided. Then list additional diagnostic codes that describe any coexisting conditions that affect patient care. Always assign codes to their highest level of specificity- the more digits, the more specific. Do not code probable, R/O, suspected, or questionable conditions. Assign the correct code(s). Problem 1 A patient, Mrs. Jennifer Hanson, calls Dr. Input's office stating she has blood in her stool. Dr. Input suspects a gastrointestinal bleed and tells Mrs. Hanson to come in immediately. It is discovered that the reason for the blood in the stool is a bleeding duodenal ulcer. Code the diagnosis to be listed on the insurance claim for the office visit. Code(s): Problem 2 A. Jason Belman comes in with a fractured humerus. He also has chronic obstructive pulmonary disease (COPD), which is not treated. Code the initial diagnosis. B. Assume Mr. Belman needs general anesthesia for open reduction of the fractured humerus. The COPD could now be considered a risk factor. List the diagnostic code in the second part of the scenario Code(s): Problem 3 Margarita Sanchez came in to the office for the removal of sutures. Code the diagnosis. Code:

Answer 1

L

Problem 1 ICD-10-cm code for duodenal ulcer with hrem ouhage is K26.0 Problem - 2 A. Fracture of humerus : S42.3 B. Chronic obstenctive pulmonary disease (COPD): J44.9 Problem - 3 Suture removal: 248.02 Problem - 4 Usinary relention : R33 Benign prostatic hypertrophy: N40.1 Problem - 5 Diagnostic code used before the results are known, sore throat, unspecified : J02.9 Diagnostic code after the results are known Streplūcoccal sore throat : J02.0