Coding Mod 5 - Chapters 10-11 - Coding Practice
PATIENT: SIMONSON-WALKER, SIERRA S: Sierra Simonson-Walker, a 61-year-old woman, presented with left ear discharge with some bleeding. Sierra has a 4-year history of progressive hearing loss in the left ear. She denied any pain, numbness, or weakness. Progressive hearing loss, no ear surgery, no reoccurring ear infections, no prolonged exposure to sun, no head and neck malignancies. The patient is admitted and taken to the operating room; the debris is visualized to be flaky and keratinaceous. A portion of this was traced back to the anterior portion of the cartilaginous ear canal, where it appeared to be adherent to the skin. This lesion was removed en block and sent to frozen pathology, resulting in no identified carcinoma. There was also some irregular-appearing tissue along the tympanic membrane, which was also removed and sent with the specimen. The patient underwent a tympanoplasty without complication. Final pathology, however, shows squamous cell carcinoma. The patient was then taken for a lateral temporal bone resection and external ear canal closure. A: Squamous cell carcinoma of the external ear canal, left
Diagnosis Code C44.229 Where should you begin to look up the code in the coding manual - Table of neoplasms What is the key term - Ear What type -Skin What type - Squamous cell carcinoma What is the laterality - Left What else do we know about it - Malignant, primary What is the correct diagnosis code - C44.229 Overall Feedback: C44.229: Neoplasm table>ear>skin>squamous cell carcinoma>left
PATIENT: BARDARO, LYNNE S: Lynne, a 37-year-old female, presents today with the complaint that her right ear is throbbing. O: T: 101, BP: 137/83, R: 21, P: 78. PERRLA. Lynne is in moderate discomfort. She admits to a pain level of 4 on a scale of 0-10. Past medical history: noncontributory. Review of systems: negative. Medications: none. Ear exam: Left is within normal range. Right pinna: a lump is noted, as well as swelling and inflammation. It appears to be a localized pool of blood. Dr. Bracker evacuates the blood and applies a pressure bandage. A: Auricle hematoma P: Rx: antibiotics
Diagnosis Code H61.121 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Disorder What is the anatomical site - Pinna Do any of the following apply to the condition - Hematoma What is the laterality - Right What is the correct diagnosis code - H61.121 Overall Feedback: H61.121: Hematoma>auricle tells us to see disorder, pinna>hematoma Disorder>pinna>hematoma>right
PATIENT: PETERS, CHARLENE S: Pt is a 68-year-old female who suffered a cerebral infarction 3 weeks ago. Her son is concerned about the patient's dysarthria, which doesn't seem to be getting any better. The patient understands but is having difficult pronouncing her words. Dr. Bracker also notes a low degree of audibility. O: Ht. 5′4″, Wt. 146 lb., R 18, T 99.6, BP 138/95. Physical examination: unremarkable. A: Dysarthria, following a cerebral infarction. P: 1. Pt to return PRN 2. Referral to speech therapist
Diagnosis Code I69.322 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Dysarthria What is the correct diagnosis code - I69.322 Overall Feedback: I69.322: Index>Dysarthria>following>cerebral infarction
PATIENT: RIVERA, WALTER S: Walter Rivera, a 57-year-old male, presents today with ear pain and loss of hearing. Dr. Wiccetta notes some facial paralysis and slurred speech. Walter is admitted for a full workup. O: H: 5.10", Wt: 176, T: 97.3 F, HR: 86, R: 25, BP: 176/92. Patient is in obvious pain. Right pupil is 2.6 mm and left is 3.1 mm. Left auricle shows erythematous and is tender and swollen; tympanic membrane is not visible. Chest is clear; heart is regular without murmurs, rubs, or gallops; abdomen is soft and nontender; normal bowel sounds; no hepatosplenomegaly. Extremities are within normal range; skin is clear. Patient is alert and oriented. Laboratory results: Sodium 135 mEq/L, potassium 4.6 mEq/L, chloride 91 mEq/L, creatinine 0.6 mg/dL, glucose 274 mg/dL, calcium 9.3 mg/dL, total protein 6.7 g/dL, albumin 3.6 g/dL, total bilirubin 0.7 mg/dL, hemoglobin 15.3 g/dL, WBC 22.4 × 103/μL, hematocrit 48.0, platelet count 288 × 103/μL. CT scan shows thickened tissue of the external auditory canal. Brain appears normal from MRI scan. A: Diabetes, type 2, and malignant otitis externa, right. P: Antipseudomonal therapy
Diagnosis Code(s) E11.9 H60.21 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Diabetes What type - 2 What is the correct diagnosis code - E11.9 Second diagnosis: Where should you begin to look up the code in the coding manual - Index to diseases and injuries What is the key term- Otitis What is the location - Externa What type - Malignant What is the laterality - Right What is the correct diagnosis code - H60.21 Overall Feedback: E11.9: Diabetes>type 2 H60.21: Otitis>externa>malignant>right
PATIENT: OLDENBERG, KYLE ACCOUNT/EHR #: OLDEKY001 DATE: Attending Physician: Renee O. Bracker, MD Kyle Oldenberg, 65-year-old male, presents today with the complaints of gradual loss of vision OD of a 2-month duration. Kyle states it doesn't hurt, "just getting to where I can't see." Kyle saw his ophthalmologist and was diagnosed with angle closure glaucoma and was referred to us for treatment. Eye Exam: Best corrected visual acuities: 20/20 OS, barely hand motion vision OD. Pupils: >2.9 LU RAPD OD EOM: full OU IOP: 17 mmHg OS, 66 mmHg OD DFE: retina exam—normal macula, vessels, and periphery OU. Optic nerves: 0.3 C/D OS, complete cup OD. Gonioscopy: moderately open angles OD. (+) Sampaolesi's line OD. Dx: Pseudoexfoliation glaucoma, moderate stage P: Selective laser trabeculoplasty (ALT or SLT).
Diagnosis Code(s) H40.1412 What is the key term - Glaucoma What type - Open angle Do any of the following apply to the condition - Primary Do any of the following apply to the condition - Capsular What it the laterality - Right What stage - Moderate What is the correct diagnosis code - H40.1412 Overall Feedback: H40.1412: Glaucoma>open angle>primary>capsular>right>moderate stage
PATIENT: TRUDELL, LEONARD S: Leonard presents today with a red, irritated right eye and decreased vision. O: History of Present Illness: A 69-year-old male presented to our office with a 1-day history of conjunctival injection and mild discomfort in his right eye (OD). He had a known history of pigmentary glaucoma that was treated with PCIOL and trabeculectomy with mitomycin C in the right eye 5 years earlier. His visual acuity had decreased from 20/120 to 20/250 OD. Past Ocular History: Pigmentary glaucoma (OD), age-related macular degeneration in both eyes (OU). The patient had suffered a severe retinal detachment in the left eye (OS). Exam, Ocular: Visual acuity, with correction: OD—20/250; OS—Light perception. Intraocular pressure: OD—8 mmHg. External and anterior segment examination, OD: Conjunctival hyperemia with papillary reaction. There were 4+ cells (per high-power field) visible in the anterior chamber with a small (0.75-mm) hypopyon. The right eye had an elevated, thin avascular bleb with a small infiltrate visible within the bleb. The bleb had a positive Seidel test. A: Bleb-related endophthalmitis
Diagnosis Code(s) H59.43 Where should you begin to look up the code in the coding manual - Index to diseases and injuries What is the key term - Bleb What type-Endophthalmitis What is the laterality - Right What is the correct diagnosis code - H59.43 Overall Feedback: H59.43: Endophthalmitis>bleb tells us to see Bleb Bleb>endophthalmitis
PATIENT: NOLAN, SHERYESSE S: Pt is a 53-year-old female who comes in today complaining of fainting, chest pain, and difficulty breathing of approximately 1 week duration. Patient was diagnosed 3 years ago with hypertension. Hypertension has been under control with diet and exercise. O: Ht. 5′5″, Wt. 153 lb., R 19, T 98.4, BP 148/89. Results of blood tests, UA, CBC, ECG, and echocardiogram indicate the development of renal sclerosis (stage 4) with benign hypertension. Tests also reveal left ventricular failure and acute systolic heart failure. A: Renal sclerosis with benign hypertension; left ventricular failure and acute systolic heart failure P: 1. Pt to return PRN 2. Referral for renal dialysis evaluation
Diagnosis Code(s) I12.9 N18.4 I50.1 I50.21 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Hypertension What type - Kidney What stage - 4 CKD What is the correct diagnosis code - I12.9 Second diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Disease What type - Kidney What stage - 4 What is the correct diagnosis code - N18.4 Third diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Failure What type - Ventricular What it the laterality - Left What is the correct diagnosis code - I50.1 Fourth diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Failure What type - Heart What type - Systolic Do any of the following apply to the condition - Acute What is the correct diagnosis code - I50.21 Overall Feedback: I12.9: Index>Hypertension>kidney>with>stage 4 CKD N18.4: Index>Disease>kidney>stage 4 I50.1: Index>Failure>ventricular>left I50.21: Index>Failure>heart>systolic>acute
PATIENT: WEINER, PHILLIP Pt is a 73-year-old male who was admitted to the hospital because of asthenia, xerostomia, fatigue. The patient states he is very weak, drinks a lot of water, but has not been urinating much. His blood pressure was 165/91, and he has been having pain in the left jaw and neck. PMH: 2003 he had bladder suspension operation and has a history of PVCs. The patient has had trouble with some edema of the ankles and feet. The electrocardiogram shows a sinus rhythm with premature ventricular contractions. FH: Father died of CVA. Mother died of stomach cancer. CURRENT MEDICATIONS: Inderal; Ativan; Zestril ALLERGIES: NKA FINAL DIAGNOSES: Acute myocardial infarction—anterior wall Systemic arterial hypertension Cardiomegaly with chronic systolic CHF Cardiac arrhythmia
Diagnosis Code(s) I21.09 I11.0 I50.22 I49.9 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Infarct What type - Myocardial Do any of the following apply to the condition - STEMO Do any of the following apply to the condition - Anterior wall What is the correct diagnosis code - I21.09 Second diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Hypertension With - Heart failure What is the correct diagnosis code - I11.0 Third diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Failure What type - Heart Do any of the following apply to the condition - Systolic Do any of the following apply to the condition - Chronic What is the correct diagnosis code - I50.22 Fourth diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Arrhythmia What is the correct diagnosis code - I49.9 Overall Feedback: I21.09: Index>Infarct>myocardial>STEMI>anterior I11.0: Index>Hypertension>with>heart failure (congestive) I50.22: Index>Failure>heart>systolic>chronic I49.9: Index>Arrhythmia
PATIENT: GUZMANN, EVAN ACCOUNT/EHR #: GUZMEV001 DATE: Attending Physician: Renee O. Bracker, MD S: Pt is a 68-year-old male returning to discuss test results done 2 days ago at our imaging center. Patient is accompanied by his wife, Angie. O: Ht. 5′10″, Wt. 184 lb., R 20, T 98.9, BP 134/86. I explain to the patient and his wife that the test results show a narrowing of the basilar, carotid, and vertebral arteries on his left side, which we believe to be the cause of the symptoms experienced by Mr. Guzmann that we discussed in our last encounter. These arterial strictures account for the headaches, dizziness, and reduced mental acuity. A: Stenosis of precerebral arteries, including the basilar, carotid, and vertebral arteries
Diagnosis Code(s) I65.1 I65.22 I65.02 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Occlusion What type - Artery Anatomical site - Basilar What is the correct diagnosis code - I65.1 Second diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Occlusion What type - Artery Anatomical site - Carotid What it the laterality - Left What is the correct diagnosis code - I65.22 Third diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Occlusion What type - Artery What is anatomical site - Vertebral What it the laterality - Left What is the correct diagnosis code - I65.02 Overall Feedback: I65.1: Occlusion>artery>basilar I65.22: Occlusion>artery>carotid>left I65.02: Occlusion>artery>vertebral>left
PATIENT: CROWDER, CHRISTOPHER ADMITTING DIAGNOSES: Deep venous thrombosis (DVT) left leg Urinary tract infection (UTI) Parkinson's disease FINAL DIAGNOSES: Acute DVT, left UTI Parkinson's disease HOSPITAL COURSE: The patient presented to the office with left leg pain, and uneasiness as well as cloudy urine. He was evaluated, and Doppler studies of the leg confirmed DVT. Urinalysis reveals infection and the patient was started on Levaquin and Lovenox subcu 1 mg per kg twice a day; after 3 days, patient asymptomatic for both with his urinary symptoms and calf pain. Patient's vital signs are stable. He is afebrile. Lungs clear. Heart rhythm regular. Neurologic examination: Tremors and rigidity secondary to Parkinson's disease. Rest is unremarkable. His Doppler studies were positive for left popliteal vein thrombosis and flow abnormalities in superficial femoral vein. The results of the pelvic sonogram reveal an enlarged prostate and questionable intraluminal. Right kidney, normal. Left kidney, cyst lower pole.
Diagnosis Code(s) I82.432 N39.0 G20 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Thrombosis Location - Vein What type - Deep (DVT) What is the anatomical site - Popliteal What is the laterality - Left What is the correct diagnosis code - I82.432 Second diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Infection What is the anatomical site - Urinary (tract) What is the correct diagnosis code - N39.0 Thrid diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Disease What type - Parkinson's What is the correct diagnosis code - G20 Overall Feedback: I82.432: Index>Thrombosis>vein>deep (DVT)>popliteal>left N39.0: Index>Infection>urinary (tract) G20: Index>Disease>Parkinson's
Ken Medlock, a 37-year-old male, presents today with the complaint of ringing in his ears and the feeling of being unbalanced. Ken also states he is having difficulty with his hearing and has pressure in both ears. Dr. Burgos completes an examination and decides to admit Ken for a full workup. Sensorineural hearing loss is verified by audiometry; MRI scan and electrocochleography confirm the final diagnosis of bilateral Ménière's disease.
Diagnosis code: Where should you begin to look up the code in the coding manual - Index to diseases and injuries What is the key term - Meniere's disease What is the laterality - Bilateral What is the correct diagnosis code - H81.03 Overall Feedback: H81.03: Ménière's disease>bilateral
Robert Gould, a 42-year-old male, presents today complaining of pain and lack of vision in his left eye. Robert states that he was playing in a baseball game at the local baseball field and was accidentally struck in the face by the ball. Dr. Beck notes visual acuity of 20/200 (OS), a protruding eyeball, and an intraocular pressure of 42 mm Hg. Normal right eye exam. Robert is admitted, where the CT scan confirms the diagnosis of subarachnoid hematoma.
Principal diagnosis: What is the key term - Injury What is the anatomical site - Intracranial What type - Subarachnoid hemorrhage Do any of the following apply to the condition - Traumatic What is the correct diagnosis code - S06.6X0A Second diagnosis: Where should you begin to look up the code in the coding manual - External cause of injuries index What is the key term - Struck By what - Ball What type - Baseball What is the correct diagnosis code - W21.03XA Third diagnosis: Where should you begin to look up the code in the coding manual - External cause of injuries index What is the key term - Place of occurrence What is the location - Baseball field What is the correct diagnosis code - Y92.320 Fourth diagnosis: Where should you begin to look up the code in the coding manual - External cause of injuries index What is the key term - Activity What type - Baseball What is the correct diagnosis code - Y93.64 Fifth diagnosis:Where should you begin to look up the code in the coding manual - External cause of injuries index What is the key term - Status What type - Leisure activity What is the correct diagnosis code - Y99.8 Overall Feedback: S06.6X0A: index>injury>intracranial>subarachnoid hemorrhage, traumatic W21.03XA: External cause index>struck>ball>baseball Y92.320: External cause index>place of occurrence>baseball field Y93.64: External cause index>activity>baseball Y99.8: External cause index>status>leisure activity
John Di Toma, a 10-month-old male, was diagnosed with congenital bilateral cataracts several weeks ago. John is admitted today for the surgical removal of the cataracts.
What is the principal diagnosis code? Q12.0 What is the key term - Cataract Do any of the following apply to the condition - Congential What is the correct diagnosis code - Q12.0 Overall Feedback: Q12.0: index>cataract>congenital
George McKeown, a 65-year-old male, presents with pain around his right eye and sensitivity to bright light. Dr. Zabawa notes redness of the eye and sagging skin around the lower eyelid. George is diagnosed with entropion of the right eye, lower eyelid.
What is the principal diagnosis code? H02.002 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Entropion What is the anatomical site - Eye What is the laterality - Right Do any of the following apply to the condition - Lower eyelid Do any of the following apply to the condition - Unspecified What is the correct diagnosis code - H02.002 Overall Feedback: H02.002: Entropion>right>lower
Sheila Friday, a 17-year-old female, presents with the complaint that her left upper eyelid is swollen but doesn't hurt. This is the third time it has happened. Dr. Moss completes a thorough examination and diagnoses Sheila with blepharochalasis, left upper eyelid.
What is the principal diagnosis code? H02.34 What is the key term - Blepharochalasis What is the anatomical site - Eye What is the laterality - Left Do any of the following apply to the condition - Upper eyelid What is the correct diagnosis code - H02.34 Overall Feedback: H02.34: Blepharochalasis>left>upper
Donald McShane, a 32-year-old male, presents with the complaints of headaches, blurred vision, and eye pain. Dr. Clayton notes redness of the eyes and irregular pupils. Don has been having recurrent episodes and his condition has worsened. The oral steroid treatment does not seem to be effective. After an examination, Dr. Clayton makes the decision to admit Don for a complete workup. Don is diagnosed with acute recurrent iridocyclitis, bilaterally.
What is the principal diagnosis code? H20.023 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Iridocyclitis Do any of the following apply to the condition - Acute Do any of the following apply to the condition - Recurrent What is the laterality - Bilateral What is the correct diagnosis code - H20.023 Overall Feedback: H20.023: Iridocyclitis>acute>recurrent>bilateral
Jill Pruitt, a 9-year-old female, is brought in today by her mother. Jill was jumping on her bed in her bedroom at home when she fell off and struck her head on the floor; now she is seeing double. Dr. Brownder completes an examination and decides to admit Jill for observation. After CT scan results were reviewed, Jill is diagnosed with temporary diplopia.
What is the principal diagnosis code? H53.2 Principal diagnosis: What is the key term - Diplopia What is the correct diagnosis code - H53.2 Overall Feedback: H53.2: Diplopia
Mark Gamble, a 57-year-old male, presents with a low fever and right ear pain. Dr. Martin completes an examination with otoscope, which confirmed a moderately bulging, nonperforated, right tympanic membrane; left tympanic membrane is noted to be within normal limits. Dr. Martin also notes this is the third bout this year. Mark is diagnosed with acute suppurative otitis media, recurrent, right ear.
What is the principal diagnosis code? H66.004 What is the key term - Otitis What is the location - media Do any of the following apply to the condition - Suppurative Do any of the following apply to the condition - Acute Do any of the following apply to the condition - Recurrent What is the laterality - Right What is the correct diagnosis code - H66.004 Overall Feedback:H66.004: Otitis>media>suppurative>acute>recurrent
Latoya Simpkins, a 36-year-old female, presents with the complaint of right ear pain. Dr. Herauf also documents a low-grade fever, cough, and nasal drainage. Dr. Herauf completes an examination with otoscope, which visualizes a cloudy bulging eardrum with blisters. Latoya is diagnosed with bullous myringitis.
What is the principal diagnosis code? H73.011 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Myringitis Do any of the following apply to the condition - Acute What type - Bullous What is the laterality - Right What is the correct diagnosis code - H73.011 Overall Feedback: H73.011: Myringitis>acute>bullous>right
Rodney Sabido, a 49-year-old male, is suddenly having difficulty with his hearing. Rod describes it as the pitch is higher in one ear than the other. Dr. Butterfield completes an examination and the audiometry confirms a diagnosis of diplacusis, right ear.
What is the principal diagnosis code? H93.221 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Diplacusis What is the laterality - Right What is the correct diagnosis code - H93.221 Overall Feedback: H93.221: Diplacusis>right
Kay Risinger, a 57-year-old female, presents today with chest pain and shortness of breath on exertion. Kay also admits that it is difficult to breathe at night when lying in bed. Dr. Tate notes a cough and completes a thorough examination. The echocardiogram confirms a diagnosis of rheumatic aortic regurgitation with mitral valve disease.
What is the principal diagnosis code? I08.0 (Regurgitations tells you to refer to insufficiency) Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Insufficiency What is the anatomical site - Aortic What type - RheumaticWith - Mitral (valve disease) What is the correct diagnosis code - I08.0 Overall Feedback:I08.0: Index>Insufficiency>aortic>rheumatic>with>mitral>valve disease
Calvin Ballew, an 8-year-old male, is brought in by his parents with the complaint that Calvin has been "out of sorts" for the last day or two and has not been eating well. Dr. Barfield notes a cough and labored breathing. After a thorough examination, Dr. Barfield decides to admit Calvin to Weston Hospital. The blood tests reveal an increased erythrocyte sedimentation rate (ESR) and ECG confirms a diagnosis of chronic rheumatic myocarditis.
What is the principal diagnosis code? I09.0 What is the key term - Myocarditis What type - Rheumatic Do any of the following apply to the condition -Chronic What is the correct diagnosis code - I09.0 Overall Feedback: I09.0: Index>Myocarditis>rheumatic
Judith Raj, a 49-year-old female, has been diagnosed with hypertension heart disease and stage II chronic kidney disease. Dr. Bennett documents the fact that Judith is not in heart failure at this time.
What is the principal diagnosis code? I13.10 What is the second diagnosis code? N18.2 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Hypertension What type - Cardiorenal Do any of the following apply to the condition -Without heart failure Do any of the following apply to the condition - With kidney disease What stage of Kidney disease - 1-4 What is the correct diagnosis code - I13.10 Second diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Disease What type - Kidney Do any of the following apply to the condition -Chronic What stage - 2 What is the correct diagnosis code - N18.2 Overall Feedback: I13.10: Index>Hypertension>cardiorenal>without heart failure>with stages 1-4 chronic kidney disease N18.2: Disease>kidney>chronic>stage 2 (mild)
Kitty Hearn, a 63-year-old female, presents today with the complaint of chest tightness. She also states that her left jaw and shoulder hurt. Dr. Kickey notes diaphoresis. Kitty has smoked cigarettes for 40 years. Dr. Kickey completes an examination and reviews blood test results, which reveal a high level of creatine phosphokinase (CPK). Kitty is admitted to the hospital, where a coronary angiography confirms the diagnosis of crescendo angina.
What is the principal diagnosis code? I20.0 What is the second diagnosis code? Z72.0 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - AnginaWhat type - Unstable What is the correct diagnosis code - I20.0 Second diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - TobaccoWhat type- Dependence What is the correct diagnosis code - F17.210 Overall Feedback:I20.0: Index>Angina>unstable F17.210: Index>Dependence>drug>nicotine>cigarettes
Jessie Jacobs, a 48-year-old female, presents today with the complaint of shortness of breath and weakness. During the examination, Jessie experiences severe chest pain. Dr. Raley completes an ECG, which confirms a diagnosis of acute transmural myocardial infarction ST elevated inferior diaphragmatic wall. Jessie is admitted to Weston Hospital for stabilization and treatment.
What is the principal diagnosis code? I21.19 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Infarction What type - Myocardium Do any of the following apply to the condition -ST elevated Do any of the following apply to the condition - Inferior wall What is the correct diagnosis code - I21.19 Overall Feedback: I21.19: Index>Infarction>myocardium>ST elevated>inferior wall
James Tedder, a 62-year-old male, complains of chest tightness with physical activity. Jim also says he has a funny feeling in his neck. Dr. Franklin notes tachycardia and admits him to Weston Hospital. A cardiac CT scan and stress ECG confirm a diagnosis of silent myocardial ischemia.
What is the principal diagnosis code? I25.6 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Ischemia What type - Myocardium Do any of the following apply to the condition - Silent What is the correct diagnosis code - I25.6 Overall Feedback: I25.6: Index>Ischemia>myocardium>silent
Earline Hodges, a 57-year-old female, has a sharp sudden chest pain. Dr. Harper notes a pericardial rub. The laboratory results confirm infective pericarditis due to retrovirus.
What is the principal diagnosis code? I30.1 What is the second diagnosis code? B97.30 What is the key term - Pericarditis Due to - Infection What is the correct diagnosis code - I30.1 What is the key term - Infection What type - Retrovirus Do any of the following apply to the condition - As cause of disease classified elsewhere What is the correct diagnosis code - B97.30 Overall Feedback: I30.1: Index>Pericarditis>infective B97.30: Index>Infection>retrovirus>as cause of disease classified elsewhere
Johnette Barrett, a 27-year-old female, is brought in by her husband, who is concerned because Johnette has been very confused. Johnnette says her chest hurts and it feels like her heart is racing. Dr. Bakker notes labored breathing. Patient is admitted to the hospital, where test results confirm the diagnosis of paroxysmal atrial fibrillation.
What is the principal diagnosis code? I48.0 Principal diagnosis: What is the key term -Fibrillation What type-Atrial Do any of the following apply to the condition -Paroxysmal What is the correct diagnosis code - I48.0 Overall Feedback: I48.0: Index>Fibrillation>atrial>paroxysmal
Donald Ross, a 49-year-old male, presents today with numbness in his fingers and toes. Dr. Jones notes pale coloration in the ring finger of his right hand. Don also states that the numbness is worse with temperature changes. Dr. Jones completes a thorough examination and reviews the laboratory results, which confirm a diagnosis of Raynaud's syndrome without gangrene.
What is the principal diagnosis code? I73.00 Principal diagnosis:Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Raynaud's syndrome Do any of the following apply to the condition - Without gangrene What is the correct diagnosis code - I73.00 Overall Feedback: I73.00: Index>Syndrome>Raynaud's
Ben Jamison, a 51-year-old obese male, was diagnosed with a chronic embolism of the left subclavian vein.
What is the principal diagnosis code? I82.B22 What is the key term -Embolism Location - Vein What is the anatomical site - Subclavian Do any of the following apply to the condition - Chronic What is the laterality - Left What is the correct diagnosis code - I82.B22 Overall Feedback: I82.B22: Index>embolism>vein>subclavian>chronic>left
Vanessa Dostoimov, a 67-year-old female, had a pericardiotomy 6 weeks ago. Dr. Baker last saw Vanessa 2 weeks ago for a fever and chest pain. Today, Dr. Baker notes patient is experiencing similar symptoms today and documents a pericardial rub, tachycardia, and hepatomegaly. Vanessa is admitted to the hospital for a possible pericardiocentesis. After a thorough examination and review of the test results, Vanessa was diagnosed with postcardiotomy syndrome.
What is the principal diagnosis code? I97.0 Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term -Postcardiotomysyndrome What is the correct diagnosis code - I97.0 Overall Feedback:I97.0: Index>Syndrome>postcardiotomy
Dedrick Andrews, a 43-year-old male, presents today with a cough, fever, and night sweats. Dr. Jamerson completes an examination, the appropriate laboratory tests, and a chest x-ray. Dedrick is diagnosed with septic arterial embolism of thoracic aorta with lung abscess due to MSSA.
What is the principal diagnosis code? J85.2 What is the second diagnosis code? I76 What is the third diagnosis code? I74.11 What is the fourth diagnosis code? B95.61 Principal diagnosis: What is the key term - Abscess What is the anatomical site - Lung What is the correct diagnosis code - J85.2 Second diagnosis: What is the key term - Embolism Location - Artery Do any of the following apply to the condition - Septic What is the correct diagnosis code - I76 Third diagnosis: What is the key term - Embolism Location - Aorta Do any of the following apply to the condition - Thoracic What is the correct diagnosis code - I74.11 Fourth diagnosis: What is the key term - Infection What type - Staphylococcal Do any of the following apply to the condition - As cause of disease classified elsewhere Do any of the following apply to the condition - Aureus, (methicillin susceptible) What is the correct diagnosis code - B95.61 Overall Feedback: J85.2: Index>Abscess>lung I76: Index>Embolism>septic I74.11: Index>Embolism>aorta>thoracic B95.61: Index>Infection>staphylococcal>as cause of disease classified elsewhere>aureus
