MCCG137 Week 5 Porfolio Project OutPatient & Physician Services

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Bryant & Stratton College *

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137

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Health Science

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Nov 24, 2024

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docx

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Ciara Santos 5/31/2023 MCCG137 Week 5: Portfolio Project- Outpatient & Physician Services Physician Scenario #1: ICD-10-CM Code R00.1 Bradycardia, unspecified Bradycardia, drug induced, in therapeutic use. In the scenario that the patient was having bradycardia which is an order characterized by a dysrhythmia with a heart rate less than 60 beats per minute that originates in the sinus node. The patient was prescribed Demerol, a prescription medicine used to treat the symptoms of moderate to severe pain and was properly administered. There is no other information that states if the patient is having other symptoms related to bradycardia, and since bradycardia was drug- induced, in therapeutic use, R00.1 is the code we are using. Outpatient Scenario #2: ICD-10-CM Diagnosis Code PDX K74.60 (Principal diagnosis) SDX 185.01 (Secondary diagnosis) Cirrhosis of the liver with hemorrhagic esophageal varices The patient has cirrhosis of the liver, a disease characterized by replacement of liver parenchyma with fibrous tissue and regenerative nodules, and I assigned the ICD-10-CM code which is K74.60. There are no other diagnostic related groups specified. The bleeding of esophageal varices is a secondary symptom related to his cirrhosis and was just identified during the endoscopy, so I assigned a secondary diagnosis code of SDX 185. 01. Outpatient Scenario #3: ICD-10-CM Diagnosis Code R26.0
Ataxic Gait Awkward, uncoordinated walking. The patient's chief complaint is the staggering gait, so I focused on the creation of code for this which is R 26.0, and it excludes hereditary ataxia, locomotor (syphilitic) ataxia and immobility syndrome. Though she had a previous accident, she has no other complaints, but the uncoordinated gait and the code is needed for her physical therapy, so I used Code R26.0.
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