Kdillon_Module 01 Lab Assignment - Explore 3 Coding Systems_02102024

docx

School

Rasmussen College, Florida *

*We aren’t endorsed by this school

Course

1625

Subject

Mechanical Engineering

Date

Feb 20, 2024

Type

docx

Pages

Uploaded by MasterAnteater3842

Module 01 Lab Activity - Explore 3 Coding Systems Note: There are three sections to complete for this lab worksheet. Each section is for a different coding system. Pre-requisite: Read the Lesson Content for Module 01 and listen to the Live Classroom session recording. Instructions: Enter all responses directly in this worksheet. Submit the completed worksheet to the drop box for grading. Tip: A good rule to remember in coding is that reading slowly for understanding is very important in learning the skill of coding, even when you are coding on the job. Even experienced coders have to remember this rule. And always double check your work to ensure accuracy…even experienced coders do that. Section 1: ICD-10-CM Coding System Instructions: For each diagnostic statement on the left, identify the Main Term, and list it in the column on the right. Diagnostic Statement Main Term 1. Benign Hypertension Hypertension 2. Follicular Cyst Cyst 3. Acute sinusitis sinusitis 4. Juvenile arthritis, knee arthritis 5. Adult onset diabetes diabetes 6. Chronic persistent atrial fibrillation atrial fibrillation 7. Cystic fibrosis fibrosis 8. Acute aspiration pneumonia pneumonia 9. Chronic orthostatic hypotension hypotension 10. Appendicitis with rupture NOS Appendicitis 11. COPD unspecified COPD 12. Hyperlipidemia, unspecified Hyperlipidemia 13. Nausea, unspecified, without vomiting Hyperlipidemia 14. Cirrhosis, liver liver 15. Viral hepatitis hepatitis Instructions: For each characteristic description on the left, specify the unique characteristic of the ICD-10-CM, and list it in the column on the right. Characteristic Description Unique Characteristic 1. Indicate the number of characters in an ICD-10-CM code 3-7 2. State the character that is ALWAYS an alphabetic character 1 character 1 character Page 1 of 5

1 Character 3. Are there any letter values not used in ICD 10 CM codes? All letters been used, even the letter “U” effective 2021 All letters been used, even the letter “U” effective 2021 all letters been used, even the letter “U” effective 2021 4. Specify where the decimal point is placed in the code After 3 Characters 5. Indicate the character that is ALWAYS a numeric value The second Character 6. State the Placeholder character value x Section 2: CPT Coding System Instructions: For each characteristic description on the left, specify the unique characteristic of the CPT Code, and list it in the column on the right. Characteristic Description Unique Characteristic 1. State the number of digits in the CPT 5 2. Indicate the type of setting where CPT codes are typically used Outpatient 3. Indicate what is included in the term “procedures” which describes services and what type of tests Diagnostic Test 4. Specify where the guidelines for CPT coding are located in the code book The beginning of each section and each section code set Page 2 of 5

5. Identify the next step in the coding process after identifying the main term index Modifying Term 6. Name the 2 character extension applied to the 5-digit CPT to provide information regarding certain circumstances that are relevant to the service performed Modifier 7. State the 2 categories of office visits 8. Name the 4 th classification of main terms in addition to:  Procedure or service (Endoscopy or splint)  Organ or other anatomical site (Fibula, bladder)  Condition (Abscess) 9. Explain the purpose of a “Modifying Term” 10. State where the Index is located in the CPT code book Page 3 of 5

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

Section 3: ICD-10-PCS Coding System In this section, you will be identifying the 3 rd Character (Root Operation) and the 4 th Character (Body Part) from the statements provided. Use the Root Operation Information provided below to help you complete this section. Root Operation Information Name Definition Examples Resection Complete removal of a body part Appendectomy, cholecystectomy, tonsillectomy Excision Partial removal or biopsy of a body part Removal of a cyst or lesion, biopsy, sampling of a body part Detachment Complete removal of an extremity Amputation Fragmentation Breaking up solid matter into pieces Lithotripsy Reposition Moving a body part to its normal location or other suitable location Reduction of a displaced fracture Inspection Visual or manual exploration of a body part Colonoscopy, bronchoscopy, examination of the ear Occlusion Completing closing off a tubular body part Sterilization-ligation of the fallopian tubes Replacement Placing a device that replaces a body part Knee or hip replacement Repair Restoring the body part to its normal structure Suture of a laceration Bypass Altering the route of passage Coronary artery bypass, colostomy Instructions: For each procedural statement below, list the associated root operation and body part(s). Be sure to include all descriptors for the body parts (e.g., left, distal etc.). Procedural Statements Root Operation Body Part(s) Example: Colonoscopy with removal of a polyp from the ileocecal valve for diagnostic purposes. Excision Ileocecal Valve 1. Cholecystectomy with complete removal of the gallbladder 2. Sigmoidoscopy for diagnostic purposes 3. Total Right Knee Replacement 4. Partial removal of a lymph node for biopsy 5. Sterilization by ligating the vas deferens 6. Suture of a large laceration on the right index finger 7. Non-coronary bypass of the left femoral artery Page 4 of 5

8. Amputation of the right foot due to necrosis 9. Extracorporeal shockwave lithotripsy (ESWL) of the right kidney due to calculus 10. Reduction with internal fixation of a displaced fracture of the right tibia Page 5 of 5