MLutteke_Coding Skills Assignment Worksheet_ 01062024
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Riverland Community College *
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Feb 20, 2024
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Mariah Lutteke 1/4/2024
CODING SKILLS ASSESSMENT WORKSHEET
Module 1
(Code from the code book Chapters 18 and 21 only unless Instructional Notes or Chapter Specific Guidelines indicate to use a specific code. Use the Coding Tips Document provided in the link in your worksheet instructions to help with this worksheet.)
1.
Abnormal Liver Function Study.
The code for Abnormal Liver Function Studies is R94.5.
2.
The patient has a family history of lung cancer.
The code for the history of family lung cancer (malignant neoplasm of the lung) is Z80.1.
3.
Long-term use of Coumadin (anti-coagulant) therapy.
The code or long-term use of Coumadin (anti-coagulant) therapy is Z79.01.
4.
The patient has a follow-up examination after completing treatment of a fracture of the hand.
The code for follow-up examination after completed treatment from the fracture of the hand is Z09.
(Other than malignant Neoplasm)
5.
Admission for chemotherapy treatment. (Code only the chemotherapy.)
The code for admission for chemotherapy treatment (antineoplastic radiation therapy) is Z51.0.
6.
The patient’s lab results indicated an abnormal prothrombin time, and the cause was undetermined.
The code for abnormal prothrombin time is R79.1.
7.
A patient was admitted to the emergency room with complaints of dizziness and facial weakness. A possible stroke was suspected and after testing was ruled out.
The code for dizziness is R42. The code for observation for other suspected diseases and conditions is Z03.89.
8.
The patient presents with dysuria of undetermined cause. Tests were further conducted, and the cause remained undetermined.
The code for dysuria or painful urination is R30.9.
9.
A patient was admitted for vertigo, headache, and nausea without vomiting. While in the emergency room, the symptoms resolved with no definitive diagnosis.
The code for vertigo is R42.
The code for headache is R51.9.
The code for nausea without vomiting is R11.0
10.Left lower quadrant abdominal pain, cause undetermined. The code for pain in, the abdominal lower left quadrant is R10.32. 11.The patient was complaining of coughing and pain in the chest. A diagnostic lung x-ray was done, and the results were nonspecific abnormal findings. The code for unspecified coughing is R05.9.
The code for chest pain is R07.9.
The code for abnormal findings of diagnostic imaging of the lung is R91.
12. The patient was given a diagnosis of no evidence of recurrence of cancer of
the ovary a year after chemotherapy and the removal of the ovary.
The code for the personal history of malignant neoplasm is Z85.
13.A female patient presents for a routine mammogram to screen for breast cancer due to a family history of breast cancer.
The code for a family history of breast cancer is Z80.3.
The code for a routine mammogram to scream for malignant breast cancer is Z12.31.
14.A patient has had a gastrostomy tube placed and is now presenting to the physician’s office for irrigation of the gastrostomy tube. Do not code the office visit.
The code for encounter for attention to gastrostomy is Z43.1.
.
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