HIM1125_CodingSkillsAssessmentWorkSheet_07.11.23
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HIM1125
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Mechanical Engineering
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Dec 6, 2023
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Uploaded by DrNeutron10657
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.
-
R94.5
2.
Patient has a family
history of lung cancer.
-
Z80.1
3.
Long term use of Coumadin (anti-coagulant) therapy.
-
Z79.01
4.
Patient has a follow up
examination after completed treatment of a fracture
of the hand.
-
Z09
5.
Admission for chemotherapy treatment. (Code only the chemotherapy.)
-
Z51.11
6.
Patient’s lab results indicated an
abnormal prothrombin time and the cause
was undetermined.
-
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.
-
R42 -
R29.810
8.
Patient presents with
dysuria of undetermined cause.
Tests were further
conducted and the cause remained undetermined.
-
R30.0
9.
A patient was admitted for
vertigo, headache, and nausea without vomiting.
While in the emergency room the symptoms resolved with no definitive
diagnosis.
-
R42 – R51.9 – R11.0
10.Left lower quadrant abdominal
pain, cause undetermined.
-
R10.32
11.Patient was complaining of coughing and pain in the chest.
A diagnostic
lung x-ray was done and results were
nonspecific abnormal findings.
-
R91.8 – R05.09 – R07.09
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.
-
Z80.42
13.A female patient presents for a routine mammogram to
screen for breast
cancer due to a family
history of breast cancer.
-
Z13.9 - -Z80.3 - ?
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.
-
Z43.1
.
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