HIM1125_CodingSkillsAssessmentWorkSheet_07.11.23

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Rasmussen College, Florida *

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HIM1125

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Mechanical Engineering

Date

Dec 6, 2023

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docx

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2

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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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