Victoria Pearson-HI255-Unit 5 assignment
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HI255 Medical Coding II
Unit 5 Assignment Worksheet
Unit outcomes addressed in this Assignment:
Identify unusual services and treatments and report them
accurately.
Abstract physician documentation of procedures on the integumentary system.
Accurately apply the guidelines for coding procedures on
the musculoskeletal system.
Recognize the details required to accurately report procedures on the respiratory system.
Identify guidelines to correctly report services to the cardiovascular system.
Determine how to accurately report procedures on the genital systems: male and female.
Interpret documentation to accurately report procedures on the nervous system.
Recognize the necessary details to report procedures on the eye, ocular adnexa, and auditory system.
Course outcome addressed in this Assignment:
HI255-3:
Assess national guidelines and best practices to ensure quality coding.
HI255-4:
Evaluate clinical documentation for appropriate health information that supports quality coding practices.
AHIMA’s Professional Coding Approved Program (PCAP) Mapping: Domain IV. Revenue Cycle Management
IV.1. Determine diagnosis and procedure codes and groupings according to official guidelines. (Bloom’s level 5)
Instructions: Each question requires you to access and review the indicated patient case. Cases can be downloaded as PDF files from the Patient Records folder in Course Documents. Review the medical record and answer the question indicated. Pay close attention to the question—is the answer a diagnosis code or procedure code or both? If a procedure, remember PCS codes are only used for IP (inpatient) charts. DO NOT CODE LAB TESTS OR PLAIN X-RAYS UNLESS SPECIFIED. Type your answers in the “Student Response” column.
Q#
Case Questions
Student
Response
Instructor Use
1
Download and abstract case OPSX32-Sandall, Oscar
Locate and assign the principal and additional ICD-
10-CM codes
using the ICD-10-CM manual. Select the pair of diagnosis codes from the following:
S83.211A, M67.861 | M23.203, M67.52 | S83.232A, M67.51 | S83.231A, M67.51
ALSO,
locate and assign the principal CPT procedure code
using the CPT manual. Select the single procedure code from the following:
29883 | 29880-RT | 29881-RT | 29870
S83.231A
M67.51
29881-RT
2303B
HI255 Unit 5 Assignment Worksheet
1
HI255 Medical Coding II
2
Download and abstract case SXP01-Williams, Carrie
Locate and assign the principal ICD-10-CM code
using the ICD-10-CM manual. Select the single diagnosis code from the following:
K29.50 | K29.21 | K29.81 | K29.00
ALSO,
locate and assign the principal CPT procedure code
using the CPT manual. Select the single procedure code from the following:
88300 | 88305 | 88305X2 | 88309
K29.50
88305X2
3
Download and abstract case IMG21-Currier, Frank
Locate and assign the principal ICD-10-CM code
using the ICD-10-CM manual. Select the single diagnosis code from the following:
J84.10 | J84.113 | R09.0 | R06.0
ALSO,
Locate and assign the principal CPT procedure code
using the CPT manual. Select the CPT procedure code from the following:
94621 | 94619 | 94760 | 94618
J84.10
94618
4
Download and abstract case OPSX34-Clerk, Solomon
Locate and assign the principal CPT procedure code
using the CPT manual. Select the procedure code from the following:
29827-RT | 29828-RT | 29806-RT | 29820-RT
ALSO,
locate and assign the additional (add-on) CPT
procedure code
using the CPT manual. Select the procedure code from the following:
29828-RT | 29820-RT | 29806-RT | 29826-RT
29827-RT
29826-RT
5
Download and abstract case IPC22-Sapp, Eric
Locate and assign the principal ICD-10-CM code
using the ICD-10-CM manual. Select the diagnosis code from the following:
R78.81 | R78.8 | A41.9 | R65.21
ALSO,
locate and assign the additional ICD-10-CM code
using the ICD-10-CM manual. Select the diagnosis code from the following:
B95.6 | B95.4 | B95.62 | B95.8
R78.81
B95.8
6
Download and abstract case OPSX31-Mayweather, Cora.
Locate and assign the principal and 2 additional ICD-10-CM codes
using the ICD-10-CM manual. C56.3
C78.5
Z93.3
36561
2303B
HI255 Unit 5 Assignment Worksheet
2
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