HIT 205 week 7 Part 1
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Colorado Technical University *
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205
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Medicine
Date
Feb 20, 2024
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docx
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Debra was attending a birthday party at a friend'’s house. While dancing, a speaker fell on her left foot. She went to the orthopedic provider the next day as it was painful and hurt to walk on it. Considering external cause codes only for this question, select TWO activities to be captured by the coder as per the stated documentation. (HINT: refer to chapter 20 guidelines for assistance) (check all that apply) Friends' garage - place of occurrence Struck by object - cause I Correct Intentional assault - intent Dancing - activity I Correct =h RN a. m While at the orthopedic provider, the x-ray did not identify any fracture as the reason for the foot pain. The provider is sending Debra for an MRI of the left foot to determine the cause of the foot pain. What one main term from the alphabetic index would the coder reference for the given diagnosis of this scenario? pain Correct answer 1 - | pain Correct e
One week later at the follow up visit, the provider indicated the MRI only shows bruising of the foot; just a contusion, no fracture. What one main term will the coder reference in the alphabetic index of the ICD10CM manual for this diagnosis? (HINT: the term should have a diagnosis code next to it) Contusion Correct answer 1 - | contusion Correct i m
During this follow up visit, identify the information, to include external cause codes per the Chapter 20 coding guidelines (External cause code used for the length of the treatment), the coder can submit for this scenario. HINT: Review which external cause codes can be used for the extent of a condition and which can ONLY be used on the first encounter. contusion foot; struck by falling object; intent accident contusion foot; struck by falling object; activity dancing; place house; status other contusion foot; struck by falling object I Correct contusion foot; struck by falling object; activity dancing; place house; intent accident; status other Using proper coding sequence, what are the ICD-10-CM codes the coder would submit for this follow up encounter for a contusion of the left foot for Debra sustained from the falling object (speaker)? (HINT: Both codes will require an "X" placeholder and 7th digit letter) $90.32XD (7 digit "contusion of left foot” ICD10CM code), W20.8XXD (7 digit "struck by falling object” ICD10CM external cause code) Correct answer 1 - | $90.32XD S90.32XA Correct Without the entire medical record available, it is difficult to determine if the provider established a new plan of care (7th character "A") or if this is a subsequent encounter (7th character "D"). Both answers are acceptable in this example.
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