other question and need the explanation and answer to help me learn.
Looking for the right codes that fits with every last disease mentioned.
Requirements:
CODING TIPS DOCUMENT FOR
Module 05 Assignment – Coding Skills Assessment
Number of codes needed for each question:
Two codes are needed for the following questions: #7, #17, and #18
The remaining questions need only ONE code.
If there are 2 or more codes, you will need the correct sequencing (following coding guidelines or the order given in the documentation) to receive full credit.
Coding Tips:
Before completing the worksheet, do the following:
Listen to the Live Classroom.
Do your text book reading and use the “Check Your Understanding”.
Under Lesson Content, do your “Checking your Coding Skills” non-graded assignment to practice what you have read and learned in the Live Classroom.
Review the Chapter Specific Guidelines in your textbook Chapters 13, 14, and 17 and coding examples. Use your ICD 10 CM Code Book Chapters 10, 11, and 14 for your Coding Skills Assessment Worksheet. You may also be using coding learned from previous modules. Make sure you first locate the main term correctly and then use the proper coding pathway as described in the Live Classroom.
Look up any terms in the documentation you do not understand.
Once you have located the code, double check your answer both in the code book and when you write it in your worksheet.
Remember to follow all the instructions in the Tabular List before finalizing your code. Follow the Instructional Notes for sequencing of codes.
Check your Tabular List for each code to see if a red +7th is indicated. If so, then you will need to use a 7th character to indicate the encounter type.
If a 7th character is required, you will need to choose from the gray box of letters to use based on the documentation. For example: If the patient is seen in the emergency room that is always considered an initial visit. Many times a provider will not directly document initial or subsequent. You will need to determine that on your own based on the context of the diagnosis given in the documentation.
When using a 7th character and there is a blank space for characters 5 and/or 6, do not move the 7th character to those blank spaces. Be sure to use the Placeholder X as the 7th character has to be in the 7th spot in the code.
Documentation Tips:
A Reminder to watch for the red plus sign or the red plus 7th to the left of a code as it indicates another character is needed.
If you cannot find the exact term from the documentation in the Alphabetic Index, try to find a similar medical term. For example: Mouth is the same as oral.
Some of the coding will require the coding information you learned in previous modules.
Asymptomatic means the patient has no symptoms.
Reading your instructional notes in the Tabular List is very important this week.
Remember NOS means “not otherwise specified.”
Remember NEC means “not elsewhere classified”
Remember “other” means that a specific description is given but not found in the code book for a specific code.
Remember that “unspecified” means the detail needed for a complete code is not specified in the documentation.
Module 06 Assignment – Coding Skills Assessment
Instructions:
Use your code book first and you can use an encoder if you are double checking your codes in the code book. Encoders can take you down the wrong coding pathway until you are more experienced with them. Also, remember the importance of becoming skilled and accurate at using a code book.
This worksheet focuses on Chapters 5, 7, and 8 in your Code Book and your Textbook reading Chapters 8, 10, and 11. Coding information covered in prior modules may be included also.
If there are two or more codes, you must sequence correctly to receive full credit.
A patient uses an opioid and develops an opioid inducted sleep disorder. The patient is a previous cigarette smoker and has quit smoking.
Acute toxic conjunctivitis, bilateral, due to accidental exposure to chlorine gas, initial encounter.
Acute mastoiditis without complications, left ear.
Benign paroxysmal vertigo left and right ears.
Alcohol dependence with withdrawal and perceptual disturbance
Agoraphobia with panic disorder.
Pain disorder with related psychological factors due to acute pain due to trauma.
Major depressive disorder, single episode, severe without psychotic features.
Bipolar Disorder, Type II.
Fear of injections and transfusions.
Kayser-Fleischer ring, bilateral associated with Wilson’s disease.
Cataract with neovascularization due to chronic iridocyclitis, bilateral.
Round hole of the retina without detachment, right eye.
Traumatic wound causing vitreous prolapse, right eye, initial encounter in the emergency room.
Suppurative Otitis Media left ear with central perforation of the tympanic membrane left ear.