Science
M131/HIM1125 Rasmussen College SEC4 Coding Skills Assessment Assignment

Rasmussen College

Question Description

To complete the Coding Skills Assessment, complete the following steps.

  • Click here to download the Coding Skills Assessment Worksheet.
  • Use the ICD-10-CM Codebook to assign codes to each of the given scenarios.
  • Sequence codes according to the UHDDS definition of principal diagnosis.
  • Add additional diagnoses as appropriate.
  • Step 1 - Find a Diagnosis in the Alphabetic Index
  • See if you can locate the term Acne. To find this term, you need to turn to the Alphabetic Index to Diseases - which is after the guidelines near the beginning of your book. In the index, the main term acne links to the code L70.9 But what if the doctor states the diagnosis as Acne rosacea? Now review the indented list below the main term acne (called subterms) and find the subterm rosacea. Acne rosacea is coded as L71.9.
    Step 2 - Verify the Code in the Tabular List of Diseases
    Once you find a code in the Alphabetic Index, the very important next step is to verify the code in the tabular. Coders have to be very careful in assigning a code because what seems like a simple thing to do (linking a name of a disease to a number) isn’t always so simple. There are many rules involved in coding and by checking the Tabular, coders verify that they are assigning the correct code. Find the code L71.9. It’s not too difficult, because this section is in alpha-numerical order. L71.9 Rosacea is the main term in the Tabular List. Notice what else is mentioned below it. Other names for the same disease are listed, and also a definition of the term acne is given. In this case, there are no coding rules involved, and you can assign the code L71.9.
    Giving it Another Try
    Step 1 - Find the Diagnosis in the Alphabetic Index Let’s try coding another disease, postmenopausal osteoporosis. We know that step one is to find the disease in the Alphabetic Index - easy enough. But wait a minute - what is the main term of the disease? Do we look up the word postmenopausal or osteoporosis? This is where courses like Medical Terminology and Pathophysiology are going to help you. Osteoporosis is the actual disease, while postmenopausal is a subterm that applies to this disorder.
    http://content.learntoday.info/course_files/images/icons/sb_important.jpg As you practice identifying the main term, if you can’t find it under one word, try another. Remember, the main term will be a disease, injury or condition that the patient has. Do not try to find codes by anatomic site.
    Look up Osteoporosis and scan down the subterms to find postmenopausal. The code for postmenopausal osteoporosis is M81.0 Step 2 - Verify the Code in the Tabular List of Diseases Notice that M81.0 links to the main term Senile Osteoporosis in the Alphabetic Index. Reading just below the code, Postmenopausal Osteoporosis is listed as another term for the same disorder. Hooray! You found the correct code. Or did you? Take a look at the M81.0 section just above the code you found, and read the coding rules in red. These rules apply to any codes beginning with M81.0. There is a rule telling you to use an additional code if other conditions are going on at the same time. In this case, you won’t need to use an additional code, but in the real world, this is a reminder to the coder to add other codes if the patient has other related disorders. Also, check the M81 category just above Osteoporosis. These rules apply to any codes beginning with M81. Notice there is an Excludes note, where if any of the listed diseases occur at the same time as osteoporosis, they can’t be coded. Congratulations! You found the correct code M81.0. As a rule of thumb, remember to always double check your code and carefully read information the Tabular List tells you.
    Terms Definitions
    1. Principal diagnosis The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
    2. Principal procedure Procedure performed for definitive treatment, rather than for diagnostic or exploratory purposes, or one that was necessary to take care of a complication.
    3. Instructional notes Provide additional information regarding proper code assignment; examples are: Includes; Excludes; Code First; Use Additional Code; and Code, If Applicable, Any Causal Condition First.
    4. Main term Term that identifies disease conditions or injuries; it is identified in bold print and set flush with the left margin of each column in the Alphabetic Index.
    5. Subterms Give more specific information about a main term; listed below and indented to the right of the main term.
    6. Category In the Tabular List, a single three-digit code that describes a disease or similarly related group of conditions.
    7. Subcategory In the Tabular List, a fourth-digit code that provides additional information or specificity.
    8. Subclassification In the Tabular List, a fifth, sixth or seventh characters that provides even greater specificity.
    9. Section Consists of a group of three-digit categories that represent diseases or conditions that are similar.
    10. Specificity Coding to the greatest detail possible for a code.

Unformatted Attachment Preview

Diagnosis Coding Skills Assessment Module 03 Assign ICD-10-CM codes to the following scenarios: 1. Hallux valgus of left great toe metatarsal. Click here to enter text. 2. Pathological fracture, left foot, initial encounter for fracture. Click here to enter text. 3. Polyarthropathy due to erythema nodosum. Click here to enter text. 4. Localized scleroderma. Click here to enter text. 5. Chronic ulcer of right ankle due to atherosclerosis of extremities. Click here to enter text. 6. Allergic urticaria. Click here to enter text. 7. Pemphigus foliaceous. Click here to enter text. 8. Prepatellar bursitis. Click here to enter text. 9. Acne rosacea. Click here to enter text. Diagnosis Coding Skills Assessment Module 03 Assign ICD-10-CM codes to the following scenarios: 10. Acute Lymphadenitis. Click here to enter text. 11. Paronychia of finger. Click here to enter text. 12. Osteoarthritis, primary, generalized in multiple sites. Click here to enter text. 13. Acquired kyphosis, L1. Click here to enter text. 14. Cellulitis of both feet (left and right). Click here to enter text. 15. Complete tear of rotator cuff of right shoulder nontraumatic. Click here to enter text. 16. Displacement lumbar intervertebral disc. Click here to enter text. 17. Fracture, radius, lower end, initial encounter. Click here to enter text. 18. Dislocation, elbow, lateral, initial encounter. Click here to enter text. 19. Foreign body conjunctiva; initial encounter. Diagnosis Coding Skills Assessment Module 03 Assign ICD-10-CM codes to the following scenarios: Click here to enter text. 20. Infected laceration of scalp; subsequent encounter. Click here to enter text. 21. First, second and third degree burns of the chest; subsequent encounter. Click here to enter text. 22. Contusions face, chest and both arms; initial encounter. Click here to enter text. 23. Infection due to presence of right knee joint prosthesis; subsequent encounter. Click here to enter text. 24. Transfusion reaction; initial encounter. Click here to enter text. 25. External cause codes: slipping on an icy sidewalk, initial encounter. Click here to enter text. 26. External cause codes: Driver of auto in collision with another care in the interstate highway; initial encounter. Click here to enter text. 27. External cause code: passenger injured in accidental train derailment initial encounter. Click here to enter text. Diagnosis Coding Skills Assessment Module 03 Assign ICD-10-CM codes to the following scenarios: 28. External cause codes: patient fell down stairs; initial encounter. Click here to enter text. 29. External cause codes: Child bitten by neighbor’s dog at the park; initial encounter. Click here to enter text. 30. Patient ingested alcoholic beverages with valium resulting in a coma. Click here to enter text. 31. Atrial fibrillation due to underdosing of Amiodarone.. Click here to enter text. 32. Syncope after correctly taking antidepressents. Click here to enter text. 33. Patient given Diuril in error at the hospital resulting in hypokalemia. Click here to enter text. 34. Coma due to barbiturate intoxication; attempted suicide. Click here to enter text. 35. Hives from Bactrim taken correctly. Click here to enter text. 36. Fever due to DTap vaccine. Click here to enter text. ...
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Final Answer

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Diagnosis Coding Skills Assessment
Module 03

Assign ICD-10-CM codes to the following scenarios:
1. Hallux valgus of left great toe metatarsal.
M20.12

2. Pathological fracture, left foot, initial encounter for fracture.
M84.475A

3. Polyarthropathy due to erythema nodosum.
L52, M13.0

4. Localized scleroderma.
L94.0

5. Chronic ulcer of right ankle due to atherosclerosis of extremities.
I70.233

6. Allergic urticaria.
L50.0

7. Pemphigus foliaceous.
L10.2

8. Prepatellar bursitis.
M70.40

9. Acne rosacea.
L...

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