Advanced Medical Coding Assigment

1. A 61-year-old female patient is seen for a complaint ofsevere heartburn, lightheadedness, skin reddening, andshortness of breath. The physician renders a diagnosis ofGERD, sickle cell anemia, lymphangitis, and diaphragmaticparalysis. What code(s) should be assigned?ICD-10: __________________________________________2. A 37-year-old patient comes in complaining of swollenjoints and headaches. The physician’s diagnosis is SLE.The patient also has rheumatoid arthritis and asthmawith status asthmaticus. What code(s) are assigned?ICD-10: __________________________________________3. A 52-year-old patient is seen for mouth pain, knee pain,and fluid buildup in the chest. The physician renders adiagnosis of pulp degeneration, old disruption of the posteriorcruciate ligament, and pleural effusion. Thephysician also performed a chest tube insertion (drainingthe right pleural cavity with a drainage device using apercutaneous approach) prior to diagnosing the patient’spleural effusion. What diagnosis and procedure code(s)are assigned?ICD-10: __________________________________________4. A 30-year-old male is admitted to the hospital withlymphadenitis, acute lymphoid leukemia in relapse, andvon Willebrand disease. What code(s) are reported?ICD-10: __________________________________________5. A 47-year-old male is involved in a motor vehicle accident.He was driving on the highway when his carcollided with another vehicle. He was brought to the hospitalwith a lower arm injury. The physician obtained anx-ray of the arm and, after careful review and interpretationof the x-ray, rendered a diagnosis of lower armfracture. The physician repaired the arm fracture usingopen reduction and internal fixation (reposition of theright radius with internal fixation using a percutaneousendoscopic approach). What diagnosis and procedurecode(s) are reported?ICD-10: __________________________________________Review each of the following medical coding scenarios. Assignthe CPT code for the services and procedures indicated ineach scenario.1. A 48-year-old male patient comes to the emergency roomwith complaints of GERD. The physician performs alaparoscopic fundoplasty with a Collis gastroplasty. WhatCPT code(s) should be assigned?CPT: _________________________________________________2. A 40-year-old female patient is diagnosed with cervicalcancer. She also complains about difficulty breathing.She is admitted to the hospital, where the physicianbegins to perform a bronchoscopy after anesthesiaadministration. However, the procedure is discontinueddue to unforeseen complications. Later the same day, abilateral cervical lymphadenectomy is performed toaddress the patient’s cervical cancer. What CPT code(s)are assigned?CPT: _________________________________________________3. A 50-year-old patient is admitted for a repair of a lacerationto the diaphragm resulting from an accidentinvolving a bus that ran into a ditch. She also receivedeight trigger point injections into the transverse abdominusmuscle due to pain resulting from the accident.What CPT code(s) are assigned?CPT: _________________________________________________4. A 23-year-old patient comes to the emergency room afterbeing physically assaulted by her boyfriend. She complainsof nasal pain and bleeding from the left nostril.The physician obtains an x-ray of the nasal cavity, andthe x-ray confirms a nasal septum fracture. The physicianperforms an open treatment of the nasal fracturewith a concomitant open treatment of the fractured septum.What CPT code(s) should be assigned?CPT: _________________________________________________5. A 33-year-old patient is seen in the emergency room dueto complaints of headaches and congestion. The finaldiagnosis is maxillary sinus infection. The physician performsa nasal endoscopy with a maxillary antrostomy.She also removes some tissue from the maxillary sinus.What CPT code(s) should be assigned?CPT: _________________________________________________Review each of the following medical coding scenarios. Assignthe HCPCS code(s) required for each coding scenario.1. A 49-year-old patient is admitted to the hospital forrepair of an ankle fracture. On the day of discharge, thephysician prescribes a dynamic ankle extension and flexiondevice with a soft interface material. The ankle deviceis adjustable. What HCPCS code(s) are assigned?HCPCS: ______________________________________2. A 26-year-old patient was admitted to the hospital withacute exacerbation of allergic asthma. During the courseof the hospitalization, the patient received 5 mg of omalizumabadministered subcutaneously. What HCPCScode(s) are assigned?HCPCS: ______________________________________3. A 58-year-old patient is admitted to the hospital due tosevere anemia. He receives six units of fresh frozenplasma on the first day of admission. What HCPCScode(s) should be assigned?HCPCS: ______________________________________4. A 26-year-old patient comes to the emergency room complainingof watery diarrhea for five days. She receives 25mcg of octreotide acetate administeredintravenously. What HCPCS code(s) are assigned?HCPCS: ______________________________________5. A patient is brought to the emergency room after ingestinga bottle of verapamil as a suicide attempt. Thephysician ordered 10mg of glucagon HCL to be administeredas an antidote mixed in 100 ml of D5W in an IVover 2 minutes. What HCPCS code(s) should beassigned?HCPCS: ______________________________________Review the following medical coding scenario. Assign all ofthe ICD-10 and CPT codes for the diagnoses and proceduresindicated in the scenario.After being evaluated by his gastroenterologist, Mr. Jacksonwas sent to the hospital for a diagnostic esophagogastroduodenoscopy.He is having several symptoms that indicate apotential gastrointestinal condition. As a result, he was admittedin observation. His symptoms include vomiting, weightloss, and dysphagia. The esophagogastroduodenoscopy revealsthat the patient has low-grade Barrett’s esophagus, GERDwith reflux esophagitis and a non-obstructing hiatal hernia.Patient was also incidentally diagnosed with Crest Syndrome(CRST), which correlates with his complaint of dysphagia.After the procedure, the patient was noted to have severalPVC’s on his EKG. These resolved shortly after the patientarrived in the recovery room. Based on the results of thedetailed history, detailed, exam, and straight forward medicaldecision making, it was decided that the patient could be dischargedhome on the same day with instructions for a followup office appointment in 2 days. Code this scenario.ICD-10: ____________________________________________________CPT: ____________________________________________________

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