Exam 5: Inpatient Coding

Determine the admitting ICD-9-CM diagnosis in the following scenario: ​ Patient presented to the emergency room (ER) with complaints of nausea and vomiting. CT abdomen and pelvis indicates multiple calculi located in the right ureter. Patient admitted for pain management and possible cystoscopy with removal of stone.

ICD-10 Determine the admitting diagnosis for the following scenario: Patient presented to the ER with complaints of nausea and vomiting. CT abdomen and pelvis indicates multiple calculi located in the right ureter. Patient admitted for pain management and possible cystoscopy with removal of stone

Dehydration would always be considered as a complication or comorbidity (CC).

Which ICD-9-CM diagnostic codes and procedures are assigned when a laparoscopic procedure is converted to an open procedure?

ICD-10 Assign the appropriate ICD-10-CM diagnostic codes for the following: ​ Patient treated with oral antibiotics, however, there was no improvement, and, he was admitted and treated with IV fluids and IV antibiotics. His dehydration improved, he became much more alert and his white count improved. ​ DISCHARGE DIAGNOSIS: Pneumonia Dehydration Dementia ITP Peripheral Vascular Disease AKA right leg CHF​

ICD-10 COPD with chronic asthma would be assigned what ICD-10-CM codes:

ICD-10 Assign the appropriate ICD-10-CM diagnostic codes to the following: ​ 69 year old admitted for altered mental status ​ Assessment/Plan: Altered mental status Dehydration Multiple myeloma Hypertension Type II Diabetes Mellitus​

For the purposes of inpatient coding, "chest pain, rule out MI" would be coded as:

ICD-9 Assign the appropriate ICD-9-CM diagnostic codes to the following scenario: ​ 69 year old admitted to hospital due to altered mental status ​ Assessment/Plan: Altered Mental Status Dehydration Multiple Myeloma Hypertension Type II Diabetes Mellitus​

When contrasting diagnoses are listed as either/or, only one diagnosis should be listed.

Chronic obstructive pulmonary disease (COPD) with chronic asthma would be assigned the ICD-9-CM diagnostic codes:

A tympanoplasty would be found in what category of ICD-9-CM procedure codes?

ICD-10 Assign the appropriate diagnoses for the following outpatient scenario: Patient presents with abdominal pain, duration of 7 days, increasing in severity. Patient awoke this morning with temperature of 104.1 along with nausea and chills. Workup in ED was negative for appendicitis and gallbladder disease. Will prescribe pain meds and work up further as an outpatient for the possibility of gastritis.​

Assign the appropriate ICD-9-CM diagnosis codes for the outpatient setting. Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered to rule out an ectopic pregnancy.

The old diagnosis-related group (DRG) reimbursement system was replaced in 2008 with the __________ system?

ICD-10 Colonoscopies would be located in the 0CD category for ICD-10 PCS codes?.

ICD-9 Assign the appropriate ICD-9-CM diagnostic codes to the following: ​ Patient initially treated with oral antibiotics but did not improve, therefore, admitted, treated with IV fluids and antibiotics. His dehydration improved, he became much more alert, and his white count improved ​ DISCHARGE DIAGNOSIS: Pneumonia Dehydration Dementia Chronic ITP Peripheral Vascular Disease AKA right leg CHF​

ICD-10 Determine the principal diagnosis in the following scenario: Patient presents with abdominal pain and nausea. Previously diagnosed with a urinary tract infection. Patient is admitted for IV antibiotic therapy. Further workup of CT abdomen and pelvis reveals acute pyelonephritis.

ICD-10 "Z" codes should be utilized for follow-up or aftercare management when the initial treatment for the injury or disease has been completed?.

ICD-10 The diagnosis for acute abdominal pain would be assigned the ICD-10-CM codes: