Exam 2: Hospital Coding Overview

ICD-10 Assign ICD-10-CM diagnostic codes for the following: Patient presented to ED with complaint of a laceration to the wrist as a result of a fall at home in the bathtub.

Assign the appropriate ICD-9 procedural code to the following: Tonsillectomy with adenoidectomy

When a procedure is performed with topical anesthesia, an ICD-9 procedure code must be assigned.

Parentheses ( ) indicate the diagnostic statement must contain specific words or the coder must seek additional information from the provider.

ICD-10-CM and CPT Assign ICD-10-CM diagnostic codes and CPT code as appropriate for the following: Screening colonoscopy for family history of colon cancer Under IV sedation, video colonoscope was introduced to the cecum. The patient had pockets of retained fecal matter, but, a reasonable view of the colon was still able to be performed. There was no blood throughout the lower GI tract, no evidence of polyps or malignancy. Patient tolerated the procedure well and was stable at the end of the procedure.

ICD-10-PCS Assign the ICD-10-PCS procedural code to this procedure: Below the knee amputation, left

When the provider specifically states his diagnosis code for the condition, but there is no specific code in ICD-9, which coding convention is utilized?

Which procedures are assigned from the surgery section of the CPT manual?

ICD-9-CM and CPT Assign ICD-9-CM diagnostic codes and CPT codes as appropriate to the following: Phacoemulsification of nuclear sclerotic cataract left eye with intraocular lens placement Patient was brought to the OR and placed in the supine position for ocular surgery. The left eye was administered $0.75\%$ Marcaine to produce topical anesthesia. The eye was then prepped and draped in the usual sterile manner. A 3 mm, half depth, clear corneal incision was made and phacoemulsification was completed. the irrigation aspiration handpiece was utilized to remove cortical remnants. The anterior chamber and capsular bag was then reinflated followed by placement of the intraocular lens. The patient tolerated the procedure well.

Malignant neoplasms that have spread from their original site can be found under which neoplasm heading?

What codes would be utilized when the provider sufficiently documents that the patient attempted to harm herself?

It is the provider's responsibility to clearly document if the service provided should be coded as an inpatient or outpatient and the coder's responsibility to determine which codes need to be assigned and from what sources those codes should be selected.

ICD-9-CM and CPT Assign ICD-9-CM diagnostic code and CPT code to the following: Closed reduction and manipulation of left distal radial and ulnar styloid fracture After satisfactory anesthesia was accomplished, the patient's left upper extremity was placed in finger trap traction and gentle closed reduction performed using C-Arm visualization. Long arm plaster cast was then applied and alignment was once again checked with C -Arm.

For the purpose of ICD-9-CM/ICD-10-PCS procedural coding, if the procedure is performed on both the left and the right side of the body and documentation supports a bilateral procedure was performed, the service should be coded twice to ensure appropriate reimbursement if there is no code that includes the wording bilateral

Outpatient visit codes utilize the evaluation and management section of the CPT manual.

The CPT manual and the ICD-9 book are arranged alike to comply with HCPCS rules of coding.

"V" codes and "E" codes in ICD-9-CM are always used in conjunction with one another.

ICD-9/10 procedure codes should be assigned under what conditions? List four.

When a procedure is started but not completed, assign an ICD-9/10 procedure code for the entire procedure to ensure appropriate reimbursement.

CPT/HCPCS codes are assigned for the specific services provided in the hospital outpatient setting.