A 61-year-old female patient is seen for a complaint of severe heartburn, lightheadedness, skin reddening, and shortness of breath. The physician renders a diagnosis of GERD, sickle cell anemia, lymphangitis, and diaphragmatic

    September 16, 2022

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?

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