Directions: Please respond to each of the following questions below. Please be sure that your responses are at least 4 to 6 sentences in length, when appropriate.
1. If you know that a code, such as pneumonia, falls under a certain chapter in the ICD-10, is it correct to go directly to that chapter in the tabular and bypass the index? Why or why not?
2. Mary Sue has undergone a mastectomy for treatment of breast cancer and is now receiving chemotherapy. What general guidelines should be considered when breast cancer and treatment are coded? What must be determined for the coder to properly code a neoplasm? Would the coder report the breast cancer along with the chemotherapy code as a current disease?
3. Carleton is diagnosed with hypertensive heart disease with heart failure. How should you determine which code or codes to assign in this case?
4. Complete the even-numbered Chapter 5 (#22-50) exercises in the Step-by-step workbook that are listed below and insert your answer in the allotted space.
22. Using the ICD-10-CM, code the following: A patient with early onset Alzheimer’s progresses to combative behavior. __________, __________
24. Using the ICD-10-CM, code the following: An obstetric patient in her third trimester of pregnancy is admitted for Pneumocystis carinii pneumonia due to AIDS. __________, __________, __________
26. Using the ICD-10-CM, code the following: Patient in a homosexual relationship presents for HIV screening; patient is asymptomatic. __________
28. Using the ICD-10-CM, code the following: Initial encounter for a 45-year-old woman receiving her first cycle of chemotherapy for pancreatic cancer is seen in the emergency room for severe nausea and vomiting due to chemotherapy. She is admitted for dehydration. __________, __________, __________
30. Using the ICD-10-CM, code the following: Hypertensive heart disease, with congestive heart failure. __________, __________
32. Using the ICD-10-CM, code the following: A 62-year-old man admitted to the hospital from the emergency room diagnosed with a transmural Q wave infarction. He has ASHD and had a pacemaker placed 5 years ago. __________, __________, __________,
34. Using the ICD-10-CM, code the following: Initial encounter for a patient with sepsis due to a blood transfusion. He has hemophilia. __________, __________, __________,
36. Using the ICD-10-CM, code the following: Patient is admitted for chemotherapy for primary liver cancer. __________, __________
38. Using the ICD-10-CM, code the following: Patient is following up at her oncologist’s office for treatment options of metastatic cancer to right axillary lymph nodes. She has a history of upper-outer quadrant breast cancer, still receiving treatment. __________, __________
40. Using the ICD-10-CM, code the following: Patient underwent fulguration of malignant bladder tumors. __________,
42. Using the ICD-10-CM, code the following: A 45-year-old man seen in the office is diagnosed with right carpal tunnel syndrome. __________
44. Using the ICD-10-CM, code the following: Patient diagnosed with dementia with Lewy bodies. __________, __________
46. Using the ICD-10-CM, code the following: A man arrested for disorderly conduct is brought to the emergency room. He is a known alcoholic-dependent patient. Alcohol blood level indicates intoxication. __________
48. Using the ICD-10-CM, code the following: Initial encounter for cardiac arrest due to cocaine dependence. __________, __________, __________,
50. Using the ICD-10-CM, code the following: Delirium tremors due to withdrawal from cocaine dependence. __________
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