Preview

Determining Diagnosis Code Categories

Satisfactory Essays
Open Document
Open Document
263 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Determining Diagnosis Code Categories
Checkpoint: Determining Diagnosis Code Categories
Wm. Victor Golden
HCR 220
Aug 18, 2011
Instructor Charity Booker

* A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack.
The diagnosis category I would choose in this case would be Symptoms, Signs, and Ill-Defined Conditions—Codes 780–799. I would choose this category because the patient came in complaining of various symptoms so the physician ordered an MRI to investigate for a possible transient ischemic attack which is not a diagnosis. * A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.
The diagnosis category I would choose in this case would be Diseases of the Circulatory System—Codes 390–459. The patient is complaining of chest pains and feels the patient might be having a cardiac event you would use these codes because they deal with the circulatory system. * A 72-year-old diabetic female exhibits a non-healing wound on her left foot.
The diagnosis category I would choose in this case would be Diseases of the Skin and Subcutaneous Tissue—Codes 680–709. The reasoning for this is that the patient’s problem is a wound that is not healing on her foot. The fact that the patient suffers from diabetes is not a diagnosis of why the wound is not

You May Also Find These Documents Helpful

  • Satisfactory Essays

    HISTORY: The patient is a 53-year-old black individual, who has had diabetes for at least six months, but thinks it has been longer than that. He has had a foot ulcer since January.…

    • 551 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Case 8 H&P Gerald Edwards

    • 610 Words
    • 3 Pages

    HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He stated that it started with blisters where he had soaked his feet too long in hot water. He has had no eye examination for two years. There has been no surveillance of chronic complications of diabetes.…

    • 610 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    3. A diagnosis for a condition or disease of the Respiratory System would fall within this code range: __(460-519)______________…

    • 441 Words
    • 2 Pages
    Good Essays
  • Good Essays

    You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.…

    • 1272 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Hsc Units

    • 731 Words
    • 3 Pages

    Mrs Webster has been referred to me due to the pain in her chests and her recent diagnoses of high blood pressure that puts her at a higher risk of getting CHD. My role as her cardiologist is to ensure that I carry out further investigation to diagnose and to provide treatment for Mrs Webster.…

    • 731 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    icd 10 Final Project

    • 1115 Words
    • 5 Pages

    ICD-10-CM for use in all U.S. health care settings. Diagnosis Coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5…

    • 1115 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    99214- The patient is an established patient who is experiencing flu-like symptoms. The patient must have a detailed examination in order to figure out what the diagnosis is, it could be a multiple amount of different things. The risk was moderate because the patient was prescribed medication for 5 days and sent home.…

    • 465 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    daughter insisted on taking him to the ED for evaluation. After orienting him to the room, call light, bed controls, and lights, you perform your physical assessment. The findings are as follows: he is awake, alert, and oriented (AAO) \3, and he moves all extremities well (MAEW). He is restless, is constantly shifting his position, and complains of (C/O) fatigue. Breath sounds are clear to auscultation (CTA). Heart sounds are clear and crisp, with no murmur or rub noted and with a regular rate and rhythm (RRR). Abdomen is flat, slightly rigid, and very tender to palpation throughout, especially in the RUQ; bowel sounds are present. A sharp inspiratory arrest and exclamation of pain occur with deep palpation of the costal margin in the RUQ (positive Murphy’s sign). He reports light-colored stools for 1 week. The patient voids dark amber urine but denies dysuria. Skin and sclera are jaundiced. Admission vital signs (VS) are 164/100, 132, 26, 36° C, SaO2 96% on 2 L of oxygen by nasal cannula (O2/NC).…

    • 1681 Words
    • 7 Pages
    Good Essays
  • Good Essays

    A patient presents to the ICU with nausea, vomiting and diarrhea for 3 days. The patient is attached to the cardiac monitor and vital signs obtained as follows-HR-126, respirations 22 bpm, O2 sats 98% on 2 LPM and bp 82/40 map 45. Pt complains of weakness, dizziness and states she feels faint.…

    • 651 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    CT Scan • Hilar and mediastinal adenopathy Cervical lymph node biopsy • Diffuse anaplastic lymphoma, stage III Treatment • R-CHOP chemotherapy every 3 weeks for 6 cycles (based on response)…

    • 274 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Coding Tips

    • 1061 Words
    • 5 Pages

    The term first-listed diagnosis/condition is used in the outpatient setting in lieu of principal diagnosis, once again because of the timing. Often, diagnoses are not established at the time of the initial encounter in the outpatient setting and it may take two or more visits prior to a confirmed diagnosis. The documentation to support the reason for the visit should describe the patient's condition, using terminology that includes either specific diagnoses and/or symptoms, problems, or reasons for the encounter. In the instance where a discrepancy is discovered, determining the first-listed diagnosis per the coding conventions of ICD-9-CM, as well as the general and disease-specific guidelines within ICD-9-CM, will have precedence over the outpatient guidelines.…

    • 1061 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Troponemia Research Paper

    • 340 Words
    • 2 Pages

    41-year-old female with history of undifferentiated connective tissue disease with no family or personal history of cardiac disease presented to her local hospital, complaining of chest pain began 4 days prior while lying in bed after she woke up in the morning. The pain radiated to her neck. She went to the hospital after telling her cardiologist about her symptoms on the morning of admission. She also reported bilateral hand discoloration, turning purple from fingertips to palms without pain.…

    • 340 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Primary Diagnosis Essay

    • 156 Words
    • 1 Page

    For example, a person who is complaining of chest pain might be suffering from pneumonia or a heart condition. The symptom: chest pain can be the primary diagnosis (PDX) for admittance to the hospital. The principle diagnosis will only occur after the specific cause is found after careful study of the patient. In this case it was pneumonia.…

    • 156 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Neurology Reports

    • 501 Words
    • 3 Pages

    The patient is a 49-year-old right-handed woman who on Wednesday, last week, had 2 episodes of altered functioning within a 5- to 10-minute period. She states that she was walking down a flight of stairs, and she knew she was at the bottom, but she took another step as if she had 1 more step to distend. She said she felt that she knew that there was not another step, but she took it anyway and felt somewhat confused as to why she had done it. Within the next 5 to 10 minutes, she was shopping at a grocery store, looking at a jar of pickles, wondering why she was looking at that. She turned to the left, and she felt as if her whole left side was shaking, her vision was slightly blurred. The episode lasted only a few seconds. She became very anxious and nervous and again she felt somewhat confused. She took her blood sugar and it was 55. She has had lower blood sugars without reaction, and her typical hypoglycemic reaction is diaphoresis and weakness. She had no accompanying or following headache. She has not had any subsequent symptoms. She had no associated symptoms. She did not lose consciousness, or have any weakness or paresthesias.…

    • 501 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Dengue Case Study

    • 1972 Words
    • 8 Pages

    Grade 3- presence of circulatory failure manifested by weak pulse, narrow pulse pressure, hypotension, cold clammy skin and restlessness…

    • 1972 Words
    • 8 Pages
    Powerful Essays