William Amerson, a 41-year-old male, comes in for his annual eye examination. Dr. Leviner notes a benign right conjunctiva nevus. Principal diagnosis: Where should you begin to look up the code in ... the coding manual – Index to Diseases and Injuries What is the key term – Nevus What is the anatomical site -conjunctiva What is the laterality- Right Do any of the following apply to the condition – benign Do any of the following apply to the condition – None of these Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - No If so does the Includes note help to clarify – No Includes notation Is there a Code first notation - No If so does the Code first note apply to the case study – No Code First notation Is there a Code also notation - No If so does the Code also note apply to the case study – No Code Also notation Is there a Use additional code notation –No If so does the Use additional code note apply to the case study – No Use additional code notation Is there an Excludes1 notation – Yes If so does the Excludes1 note apply to the case study – No Is there an Excludes2 notation - No If so does the Excludes2 note apply to the case study – No Excludes2 notation Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code – D31.01 Joan Kenney, a 27-year-old female, is having difficulty breathing. Dr. Aung documents a fever of 101 F and facial edema. Joan recently returned home from a trip to Asia. Joan said they were contending with some sort of larval infestation in Asia. Joan is diagnosed with nasopharyngeal myiasis. Principal diagnosis: Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries What is the key term – Myiasis What type - nasopharyngeal Do any of the following apply to the condition – None of these Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries? - Yes Is there an Includes notation - Yes If so does the Includes note help to clarify – Yes Is there a Code first notation - No If so does the Code first note apply to the case study – No Code First notation Is there a Code also notation - NoIf so does the Code also note apply to the case study – No Code Also notation Is there a Use additional code notation – Yes If so does the Use additional code note apply to the case study – No Is there an Excludes1 notation – Yes If so does the Excludes1 note apply to the case study – No Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study – No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code – B87.3 Gayle Cassels, a 12-year-old female, is brought in by her mother to see Dr. Kellum. Gayle has had a fever for 3 days with a head cold. Dr. Kellum notes conjunctivitis, an erythematous rash on the head and neck, as well as Koplik’s spots on the inside of Gayle’s mouth. The salivary measlesspecific IgA test confirmed the diagnosis of measles. Principal diagnosis: [Show More]
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