Discussion: Rheumatoid Arthritis
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. 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
paralysis. What code(s) should be assigned?
ICD-10: __________________________________________
2. A 37-year-old patient comes in complaining of swollen
joints and headaches. The physician’s diagnosis is SLE.
The patient also has rheumatoid arthritis and asthma
with 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 a
diagnosis of pulp degeneration, old disruption of the posterior
cruciate ligament, and pleural effusion. The
physician also performed a chest tube insertion (draining
the right pleural cavity with a drainage device using a
percutaneous approach) prior to diagnosing the patient’s
pleural effusion. What diagnosis and procedure code(s)
are assigned?
ICD-10: __________________________________________
4. A 30-year-old male is admitted to the hospital with
lymphadenitis, acute lymphoid leukemia in relapse, and
von 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 car
collided with another vehicle. He was brought to the hospital
with a lower arm injury. The physician obtained an
x-ray of the arm and, after careful review and interpretation
of the x-ray, rendered a diagnosis of lower arm
fracture. The physician repaired the arm fracture using
open reduction and internal fixation (reposition of the
right radius with internal fixation using a percutaneous
endoscopic approach). What diagnosis and procedure
code(s) are reported?
ICD-10: __________________________________________
Review each of the following medical coding scenarios. Assign
the CPT code for the services and procedures indicated in
each scenario.
1. A 48-year-old male patient comes to the emergency room
with complaints of GERD. The physician performs a
laparoscopic fundoplasty with a Collis gastroplasty. What
CPT code(s) should be assigned?
CPT: _________________________________________________
2. A 40-year-old female patient is diagnosed with cervical
cancer. She also complains about difficulty breathing.
She is admitted to the hospital, where the physician
begins to perform a bronchoscopy after anesthesia
administration. However, the procedure is discontinued
due to unforeseen complications. Later the same day, a
bilateral cervical lymphadenectomy is performed to
address the patient’s cervical cancer. What CPT code(s)
are assigned?
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor
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