2. You are a coding manager. The patient’s chart shows

2. You are a coding manager. The patient’s chart shows she is a 67 year old female whose LOS was 3 days in your hospital before being discharged home. The doctor listed the following diagnoses and procedures Admit Diagnosis – abdominal pain Final Diagnoses 1. Acute Calculus of common bile duct and gallbladder with Acute cholecystitis 2. Biliary pancreatitis 3. Diabetes mellitus type II 4. UTI – e.coli 5. Morbid Obesity BMI 45.0 6. Hypertension Procedures 1. Laparoscopic Cholecystectomy with Intraoperative cholangiography fluoroscopy of the bile ducts (low contrast) a. What are your codes? b. What is your DRG and Title? c. Your coder neglected to code the intraoperative cholangiogram. What would the DRG (number and title) without the procedure? d. What is the reimbursement for your coder’s DRG with and without the procedure? e. Does the resulting DRG differ if procedure done as an open Cholecystectomy? What is the reimbursement different ($5,500)? f. f. POA – all/none?  

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