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Using the techniques described in this chapter carefully read through the case study and determine

Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Answer each question as it guides you through the coding process. Remember; check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Ralph Bradley, a 36-year-old male, comes to see Dr. Harper because he is weak, losing weight, and vomiting and has diarrhea with some blood showing. Ralph was diagnosed with HIV 3 years ago. Dr. Harper completes an examination noting paleness, tachycardia, and tachypnea. Ralph is admitted to the hospital. The biopsied tissue from an endoscopy confirms a diagnosis of Kaposi’s sarcoma of gastrointestinal organ. Be sure to list the codes, one code per box, in the correct sequence. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Principal diagnosis Where should you begin to look up the code in the coding manual? (Click to select) External cause of injuries index Index to Diseases and Injuries Table of Neoplasms Table of Drugs and Chemicals Tabular List of Diseases and Injuries What is the key term? (Click to select) Tachycardia Human Tachypnea Sarcoma What type? (Click to select) Immunodeficiency virus disease Papillomavirus T-cell lymphotropic Herpesvirus Do any of the following apply to the condition? (Click to select) Acute Chronic Recurrent None of these Begin to code the encounter. Did you verify the code in the Tabular List of Diseases and Injuries? (Click to select) Yes No Is there an Includes notation? (Click to select) Yes No If so does the Includes note help to clarify? (Click to select) Yes No No Includes note Is there a Code first notation? (Click to select) Yes No If so does the Code first note apply to the case study? (Click to select) Yes No No Code first note Is there a Code also notation? (Click to select) Yes No If so does the Code also note apply to the case study? (Click to select) Yes No No Code also note Is there a Use additional code notation? (Click to select) Yes No If so does the Use additional code note apply to the case study? (Click to select) Yes No No Use Additional code note Is there an Excludes1 notation? (Click to select) Yes No If so does the Excludes1 note apply to the case study? (Click to select) Yes No No Excludes1 note Is there an Excludes2 notation? (Click to select) Yes No If so does the Excludes2 note apply to the case study? (Click to select) Yes No No Excludes2 note Is there a symbol indicating additional characters are required? (Click to select) Yes No Do you need to use the placeholder “X”? (Click to select) Yes No Did you code to the highest level of specificity? (Click to select) Yes No What is the correct diagnosis code? Second diagnosis Where should you begin to look up the code in the coding manual? (Click to select) External cause of injuries index Index to Diseases and Injuries Table of Neoplasms Table of Drugs and Chemicals Tabular List of Diseases and Injuries What is the key term? (Click to select) Carcinoma Adenocarcinoma Adenoma Sarcoma What type? (Click to select) Kaposi’s Immunoblastic Kupffer cell Langerhans cell What anatomic site? (Click to select) Colon Gastrointestinal organ Lung Stomach Do any of the following apply to the condition? (Click to select) Acute Chronic Recurrent None of these Begin to code the encounter. Did you verify the code in the Tabular List of Diseases and Injuries? (Click to select) Yes No Is there an Includes notation? (Click to select) Yes No If so does the Includes note help to clarify? (Click to select) Yes No No Includes note Is there a Code first notation? (Click to select) Yes No If so does the Code first note apply to the case study? (Click to select) Yes No No Code first note Is there a Code also notation? (Click to select) Yes No If so does the Code also note apply to the case study? (Click to select) Yes No No Code also note Is there a Use additional code notation? (Click to select) Yes No If so does the Use additional code note apply to the case study? (Click to select) Yes No No Use Additional code note Is there an Excludes1 notation? (Click to select) Yes No If so does the Excludes1 note apply to the case study? (Click to select) Yes No No Excludes1 note Is there an Excludes2 notation? (Click to select) Yes No If so does the Excludes2 note apply to the case study? (Click to select) Yes No No Excludes2 note Is there a symbol indicating additional characters are required? (Click to select) Yes No Do you need to use the placeholder “X”? (Click to select) Yes No Did you code to the highest level of specificity? (Click to select) Yes No What is the correct diagnosis code?

 
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