Bc3030 Wk 2 Coding Test
Test Week 2 - Coding Applications Test
• Question 1
Needs Grading LOCATION: Outpatient, Hospital
PATIENT: Kim Fields
PHYSICIAN: Gregory Dawson. MO
ENTRANCE DIAGNOSIS: Dyspnea on ascending hills and stairs. Frequent wheezing and productive cough in a patient with a 0.75-pack-year smoking history; quit 1 year ago. Gave good consistent effort.
I. Baseline spirometry is normal with maybe a hint of concavity towards the volume axis at the terminal portion of the curve. The spirometry does show only a 61%
FEF2S-7S indicating peripheral dysfunction, i.e., mild COPD/emphysema.
II. Baseline FEVI of 3.02. which was 84% of …show more content…
CPT SERVICE CODE(S): ___________________________________________________
ICD-9-CM DX CODE(S): _______________________________________________
Selected Answer: [None Given]
Professional Services: 31600-22-78 (Tracheostomy, Planned)
ICD-9-CM DX: 518.81 (Failure/failed, respiration/respiratory, acute), 486 (Pneumonia), V46.11 (Dependence, on, respirator [ventilator])
The service is a planned tracheostomy reported with 31600. The report indicates that due to the patient's short neck, the operation was more difficult. Modifier -22 (unusual procedural service) was added to indicate that the procedure was more difficult than usual. The return to the operating room for a related procedure during the postoperative period as was indicated in the directions