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276 Chapter 13 Diagnostic Coding Essentials Essential Modifier & Amanda Smith was diagnosed with multiple sclerosis. Main Term h Hudson Madison suffered a ruptured abdominal aneurysm. Main Term Essential Modifier Don Julius died last week from congestive heart failure Essential Modifier: Main Term: Betty White has allergic gastroenteritis. Main Term: Essential Modifier C. Preparing for Diagnostic Coding 1. The SOAP notes system of documentation divides the information into what four areas? b. C d. 2. To prepare for medical coding, the coder must analyze the patient's health record and the diagnostic statement 3. Information pertinent to code selection can be abstracted from a variety of medical documents. List the documents where the diagnostic statement may be found. 4. The patient is the provider's health history evaluation and physical assessmenti che is a statement in the patient's own words that describes why the personi 5. The is seeking medical attention 6. The who underwent surgery. is used for extracting procedure and diagnostic information for patien Copyright 2030, levier Inc ALR
Chapter 13 Diagnostic Coding Essential 277 D. Steps in ICD-10-CM Coding Code the following die moeder the highest level of specificity using either the ICD-10-CM coding a. Kayla Swift was diagnosed with infectious mononucleosis. b. Gerald Weaver has osteoarthritis in his right shoulder region. Ć Jeffrey Rush has a personal history of alcoholism. d. Barry White's alcoholism has caused cirrhosis of the liver without ascites, Frank Emmett had atherosclerosis of the extremities with gangrene. & Ginger Chan experienced dermatitis from using facial cosmetics The Lewises' first child was born with Down syndrome. h. Lee Anna has experienced painful menstruation during her last three cycles. i Gary Stevens was diagnosed with cardiomegaly. Jerry Stein developed Kaposi's sarcoma in his lymph nodes during the final stages of AIDS. e. k Terri Holden attempted suicide for the second time using a handful of lithium. 1. Susan French was stung by a jellyfish while swimming off the coast of Mexico m. Riley Brown has acute myocarditis. Ordell Thompson has acute esophagitis. 0. Korney Ralphy was diagnosed with systemic lupus erythematosus. p. Marcia Radson had a skin condition known as bullous pemphigoid, in which blisters form in patches all over her skin. 4 Osteomalacia caused by malnutrition made it impossible for Robbie Hernandez to walk. F. Henry Casper has oral leukoplakia, which may have been caused by smoking a pipe. * Patricia Kielty has had uterine endometriosis for several years and may require a hysterectomy in the future. Robert Bauer dislocated his right shoulder while playing baseball, it was a closed anterior disloca- tion