Patient Encounters 1 Form B The following patient encounters are given to you as a general coder in a billing company that codes for multiple specialties, hospital claims, and physician practices Please place each diagnostic code or codes for the assigned accounts on the attached form If you have the option of combination codes, please make sure you use them if appropriate If you have multiple codes necessary to correctly describe the encounter, please make sure you have them in the correct sequence Please use a space or comma between multiple codes Remember to check the Guidelines and Conventions in your 2014 ICD 10 CM codebooks or use the 3M Integrated Codebook as you code these diagnostic assignments Patient Encounter Description 1 24657 Patient with scarlet fever with otitis media 2 24659 Patient with a benign neoplasm of the hepatic flexure 3 24661 Patient with a final diagnosis of prostatic intraepithelial neoplasia III 4 24663 A two year old patient has been experiencing a fever of undetermined origin for the past three weeks, and two weeks ago, blood work was ordered Today he is afebrile He returns to the office today with his mother to discuss the laboratory findings The findings show infantile genetic agranulocytosis 5 24665 Blood work for patient reveals a decrease in the number of leukocytes 6 24667 A patient with carnitine deficiency due to hemodialysis 7 24669 Patient is admitted to an inpatient rehab center to determine if he has an addiction to alcohol After extensive testing the assessment concludes alcohol dependence with withdrawal delirium 8 24671 Patient with meningitis due to poliovirus 9 24673 Patient with nonbacterial meningitis 10 24675 Patient with Vogt Koyanagi syndrome 11 24677 The provider notes, For the last three months I have been seeing this patient who has had recurring bouts of ear inflammation and infection Examination of the left ear now shows stenosis of the external ear canal with no infection or inflammation at this time However, the recurrent infections are the cause of the stenosis 12 24679 Office Note This patient is returning to the office today to discuss neurological testing results The test results show a disorder of the 8th cranial nerve I am referring the patient to the Auditory Neurology clinic at University Hospital 13 24681 Patient with Type I and II second degree atrioventricular block 14 24683 Discharge summary Final diagnosis paralysis of the diaphragm Secondary diagnosis spontaneous tension pneumothorax 15 24685 Operative Report Pre op diagnosis growth in sinus Post op diagnosis maxillary polyp of sinus Procedure biopsy and removal of polyp 16 24687 Admitting Physician Discharge Summary Note This patient was admitted due to weakness and pain in the lower abdominal area After work up it was determined that the patient has bilateral femoral hernia with gangrene I then referred the patient to Dr Sisson for surgery I will follow the patient for his medical concerns after discharge 17 24689 Skilled Nursing Facility Progress Note This 84 year old patient was seen today because the nurse asked me to examine the patients back Exam HEENT No findings Abdomen Bowel sounds are normal Lungs Clear Skin On the left buttock there is an area of cellulitis and on the right side of the chest wall there is also an area of cellulitis I informed the nurse that I have ordered medications for this patient 18 24691 A patient with trigger finger of the right little finger 19 24693 Discharge Summary Final diagnosis spontaneous rupture of extensor tendons of the left upper arm, repair completed 20 24695 Operative Note Pre op diagnosis growth on left breast Post op diagnosis one 1 2 cm cyst due to fibrocystic disease of the breast Procedure biopsy and cystic removal 21 24697 Patient with calculous pyelonephritis 22 24699 Office Note Patient presents to the office 18 weeks pregnant for her OB visit Urinalysis was completed today and there is proteinuria 23 24701 Discharge Summary This 29 year old delivered a 7 pound infant boy on 4 15 XX Her pregnancy was uneventful The delivery required no assistance except for an episiotomy Vaginal cephalic delivery of a full term infant occurred at 1 23 am The mother and child were discharged home on 4 17 XX at 9 a m 24 24703 Imaging of the patients renal area reveals congenital left renal agenesis and right renal hypoplasia 25 24705 Office Note This three year old was brought to the office by his mother His mother reports that the child has been pulling on his right ear and saying It hurts Examination of the ears shows that there are no findings in the left ear however, there is a foreign object in the right ear

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Patient Encounters 1 Form B The following patient encounters are given to you as a general coder in a billing company that codes for multiple

Patient Encounters 1 Form B

The following patient encounters are given to you as a general coder in a billing company that codes for multiple specialties, hospital claims, and physician practices. Please place each diagnostic code or codes for the assigned accounts on the attached form. If you have the option of combination codes, please make sure you use them if appropriate. If you have multiple codes necessary to correctly describe the encounter, please make sure you have them in the correct sequence. Please use a space or comma between multiple codes.

Remember to check the Guidelines and Conventions in your 2014 ICD-10-CM codebooks or use the 3M Integrated Codebook as you code these diagnostic assignments:

#	Patient Encounter	Description
1.	24657	Patient with scarlet fever with otitis media.
2.	24659	Patient with a benign neoplasm of the hepatic flexure.
3.	24661	Patient with a final diagnosis of prostatic intraepithelial neoplasia III.
4.	24663	A two-year-old patient has been experiencing a fever of undetermined origin for the past three weeks, and two weeks ago, blood work was ordered. Today he is afebrile. He returns to the office today with his mother to discuss the laboratory findings. The findings show infantile genetic agranulocytosis.
5.	24665	Blood work for patient reveals a decrease in the number of leukocytes.
6.	24667	A patient with carnitine deficiency due to hemodialysis.
7.	24669	Patient is admitted to an inpatient rehab center to determine if he has an addiction to alcohol. After extensive testing the assessment concludes alcohol dependence with withdrawal delirium.
8.	24671	Patient with meningitis due to poliovirus.
9.	24673	Patient with nonbacterial meningitis.
10.	24675	Patient with Vogt-Koyanagi syndrome.
11.	24677	The provider notes, For the last three months I have been seeing this patient who has had recurring bouts of ear inflammation and infection. Examination of the left ear now shows stenosis of the external ear canal with no infection or inflammation at this time. However, the recurrent infections are the cause of the stenosis.
12.	24679	Office Note: This patient is returning to the office today to discuss neurological testing results. The test results show a disorder of the 8th cranial nerve. I am referring the patient to the Auditory Neurology clinic at University Hospital.
13.	24681	Patient with Type I and II second degree atrioventricular block.
14.	24683	Discharge summary: Final diagnosis: paralysis of the diaphragm Secondary diagnosis: spontaneous tension pneumothorax
15.	24685	Operative Report: Pre-op diagnosis: growth in sinus Post-op diagnosis: maxillary polyp of sinus Procedure: biopsy and removal of polyp
16.	24687	Admitting Physician Discharge Summary Note: This patient was admitted due to weakness and pain in the lower abdominal area. After work-up it was determined that the patient has bilateral femoral hernia with gangrene. I then referred the patient to Dr. Sisson for surgery. I will follow the patient for his medical concerns after discharge.
17.	24689	Skilled Nursing Facility Progress Note: This 84-year-old patient was seen today because the nurse asked me to examine the patients back. Exam: HEENT: No findings. Abdomen: Bowel sounds are normal. Lungs: Clear. Skin: On the left buttock there is an area of cellulitis and on the right side of the chest wall there is also an area of cellulitis. I informed the nurse that I have ordered medications for this patient.
18.	24691	A patient with trigger finger of the right little finger.
19.	24693	Discharge Summary: Final diagnosis: spontaneous rupture of extensor tendons of the left upper arm, repair completed.
20.	24695	Operative Note: Pre-op diagnosis: growth on left breast Post-op diagnosis: one 1.2 cm cyst due to fibrocystic disease of the breast Procedure: biopsy and cystic removal.
21.	24697	Patient with calculous pyelonephritis.
22.	24699	Office Note: Patient presents to the office 18 weeks pregnant for her OB visit. Urinalysis was completed today and there is proteinuria.
23.	24701	Discharge Summary: This 29-year-old delivered a 7-pound infant boy on 4/15/XX. Her pregnancy was uneventful. The delivery required no assistance except for an episiotomy. Vaginal cephalic delivery of a full term infant occurred at 1:23 am. The mother and child were discharged home on 4/17/XX at 9 a.m.
24.	24703	Imaging of the patients renal area reveals congenital left renal agenesis and right renal hypoplasia.
25.	24705	Office Note: This three year old was brought to the office by his mother. His mother reports that the child has been pulling on his right ear and saying It hurts. Examination of the ears shows that there are no findings in the left ear; however, there is a foreign object in the right ear.