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ANSWERS TO CODING EXERCISES

ANSWERS TO CODING EXERCISES. 18 – 22 November 2013 Belgrade. Line Coding Answers. a) L60.0 Ingrowing nail 47915-00 [1632] Wedge resection of ingrown toenail b) L05.9 Pilonidal cyst without abscess 30676-00 [1659] Incision of pilonidal sinus or cyst

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ANSWERS TO CODING EXERCISES

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  1. ANSWERS TO CODING EXERCISES 18 – 22 November 2013 Belgrade.

  2. Line Coding Answers a) L60.0 Ingrowing nail 47915-00 [1632] Wedge resection of ingrown toenail b) L05.9 Pilonidal cyst without abscess 30676-00 [1659] Incision of pilonidal sinus or cyst c) N40 Hyperplasia of prostate 37203-00 [1165] Transurethral resection of prostate [TURP]

  3. Line Coding Answers cont. d) E05.9 Thyrotoxicosis, unspecified 30310-00 [114]Subtotal thyroidectomy, unilateral e) B07 Viral warts 30189-01 [1619] Removal of other wart f)H25.9 Senile cataract, unspecified 42702-00 [195]Intracapsular extraction of crystalline lens with insertion of foldable artificial lens

  4. Anaesthesia 1– Answers J93.0Spontaneous tension pneumothorax J44.9 Chronic obstructive pulmonary disease, unspecified 38806-00 [560] Insertion of intercostal catheter for drainage 92515-29 [1910] Sedation, ASA 2

  5. K35.0 Acute appendicitis with generalized peritonitis A41.0 Septicaemia due to Staphylococcus aureus 30571-00 [926] Appendicectomy 30396-00 [989] Debridement and lavage of peritoneal cavity 92514-20 [1910] General anaesthesia, ASA 2, emergency Anaesthesia 2 – Answers 5

  6. N18.0 End-stage renal disease 36503-00 [1058] Kidney transplantation 92514-39 [1910] General anaesthesia, ASA 3, nonemergency or not known 92510-39 [1909] Regional block, nerve of trunk, ASA 3, nonemergency or not known Anaesthesia 3 – Answers 6

  7. CVS = 19 hours 13882-00 [569] Management of continuous ventilatory support, ≤ 24 hours Ventilation 1 – Answers 7

  8. CVS = 94 hours 13882-01 [569] Management of continuous ventilatory support, >24 hours and < 96 hours Ventilation 2 – Answers 8

  9. CVS = 24 hours 13882-00 [569] Management of continuous ventilatory support, ≤ 24 hours Ventilation 3 – Answers 9

  10. NIV = 60 hours 92209-01[570] Management of noninvasive ventilatory support, >24 and < 96 hours Ventilation 4 – Answers 10

  11. CVS = 26 hours 13882-01 [569] Management of continuous ventilatory support, >24 hours and < 96 hours NIV = 12 hours 92209-00 [570] Management of noninvasive ventilatory support, ≤ 24 hours Ventilation 5 - Answers 11

  12. Ventilation 6– Answers Diagnoses: J32.0Chronic maxillary sinusitis J95.8Other postprocedural respiratory disorders R09.2Respiratory arrest Y83.8 Surgical and other medical procedures as the cause of abnormal reaction of the patient ............., other surgical procedures

  13. Ventilation 6– Answers cont. Procedures: 41710-01 [387] Radical maxillary antrostomy, bilateral 92514- 19[1910] General anaesthesia, ASA 1 13882-01 [569] Management of continuous ventilatory support, >24 and < 96 hours

  14. Pharmacotherapy 1 – Answers K50.9 Crohn’s disease, unspecified 96199-09 [1920] Intravenous administration of pharmacological agent, other and unspecified pharmacological agent 14

  15. Z45.1 Adjustment and management of infusion pump 39133-02 [40] Removal of implantable spinal infusion device or pump 92515-19 [1910] Sedation, ASA 1, nonemergency or not known Pharmacotherapy 2 – Answers 15

  16. Z51.1 Chemotherapy session for neoplasm C25.9 Malignant neoplasm of pancreas, unspecified 96209-00 [1920] Loading of drug delivery device, antineoplastic agent Pharmacotherapy 3 – Answers 16

  17. Cardiovascular 1– Answers 17

  18. I25.1 Atherosclerotic heart disease Z72.0 Tobacco use 38218-00 [668] Coronary angiography with left heart catheterisation Cardiovascular 2– Answers 18

  19. Cardiovascular 3 – Answers I25.1 Atherosclerotic heart disease 38306-00 [671] Percutaneous insertion of 1 transluminal stent into single coronary artery 92515- 99 [1910] Sedation, ASA not documented

  20. Cardiovascular 4 – Answers I65.0 Occlusion and stenosis of vertebral artery 35309-06 [754] Percutaneous transluminal balloon angioplasty with stenting, single stent 57350-05 [1966] Spiral angiography by computerised tomography of spine, with intravenous contrast medium 92514-19 [1910] General anaesthesia, ASA 19

  21. Cardiovascular 5 – Answers I49.5 Sick sinus syndrome M10.9(7)Gout, unspecified, ankle and foot 38353-00 [650] Insertion of cardiac pacemaker generator 38350-00 [648] Insertion of permanent transvenous electrode into other heart chamber(s) for cardiac pacemaker 92514-29 [1910] General anaesthesia, ASA 2

  22. Cardiovascular 6 – Answers I34.0Mitral (valve) insufficiency 38488-03 [628] Replacement of mitral valve with bioprosthesis 38600-00 [642] Cardiopulmonary bypass, central cannulation 92514-29 [1910] General anaesthesia, ASA 29

  23. Cardiovascular 7 - Answers I25.1 Atherosclerotic heart disease 38500-00 [674] Coronary artery bypass, using 1 LIMA graft 38497-02 [672] Coronary artery bypass, using 3 saphenous vein grafts 38600-00 [642] Cardiopulmonary bypass, central cannulation 92514-39 [1910] General anaesthesia, ASA 39

  24. Obstetrics 1 – Answers Diagnoses: O75.7 Vaginal delivery following previous caesarean section O68.0 Labour and delivery complicated by fetal heart rate anomaly Z37.0 Single live birth 24

  25. Obstetrics 1 – Answers cont. Procedures: 90468-01 [1337] Mid-cavity forceps delivery 90472-00 [1343] Episiotomy 92507-99 [1333] Neuraxial block during labour and delivery procedure, ASA 9, nonemergency or not known 90466-00 [1335] Medical augmentation after onset of labour 25

  26. Obstetrics 2 – Answers O24.1 Pre-existing diabetes mellitus, non-insulin- dependent Z37.0 Single live birth 16520-02 [1340] Elective lower segment caesarean section 92508-99 [1909] Neuraxial block, ASA 9, nonemergency or not known 26

  27. Obstetrics 3 – Answers Diagnoses: O32.1 Maternal care for breech presentation O70.2 Third degree perineal laceration during delivery Z37.0 Single live birth 27

  28. Obstetrics 3 – Answers cont. Procedures: 90470-01 [1339] Assisted breech delivery 16573-00 [1344] Suture of third or fourth degree tear of perineum 90465-05 [1334] Medical and surgical induction of labour 92506-99 [1333] Neuraxial block during labour, ASA 9, nonemergency or not known 28

  29. Perinatal 1 – Answers Diagnoses: P07.1 Other low birth weight P07.3 Other preterm infants P25.1 Pneumothorax originating in the perinatal period P22.0 Respiratory distress syndrome of newborn P59.0 Neonatal jaundice associated with preterm delivery Z38.0 Single live birth

  30. Perinatal 1 – Answers cont.  Procedures: 96199-02 [1920]Intravenous administration of pharmacological agent, anti- infective agent 92209-01 [570]Management of noninvasive ventilatory support, > 24 and < 96 hours 92044-00 [1889] Other oxygen enrichment 90677-00 [1611] Other phototherapy, skin

  31. Skin procedures 1 – Answers C44.2 Skin of ear and external auricular canal 31230-02 [1620] Excision of lesion(s) of skin and subcutaneous tissue of ear 45451-03 [1649] Full thickness skin graft of ear 92514-29 [1910] GA, ASA 2, nonemergency or not known

  32. Skin procedures 2 – Answers H02.1 Ectropion of eyelid 45626-01 [239] Correction of ectropion or entropion with wedge resection 45448-00 [1645] Small split skin graft of eyelid 92514-19 [1910] GA, ASA 1, nonemergency

  33. Skin procedures 3 – Answers Diagnoses: T22.2 Burn of second degree of shoulder and upper limb, except wrist and hand T23.1 Burn of first degree of wrist and hand T31.0 BSA<10% X10 Contact with hot drink (0) Place of occurrence, Home (9) Unspecified activity

  34. Skin procedures 3 – Answers cont. Procedures: 45409-00 [1644] Split skin graft to burn of other sites involving > 3% and < 6% body surface area grafted 30010-00 [1600] Dressing of burn, < 10% of body surface area dressed 92514-99 [1910] GA, ASA 9, nonemergency or unknown

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