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Unit 5 Overview

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  1. Unit 5 Overview • Reading: Green, pp. 141-143, 508-536, 378-408. • Post to DB • Participate in Option 1 or 2 of seminar • Practice: • Green  p. 143, 4.10; p. 523-525, 13.1; pp.545-547, 1-20; pp. 409-410, Review 1-20; p. 131 • SCOTT, Exercise 7 • Green: pp. 547-550, 21-40 (odd) • pp. 411-416, #23, 24, 26, 29 • Green Workbook : p. 120, #4p. 121, #11 • Learning Activity • pp. 547–550, Coding Practice, 21–40 (odd numbers), 2 points each (20 points total) • pp. 411–416, #23, 24, 26, and 29 (2 points each)(8 points total) • p. 120 of workbook, #4, (4 points) • p. 121 of workbook, #11 (8 points); #12 (10 points)

  2. Anesthesia • 00100–01999 codes • Services • Preop and postop visits, Anesthesia during surgery • Administration of fluids and/or blood, Monitoring • Main term-Anesthesia (very important) • Arranged by body site and then surgical procedure • Insurance carriers may use: • Time instead of CPT codes

  3. Anesthesia Modifiers and Qualifying Circumstances Codes • Physical status-examples: • P1 Normal patient • P2 Patient with mild systemic disease • Qualifying circumstances-examples: • 99100 Patient of extreme age • 99140 Emergency conditions

  4. ICD-9-CM Coding Practice Diseases of the Circulatory System

  5. Can you code it? • Acute cerebrovascular disease

  6. Can you code it? • Chronic rheumatic myopericarditis

  7. Can you code it? • Secondary hypertension due to Cushing's disease

  8. Can you code it? • Anterior wall myocardial infarction, subsequent episode of care 6 weeks post-MI

  9. Can you code it? • Acute on chronic combined systolic and diastolic heart failure

  10. Can you code it? • Malignant hypertensive cardiovascular disease with congestive heart failure

  11. Can you code it? • NSTEMI, subsequent episode of care without recurrence

  12. Can you code it? • Dissecting thoracic arch aneurysm. Resection of thoracic aneurysm with replacement.

  13. Can you code it? • Myocardial infarction of the lateral wall. Aortocoronary bypass, one vessel, patient on heart-lung machine (hint: 3 codes)

  14. Can you code it? • Coronary artery disease. PTCA with insertion of two drug-eluting stents in left anterior descending and left circumflex arteries (hint: 5 codes)

  15. Can you code it? • CVA

  16. Can you code it? • Goldblatt's hypertension

  17. Can you code it? • Hemorrhagic stroke, subarachnoid

  18. Can you code it? • Ischemic stroke

  19. Can you code it? • Coronary artery bypass graft, 3 vessels, patient on heart-lung machine

  20. Can you code it? • Old CVA

  21. Can you code it? • Acute deep vein thrombosis of the left calf

  22. Can you code it? • Elevated blood pressure reading without diagnosis of hypertension

  23. Can you code it? • Facial weakness, late effect of a previous CVA

  24. Can you code it? • Acute rheumatic fever with pericarditis