Spratt has valerie perform the straight leg raise test

Archie Blume, a 41-year-old male, presents with the complaint of swollen tender gums and bleeding after he brushes his teeth. Dr. Day notes Archie uses tobacco. After an examination and x-rays, Archie is diagnosed with acute gingivitis, non-plaque induced.

Overall Feedback:
K05.01: Gingivitis>acute>non-plaque induced
Z72.0: Tobacco>use

Principal diagnosis:
Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries
What is the key term – Carbuncle
What is the anatomical site – Neck
Do any of the following apply to the condition – None of these
Begin to code the encounter
Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - No
If so does the Includes note help to clarify – No Includes notation
Is there a Code first notation - No
If so does the Code first note apply to the case study – No Code first notation Is there a Code also notation – No
If so does the Code also note apply to the case study – No Code also notation Is there a Use additional code notation – Yes
If so does the Use additional code note apply to the case study – No
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1 notation Is there an Excludes2 notation - Yes
If so does the Excludes2 note apply to the case study – No
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - No

Did you code to the highest level of specificity - Yes What is the correct diagnosis code – L02.13

Anna Morris, a 22-year-old female, presents today with a blister on her left elbow. Her elbow is painful and warm to the touch. After an examination, Dr. Lane diagnoses Anna with a pressure ulcer of the elbow, stage 2.

Overall Feedback:
L89.022: Ulcer>pressure>stage 2>elbow>left

Ned Taylor, a 33-year-old male, presents today with severe weakness in his left hip. Dr. Louthan notes enlarged neck lymph node, a rash, and high fever. Ned admits to some eye and chest pain with general lethargy. After a thorough examination, Dr.

Louthan decides to admit Ned to the hospital. The laboratory test and MRI confirmed the diagnosis of arthritis of the hip due to O’nyong-nyong fever.

Valerie Halsey, a 51-year-old female, complains of lower back pain and numbness.

Valerie also admits it is sometimes difficult to control her left leg. Dr. Spratt completes a physical examination and history of the symptoms. Dr. Spratt has Valerie perform the straight leg raise test, which was positive for Lasegue’s sign. Valerie is diagnosed with wallet sciatica, left side.

Dr. Albertson performed a lumbar laminectomy, 2 vertebral segments, for
decompression on Grace James on September 15. One month later, as originally planned, Dr. Albertson brought Grace back into the OR to implant an epidural drug infuser with a subcutaneous reservoir. Code both procedures.

Overall Feedback:
63005: Index>laminectomy>for decompression>lumbar 62360-58: Index>infusion therapy>spinal>device
implantation/replacement>subcutaneous reservoir

Jack Friedman, a 41-year-old male, was in a fight at a soccer game and was hit in the head with a bottle, which caused some deep lacerations in his scalp. Dr. Girald performed a layered closure of the wounds: one 2.0 cm, one 4.5 cm, and two lacerations that were 1.0 cm each in length.

Overall Feedback:
12034: Index>wound>repair>scalp>intermediate>7.6 cm to 12.5 cm 2.0 + 4.5 + 1.0 + 1.0 = 8.5 cm

Georgia Stuart, a 37-year-old female, is pregnant for the first time. Dr. Ferguson performed an amniocentesis to do a chromosome analysis, count 15 cells, 1 karyotype, with banding. The results showed that the baby is fine.

Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Chromosome analysis
What is being tested - Amniotic fluid
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there an additional notation - No
If so does the notation apply - No
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 88267

As a condition of her employment, she came to the lab today for a presumptive drug test for alcohol, amphetamines, and barbiturates. The test was performed and the results were read by direct optical observation; they confirmed negative outcomes for all drugs.

Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Drug assay
What is the drug class - A
How is the test performed - Immunoassay
How many drug classifications were tested for - 3
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - Yes
If so what does the symbol mean - Resequenced code
Is there an additional notation - Yes
If so does the notation apply - No
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code - 80305