The document presents various patient cases requiring diagnosis coding, including a nonunion of a trimalleolar fracture, a laceration with foreign body, a healing lateral epicondyle fracture, medication adjustment for Digoxin side effects, congestive heart failure with chronic kidney failure, a failed pacemaker insertion, and an infection of a hip prosthesis. Each case requires the correct diagnosis code(s) to be assigned. The document focuses on the evaluation and treatment aspects of these medical conditions.
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Ch 19
The document presents various patient cases requiring diagnosis coding, including a nonunion of a trimalleolar fracture, a laceration with foreign body, a healing lateral epicondyle fracture, medication adjustment for Digoxin side effects, congestive heart failure with chronic kidney failure, a failed pacemaker insertion, and an infection of a hip prosthesis. Each case requires the correct diagnosis code(s) to be assigned. The document focuses on the evaluation and treatment aspects of these medical conditions.
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Chapter 19
1. This patient is seen for increas:
left ankle. After evaluation she
is the
ed pain in her ankle. She has a previous trimalleolar fracture ofthe
was found to have a nonunion of her left trimalleolar fracture. What
correct diagnosis code(s}? (Do not assign the external cause codes)
2. Patient has a 2 cm laceration ofthe left hee! with foreign body, This is a current injury. What is the
correct diagnosis code(s)?
3. The patients seen in follow-up to his traumatic lateral epicondyle fracture ofthe right elbow. This,
is healing normally. What is the correct diagnosis code(s]?
ee thas been taking Digoxin and is experiencing nausea and vomiting and profound fatigue
‘The patient indicates that he has been taking the drug appropriately. The evaluation and treatment
was focused on adjustment of medication only. What isthe correct diagnosis code(s)?
This 85-year-old patient is seen inthe hospital wth diagnosis of congestive hear failure due to
hypertensive hear ease Patent also has stage 5 cnorc Kidney falure. The patent had been
prescribed lasix previously but adits tat he forgets to ake his mediation everday. This is ue to
advanced age. What are the correct diagnosis code(s)?
6. This 50-year-old man was in the Cardiac Cath Lab for insertion of a dual chamber pacemaker to
treat his sick sinus syndrome. During the procedure the pacemaker electrode broke upon insertion.
The procedure was abandoned and will be rescheduled. What i the correct diagnosis code(s)?
Vir This elderly woman is seen for Increase right hip pan, She has right hip prosthesis. Alter
extensive evaluation, she is found to have an infection of the prosthesis ‘She will be scheduled for
Surgery. What isthe correct dgnosis codes)?
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