Day Two Claim Documents · ©2015, Page, Wolfberg & Wirth, LLC ... List of Facilities and Locations Medical Center Trauma Center and 1,000 Bed Hospital 1 Magic ... I26.02 Saddle embolus

Emergency Coding Clinic

Day Two

Claim Documents

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Assisted Living Dialysis Center

Community Hospital

Arendelle 99918

Elementary School

General Hospital

Neverland 99915

Holy Spirit Hospital & Select LTACH

Medical Center Apartment

Fantasyland 99916

Power Plant

Radiator Springs 99912

Frontierland 99913

Tomorrowland 99911

©2015, Page, Wolfberg & Wirth, LLC

Golden SNF

Outpatient Center

Monstropolous 99917

United Church

Hotel Magic SNF

Good Samaritan Hospital

MAP OF MAGIC KINGDOM

List of Facilities and Locations

Medical Center Trauma Center and 1,000 Bed Hospital 1 Magic Kingdom Way, Fantasyland 99916 General Hospital 500 Bed Hospital w/ ER 10 Atlantica View Rd., Neverland 99915 Good Samaritan Hospital 200 Bed Hospital w/ ER 14 Randall Dr., Monstropolus 99917 Holy Spirit Hospital 150 bed hospital w/ separate specialty center 100 14th St. Frontierland, 99913 Community Hospital 25 Bed Hospital and ER 6467 Race St., Arendelle, 99918 Select LTACH 10 Bed SNF, 20 Bed Hospital inside Holy Spirit Hospital (4th Floor) 100 14th St. Frontierland, 99913 Golden SNF 75 Bed SNF, with Hospice Care 2319 Sock Dr., Monstropolous, 99917

Magic SNF 100 Bed SNF and Assisted Living Facility 1501 Oswald St., Fantasyland, 99916 Assisted Living Personal Care Home, no skilled services offered 42 Wallaby Way, Atlantica, 99914 Dialysis Center Dialysis Center (not hospital based) 7878 Creek Run Road Frontierland 99913 Outpatient Center Ambulatory surgery & diagnostic services 14 Granite Dr. Radiator Springs 99912 Apartment Complex 150 Units 500 Dwarf Street, Fantasyland 99916 Power Plant 2320 Atlantica View Rd., Neverland 99915 Hotel 99 Olaf St., Arendelle, 99918 Elementary School 2004 Incredible Dr., Tomorrowland, 99911 United Church 1001 Acorn Way, Fantasyland, 99916

Magic Kingdom Department of Health - Approved ALS Drugs

1. Activated Charcoal 2. Adenosine 3. Albuterol 4. Amiodarone 5. Aspirin 6. Atropine 7. Calcium Chloride 8. Diazepam 9. Dilaudid 10. Diltiazem 11. Diphenhydramine HCL 12. Epinephrine 13. Fentanyl 14. Furosemide 15. Glucagon 16. Intravenous solutions (Dextrose, NaCl, Lactated Ringer’s) 17. Lidocaine 18. Lorazepam 19. Magnesium Sulfate 20. Midazolam 21. Morphine 22. Naloxone HCL (Narcan) IV 23. Nitroglycerin 24. Ondansetron 25. Sodium bicarbonate

+ EMT-B scope of practice includes transport of a patient with an existing IV lock, O2 administration, BGL check, and Narcan administration IM.

Signed:

Walt Disney, MD Medical Director, Magic Kingdom Department of Health

Effective Date: 7/1/2015

Mickey Mouse Ambulance Abbreviation List A&O Alert and Oriented

ALOC Altered Level of Consciousness

AMS Altered Mental Status

AOS Arrived on scene

ASA Aspirin

BVM Bag valve mask

CA Cancer

CAD Coronary Artery Disease

CC Chief complaint

CMS Circulation, motor, sensory

CP Chest pain

CVA Cerebrovascular Accident

CXR Chest X-ray

DC Discharge

DM Diabetes Mellitus

DOA Dead on Arrival

ECT Electroconvulsive Therapy

ED Emergency Department

EKG Electrocardiogram

EtCO2 End tidal carbon dioxide

ETOH Alcohol

HEENT Head, Eyes, Ears, Nose, Throat

HOB Head of Bed

HTN Hypertension

ICU Intensive Care Unit

IV Intravenous

JVD Jugular venous distension

LLE Lower left extremity

LS Lung sounds

MS Multiple Sclerosis

NC Nasal cannula

NIDDM Non-insulin Dependent Diabetes Mellitus

NKDA No known drug allergies

NRB Non-rebreather

NSS Saline

N/V Nausea/Vomiting

O2 Oxygen

O/S On scene

PEA Pulseless Electrical Activity

PERRL Pupils Equal, Round, Reactive to Light

PIV Peripheral IV

P/M/S Pulse/Motor/Sensory

POV Privately Owned Vehicle

PRN As Needed

P/W/D Pink/Warm/Dry

Q.D. Every day

SNF Skilled Nursing Facility

SOB Shortness of breath

SpO2 Pulse oximetry

TBI Traumatic Brain Injury

TKO To keep open

UOA Upon our arrival

UTO Unable to obtain

VS Vital signs

WNL Within normal limits

Y/O/(m)(f) Year old (male) or (female)

Note: This list of abbreviations is for illustration purposes only to provide a “key” for the abbreviations used on the PCRs in the Coding Clinics. These are not necessarily universally accepted or approved abbreviations that must be used on actual PCRs used by your ambulance service. This is not an exhaustive list of commonly used abbreviations, but just provides a sampling of abbreviations used in the Coding Clinics.

ICD-10 Codes

Note: These are just a small number of ICD-10 Codes listed for purposes of the coding clinics. This minimal list is for educational purposes only and does not suggest that these are the only (or best) ICD-10 Codes that should be used for ambulance billing purposes.

ICD‐10 ICD‐10 Code Definition

F29 Unspecified psychosis not due to a substance or known physiological condition

G89.29 Other chronic pain

I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale

I46.9 Cardiac arrest, cause unspecified

I49.9 Cardiac arrhythmia, unspecified

I50.9 Heart failure, unspecified

I67.89 Other cerebrovascular disease

I69.954 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side

J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

L89.100 Pressure ulcer of unspecified part of back, unstageable

L89.309 Pressure ulcer of unspecified buttock, unspecific stage

R06.02 Shortness of breath

R07.9 Chest pain, unspecified

R09.2 Respiratory arrest

R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems

R10.8 Other abdominal pain

R10.84 Generalized abdominal pain

R10.9 Unspecified abdominal pain

R11.2 Nausea with vomiting, unspecified

ICD‐10 ICD‐10 Code Definition

R11.2 Nausea with vomiting

R40.241 GCS 13-15

R40.242 GCS 9-12

R40.4 Transient alteration of awareness

R41.82 Altered mental status, unspecified

R41.89 Other symptoms and signs involving cognitive functions and awareness

R51 Headache

R52 Pain, unspecified

R53.1 Weakness

R68.89 Other general symptoms & signs

R69 Illness unspecified

S09.90XA Unspecified injury of head, initial encounter

T14.80 Other injury of unspecified body region

V16.9XXA Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident, initial encounter

W10.1XXA Fall (on)(from) sidewalk curb, initial encounter

W37.0 Explosion of bicycle tire

Y82.8 Other medical devices associated with adverse incidents

Z49.0 Preparatory care for renal dialysis

Z74.01 Bed confinement status

Z74.3 Need for continuous supervision

Z76.89 Persons encountering health services in other specified circumstances

Z78.1 Physical restraint status

Z99.11 Dependence on respirator/ventilator status

Z99.81 Dependence on supplemental oxygen

Z99.81 Dependence on supplemental oxygen dependence on supplemental oxygen

Z99.89 Dependence on other enabling machines and devices

ABC360 Coding Clinic – Checklist – Emergency

Run # Emergency Re

spon

se

Crite

ria M

et? (Y/N

)

Med

ical Necessity

Documen

ted?

(Y/N

)

Reason

ablene

ss M

et?

(Y/N

)

Transport to Co

vered

Destination?

(Y/N

)

Mileage Re

corded

? (Y/N

)

Signature Va

lid fo

r Claim

Subm

ission?

(Y/N

)

Coding Comments 101 E

102 E

103 E

104 E

105 E

106 E

107 E

108 E

109 E

110 E

Run 101-E


Run 102-E


Run 103-E


Run 104-E


Run 105-E


Run 106-E


Run 107-E


Run 108-E


Run 109-E


Run 110-E
