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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) - PowerPoint PPT Presentation
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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)
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
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
ICD-9-CM Coding Practice
Diseases of the Circulatory System
Can you code it?
• Acute cerebrovascular disease
Can you code it?
• Chronic rheumatic myopericarditis
Can you code it?
• Secondary hypertension due to Cushing's disease
Can you code it?
• Anterior wall myocardial infarction, subsequent episode of care 6 weeks post-MI
Can you code it?
• Acute on chronic combined systolic and diastolic heart failure
Can you code it?
• Malignant hypertensive cardiovascular disease with congestive heart failure
Can you code it?
• NSTEMI, subsequent episode of care without recurrence
Can you code it?
• Dissecting thoracic arch aneurysm. Resection of thoracic aneurysm with replacement.
Can you code it?
• Myocardial infarction of the lateral wall. Aortocoronary bypass, one vessel, patient on heart-lung machine (hint: 3 codes)
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)
Can you code it?
• CVA
Can you code it?
• Goldblatt's hypertension
Can you code it?
• Hemorrhagic stroke, subarachnoid
Can you code it?
• Ischemic stroke
Can you code it?
• Coronary artery bypass graft, 3 vessels, patient on heart-lung machine
Can you code it?
• Old CVA
Can you code it?
• Acute deep vein thrombosis of the left calf
Can you code it?
• Elevated blood pressure reading without diagnosis of hypertension
Can you code it?
• Facial weakness, late effect of a previous CVA
Can you code it?
• Acute rheumatic fever with pericarditis