Reference no: EM133546234

1. The patient presents to the physician's office complaining of chest pain. After examination the physician's diagnosis is suspected angina. The patient is sent for an EKG and is to report back to the physician the next day. What should be the first-listed diagnosis?

2. Read the scenario below and identify the first-listed diagnosis. This scenario is NOT to be coded. Write out the first-listed diagnosis.

Patient presents to the hospital's outpatient surgery center for a scheduled cholecystectomy for cholecystitis. Before the surgery began, the patient started experiencing malignant hypertension and the surgery was postponed. What should be the first-listed diagnosis?

3. A patient is admitted with acute myocardial infarction. The patient was administered nitroglycerin for chest pain, and sent for an echo to determine the extent of the MI. On day three of the admission in the progress notes, the physician notes the patient has an ingrown toenail, and a bunion on the right foot. Final discharge diagnoses are: Acute MI, ingrown toenail, and bunion. Identify the diagnosis(es) that should be coded for this inpatient stay.

• All diagnoses of acute MI, ingrown toenail, and bunion should be coded
• Only the acute MI and ingrown toenail
• Only the ingrown toenail and bunion
• Only the acute MI should be coded

4. Patient is admitted with type 2 diabetes. An A1C blood test was ordered and the patient was started on a higher dose of Metformin, BID. The physician also orders a urine culture and discovers the patient's creatinine levels are exceedingly above the normal range. the patient is known to have CKD stage 3. What would be the correct code(s) based on the documentation provided? Look up the diagnosis(es) in your code book and provide the correct code(s) based on how this scenario should be coded.

5. A patient is admitted with severe chest pain. The physician orders an EKG to determine possible heart disease. After further work up, and upon discharge, the physician documents suspected CAD. What diagnosis(es) should be coded? Write the diagnosis(es) and DO NOT code from the code book.

6. Patient was admitted with severe abdominal pain in the upper right quadrant. A X-ray was ordered, due to the physician's suspicion of the patient having constipation which is part of the patient's history, to rule out constipation. The X-Ray was negative and constipation was ruled out as the reason for the abdominal pain. What would be the principal diagnosis? DO NOT code from the codebook, but rather write the principal diagnosis. When writing the diagnosis, please make sure you are writing the diagnosis to the highest specificity that could be coded if you were going to code the diagnosis you writing.

7. 34-year-old presents to the ER with a 3-day history of stomach pain, nausea and vomiting and diarrhea. The physician suspected the patient of having food poisoning. DO NOT code the diagnosis(es) that should be listed, but write the diagnosis(es) in the space provided.

8. 57-year-old seen in the physician's office with fever and chills, rule out pneumonia. Patient will return tomorrow for a chest x-ray. DO NOT code the diagnosis(es) that should be listed, but write the diagnosis(es) in the blank provided.