HI253 UNIT 2 LAB 2 | Kaplan University
| William Amerson, a 41-year-old male, comes in for his annual eye examination. Dr. Leviner notes a
benign right conjunctiva nevus.
Principal diagnosis:
Where should you begin
...
HI253 UNIT 2 LAB 2 | Kaplan University
| William Amerson, a 41-year-old male, comes in for his annual eye examination. Dr. Leviner notes a
benign right conjunctiva nevus.
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 – Nevus
What is the anatomical site -conjunctiva
What is the laterality- Right
Do any of the following apply to the condition – benign
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 –No
If so does the Use additional code note apply to the case study – No Use additional code notation
Is there an Excludes1 notation – Yes
If so does the Excludes1 note apply to the case study – No
Is there an Excludes2 notation - No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
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 – D31.01
Joan Kenney, a 27-year-old female, is having difficulty breathing. Dr. Aung documents a fever of
101 F and facial edema. Joan recently returned home from a trip to Asia. Joan said they were
contending with some sort of larval infestation in Asia. Joan is diagnosed with nasopharyngeal
myiasis.
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 – Myiasis
What type - nasopharyngeal
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 - Yes
If so does the Includes note help to clarify – Yes
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 - NoIf 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 – Yes
If so does the Excludes1 note apply to the case study – No
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 – B87.3
Gayle Cassels, a 12-year-old female, is brought in by her mother to see Dr. Kellum. Gayle has had
a fever for 3 days with a head cold. Dr. Kellum notes conjunctivitis, an erythematous rash on the
head and neck, as well as Koplik’s spots on the inside of Gayle’s mouth. The salivary measlesspecific IgA test confirmed the diagnosis of measles.
Principal diagnosis:
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