Central Valley Health District: Coding Workshop

Transcription

1 Central Valley Health District: Coding Workshop Toni Woods, CCS, CPC, AHIMA-Approved ICD-10- CM/PCS Trainer R.T. Welter & Associates, Inc /14/

2 Forward Maps and Cheat Sheets Review forward maps and cheat sheets Family Planning services Women s Way 7/14/ info@rtwelter.com 2

3 Time to CODE! 7/14/

4 Laura presents to discuss family planning and birth control options. Patient was advised of all forms of contraception and has decided to try birth control pills. Patient also complains of fatigue more recently. Patient requested flu vaccination and it was administered. Will order a TSH and prescribe oral contraceptives. What ICD-9 Code(s) should be billed? 7/14/ info@rtwelter.com 4

5 ICD-9 codes for the encounter: 5

6 21 year old established client is worried about contracting an STD now that she is sexually active. She would also like to discuss nutrition and exercise as she is trying to lose weight. Patient is obese with BMI of 34. The NP spent 25 minutes discussing STD prevention and diet and exercise. What ICD-9 Code(s) should be billed? 6

7 ICD-9 code(s) for the encounter: 7

8 19 year old established client is having menstrual irregularity following placement of the nexplanon implant. She is also experiencing symptoms of depression. Spent 30 minutes discussing the causes of depression and various treatment options. The patient would like to keep the implant but use Lysteda to stop the period. What ICD-9 Code(s) should be billed? 8

9 ICD-9 codes for the encounter: 9

10 Time to CODE! 7/14/

11 Take a closer look Review code series Z70, Z71, Z22 in ICD-10 book 7/14/ info@rtwelter.com 11

12 14 year old new client seeks family planning advice. The NP discusses family planning for 25 minutes. What ICD-10 Code(s) should be billed? 12

13 ICD-10 code(s) for the encounter: 13

14 21 year old established client is worried about contracting an STD now that she is sexually active. She would also like to discuss nutrition and exercise as she is trying to lose weight. Patient is obese with BMI of 34. The NP spent 25 minutes discussing STD prevention and diet and exercise. What ICD-10 Code(s) should be billed? 14

15 ICD-10 code(s) for the encounter: 15

16 Dori has had an IUD for 3 years. She has decided to have a child and would like the IUD removed. She is also a cigarette smoker and would like resources on how to quit to ensure a healthy pregnancy. The nurse practitioner removes the IUD. She also provides smoking cessation counseling to the patient for tobacco dependence. What ICD-10 Code(s) should be billed? 7/14/ info@rtwelter.com 16

17 ICD-10 code(s) for the encounter: 17

18 Laura presents to discuss family planning and birth control options. Patient was advised of all forms of contraception and has decided to try birth control pills. Patient also complains of fatigue more recently. Patient requested flu vaccination and it was administered. Will order a TSH and prescribe oral contraceptives. What ICD-10 Code(s) should be billed? 7/14/ info@rtwelter.com 18

19 ICD-10 code(s) for the encounter: 19

20 Sara is a 28 year old female who presents with vaginal symptoms consistent with gonorrhea. She also complains of burning and pain during urination. Diagnostic test for gonorrhea was positive; U/A positive for UTI. Culture and sensitivity showed presence of E. coli. UTI treated with cipro. Rocephin given for gonorrhea. What ICD-10 Code(s) should be billed? 20

21 ICD-10 code(s) for the encounter: 21

22 19 year old established client is having menstrual irregularity following placement of the nexplanon implant. She is also experiencing symptoms of depression. Spent 30 minutes discussing the causes of depression and various treatment options. The patient would like to keep the implant but use Lysteda to stop the period. What ICD-10 Code(s) should be billed? 22

23 ICD-10 code(s) for the encounter: 23

24 Jen had an IUD inserted 2 weeks ago and now complains of pain at the insertion site with accompanying left lower quadrant abdominal pain. The nurse practitioner examines the insertion site and has a 15 minute discussion regarding whether to keep or remove the IUD. The patient decides not to have the IUD removed and will return in a month if symptoms persist. What ICD-10 Code(s) should be billed? 24

25 ICD-10 code(s) for the encounter: 25

26 QUESTIONS? 7/14/

27 Thank You for Attending! Sign to receive ICD-10 training/webinar updates, coding and reimbursement updates, and healthcare related news at RTWelter.com ( registration) 7/14/