Scenerio: A male patient presents at the ER with pain in the lower chest, upper
ID: 3505126 • Letter: S
Question
Scenerio: A male patient presents at the ER with pain in the lower chest, upper abdomen. The pt has high blood pressure and is 46 years old. The pt is evaluated for AMI and acid reflux. The doctor orders a CT scan and discovers the pt suffers from an infected, enlarged appendix which has not yet ruptured. The patient is admitted to the hospital and scheduled for surgery. The appendix is removed through laproscopic surgery. The encounter includes normal IV antibiotics and anestheia. The pt is discharged the next day. The patient is seen in a follow up visit with his primary care provider. No complications are present.
A. Describe the generation of CPT, MS-DRG, and ICD-10 codes.
B. Specify the exact codes that you would expect to see.
C. Explain how each of the codes will be used (in the revenue cycle and clinical process)
D. Explain why the different types of codes exist.
E. Explain additional types of codes would you expect to see in this process
F. Find some way to put some dollar value on this encounter. How much will the patient be billed
for in the self-pay scenario?
Explanation / Answer
CPT= is Current Procedural Terminology (CPT) was developed by the American Medical Association
ICD= is International Statistical Classification of Diseases and Related Health Problems.
DRG=Diagnosis Related Group.
R10.84 is a billable ICD code used to for a diagnosis of generalized abdominal pain. as apendix comes under abdominal pain code R10.84 is used.
Disease of stomach and duodenum, unspecified-K319
all this codes are used to diagnose the particular disease and it make easy to identify the billing related information to the disease.
they all classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care.all these codes come under healtcare system on united state.
the policies of medicade and medicare follow the rules on ICD-10 ,CPT codes.
Disease of stomach and duodenum, unspecified-K319
all this codes are used to diagnose the particular disease and it make easy to identify the billing related information to the disease.
they all classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care.all these codes come under healtcare system on united state.
the policies of medicade and medicare follow the rules on ICD-10 ,CPT codes.
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