Diagnosis Coding Injuries Assignment Help: How to Answer This Question

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ICD-10-CM Diagnosis Coding Injuries Chapter 29 AHA Coding Handbook Competency Addressed: Injuries with at least 80% accuracy. Point Value: 29 Directions: List as many codes as apply to each problem using the official coding guidelines, rules and conventions and UHDDS reporting guidelines. Place your code(s) in the correct sequence. Code the following as the setting indicated is each scenario, initial encounter unless otherwise indicated. Do not code procedures. Do code external cause codes: Cause/intent, POO, Activity, Status. To refresh yourself in external cause coding, see page 24 in the front of the ICD-10-CM Diagnosis Code Book. 1. Inpatient admission: The patient was struck in the face with a softball during a recreational ball game with no loss of consciousness. The result was severe compound fractures of the left sinus and frontal sinus bones. The fracture word abbreviated an open reduction was carried out. Initially, the postoperative course was uneventful, and the nasal packs, suits, and the nasal splint were removed. However, on the Eighth Day, the patient became confused and combative. A lumbar puncture was grossly positive for sub meningitis. Improvement was rapids with antibiotics and intravenous steroids. Discharge diagnosis: 1) Compound nasal, ethmoid, and frontal sinus fractures; 2) post operative meningitis. Procedures : Open reduction of compound fractures of the ethmoid and frontal sinus bones. 7 total codes (4 of the 7 codes are external cause codes) 2. Inpatient admission: The patient was admitted following a fall from a ladder at home while watering flower boxes in the garden, in which she sustained numerous injuries. X-rays showed a non-displaced fracture of the right humeral neck. A splint was applied, but no other treatment was required. There were contusions on her forehead, and knees, as well as small abrasions of her forehead and right thigh. The patient received pain medications because of the contusions. The abrasions were superficial and healed without treatment and without evidence of infection. Discharge diagnosis: 1) Nondisplaced fracture, anatomical neck, right humerus; 2) contusions of forehead, thighs, and knees; 3.) abrasions on forehead and right thigh. 10 total codes (4 of the 10 codes are external cause codes) 3. Inpatient admission: The patient fell from a tree that he was pruning on his farm. He was able to drive himself to the hospital, but it was apparent on admission that his left arm was fractured. He underwent an open reduction and internal fixation of a fracture of the proximal humerus and open reduction and Internal fixation of the comminuted fractures of the radial and ulnar shaft. He recovered without incident and was discharged to follow up in one week. Discharge diagnosis: Comminuted left radius and ulnar shaft fractures, 2) displaced left proximal humerus fracture. 7 total codes (4 of the 7 are external cause codes) 4. Inpatient admission: The patient fractured her left patella when she suffered a fall into a hole while golfing on the public golf course. She was taken to surgery, where an open reduction internal fixation where performed without complication. By the second postoperative day, she was ambulatory on crutches and ready for discharge. Discharge diagnosis: Closed fractures, left patella. 5 total codes (4 of the 5 codes is an external cause code) Reference: ICD-10-CM AND ICD-10-PCS CODING HANDBOOK, WITHOUTH ANSWERS, 2022 REVISED EDITION. https://www.cms.gov/medicare/icd-10/2022-icd-10-cm

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