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

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

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Coding

Section: Chapter Questions

Problem 214R

See similar textbooks

Similar questions

History of patient: “A 12 year old girl presented to the A&E department at a weekend, with pain on movement of the left shoulder. Initially there was no history of trauma. Although when seen in clinic, she mentioned having played rugby a few days before the onset of pain.” Physical examination: “…revealed minimal tenderness above the clavicle and painful shoulder movement.” Imaging: Radiography was performed, see Figure 1. “The initial radiograph was reported as no bony injury, the ‘fracture’ diagnosed [by the radiologist] as an anomalous articulation.” Treatment: a collar and cuff (Figure 2) and analgesia. Follow up: “Another radiograph [Fig 3] six weeks later showed callus around the ‘anomalous articulation’, which supported our earlier diagnosis of fracture [of the first rib]. She…has had an uneventful recovery.” In other words, the radiologist got this wrong, when s/he diagnosed an “anomalous articulation” on the first x-ray. This patient did not break any…
Mrs. Thomas was on vacation out of state, stepped off a curve, and sustained a left ankle injury. Due to severe pain, Mrs. Thomas was seen at an urgent care center where a left ankle x-ray was performed, which was negative. Mrs. Thomas was diagnosed with a left sprained ankle. A walking boot was provided to stabilize and protect the left ankle. Mrs. Thomas was provided with appropriate discharge instructions and instructed to follow up with the primary care physician upon returning home. When presenting the BlueCross BlueShield insurance card at check out, Mrs. Thomas was informed that the physician who provided treatment is a nonparticipating provider (nonPAR) and that the urgent care center accepts credit cards for payment in full. The total due was $1,500, and Mrs. Thomas assured the office staff that the insurance company would reimburse the urgent care center for services provided. The office staff further explained that their providers had not signed a contract with that…
Mrs. Thomas was on vacation out of state when she stepped off a curve and injured her left ankle. Due to severe pain she was seen at an urgent care center where she underwent a left ankle x-ray, which was negative. She was diagnosed with a left sprained ankle. A walking boot was provided to stabilize and protect her left ankle. She was provided with appropriate discharge instructions and instructed to follow up with her primary care physician upon returning home. When she presented her BlueCross BlueShield insurance card at check out, Mrs. Thomas was informed that the physician who provided treatment is a nonparticipating provider (nonPAR) and that the urgent care center accepts credit cards for payment in full. The total due was $1,500, and Mrs. Thomas assured the office staff that her insurance company would reimburse the urgent care center for services provided. The office staff further explained that their providers had not signed a contract with her insurance, and thus Mrs. Thomas…
Ms. M is 42 years old and has had rheumatoid arthritis for six years. At baseline, her fingers are stiff and show slight ulnar deviation. She has come to see you as she is currently experiencing an exacerbation, and her wrists are red and swollen. She finds it to be painful when something such as clothing touches the skin over her wrists. Her elbows and knees are also stiff and painful, especially after she has been resting. She is feeling extremely tired and depressed and has not been eating well. Describe the pathophysiologic process that leads to the appearance and the pain occurring at her wrists. Is this an acute or chronic process? Could it be both? Describe the pathophysiology contributing to the stiff, deformed fingers. What terms can be used to describe this?
case study: SITUATION: Miss Hermione Granger, a 5-year-old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks' gestation with no neonatal complications. Her immunization is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils are equal and reactive to light. Her vital signs are as…
case study: SITUATION: Miss Hermione Granger, a 5-year-old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but sustained a small graze above her left eyebrow. BACKGROUND Miss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks' gestation with no neonatal complications. Her immunization is up to date. ASSESSMENT Her Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils are equal and reactive to light. Her vital signs are as…
Look at the skeleton Patient Name: Patient Age: Scenario: You are a physician and your patient has broken a bone (chose the bone using proper A&P terminology) located in the (axil or appendage) skeletal system. The break is part of (compact bone and/or the joint system). The break is a (transverse fracture, greenstick, comminuted, oblique, spiral or avulsed). You need to decide how the break happened, the age of your patient, and what you will do to heal the bone. Today: Research the different types of bone breaks and pick a type of break. Then create a story of how the break happened. The story needs a date, place, time, and what the person was doing. Your to assessment is to fill out a doctor's report explaining the nature of the break Doctor's Report: Incident: (Movement happening and joint)
Mrs. Norma Jean is a 65-year-old female. She was getting up to walk to the bathroom in the middle of the night when she tripped over a throw rug and fell onto an outstretched hand. In the ER the doctors noted that she sustained a distal radius fracture. She was placed into a sugar tong plaster splint that included the elbow joint. At her next follow up 1 week later, she was then transitioned to a short arm cast. She was followed up weekly by her physician for repeat radiographs, which demonstrated acceptable healing without secondary displacement or collapse of the fracture. Now 8 weeks have passed and she is referred to your outpatient hand clinic with orders to “Evaluate and Treat”. You notice that Norma is generally stiff but has a marked loss of passive extension of her radiocarpal joint. Motor, sensory, and pulses are intact. Please complete the following questions. There are supplementary articles to help you complete this discussion. . 1) Norma has a lot of questions for…
describe the steps in assisting patients with movements for radiographic procedures. 1: Assistance with standing from chair / wheelchair
CASE 1: Jamal's grandmother walked out to the mailbox to get the mail. Within minutes Jamal heard her crying for help. As he ran out the front door, he saw her lying in pain near the mailbox. He could not lift her and had to call 911 for assistance. After arriving at the ER and giving her history, she was wheeled to the radiology department for x-rays (Figure 1). It was determined that her "hip" was broken. This isn't correct because the "hip" is a joint. Bones are broken, joints are dislocated (joint capsule is torn and bones move apart). Figure 1 (a) Anterior view Figure 2 B -E (b) Posterior view F
you are asked to give a lectre on pelvic floor injury. Outline the main topics that you would discuss and briefly explain why you consider them to be important.
za Name: Year and Section: EXERCISE NO. 6 The Skeletal System MUSCUL SYSTE QUESTIONSOMY POST-DISCUSSION QUESTIONS Date Submitted: Group No.:. Clinical Case A 9-year-old male was brought to a clinic because of a fracture. He engaged in active play with brothers and sister and accidentally fractured his tibia. On X-ray, the fracture was complete and clean. Which of the following statements is correct about the case? Explain your answer. A. Bone remodelling at this age is not possible because all the bones have fused. B. The damaged bone can be remodelled via endochondral ossification. C. The fractured bone will be remodelled via intramembranous ossification D. Bone repair is unlikely to occur. 123