Unit 5 Overview• Reading: Green, pp. 141-143, 508-536, 378-408.• Post to DB• Participate in Option 1 or 2 of seminar• Practice:

– Green  p. 143, 4.10; p. 523-525, 13.1; pp.545-547, 1-20; pp. 409-410, Review 1-20; p. 131

– SCOTT, Exercise 7– Green: pp. 547-550, 21-40 (odd)– pp. 411-416, #23, 24, 26, 29– Green Workbook : p. 120, #4p. 121, #11

• Learning Activity– pp. 547–550, Coding Practice, 21–40 (odd numbers), 2 points each (20 points

total)– pp. 411–416, #23, 24, 26, and 29 (2 points each)(8 points total)– p. 120 of workbook, #4, (4 points)– p. 121 of workbook, #11 (8 points); #12 (10 points)

Anesthesia• 00100–01999 codes• Services

– Preop and postop visits, Anesthesia during surgery

– Administration of fluids and/or blood, Monitoring• Main term-Anesthesia (very important)• Arranged by body site and then surgical procedure• Insurance carriers may use:

– Time instead of CPT codes

Anesthesia Modifiers and Qualifying Circumstances Codes

• Physical status-examples:– P1 Normal patient– P2 Patient with mild systemic disease

• Qualifying circumstances-examples:– 99100 Patient of extreme age– 99140 Emergency conditions

ICD-9-CM Coding Practice

Diseases of the Circulatory System

Can you code it?

• Acute cerebrovascular disease

Can you code it?

• Chronic rheumatic myopericarditis

Can you code it?

• Secondary hypertension due to Cushing's disease

Can you code it?

• Anterior wall myocardial infarction, subsequent episode of care 6 weeks post-MI

Can you code it?

• Acute on chronic combined systolic and diastolic heart failure

Can you code it?

• Malignant hypertensive cardiovascular disease with congestive heart failure

Can you code it?

• NSTEMI, subsequent episode of care without recurrence

Can you code it?

• Dissecting thoracic arch aneurysm. Resection of thoracic aneurysm with replacement.

 

Can you code it?

• Myocardial infarction of the lateral wall. Aortocoronary bypass, one vessel, patient on heart-lung machine (hint: 3 codes)

Can you code it?

• Coronary artery disease. PTCA with insertion of two drug-eluting stents in left anterior descending and left circumflex arteries (hint: 5 codes)

Can you code it?

• CVA

Can you code it?

• Goldblatt's hypertension

Can you code it?

• Hemorrhagic stroke, subarachnoid

Can you code it?

• Ischemic stroke

Can you code it?

• Coronary artery bypass graft, 3 vessels, patient on heart-lung machine

Can you code it?

• Old CVA

Can you code it?

• Acute deep vein thrombosis of the left calf

Can you code it?

• Elevated blood pressure reading without diagnosis of hypertension

Can you code it?

• Facial weakness, late effect of a previous CVA

Can you code it?

• Acute rheumatic fever with pericarditis