The purpose of this assignment is for you to exhibit your critical thinking skills for a medical coding case(s). Your professor will evaluate your answers for coding guideline usage, communication from individual perspective, coding abstraction and sequencing. Please list all answers in the appropriate boxes listed below the questions.
1. What is the principal diagnosis?
What pathway did you take in order to code the condition properly?
2. Given that you’ve provided the correct answer for question #1. Please list the instructional note listed in the tabular list to help support the ICD-10-CM code in question #1? Provide an explanation of why you feel the code listed for the principal diagnosis is appropriate.
3. In the History and Physical the patient complains of left upper flank pain should this condition be coded?
4. What coding guideline supports your decision? Explain
5. In the family history section of the history and physical the physician documents, “she has a brother with mild epilepsy” should this be coded why or why not? Explain.
6. Given that the principal diagnosis is listed for question #1, please list all secondary diagnoses and the pathways. Please list all appropriate codes and give the proper sequence of the codes listed.
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