Coding Assignment – Inpatient Charts – Julie Roberts
Module 04 Coding Assignment – Julie Roberts
Directions: The purpose of this assignment is for you to exhibit your critical thinking skills through a coding medical 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. What coding guidelines did you use to help support the ICD-10-CM code in question 1? Explain.
3. In the Julie Roberts medical record the History and Physical report has not been labeled or identified. What other report(s) can be used to identify the current history of the patient’s health?
4. Given that the principal diagnoses is listed in question number 1. Please list all appropriate secondary codes and give the proper sequence of the codes listed. List pathways for each medical code below.
Secondary Diagnoses & Pathways:
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