Question

Instructions: Read the clinical scenario. The scenario may be longer than the screen so please make sure to scroll all way to the bottom of the case to read all the information. In some cases, a document may be attached. Following the scenario, you will be asked to code:

A principal or first-listed diagnosis: Select only ONE diagnosis

Secondary diagnosis codes: Select as many as appropriate. You may leave it blank if no additional diagnosis codes apply to the case. Over-coding will result in a loss of points.

Procedure codes: Select as many as appropriate. You may leave it blank if no additional procedure codes apply to the case. Over-coding will result in a loss of points. The sequencing of codes is not being counted. Please only select the appropriate codes. No points will be awarded for over- or under-coding.

The parents of a 16-year-old boy accompanied him to the hospital for admission for the insertion of a totally implantable insulin infusion pump and injection of insulin. The patient has had type 1 diabetes mellitus since the age of 11 years. The insertion of the pump into the subcutaneous tissue of his abdomen was successful. On numerous occasions during the admission, the patient’s diabetes had been uncontrolled with various types and dosages of insulin that were administered through the pump. The patient was discharged and will return to the hospital diabetic clinic in one week with his parents for insulin pump titration and training. For the next week, the pump will run with saline.

Answer 1

ICD is international classification of disease and CPT is current procedural terminology

CPT explains about procedures such as diagnostic, laboratoratical, radiological, surgically perform to patient to patient by a physician. whereas ICD f explain diseases after findouting diagnosis.

1.Principal diagnosis: Type 1diabetes melitus without complications code no: E10.9

2, Secondary diagnosis: uncontrolled type 1 diabetes mellitus E 10.65

3. procedural code

for insertion of a totally implantable insulin pump is code number 86.06

admission for an implantation procedure is code number 99231

discharge to home is code number 50

next week after discharge : insulin pump titration and training insulin pump code number will be Z46.81