I CD 10 Clinical Concepts Internal Medicine 1

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s20\cf4\b0\i0\ul0\strike0 etc.\par\pard\plain\li0\sl-420\f1\fs20\cf4\b0\i0\ul0\
strike0 e.g.\f1\fs20\cf4\b0\i0\ul0\strike0 Renal,\f1\fs20\cf4\b0\i0\ul0\strike0
pulmonary,\f1\fs20\cf4\b0\i0\ul0\strike0 etc.\par\sect\sected\sbknone\cols2\c
olno1\colw2710\colsr10\colno2\colw9520\pard\plain\sl-200\par\pard\plain\sl-200\p
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cf4\b0\i0\ul0\strike0 I10\par\pard\plain\li1295\sl-340\f1\fs24\cf4\b0\i0\ul0\str
ike0 I11.9\par\pard\plain\li1295\sl-340\f1\fs24\cf4\b0\i0\ul0\strike0 I15.0\par\
pard\column\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pl
ain\sl-248\par\pard\plain\li0\sl-279\f1\fs24\cf4\b0\i0\ul0\strike0 Essential\f1\
fs24\cf4\b0\i0\ul0\strike0 (primary)\f1\fs24\cf4\b0\i0\ul0\strike0 hypertensio
n\par\pard\plain\li0\sl-340\f1\fs24\cf4\b0\i0\ul0\strike0 Hypertensive\f1\fs24\c
f4\b0\i0\ul0\strike0 heart\f1\fs24\cf4\b0\i0\ul0\strike0 disease\f1\fs24\cf4\b
0\i0\ul0\strike0 without\f1\fs24\cf4\b0\i0\ul0\strike0 heart\f1\fs24\cf4\b0\i0
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ols1\colno1\colw12240\pard\plain\sl-200\par\pard\plain\sl-375\par\pard\plain\li8
11\sl-389\f1\fs24\cf7\b\i0\ul0\strike0 ASTHMA\par\pard\plain\li811\sl-395\f1\fs2
2\cf7\b0\i0\ul0\strike0 Terminology\f1\fs22\cf7\b0\i0\ul0\strike0 Difference\pa
r\pard\plain\li811\sl-395\f1\fs20\cf4\b0\i0\ul0\strike0 ICD-10\f1\fs20\cf4\b0\i0
\ul0\strike0 terminology\f1\fs20\cf4\b0\i0\ul0\strike0 used\f1\fs20\cf4\b0\i0\
ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 describe\f1\fs20\cf4\b0\i0\ul0\st
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been\f1\fs20\cf4\b0\i0\ul0\strike0 updated\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1
\fs20\cf4\b0\i0\ul0\strike0 reflect\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\
cf4\b0\i0\ul0\strike0 current\f1\fs20\cf4\b0\i0\ul0\strike0 clinical\f1\fs20\c
f4\b0\i0\ul0\strike0 classification\f1\fs20\cf4\b0\i0\ul0\strike0 system.\par\
pard\plain\li811\sl-420\f1\fs20\cf4\b0\i0\ul0\strike0 When\f1\fs20\cf4\b0\i0\ul0
\strike0 documenting\f1\fs20\cf4\b0\i0\ul0\strike0 asthma,\f1\fs20\cf4\b0\i0\u
l0\strike0 include\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\str
ike0 following:\par\sect\sected\sbknone\cols2\colno1\colw4390\colsr10\colno2\co
lw7840\pard\plain\li1531\sl-473\f1\fs20\cf4\b\i0\ul0\strike0 1.\f1\fs20\cf4\b\i0
\ul0\strike0 Cause\par\pard\plain\sl-335\par\pard\plain\li1531\sl-324\f1\fs20\c
f4\b\i0\ul0\strike0 2.\f1\fs20\cf4\b\i0\ul0\strike0 Severity\par\pard\plain\sl200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
lain\sl-200\par\pard\plain\sl-355\par\pard\plain\li1531\sl-324\f1\fs20\cf4\b\i0\
ul0\strike0 3.\f1\fs20\cf4\b\i0\ul0\strike0 Temporal\f1\fs20\cf4\b\i0\ul0\strik
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r\pard\plain\li1075\sl-309\f0\fs28\cf1\b\i0\ul0\strike0 ICD-10\f0\fs28\cf1\b\i0\
ul0\strike0 Code\f0\fs28\cf1\b\i0\ul0\strike0 Examples\par\pard\plain\li0\sl-4
20\column\f1\fs20\cf4\b0\i0\ul0\strike0 Exercise\f1\fs20\cf4\b0\i0\ul0\strike0
induced,\f1\fs20\cf4\b0\i0\ul0\strike0 cough\f1\fs20\cf4\b0\i0\ul0\strike0 var
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1\fs20\cf4\b0\i0\ul0\strike0 smoking,\f1\fs20\cf4\b0\i0\ul0\strike0 chemical\f
1\fs20\cf4\b0\i0\ul0\strike0 or\par\pard\plain\li0\sl-240\f1\fs20\cf4\b0\i0\ul0
\strike0 particulate\f1\fs20\cf4\b0\i0\ul0\strike0 cause,\f1\fs20\cf4\b0\i0\ul0
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0\i0\ul0\strike0 options\f1\fs20\cf4\b0\i0\ul0\strike0 below\f1\fs20\cf4\b0\i0
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ke0 persistent\par\pard\plain\li0\sl-419\f1\fs20\cf4\b0\i0\ul0\strike0 3.\f1\fs
20\cf4\b0\i0\ul0\strike0 Severe\f1\fs20\cf4\b0\i0\ul0\strike0 persistent\par\p
ard\plain\li0\sl-420\f1\fs20\cf4\b0\i0\ul0\strike0 Acute,\f1\fs20\cf4\b0\i0\ul0\
strike0 chronic,\f1\fs20\cf4\b0\i0\ul0\strike0 intermittent,\f1\fs20\cf4\b0\i0
\ul0\strike0 persistent,\f1\fs20\cf4\b0\i0\ul0\strike0 status\f1\fs20\cf4\b0\i
0\ul0\strike0 asthmaticus,\par\pard\plain\li0\sl-240\f1\fs20\cf4\b0\i0\ul0\stri
ke0 acute\f1\fs20\cf4\b0\i0\ul0\strike0 exacerbation\par\sect\sected\sbknone\co
ls3\colno1\colw3410\colsr10\colno2\colw7930\colsr10\colno3\colw880\pard\plain\sl
plain\li1261\sl-279\f1\fs24\cf4\b0\i0\ul0\strike0 J45.30\par\pard\plain\li1261\s
l-340\f1\fs24\cf4\b0\i0\ul0\strike0 J45.991\par\pard\column\plain\sl-200\par\par
d\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-248\par\pard\plain\li0\sl
-279\f1\fs24\cf4\b0\i0\ul0\strike0 Mild\f1\fs24\cf4\b0\i0\ul0\strike0 persisten
t\f1\fs24\cf4\b0\i0\ul0\strike0 asthma,\f1\fs24\cf4\b0\i0\ul0\strike0 uncompli
cated\par\pard\plain\li0\sl-340\f1\fs24\cf4\b0\i0\ul0\strike0 Cough\f1\fs24\cf4\
b0\i0\ul0\strike0 variant\f1\fs24\cf4\b0\i0\ul0\strike0 asthma\par\pard\column
rd\plain\sl-298\par\pard\plain\li0\sl-347\f1\fs24\cf1\b0\i0\ul0\strike0 10
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l-389\f1\fs24\cf7\b\i0\ul0\strike0 UNDERDOSING\par\pard\plain\li845\sl-395\f1\fs
22\cf7\b0\i0\ul0\strike0 Terminology\f1\fs22\cf7\b0\i0\ul0\strike0 Difference\p
ar\pard\plain\li845\sl-395\f1\fs20\cf4\b0\i0\ul0\strike0 Underdosing\f1\fs20\cf4
\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 an\f1\fs20\cf4\b0\i0\ul0\s
trike0 important\f1\fs20\cf4\b0\i0\ul0\strike0 new\f1\fs20\cf4\b0\i0\ul0\strik
e0 concept\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 te
rm\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 ICD-10.\f1\f
s20\cf4\b0\i0\ul0\strike0 It\f1\fs20\cf4\b0\i0\ul0\strike0 allows\f1\fs20\cf4\
b0\i0\ul0\strike0 you\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\s
trike0 identify\f1\fs20\cf4\b0\i0\ul0\strike0 when\f1\fs20\cf4\b0\i0\ul0\strik
e0 a\f1\fs20\cf4\b0\i0\ul0\strike0 patient\f1\fs20\cf4\b0\i0\ul0\strike0 is\f
1\fs20\cf4\b0\i0\ul0\strike0 taking\f1\fs20\cf4\b0\i0\ul0\strike0 less\par\par
d\plain\li845\sl-240\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\stri
ke0 a\f1\fs20\cf4\b0\i0\ul0\strike0 medication\f1\fs20\cf4\b0\i0\ul0\strike0
than\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 prescribed
.\par\pard\plain\li845\sl-420\f1\fs20\cf4\b0\i0\ul0\strike0 When\f1\fs20\cf4\b0\
i0\ul0\strike0 documenting\f1\fs20\cf4\b0\i0\ul0\strike0 underdosing,\f1\fs20\
cf4\b0\i0\ul0\strike0 include\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0
\i0\ul0\strike0 following:\par\sect\sected\sbknone\cols2\colno1\colw6590\colsr1
0\colno2\colw5640\pard\plain\li1565\sl-473\f1\fs20\cf4\b\i0\ul0\strike0 1.\f1\fs
20\cf4\b\i0\ul0\strike0 Intentional,\f1\fs20\cf4\b\i0\ul0\strike0 Unintentiona
l,Non-compliance\par\pard\plain\li1565\sl-420\f1\fs20\cf4\b\i0\ul0\strike0 2.\f1
\fs20\cf4\b\i0\ul0\strike0 Reason\par\pard\plain\sl-200\par\pard\plain\sl-200\p
ar\pard\plain\sl-278\par\pard\plain\li1108\sl-309\f0\fs28\cf1\b\i0\ul0\strike0 I
CD-10\f0\fs28\cf1\b\i0\ul0\strike0 Code\f0\fs28\cf1\b\i0\ul0\strike0 Examples\
par\pard\plain\li0\sl-420\column\f1\fs20\cf4\b0\i0\ul0\strike0 Is\f1\fs20\cf4\b0
\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 underdosing\f1\fs20\cf4\b0\i
0\ul0\strike0 deliberate?\f1\fs20\cf4\b0\i0\ul0\strike0 (e.g.,\f1\fs20\cf4\b0\
i0\ul0\strike0 patient\f1\fs20\cf4\b0\i0\ul0\strike0 refusal)\par\pard\plain\l
i0\sl-420\f1\fs20\cf4\b0\i0\ul0\strike0 Why\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1
\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 patient\f1\fs20\
cf4\b0\i0\ul0\strike0 not\f1\fs20\cf4\b0\i0\ul0\strike0 taking\f1\fs20\cf4\b0\
i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 medication?\par\pard\plain\li
0\sl-240\f1\fs20\cf4\b0\i0\ul0\strike0 (e.g.financial\f1\fs20\cf4\b0\i0\ul0\stri
ke0 hardship,\f1\fs20\cf4\b0\i0\ul0\strike0 age-related\f1\fs20\cf4\b0\i0\ul0\
strike0 debility)\par\sect\sected\sbknone\cols3\colno1\colw2710\colsr10\colno2\
colw8630\colsr10\colno3\colw880\pard\plain\sl-200\par\pard\plain\sl-200\par\pard
\plain\sl-200\par\pard\plain\sl-248\par\pard\plain\li1295\sl-279\f1\fs24\cf4\b0\
i0\ul0\strike0 Z91.120\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plai
n\li1295\sl-279\f1\fs24\cf4\b0\i0\ul0\strike0 T36.4x6A\par\pard\plain\li1295\sl340\f1\fs24\cf4\b0\i0\ul0\strike0 T45.526D\par\pard\column\plain\sl-200\par\pard
\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-248\par\pard\plain\li0\sl279\f1\fs24\cf4\b0\i0\ul0\strike0 Patient\u8217?s\f1\fs24\cf4\b0\i0\ul0\strike0
intentional\f1\fs24\cf4\b0\i0\ul0\strike0 underdosing\f1\fs24\cf4\b0\i0\ul0\st
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par\pard\plain\li0\sl-340\f1\fs24\cf4\b0\i0\ul0\strike0 financial\f1\fs24\cf4\b0
\i0\ul0\strike0 hardship\par\pard\plain\li0\sl-340\f1\fs24\cf4\b0\i0\ul0\strike
0 Underdosing\f1\fs24\cf4\b0\i0\ul0\strike0 of\f1\fs24\cf4\b0\i0\ul0\strike0 t
etracyclines,\f1\fs24\cf4\b0\i0\ul0\strike0 initial\f1\fs24\cf4\b0\i0\ul0\strik
e0 encounter\par\pard\plain\li0\sl-340\f1\fs24\cf4\b0\i0\ul0\strike0 Underdosin
g\f1\fs24\cf4\b0\i0\ul0\strike0 of\f1\fs24\cf4\b0\i0\ul0\strike0 antithromboti
c\f1\fs24\cf4\b0\i0\ul0\strike0 drugs,\f1\fs24\cf4\b0\i0\ul0\strike0 subsequen
t\f1\fs24\cf4\b0\i0\ul0\strike0 encounter\par\pard\column\plain\sl-200\par\pard
0\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
rd\plain\li0\sl-347\f1\fs24\cf1\b0\i0\ul0\strike0 11
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l-389\f1\fs24\cf7\b\i0\ul0\strike0 DIABETES\f1\fs24\cf7\b\i0\ul0\strike0 MELLIT
US,\f1\fs24\cf7\b\i0\ul0\strike0 HYPOGLYCEMIA\f1\fs24\cf7\b\i0\ul0\strike0 AND

\f1\fs24\cf7\b\i0\ul0\strike0 HYPERGLYCEMIA\par\pard\plain\li845\sl-395\f1\fs22
\cf7\b0\i0\ul0\strike0 Increased\f1\fs22\cf7\b0\i0\ul0\strike0 Specificity\par\
pard\plain\li845\sl-395\f1\fs20\cf4\b0\i0\ul0\strike0 The\f1\fs20\cf4\b0\i0\ul0\
strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 mellitus\f1\fs20\cf4\b0\i0\ul0\
strike0 codes\f1\fs20\cf4\b0\i0\ul0\strike0 are\f1\fs20\cf4\b0\i0\ul0\strike0
combination\f1\fs20\cf4\b0\i0\ul0\strike0 codes\f1\fs20\cf4\b0\i0\ul0\strike0
that\f1\fs20\cf4\b0\i0\ul0\strike0 include\f1\fs20\cf4\b0\i0\ul0\strike0 the\
f1\fs20\cf4\b0\i0\ul0\strike0 type\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf
4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 mellitus,\f1\fs20\c
f4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 body\f1\fs20\cf4\b0\i0\
ul0\strike0 system\par\pard\plain\li845\sl-240\f1\fs20\cf4\b0\i0\ul0\strike0 af
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\fs20\cf4\b0\i0\ul0\strike0 complications\f1\fs20\cf4\b0\i0\ul0\strike0 affect
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s20\cf4\b0\i0\ul0\strike0 system.\par\pard\plain\li845\sl-420\f1\fs20\cf4\b0\i0
\ul0\strike0 When\f1\fs20\cf4\b0\i0\ul0\strike0 documenting\f1\fs20\cf4\b0\i0\u
l0\strike0 diabetes,\f1\fs20\cf4\b0\i0\ul0\strike0 include\f1\fs20\cf4\b0\i0\u
l0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 following:\par\sect\sected\sbknon
e\cols2\colno1\colw3710\colsr10\colno2\colw8520\pard\plain\li1565\sl-473\f1\fs20
\cf4\b\i0\ul0\strike0 1.\f1\fs20\cf4\b\i0\ul0\strike0 Type\par\pard\plain\sl-33
5\par\pard\plain\li1565\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 2.\f1\fs20\cf4\b\i0\
ul0\strike0 Complications\par\pard\plain\sl-335\par\pard\plain\li1565\sl-324\f1
\fs20\cf4\b\i0\ul0\strike0 3.\f1\fs20\cf4\b\i0\ul0\strike0 Treatment\par\pard\p
lain\li55\sl-420\column\f1\fs20\cf4\b0\i0\ul0\strike0 e.g.\f1\fs20\cf4\b0\i0\ul0
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r\f1\fs20\cf4\b0\i0\ul0\strike0 Type\f1\fs20\cf4\b0\i0\ul0\strike0 2\f1\fs20\c
f4\b0\i0\ul0\strike0 disease,\f1\fs20\cf4\b0\i0\ul0\strike0 drug\f1\fs20\cf4\b
0\i0\ul0\strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 chemical\f1\fs20\cf4\b0\i0\u
l0\strike0 induces,\f1\fs20\cf4\b0\i0\ul0\strike0 due\f1\fs20\cf4\b0\i0\ul0\st
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\fs20\cf4\b0\i0\ul0\strike0 condition,\f1\fs20\cf4\b0\i0\ul0\strike0 gestationa
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sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario\f0\fs28\cf1\b\i0\ul0\strike0 1:\f0
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\fs28\cf1\b\i0\ul0\strike0 Diabetic\f0\fs28\cf1\b\i0\ul0\strike0 Neuropathy\f0
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7;32768}}
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7;32768}}

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7;32768}}
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d\plain\li11361\sl-347\f1\fs24\cf1\b0\i0\ul0\strike0 21

7;32768}}
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sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 COPD
\f0\fs28\cf1\b\i0\ul0\strike0 with\f0\fs28\cf1\b\i0\ul0\strike0 Acute\f0\fs28\
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\i0\ul0\strike0 alphabetically\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0
\i0\ul0\strike0 \u8220?Glucocorticoids\u8221?\f1\fs20\cf4\b0\i0\ul0\strike0 an
d\f1\fs20\cf4\b0\i0\ul0\strike0 then\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b
0\i0\ul0\strike0 move\f1\fs20\cf4\b0\i0\ul0\strike0 horizontally\f1\fs20\cf4\b0
\i0\ul0\strike0 across\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\
strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 column\f1\fs20\cf4\b0\i0\ul0\strike0
for\f1\fs20\cf4\b0\i0\ul0\strike0 Adverse\f1\fs20\cf4\b0\i0\ul0\strike0 Effe
ct\u8221?.\f1\fs20\cf4\b0\i0\ul0\strike0 In\f1\fs20\cf4\b0\i0\ul0\strike0 Volu

me\f1\fs20\cf4\b0\i0\ul0\strike0 1\f1\fs20\cf4\b0\i0\ul0\strike0 (Tabular\f1\f
s20\cf4\b0\i0\ul0\strike0 List)\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\
b0\i0\ul0\strike0 in-\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike
0 struction\f1\fs20\cf4\b0\i0\ul0\strike0 at\f1\fs20\cf4\b0\i0\ul0\strike0 the
\f1\fs20\cf4\b0\i0\ul0\strike0 beginning\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\f
s20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b
0\i0\ul0\strike0 category\f1\fs20\cf4\b0\i0\ul0\strike0 T38\f1\fs20\cf4\b0\i0\
ul0\strike0 are\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike
0 instructions\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\strike0
the\f1\fs20\cf4\b0\i0\ul0\strike0 7th\f1\fs20\cf4\b0\i0\ul0\strike0 characte
r.\par\sect\sected\sbknone\cols2\colno1\colw2170\colsr10\colno2\colw10060\pard\p
lain\li1835\sl-299\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\par\pard\plain\li13\sl-2
99\column\f1\fs20\cf4\b0\i0\ul0\strike0 Note:\f1\fs20\cf4\b0\i0\ul0\strike0 Dru
g-induced\f1\fs20\cf4\b0\i0\ul0\strike0 Diabetes\f1\fs20\cf4\b0\i0\ul0\strike0
Mellitus\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\
fs20\cf4\b0\i0\ul0\strike0 secondary\f1\fs20\cf4\b0\i0\ul0\strike0 type\f1\fs2
0\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\
b0\i0\ul0\strike0 due\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\s
trike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 use\f1\fs20\cf4\b0\i0\ul0\strike0 of
\f1\fs20\cf4\b0\i0\ul0\strike0 gluco-\par\pard\plain\li13\sl-300\f1\fs20\cf4\b0
\i0\ul0\strike0 corticoids.\f1\fs20\cf4\b0\i0\ul0\strike0 This\f1\fs20\cf4\b0\i
0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strike0 can\f1\fs20\cf4\b0\i0\ul0\str
ike0 only\f1\fs20\cf4\b0\i0\ul0\strike0 be\f1\fs20\cf4\b0\i0\ul0\strike0 code
d\f1\fs20\cf4\b0\i0\ul0\strike0 as\f1\fs20\cf4\b0\i0\ul0\strike0 an\f1\fs20\cf
4\b0\i0\ul0\strike0 \u8220?additional\f1\fs20\cf4\b0\i0\ul0\strike0 code\u8221
?\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 would\f1\fs2
0\cf4\b0\i0\ul0\strike0 never\f1\fs20\cf4\b0\i0\ul0\strike0 be\f1\fs20\cf4\b0\
i0\ul0\strike0 first-listed\par\pard\plain\li0\sl-353\f1\fs20\cf3\b\i0\ul0\stri
ke0 The\f1\fs20\cf3\b\i0\ul0\strike0 code\f1\fs20\cf3\b\i0\ul0\strike0 categor
ies\f1\fs20\cf3\b\i0\ul0\strike0 for\f1\fs20\cf3\b\i0\ul0\strike0 secondary\f1
\fs20\cf3\b\i0\ul0\strike0 diabetes\f1\fs20\cf3\b\i0\ul0\strike0 are\f1\fs20\c
f3\b\i0\ul0\strike0 :\par\pard\plain\li373\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0
\u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Due\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\
fs20\cf4\b0\i0\ul0\strike0 underlying\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1
\fs20\cf4\b0\i0\ul0\strike0 (E08)\par\pard\plain\li373\sl-300\f1\fs20\cf4\b0\i0
\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Due\f1\fs20\cf4\b0\i0\ul0\str
ike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 drug\f1\fs20\cf4\b0\i0\ul0\strike0 (E09
)\par\pard\plain\li373\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b
0\i0\ul0\strike0 Due\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\st
rike0 other\f1\fs20\cf4\b0\i0\ul0\strike0 specified\f1\fs20\cf4\b0\i0\ul0\stri
ke0 condition\f1\fs20\cf4\b0\i0\ul0\strike0 such\f1\fs20\cf4\b0\i0\ul0\strike0
as\f1\fs20\cf4\b0\i0\ul0\strike0 post\f1\fs20\cf4\b0\i0\ul0\strike0 pancreat
ectomy.\f1\fs20\cf4\b0\i0\ul0\strike0 (E13)\par\pard\plain\li0\sl-318\f1\fs20\c
f4\b0\i\ul0\strike0 These\f1\fs20\cf4\b0\i\ul0\strike0 three\f1\fs20\cf4\b0\i\u
l0\strike0 categories\f1\fs20\cf4\b0\i\ul0\strike0 can\f1\fs20\cf4\b0\i\ul0\st
rike0 never\f1\fs20\cf4\b0\i\ul0\strike0 be\f1\fs20\cf4\b0\i\ul0\strike0 firs
t-listed\f1\fs20\cf4\b0\i\ul0\strike0 per\f1\fs20\cf4\b0\i\ul0\strike0 ICD-10CM\f1\fs20\cf4\b0\i\ul0\strike0 guidelines.\f1\fs20\cf4\b0\i\ul0\strike0 The\f
1\fs20\cf4\b0\i\ul0\strike0 underlying\f1\fs20\cf4\b0\i\ul0\strike0 cause\par\
pard\plain\li0\sl-220\f1\fs20\cf4\b0\i\ul0\strike0 would\f1\fs20\cf4\b0\i\ul0\st
rike0 be\f1\fs20\cf4\b0\i\ul0\strike0 first-listed\f1\fs20\cf4\b0\i\ul0\strike
0 diagnosis.\par\sect\sected\sbknone\cols3\colno1\colw2350\colsr10\colno2\colw4
890\colsr10\colno3\colw4980\pard\plain\li1238\sl-394\f1\fs20\cf4\b\i0\ul0\strike
0 Coding\par\pard\column\plain\sl-275\par\pard\plain\li0\sl-324\f1\fs20\cf4\b\i0
\ul0\strike0 ICD-9-CM\f1\fs20\cf4\b\i0\ul0\strike0 Diagnosis\f1\fs20\cf4\b\i0\u
l0\strike0 Codes\par\pard\column\plain\sl-275\par\pard\plain\li0\sl-324\f1\fs20
\cf4\b\i0\ul0\strike0 ICD-10-CM\f1\fs20\cf4\b\i0\ul0\strike0 Diagnosis\f1\fs20\
cf4\b\i0\ul0\strike0 Codes\par\sect\sected\sbknone\cols4\colno1\colw2970\colsr1
0\colno2\colw3370\colsr10\colno3\colw1430\colsr10\colno4\colw4440\pard\plain\sl-
233\par\pard\plain\li1555\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 481\par\pard\colu
mn\plain\sl-233\par\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Pneumoni
a,\f1\fs20\cf4\b0\i0\ul0\strike0 Pneumococcal\par\pard\column\plain\sl-233\par\
pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 J13\par\pard\column\plain\sl
-233\par\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Pneumonia\f1\fs20\c
f4\b0\i0\ul0\strike0 due\f1\fs20\cf4\b0\i0\ul0\strike0 to\par\sect\sected\sbkn
one\cols1\colno1\colw12240\pard\plain\li7819\sl-280\f1\fs20\cf4\b0\i0\ul0\strike
0 Streptococcus\f1\fs20\cf4\b0\i0\ul0\strike0 pneumoniae\par\sect\sected\sbknon
e\cols4\colno1\colw2970\colsr10\colno2\colw3370\colsr10\colno3\colw1430\colsr10\
colno4\colw4440\pard\plain\li1555\sl-279\f1\fs20\cf4\b0\i0\ul0\strike0 496\par\p
ard\plain\li0\sl-279\column\f1\fs20\cf4\b0\i0\ul0\strike0 COPD\par\pard\plain\li
0\sl-279\column\f1\fs20\cf4\b0\i0\ul0\strike0 J44.0\par\pard\plain\li0\sl-280\co
lumn\f1\fs20\cf4\b0\i0\ul0\strike0 Chronic\f1\fs20\cf4\b0\i0\ul0\strike0 obstru
ctive\f1\fs20\cf4\b0\i0\ul0\strike0 pulmonary\par\sect\sected\sbknone\cols1\col
no1\colw12240\pard\plain\li7819\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\
fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\ul0\strike0 acute\f1\fs20\cf
4\b0\i0\ul0\strike0 lower\par\pard\plain\li7819\sl-279\f1\fs20\cf4\b0\i0\ul0\st
rike0 respiratory\f1\fs20\cf4\b0\i0\ul0\strike0 infection\par\sect\sected\sbkno
ne\cols4\colno1\colw2970\colsr10\colno2\colw3370\colsr10\colno3\colw1430\colsr10
\colno4\colw4440\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 V46.2\pa
r\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Oxygen\f1\fs20\cf4\
b0\i0\ul0\strike0 dependence\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0
\ul0\strike0 Z99.81\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strik
e0 Dependence\f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf4\b0\i0\ul0\strike0 s
upplemental\par\sect\sected\sbknone\cols1\colno1\colw12240\pard\plain\li7819\sl280\f1\fs20\cf4\b0\i0\ul0\strike0 oxygen\par\sect\sected\sbknone\cols4\colno1\co
lw2970\colsr10\colno2\colw3370\colsr10\colno3\colw1430\colsr10\colno4\colw4440\p
ard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 427.31\par\pard\plain\li15
55\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 249.00\par\pard\plain\li0\sl-280\column\
f1\fs20\cf4\b0\i0\ul0\strike0 Atrial\f1\fs20\cf4\b0\i0\ul0\strike0 fibrillation
\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Diabetes,\f1\fs20\cf4\b
0\i0\ul0\strike0 secondary,\f1\fs20\cf4\b0\i0\ul0\strike0 drug\par\pard\plain\
li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 induced\par\pard\plain\li0\sl-280\colum
n\f1\fs20\cf4\b0\i0\ul0\strike0 I48.1\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i
0\ul0\strike0 E09.9\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strik
e0 Persistent\f1\fs20\cf4\b0\i0\ul0\strike0 atrial\f1\fs20\cf4\b0\i0\ul0\strike
0 fibrillation\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Drug\f1\
fs20\cf4\b0\i0\ul0\strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 chemical\f1\fs20\c
f4\b0\i0\ul0\strike0 induced\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\st
rike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 mellitus\f1\fs20\cf4\b0\i0\ul0\str
ike0 without\par\sect\sected\sbknone\cols1\colno1\colw12240\pard\plain\li7819\s
l-280\f1\fs20\cf4\b0\i0\ul0\strike0 complications\par\sect\sected\sbknone\cols4\
colno1\colw2970\colsr10\colno2\colw3370\colsr10\colno3\colw1430\colsr10\colno4\c
olw4440\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 E932.0\par\pard\p
lain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Therapeutic\f1\fs20\cf4\b0\
i0\ul0\strike0 use\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\stri
ke0 Prednisone\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 T
38.0x5A\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Adverse\f
1\fs20\cf4\b0\i0\ul0\strike0 effect\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\c
f4\b0\i0\ul0\strike0 glucocorticoids\par\sect\sected\sbknone\cols1\colno1\colw1
2240\pard\plain\li7819\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i
0\ul0\strike0 synthetic\f1\fs20\cf4\b0\i0\ul0\strike0 analogues,\f1\fs20\cf4\b
0\i0\ul0\strike0 initial\par\pard\plain\li7819\sl-280\f1\fs20\cf4\b0\i0\ul0\str
ike0 encounter\par\sect\sected\sbknone\cols4\colno1\colw2970\colsr10\colno2\colw
3370\colsr10\colno3\colw1430\colsr10\colno4\colw4440\pard\plain\li1555\sl-280\f1
\fs20\cf4\b0\i0\ul0\strike0 401.9\par\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0
\ul0\strike0 V14.0\par\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 30
5.1\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 HTN\par\pard\
plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Allergy,\f1\fs20\cf4\b0\i0\ul0\st
rike0 Penicillin\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Tobacc
o\f1\fs20\cf4\b0\i0\ul0\strike0 dependence\par\pard\plain\li0\sl-280\column\f1\
fs20\cf4\b0\i0\ul0\strike0 I10\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\s
trike0 Z88.0\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 F17.210\par
\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Essential\f1\fs20\cf
4\b0\i0\ul0\strike0 (primary)\f1\fs20\cf4\b0\i0\ul0\strike0 hypertension\par\p
ard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Allergy\f1\fs20\cf4\b0\i0\ul0
\strike0 status\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0
penicillin\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Nicotine\f1
\fs20\cf4\b0\i0\ul0\strike0 dependence,\f1\fs20\cf4\b0\i0\ul0\strike0 cigarett
es,\par\sect\sected\sbknone\cols1\colno1\colw12240\pard\plain\li7819\sl-280\f1\f
s20\cf4\b0\i0\ul0\strike0 uncomplicated\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-384\par\pard\plain\li11361\sl-347\f1\fs24\cf1\b0\i0\ul0\st
rike0 23
7;32768}}
}}
7;32768}}
}}
7;32768}}
}}
7;32768}}
}}

}
}}
}
}}
7;32768}}
}}
rike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 COPD\f0\fs28\cf1\b\i0\ul0\strike0
with\f0\fs28\cf1\b\i0\ul0\strike0 Acute\f0\fs28\cf1\b\i0\ul0\strike0 Pneumoni
a\f0\fs28\cf1\b\i0\ul0\strike0 Example\f0\fs28\cf1\b\i0\ul0\strike0 (continued
)\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
in\sl-245\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Other\f1\fs2
0\cf4\b\i0\ul0\strike0 Impacts\par\pard\plain\li2015\sl-246\f1\fs20\cf4\b0\i0\u
l0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Management\f1\fs20\cf4\b0\i0\ul
0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 chronic\f1\fs20\cf4\b0\i0\ul0\strik
e0 conditions\f1\fs20\cf4\b0\i0\ul0\strike0 such\f1\fs20\cf4\b0\i0\ul0\strike0
as\f1\fs20\cf4\b0\i0\ul0\strike0 COPD,\f1\fs20\cf4\b0\i0\ul0\strike0 Diabete
s\f1\fs20\cf4\b0\i0\ul0\strike0 Mellitus,\f1\fs20\cf4\b0\i0\ul0\strike0 Hypert
ension,\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 Atrial
\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 Fibrillation\f1\fs20
\cf4\b0\i0\ul0\strike0 should\f1\fs20\cf4\b0\i0\ul0\strike0 be\f1\fs20\cf4\b0\
i0\ul0\strike0 described\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul
0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 record.\par\pard\plain\sl-200\par\
pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-367\par\pard\plain\li1108\sl-309\f0\fs28\cf1\b\i0\ul0\stri
ke0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Cervical\f0\fs28\cf1\b\i0\ul0\strike
0 Disc\f0\fs28\cf1\b\i0\ul0\strike0 Disease\par\pard\plain\sl-200\par\pard\pla
in\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-248\par\pard\plain\li1295\sl-2
79\f1\fs24\cf2\b0\i0\ul0\strike0 Scenario\f1\fs24\cf2\b0\i0\ul0\strike0 Details
\par\pard\plain\sl-280\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0
Chief\f1\fs20\cf4\b\i0\ul0\strike0 Complaint\par\pard\plain\li2015\sl-246\f1\f
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0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 I\f1\fs20\cf4\b0\i0\ul0\str
ike0 have\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 tingl
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\f1\fs20\cf4\b0\i0\ul0\strike0 going\f1\fs20\cf4\b0\i0\ul0\strike0 down\f1\fs2
0\cf4\b0\i0\ul0\strike0 my\f1\fs20\cf4\b0\i0\ul0\strike0 right\f1\fs20\cf4\b0\
i0\ul0\strike0 arm.\u8221?\par\pard\plain\sl-328\par\pard\plain\li1295\sl-324\f
1\fs20\cf4\b\i0\ul0\strike0 History\par\pard\plain\li2015\sl-246\f1\fs20\cf4\b0\
i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Patient\f1\fs20\cf4\b0\i0\u
l0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 6
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\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\ul0\strike0 history\f1\fs20
\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 neck\f1\fs20\cf4\b0\i0
\ul0\strike0 pain\f1\fs20\cf4\b0\i0\ul0\strike0 that\f1\fs20\cf4\b0\i0\ul0\str
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\fs20\cf4\b0\i0\ul0\strike0 last\f1\fs20\cf4\b0\i0\ul0\strike0 two\par\pard\pl

ain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 years.\f1\fs20\cf4\b0\i0\ul0\str
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has\f1\fs20\cf4\b0\i0\ul0\strike0 experienced\f1\fs20\cf4\b0\i0\ul0\strike0 s
ome\f1\fs20\cf4\b0\i0\ul0\strike0 numbness\f1\fs20\cf4\b0\i0\ul0\strike0 and\f
1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 painful\f1\fs20\c
f4\b0\i0\ul0\strike0 tingling\f1\fs20\cf4\b0\i0\ul0\strike0 sensation\f1\fs20\
cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 his\f1\fs20\cf4\b0\i0\u
l0\strike0 right\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 arm
\f1\fs20\cf4\b0\i0\ul0\strike0 going\f1\fs20\cf4\b0\i0\ul0\strike0 down\f1\fs2
0\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 his\f1\fs20\cf4\b0\i0
\ul0\strike0 thumb.\f1\fs20\cf4\b0\i0\ul0\strike0 No\f1\fs20\cf4\b0\i0\ul0\str
ike0 other\f1\fs20\cf4\b0\i0\ul0\strike0 symptoms\f1\fs20\cf4\b0\i0\ul0\strike
0 or\f1\fs20\cf4\b0\i0\ul0\strike0 pertinent\f1\fs20\cf4\b0\i0\ul0\strike0 me
dical\f1\fs20\cf4\b0\i0\ul0\strike0 history.\par\pard\plain\sl-328\par\pard\pla
in\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Review\f1\fs20\cf4\b\i0\ul0\strike
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cal\f1\fs20\cf4\b\i0\ul0\strike0 Exam,\f1\fs20\cf4\b\i0\ul0\strike0 Laboratory
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b0\i0\ul0\strike0 above.\f1\fs20\cf4\b0\i0\ul0\strike0 No\f1\fs20\cf4\b0\i0\ul
0\strike0 history\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strik
e0 acute\f1\fs20\cf4\b0\i0\ul0\strike0 injury\f1\fs20\cf4\b0\i0\ul0\strike0 t
o\f1\fs20\cf4\b0\i0\ul0\strike0 neck\f1\fs20\cf4\b0\i0\ul0\strike0 or\f1\fs20\
cf4\b0\i0\ul0\strike0 arm.\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b0\i0\ul0\s
trike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Physical\f1\fs20\cf4\b0\i0\ul0\stri
ke0 exam\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 norma
l\f1\fs20\cf4\b0\i0\ul0\strike0 except\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs
20\cf4\b0\i0\ul0\strike0 neurological\f1\fs20\cf4\b0\i0\ul0\strike0 exam\f1\fs
20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i
0\ul0\strike0 right\f1\fs20\cf4\b0\i0\ul0\strike0 upper\f1\fs20\cf4\b0\i0\ul0\
strike0 extremity,\f1\fs20\cf4\b0\i0\ul0\strike0 which\par\pard\plain\li2195\s
l-300\f1\fs20\cf4\b0\i0\ul0\strike0 reveals\f1\fs20\cf4\b0\i0\ul0\strike0 sligh
t\f1\fs20\cf4\b0\i0\ul0\strike0 decrease\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\f
s20\cf4\b0\i0\ul0\strike0 sensation\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\c
f4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 thumb\f1\fs20\cf4\b0\i0
\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 forefinger\f1\fs20\cf4\b0\i0\ul
0\strike0 region\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike
0 the\f1\fs20\cf4\b0\i0\ul0\strike0 hand\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\
fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 C6\par\pard\plain
\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 nerve\f1\fs20\cf4\b0\i0\ul0\strike0
root\f1\fs20\cf4\b0\i0\ul0\strike0 distribution.\f1\fs20\cf4\b0\i0\ul0\strike
0 No\f1\fs20\cf4\b0\i0\ul0\strike0 evidence\f1\fs20\cf4\b0\i0\ul0\strike0 of\
f1\fs20\cf4\b0\i0\ul0\strike0 weakness\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs2
0\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 muscles\f1\fs20\cf4\
b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\s
trike0 arm\f1\fs20\cf4\b0\i0\ul0\strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 han
d.\par\pard\plain\li2015\sl-299\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4
\b0\i0\ul0\strike0 MRI\f1\fs20\cf4\b0\i0\ul0\strike0 scan\f1\fs20\cf4\b0\i0\ul
0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0
neck\f1\fs20\cf4\b0\i0\ul0\strike0 shows\f1\fs20\cf4\b0\i0\ul0\strike0 degener
ative\f1\fs20\cf4\b0\i0\ul0\strike0 changes\f1\fs20\cf4\b0\i0\ul0\strike0 of\f
1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 C5-6\f1\fs20\cf

4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\
ul0\strike0 lateral\f1\fs20\cf4\b0\i0\ul0\strike0 protrusion\f1\fs20\cf4\b0\i0
\ul0\strike0 of\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 disc
\f1\fs20\cf4\b0\i0\ul0\strike0 material.\f1\fs20\cf4\b0\i0\ul0\strike0 No\f1\f
s20\cf4\b0\i0\ul0\strike0 other\f1\fs20\cf4\b0\i0\ul0\strike0 abnormalities\f1
\fs20\cf4\b0\i0\ul0\strike0 noted.\par\pard\plain\sl-329\par\pard\plain\li1295\
sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Assessment\f1\fs20\cf4\b\i0\ul0\strike0 and
\f1\fs20\cf4\b\i0\ul0\strike0 Plan\par\pard\plain\li2015\sl-246\f1\fs20\cf4\b0\
i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Cervical\f1\fs20\cf4\b0\i0\
ul0\strike0 transforaminal\f1\fs20\cf4\b0\i0\ul0\strike0 injection\f1\fs20\cf4
\b0\i0\ul0\strike0 at\f1\fs20\cf4\b0\i0\ul0\strike0 C5-6\par\pard\plain\sl-200
ain\sl-200\par\pard\plain\sl-247\par\pard\plain\li11361\sl-347\f1\fs24\cf1\b0\i0
\ul0\strike0 24
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sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Cerv
ical\f0\fs28\cf1\b\i0\ul0\strike0 Disc\f0\fs28\cf1\b\i0\ul0\strike0 Disease\f0
\fs28\cf1\b\i0\ul0\strike0 (continued)\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-396\par\pard\plain\li1295\sl-411\f1\fs28\cf2\b0\i0\ul0\str
ike0 Summary\f1\fs28\cf2\b0\i0\ul0\strike0 of\f1\fs28\cf2\b0\i0\ul0\strike0 IC
D-10-CM\f1\fs28\cf2\b0\i0\ul0\strike0 Impacts\par\pard\plain\li1295\sl-310\f1\f
s20\cf4\b\i0\ul0\strike0 Clinical\f1\fs20\cf4\b\i0\ul0\strike0 Documentation\pa
r\sect\sected\sbknone\cols2\colno1\colw2170\colsr10\colno2\colw10060\pard\plain\
li1835\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\par\pard\plain\li0\sl-246\col
umn\f1\fs20\cf4\b0\i0\ul0\strike0 Subcategory\f1\fs20\cf4\b0\i0\ul0\strike0 M50
.1\f1\fs20\cf4\b0\i0\ul0\strike0 describes\f1\fs20\cf4\b0\i0\ul0\strike0 cervi
cal\f1\fs20\cf4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0 disorders
.\f1\fs20\cf4\b0\i0\ul0\strike0 M50.12\f1\fs20\cf4\b0\i0\ul0\strike0 Cervical\
f1\fs20\cf4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\fs
20\cf4\b0\i0\ul0\strike0 that\par\sect\sected\sbknone\cols1\colno1\colw12240\pa
rd\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 includes\f1\fs20\cf4\b0\i0\
ul0\strike0 degeneration\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul
0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0
as\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 combination
\f1\fs20\cf4\b0\i0\ul0\strike0 code.\f1\fs20\cf4\b0\i0\ul0\strike0 The\f1\fs20
\cf4\b0\i0\ul0\strike0 5th\f1\fs20\cf4\b0\i0\ul0\strike0 character\f1\fs20\cf4
\b0\i0\ul0\strike0 differentiates\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i
0\ul0\strike0 various\f1\fs20\cf4\b0\i0\ul0\strike0 regions\f1\fs20\cf4\b0\i0\u
l0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0
cervical\f1\fs20\cf4\b0\i0\ul0\strike0 spine\f1\fs20\cf4\b0\i0\ul0\strike0 (h
igh\f1\fs20\cf4\b0\i0\ul0\strike0 cervical\f1\fs20\cf4\b0\i0\ul0\strike0 C2-3\
f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 C3-4;\f1\fs20\
cf4\b0\i0\ul0\strike0 mid-cervical\f1\fs20\cf4\b0\i0\ul0\strike0 C4-5,\f1\fs20
\cf4\b0\i0\ul0\strike0 C5-6,\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0
\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 C6-7;\f1\fs20\cf4\b0\i0\ul0\strike0
cervicothoracic\f1\fs20\cf4\b0\i0\ul0\strike0 C7-T1\f1\fs20\cf4\b0\i0\ul0\stri
ke0 and\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 assoc
iated\f1\fs20\cf4\b0\i0\ul0\strike0 radiculopathies\f1\fs20\cf4\b0\i0\ul0\strik
e0 at\f1\fs20\cf4\b0\i0\ul0\strike0 each\f1\fs20\cf4\b0\i0\ul0\strike0 level)
.\f1\fs20\cf4\b0\i0\ul0\strike0 This\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\
cf4\b0\i0\ul0\strike0 a\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\stri
ke0 combination\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strike
0 that\f1\fs20\cf4\b0\i0\ul0\strike0 includes\f1\fs20\cf4\b0\i0\ul0\strike0 t
he\f1\fs20\cf4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0 degenerati
on\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 radiculopat
hy\par\pard\plain\sl-328\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strik
e0 Coding\par\sect\sected\sbknone\cols2\colno1\colw7250\colsr10\colno2\colw4980\
pard\plain\li2373\sl-399\f1\fs20\cf4\b\i0\ul0\strike0 ICD-9-CM\f1\fs20\cf4\b\i0\
ul0\strike0 Diagnosis\f1\fs20\cf4\b\i0\ul0\strike0 Codes\par\pard\plain\li0\sl
-399\column\f1\fs20\cf4\b\i0\ul0\strike0 ICD-10-CM\f1\fs20\cf4\b\i0\ul0\strike0
Diagnosis\f1\fs20\cf4\b\i0\ul0\strike0 Codes\par\sect\sected\sbknone\cols4\col
no1\colw2970\colsr10\colno2\colw3370\colsr10\colno3\colw1430\colsr10\colno4\colw
4440\pard\plain\sl-233\par\pard\plain\li1555\sl-233\f1\fs20\cf4\b0\i0\ul0\strike
0 722.0\par\pard\plain\sl-326\par\pard\plain\li1555\sl-233\f1\fs20\cf4\b0\i0\ul0
\strike0 722.4\par\pard\column\plain\sl-233\par\pard\plain\li0\sl-233\f1\fs20\cf
4\b0\i0\ul0\strike0 Cervical\f1\fs20\cf4\b0\i0\ul0\strike0 disc\f1\fs20\cf4\b0\
i0\ul0\strike0 displacement\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\str
ike0 without\f1\fs20\cf4\b0\i0\ul0\strike0 myelopathy\par\pard\plain\li0\sl-280
\f1\fs20\cf4\b0\i0\ul0\strike0 Degeneration\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1

\fs20\cf4\b0\i0\ul0\strike0 cervical\par\pard\column\plain\sl-233\par\pard\plai
n\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 M50.12\par\pard\column\plain\sl-233\p
ar\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Cervical\f1\fs20\cf4\b0\i
0\ul0\strike0 disc\f1\fs20\cf4\b0\i0\ul0\strike0 disorder\f1\fs20\cf4\b0\i0\ul
0\strike0 with\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 radiculo
pathy,\f1\fs20\cf4\b0\i0\ul0\strike0 mid-cervical\f1\fs20\cf4\b0\i0\ul0\strike0
region\par\sect\sected\sbknone\cols1\colno1\colw12240\pard\plain\li2995\sl-280
\f1\fs20\cf4\b0\i0\ul0\strike0 intervertebral\f1\fs20\cf4\b0\i0\ul0\strike0 dis
c\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
0\par\pard\plain\sl-200\par\pard\plain\sl-397\par\pard\plain\li11361\sl-347\f1\f
s24\cf1\b0\i0\ul0\strike0 25
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rike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Abdominal\f0\fs28\cf1\b\i0\ul0\str
ike0 Pain\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par
\pard\plain\sl-248\par\pard\plain\li1295\sl-279\f1\fs24\cf2\b0\i0\ul0\strike0 Sc
enario\f1\fs24\cf2\b0\i0\ul0\strike0 Details\par\pard\plain\sl-280\par\pard\pla
in\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Chief\f1\fs20\cf4\b\i0\ul0\strike0
Complaint\par\pard\plain\li2015\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1
\fs20\cf4\b0\i0\ul0\strike0 \u8220?My\f1\fs20\cf4\b0\i0\ul0\strike0 stomach\f1
\fs20\cf4\b0\i0\ul0\strike0 hurts.\u8221?\par\pard\plain\sl-328\par\pard\plain\
li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 History\par\pard\plain\li2015\sl-246\
f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Patient\f1\f
s20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0
\ul0\strike0 65-year-old\f1\fs20\cf4\b0\i0\ul0\strike0 male\f1\fs20\cf4\b0\i0\
ul0\strike0 admitted\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\st
rike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 hospital\f1\fs20\cf4\b0\i0\ul0\strike0
with\f1\fs20\cf4\b0\i0\ul0\strike0 abdominal\f1\fs20\cf4\b0\i0\ul0\strike0 p
ain.\f1\fs20\cf4\b0\i0\ul0\strike0 He\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\fs2
0\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 history\par\pard\plain
\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 C
rohn\u8217?s\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike
0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 large\f1
\fs20\cf4\b0\i0\ul0\strike0 intestine.\f1\fs20\cf4\b0\i0\ul0\strike0 He\f1\fs2
0\cf4\b0\i0\ul0\strike0 also\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\fs20\cf4\b0\
i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 history\f1\fs20\cf4\b0\i0\ul0\s
trike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 coronary\f1\fs20\cf4\b0\i0\ul0\strike0
artery\f1\fs20\cf4\b0\i0\ul0\strike0 disease,\f1\fs20\cf4\b0\i0\ul0\strike0
had\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\
i0\ul0\strike0 heart\f1\fs20\cf4\b0\i0\ul0\strike0 attack\f1\fs20\cf4\b0\i0\ul
0\strike0 5\f1\fs20\cf4\b0\i0\ul0\strike0 years\f1\fs20\cf4\b0\i0\ul0\strike0
ago,\f1\fs20\cf4\b0\i0\ul0\strike0 but\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\f
s20\cf4\b0\i0\ul0\strike0 had\f1\fs20\cf4\b0\i0\ul0\strike0 no\f1\fs20\cf4\b0\
i0\ul0\strike0 problems\f1\fs20\cf4\b0\i0\ul0\strike0 since\f1\fs20\cf4\b0\i0\
ul0\strike0 then.\f1\fs20\cf4\b0\i0\ul0\strike0 He\f1\fs20\cf4\b0\i0\ul0\strik
e0 smoked\f1\fs20\cf4\b0\i0\ul0\strike0 cigarettes\f1\fs20\cf4\b0\i0\ul0\strik
e0 for\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 45\f1\fs20\cf
4\b0\i0\ul0\strike0 years,\f1\fs20\cf4\b0\i0\ul0\strike0 but\f1\fs20\cf4\b0\i0
\ul0\strike0 quit\f1\fs20\cf4\b0\i0\ul0\strike0 after\f1\fs20\cf4\b0\i0\ul0\st
rike0 his\f1\fs20\cf4\b0\i0\ul0\strike0 myocardial\f1\fs20\cf4\b0\i0\ul0\strik
e0 infarction.\f1\fs20\cf4\b0\i0\ul0\strike0 He\f1\fs20\cf4\b0\i0\ul0\strike0
also\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs2
0\cf4\b0\i0\ul0\strike0 history\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b
0\i0\ul0\strike0 allergic\f1\fs20\cf4\b0\i0\ul0\strike0 reactions\f1\fs20\cf4\
b0\i0\ul0\strike0 to\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0
Penicillins\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 C
ephalosporins.\par\pard\plain\sl-328\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\
i0\ul0\strike0 Review\f1\fs20\cf4\b\i0\ul0\strike0 of\f1\fs20\cf4\b\i0\ul0\stri
ke0 Systems,\f1\fs20\cf4\b\i0\ul0\strike0 Physical\f1\fs20\cf4\b\i0\ul0\strike
0 Exam,\f1\fs20\cf4\b\i0\ul0\strike0 Laboratory\f1\fs20\cf4\b\i0\ul0\strike0
Tests\par\pard\plain\li2015\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\
cf4\b0\i0\ul0\strike0 99.8\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b0\i0\ul0\s
trike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Abdomen:\f1\fs20\cf4\b0\i0\ul0\stri
ke0 diffuse\f1\fs20\cf4\b0\i0\ul0\strike0 tenderness\f1\fs20\cf4\b0\i0\ul0\str
ike0 over\f1\fs20\cf4\b0\i0\ul0\strike0 entire\f1\fs20\cf4\b0\i0\ul0\strike0
abdomen\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs2
0\cf4\b0\i0\ul0\strike0 CT\f1\fs20\cf4\b0\i0\ul0\strike0 scan\f1\fs20\cf4\b0\i
0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 abdomen:\f1\fs20\cf4\b0\i0\ul0\
strike0 abscess\f1\fs20\cf4\b0\i0\ul0\strike0 secondary\f1\fs20\cf4\b0\i0\ul0\
strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 Crohn\u8217?s\f1\fs20\cf4\b0\i0\ul0\s
trike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0
descending\f1\fs20\cf4\b0\i0\ul0\strike0 colon\par\pard\plain\sl-329\par\pard\
plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Assessment\f1\fs20\cf4\b\i0\ul0
\strike0 and\f1\fs20\cf4\b\i0\ul0\strike0 Plan\par\pard\plain\li2015\sl-246\f1
\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Crohn\u8217?s\
f1\fs20\cf4\b0\i0\ul0\strike0 disease,\f1\fs20\cf4\b0\i0\ul0\strike0 large\f1\
fs20\cf4\b0\i0\ul0\strike0 intestine\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs2
0\cf4\b0\i0\ul0\strike0 abscess.\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b0\i0
\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Awaiting\f1\fs20\cf4\b0\i0\ul
0\strike0 GI\f1\fs20\cf4\b0\i0\ul0\strike0 consultation\par\pard\plain\sl-200\
l-200\par\pard\plain\sl-341\par\pard\plain\li11361\sl-347\f1\fs24\cf1\b0\i0\ul0\
strike0 26
7;32768}}

}}
7;32768}}
}}
7;32768}}
}}
7;32768}}
}}
}
}}
}

}}
7;32768}}
sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Abdo
minal\f0\fs28\cf1\b\i0\ul0\strike0 Pain\f0\fs28\cf1\b\i0\ul0\strike0 (continue
d)\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-396\par\pard\pl
ain\li1295\sl-411\f1\fs28\cf2\b0\i0\ul0\strike0 Summary\f1\fs28\cf2\b0\i0\ul0\st
rike0 of\f1\fs28\cf2\b0\i0\ul0\strike0 ICD-10-CM\f1\fs28\cf2\b0\i0\ul0\strike0
Impacts\par\pard\plain\li1295\sl-310\f1\fs20\cf4\b\i0\ul0\strike0 Clinical\f1\
fs20\cf4\b\i0\ul0\strike0 Documentation\par\pard\plain\li2015\sl-246\f1\fs20\cf
4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Crohn\u8217?s\f1\fs20\
cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\
i0\ul0\strike0 ICD-10-CM\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul
0\strike0 separated\f1\fs20\cf4\b0\i0\ul0\strike0 by\f1\fs20\cf4\b0\i0\ul0\str
ike0 small,\f1\fs20\cf4\b0\i0\ul0\strike0 large\f1\fs20\cf4\b0\i0\ul0\strike0
intestine\f1\fs20\cf4\b0\i0\ul0\strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 both
\f1\fs20\cf4\b0\i0\ul0\strike0 (small\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs2
0\cf4\b0\i0\ul0\strike0 large\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul
0\strike0 intestine),\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\ul0\
strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 without\f1\fs20\cf4\b0\i0\ul0\strike0
complications\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0
rectal\f1\fs20\cf4\b0\i0\ul0\strike0 bleeding,\f1\fs20\cf4\b0\i0\ul0\strike0
obstruction,\f1\fs20\cf4\b0\i0\ul0\strike0 fistula,\f1\fs20\cf4\b0\i0\ul0\strik
e0 or\f1\fs20\cf4\b0\i0\ul0\strike0 abscess\par\pard\plain\li2195\sl-300\f1\fs
20\cf4\b0\i0\ul0\strike0 (combination\f1\fs20\cf4\b0\i0\ul0\strike0 codes).\par
\pard\plain\sl-328\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Cod
ing\par\sect\sected\sbknone\cols2\colno1\colw7250\colsr10\colno2\colw4980\pard\p
lain\li2373\sl-402\f1\fs20\cf4\b\i0\ul0\strike0 ICD-9-CM\f1\fs20\cf4\b\i0\ul0\st
rike0 Diagnosis\f1\fs20\cf4\b\i0\ul0\strike0 Codes\par\pard\plain\li0\sl-402\c

olumn\f1\fs20\cf4\b\i0\ul0\strike0 ICD-10-CM\f1\fs20\cf4\b\i0\ul0\strike0 Diagn
osis\f1\fs20\cf4\b\i0\ul0\strike0 Codes\par\sect\sected\sbknone\cols4\colno1\co
ard\plain\sl-233\par\pard\plain\li1555\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 555.
1\par\pard\plain\sl-326\par\pard\plain\li1555\sl-233\f1\fs20\cf4\b0\i0\ul0\strik
e0 567.22\par\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 412\par\par
d\plain\li1555\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 V15.82\par\pard\column\plain
\sl-233\par\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Regional\f1\fs20
\cf4\b0\i0\ul0\strike0 enteritis,\f1\fs20\cf4\b0\i0\ul0\strike0 large\par\pard
\plain\li0\sl-279\f1\fs20\cf4\b0\i0\ul0\strike0 intestine\par\pard\plain\li0\sl280\f1\fs20\cf4\b0\i0\ul0\strike0 Abscess,\f1\fs20\cf4\b0\i0\ul0\strike0 abdomi
nal\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Old\f1\fs20\cf4\b0\i
0\ul0\strike0 myocardial\f1\fs20\cf4\b0\i0\ul0\strike0 infarction\par\pard\pla
in\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 History\f1\fs20\cf4\b0\i0\ul0\strike
0 of\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0 use\
par\pard\column\plain\sl-233\par\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\str
ike0 K50.114\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-206\p
ar\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 I25.2\par\pard\plain\li0\
sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Z87.891\par\pard\column\plain\sl-233\par\pa
rd\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Crohn\u8217?s\f1\fs20\cf4\b0\i
0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\s
trike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 large\par\pard\plain\li0\sl-279\f1\fs
20\cf4\b0\i0\ul0\strike0 intestine\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\c
f4\b0\i0\ul0\strike0 abscess\par\pard\plain\sl-326\par\pard\plain\li0\sl-233\f1
\fs20\cf4\b0\i0\ul0\strike0 Old\f1\fs20\cf4\b0\i0\ul0\strike0 myocardial\f1\fs2
0\cf4\b0\i0\ul0\strike0 infarction\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\
ul0\strike0 Personal\f1\fs20\cf4\b0\i0\ul0\strike0 history\f1\fs20\cf4\b0\i0\ul
0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 nicotine\par\sect\sected\sbknone\co
ls1\colno1\colw12240\pard\plain\li7819\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 depe
ndence\f1\fs20\cf4\b0\i0\ul0\strike0 or\f1\fs20\cf4\b0\i0\ul0\strike0 personal
\f1\fs20\cf4\b0\i0\ul0\strike0 history\par\pard\plain\li7819\sl-280\f1\fs20\cf4
\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\u
l0\strike0 use.\par\sect\sected\sbknone\cols4\colno1\colw2970\colsr10\colno2\co
lw3370\colsr10\colno3\colw1430\colsr10\colno4\colw4440\pard\plain\li1555\sl-279\
f1\fs20\cf4\b0\i0\ul0\strike0 V14.0\par\pard\plain\li1555\sl-280\f1\fs20\cf4\b0\
i0\ul0\strike0 V14.1\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\stri
ke0 History\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 all
ergy\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 Penicillin
\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 History\f1\fs20\cf4\b0\
i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 allergy\f1\fs20\cf4\b0\i0\ul0\
strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 other\par\pard\plain\li0\sl-280\f1\fs
20\cf4\b0\i0\ul0\strike0 antibiotic\f1\fs20\cf4\b0\i0\ul0\strike0 (cephalospori
ns)\par\pard\plain\li0\sl-279\column\f1\fs20\cf4\b0\i0\ul0\strike0 Z88.0\par\par
d\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Z88.1\par\pard\plain\li0\sl-280
\column\f1\fs20\cf4\b0\i0\ul0\strike0 Allergy\f1\fs20\cf4\b0\i0\ul0\strike0 sta
tus\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 Penicillin\
par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Allergy\f1\fs20\cf4\b0\i
0\ul0\strike0 status\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\st
rike0 other\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 antibiotic\
f1\fs20\cf4\b0\i0\ul0\strike0 agent\par\sect\sected\sbknone\cols1\colno1\colw12
240\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain
\sl-200\par\pard\plain\sl-286\par\pard\plain\li1295\sl-324\f1\fs20\cf4\b\i0\ul0\
strike0 Other\f1\fs20\cf4\b\i0\ul0\strike0 Impacts\par\pard\plain\li2015\sl-246
\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Coding\f1\f
s20\cf4\b0\i0\ul0\strike0 allergies\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\c
f4\b0\i0\ul0\strike0 specific\f1\fs20\cf4\b0\i0\ul0\strike0 medications\f1\fs2
0\cf4\b0\i0\ul0\strike0 allows\f1\fs20\cf4\b0\i0\ul0\strike0 providers\f1\fs20
\cf4\b0\i0\ul0\strike0 who\f1\fs20\cf4\b0\i0\ul0\strike0 share\f1\fs20\cf4\b0\
i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 common\f1\fs20\cf4\b0\i0\ul0\st
rike0 EHR\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 be\p

ar\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 notified\f1\fs20\cf4\b
0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 these\f1\fs20\cf4\b0\i0\ul0\
strike0 allergies.\f1\fs20\cf4\b0\i0\ul0\strike0 They\f1\fs20\cf4\b0\i0\ul0\st
rike0 can\f1\fs20\cf4\b0\i0\ul0\strike0 be\f1\fs20\cf4\b0\i0\ul0\strike0 plac
ed\f1\fs20\cf4\b0\i0\ul0\strike0 into\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs2
0\cf4\b0\i0\ul0\strike0 ongoing\f1\fs20\cf4\b0\i0\ul0\strike0 problem\f1\fs20\
cf4\b0\i0\ul0\strike0 list\f1\fs20\cf4\b0\i0\ul0\strike0 therefore\f1\fs20\cf4
\b0\i0\ul0\strike0 becoming\par\pard\plain\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\
strike0 available\f1\fs20\cf4\b0\i0\ul0\strike0 whenever\f1\fs20\cf4\b0\i0\ul0\
strike0 relevant\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\strik
e0 coding\f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf4\b0\i0\ul0\strike0 the\
f1\fs20\cf4\b0\i0\ul0\strike0 claim.\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b
0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 At\f1\fs20\cf4\b0\i0\ul0\
strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 beginning\f1\fs20\cf4\b0\i0\ul0\stri
ke0 of\f1\fs20\cf4\b0\i0\ul0\strike0 Chapter\f1\fs20\cf4\b0\i0\ul0\strike0 10
\f1\fs20\cf4\b0\i0\ul0\strike0 Respiratory\f1\fs20\cf4\b0\i0\ul0\strike0 condi
tions\f1\fs20\cf4\b0\i0\ul0\strike0 this\f1\fs20\cf4\b0\i0\ul0\strike0 instruc
tion\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 found:\par
\pard\plain\li2195\sl-353\f1\fs20\cf3\b\i0\ul0\strike0 Use\f1\fs20\cf3\b\i0\ul0\
strike0 additional\f1\fs20\cf3\b\i0\ul0\strike0 code,\f1\fs20\cf3\b\i0\ul0\str
ike0 where\f1\fs20\cf3\b\i0\ul0\strike0 applicable,\f1\fs20\cf3\b\i0\ul0\strik
e0 to\f1\fs20\cf3\b\i0\ul0\strike0 identify:\par\pard\plain\li3185\sl-246\f1\f
s20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 exposure\f1\fs20
\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 environmental\f1\fs20\
cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0 smoke\f1\fs20\cf4\
b0\i0\ul0\strike0 (Z77.22)\par\pard\plain\li3185\sl-300\f1\fs20\cf4\b0\i0\ul0\s
trike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 exposure\f1\fs20\cf4\b0\i0\ul0\stri
ke0 to\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0 sm
oke\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20
\cf4\b0\i0\ul0\strike0 perinatal\f1\fs20\cf4\b0\i0\ul0\strike0 period\f1\fs20\
cf4\b0\i0\ul0\strike0 (P96.81)\par\pard\plain\li3185\sl-300\f1\fs20\cf4\b0\i0\u
l0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 history\f1\fs20\cf4\b0\i0\ul0\s
trike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0
use\f1\fs20\cf4\b0\i0\ul0\strike0 (Z87.891)\par\pard\plain\li3185\sl-300\f1\fs
20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 occupational\f1\f
s20\cf4\b0\i0\ul0\strike0 exposure\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf
4\b0\i0\ul0\strike0 environmental\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs2
0\cf4\b0\i0\ul0\strike0 smoke\f1\fs20\cf4\b0\i0\ul0\strike0 (Z57.31)\par\pard\
plain\li3185\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\s
trike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0 dependence\f1\fs20\cf4\b0\i0\ul0\
strike0 (F17.-)\par\pard\plain\li3185\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 \u18
3?\f1\fs20\cf4\b0\i0\ul0\strike0 tobacco\f1\fs20\cf4\b0\i0\ul0\strike0 use\f1\
fs20\cf4\b0\i0\ul0\strike0 (Z72.0)\par\pard\plain\li2015\sl-300\f1\fs20\cf4\b0\
i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 These\f1\fs20\cf4\b0\i0\ul0
\strike0 tobacco-related\f1\fs20\cf4\b0\i0\ul0\strike0 codes\f1\fs20\cf4\b0\i0
\ul0\strike0 should\f1\fs20\cf4\b0\i0\ul0\strike0 also\f1\fs20\cf4\b0\i0\ul0\s
trike0 be\f1\fs20\cf4\b0\i0\ul0\strike0 coded\f1\fs20\cf4\b0\i0\ul0\strike0 i
nto\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 ongoing\f1
\fs20\cf4\b0\i0\ul0\strike0 problem\f1\fs20\cf4\b0\i0\ul0\strike0 list\f1\fs20
\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\strike0 future\par\pard\plain
\li2195\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 coding\f1\fs20\cf4\b0\i0\ul0\strike
0 situations\f1\fs20\cf4\b0\i0\ul0\strike0 as\f1\fs20\cf4\b0\i0\ul0\strike0 i
ndicated\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 ICD-10
-CM.\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\
sl-256\par\pard\plain\li11361\sl-347\f1\fs24\cf1\b0\i0\ul0\strike0 27
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sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Diab
etes\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\
plain\sl-248\par\pard\plain\li1387\sl-279\f1\fs24\cf2\b0\i0\ul0\strike0 Scenario
\f1\fs24\cf2\b0\i0\ul0\strike0 Details\par\pard\plain\sl-280\par\pard\plain\li1
387\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Chief\f1\fs20\cf4\b\i0\ul0\strike0 Comp
laint\par\pard\plain\li2107\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\
cf4\b0\i0\ul0\strike0 \u8220?I\f1\fs20\cf4\b0\i0\ul0\strike0 am\f1\fs20\cf4\b0
\i0\ul0\strike0 here\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\s
trike0 my\f1\fs20\cf4\b0\i0\ul0\strike0 quarterly\f1\fs20\cf4\b0\i0\ul0\strike
0 evaluation\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 m
y\f1\fs20\cf4\b0\i0\ul0\strike0 diabetes.\u8221?\par\pard\plain\sl-328\par\pard
\plain\li1387\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 History\par\pard\plain\li2107\
sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Patie
nt\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf
4\b0\i0\ul0\strike0 50-year-old\f1\fs20\cf4\b0\i0\ul0\strike0 woman\f1\fs20\cf
4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\ul0\strike0 Type\f1\fs20\cf4\b0\i0\
ul0\strike0 1\f1\fs20\cf4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\str
ike0 since\f1\fs20\cf4\b0\i0\ul0\strike0 childhood.\f1\fs20\cf4\b0\i0\ul0\stri
ke0 She\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 been\
f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf4\b0\i0\ul0\strike0 insulin\par\par
d\plain\li2287\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 since\f1\fs20\cf4\b0\i0\ul0\
strike0 age\f1\fs20\cf4\b0\i0\ul0\strike0 13.\f1\fs20\cf4\b0\i0\ul0\strike0 A
s\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 result\f1\fs20
\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 her\f1\fs20\cf4\b0\i0\
ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 she\f1\fs20\cf4\b0\i0\ul0\s
trike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 chronic\f1\fs20\cf4\b0\i0\ul0\strike0
kidney\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 a
nd\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 currently\f1
\fs20\cf4\b0\i0\ul0\strike0 on\par\pard\plain\li2287\sl-300\f1\fs20\cf4\b0\i0\u
l0\strike0 dialysis\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\str
ike0 ESRD.\f1\fs20\cf4\b0\i0\ul0\strike0 She\f1\fs20\cf4\b0\i0\ul0\strike0 al
so\f1\fs20\cf4\b0\i0\ul0\strike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 diabetic\f1
\fs20\cf4\b0\i0\ul0\strike0 neuropathy\f1\fs20\cf4\b0\i0\ul0\strike0 affecting
\f1\fs20\cf4\b0\i0\ul0\strike0 both\f1\fs20\cf4\b0\i0\ul0\strike0 lower\f1\fs2
0\cf4\b0\i0\ul0\strike0 extremities.\par\pard\plain\sl-328\par\pard\plain\li138
7\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Review\f1\fs20\cf4\b\i0\ul0\strike0 of\f1
\fs20\cf4\b\i0\ul0\strike0 Systems,\f1\fs20\cf4\b\i0\ul0\strike0 Physical\f1\f
s20\cf4\b\i0\ul0\strike0 Exam,\f1\fs20\cf4\b\i0\ul0\strike0 Laboratory\f1\fs20
\cf4\b\i0\ul0\strike0 Tests\par\pard\plain\li2107\sl-246\f1\fs20\cf4\b0\i0\ul0\
strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 No\f1\fs20\cf4\b0\i0\ul0\strike0
changes\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 underly
ing\f1\fs20\cf4\b0\i0\ul0\strike0 condition\f1\fs20\cf4\b0\i0\ul0\strike0 duri
ng\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 last\f1\fs2
0\cf4\b0\i0\ul0\strike0 3\f1\fs20\cf4\b0\i0\ul0\strike0 months.\f1\fs20\cf4\b0
\i0\ul0\strike0 She\f1\fs20\cf4\b0\i0\ul0\strike0 continues\f1\fs20\cf4\b0\i0\
ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 perform\f1\fs20\cf4\b0\i0\ul0\str
ike0 self-\par\pard\plain\li2287\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 testing\f
1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 her\f1\fs20\cf4\
b0\i0\ul0\strike0 blood\f1\fs20\cf4\b0\i0\ul0\strike0 sugar\f1\fs20\cf4\b0\i0\
ul0\strike0 levels\f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf4\b0\i0\ul0\stri
ke0 a\f1\fs20\cf4\b0\i0\ul0\strike0 daily\f1\fs20\cf4\b0\i0\ul0\strike0 basis
,\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf
4\b0\i0\ul0\strike0 dialysis\f1\fs20\cf4\b0\i0\ul0\strike0 every\f1\fs20\cf4\b
0\i0\ul0\strike0 other\f1\fs20\cf4\b0\i0\ul0\strike0 day,\f1\fs20\cf4\b0\i0\ul
0\strike0 most\f1\fs20\cf4\b0\i0\ul0\strike0 recently\par\pard\plain\li2287\sl
-300\f1\fs20\cf4\b0\i0\ul0\strike0 24\f1\fs20\cf4\b0\i0\ul0\strike0 hours\f1\fs
20\cf4\b0\i0\ul0\strike0 ago,\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0

\i0\ul0\strike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 not\f1\fs20\cf4\b0\i0\ul0\st
rike0 noticed\f1\fs20\cf4\b0\i0\ul0\strike0 any\f1\fs20\cf4\b0\i0\ul0\strike0
changes\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1
\fs20\cf4\b0\i0\ul0\strike0 numbness\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\
cf4\b0\i0\ul0\strike0 her\f1\fs20\cf4\b0\i0\ul0\strike0 legs.\par\sect\sected\
sbknone\cols2\colno1\colw2270\colsr10\colno2\colw9960\pard\plain\li2107\sl-299\f
1\fs20\charscalex-25\cf4\b0\i0\ul0\strike0 \u183?\par\pard\plain\li2107\sl-300\f
1\fs20\charscalex-25\cf4\b0\i0\ul0\strike0 \u183?\par\pard\plain\li0\sl-300\colu
mn\f1\fs20\cf4\b0\i0\ul0\strike0 BP\f1\fs20\cf4\b0\i0\ul0\strike0 140/75,\f1\fs
20\cf4\b0\i0\ul0\strike0 P\f1\fs20\cf4\b0\i0\ul0\strike0 80,\f1\fs20\cf4\b0\i0
\ul0\strike0 R\f1\fs20\cf4\b0\i0\ul0\strike0 16\f1\fs20\cf4\b0\i0\ul0\strike0
and\f1\fs20\cf4\b0\i0\ul0\strike0 T\f1\fs20\cf4\b0\i0\ul0\strike0 98.8\par\pa
rd\plain\li0\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 Dialysis\f1\fs20\cf4\b0\i0\ul0
\strike0 fistula\f1\fs20\cf4\b0\i0\ul0\strike0 without\f1\fs20\cf4\b0\i0\ul0\s
trike0 any\f1\fs20\cf4\b0\i0\ul0\strike0 signs\f1\fs20\cf4\b0\i0\ul0\strike0
of\f1\fs20\cf4\b0\i0\ul0\strike0 infection\par\pard\plain\li0\sl-300\f1\fs20\cf
4\b0\i0\ul0\strike0 Decreased\f1\fs20\cf4\b0\i0\ul0\strike0 sensation\f1\fs20\c
f4\b0\i0\ul0\strike0 over\f1\fs20\cf4\b0\i0\ul0\strike0 lower\f1\fs20\cf4\b0\i
0\ul0\strike0 extremities\f1\fs20\cf4\b0\i0\ul0\strike0 below\f1\fs20\cf4\b0\i
0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 knees\par\pard\plain\li0\sl-30
0\f1\fs20\cf4\b0\i0\ul0\strike0 Lab:\f1\fs20\cf4\b0\i0\ul0\strike0 BUN/Cr\f1\fs
20\cf4\b0\i0\ul0\strike0 nl,\f1\fs20\cf4\b0\i0\ul0\strike0 K+\f1\fs20\cf4\b0\i
0\ul0\strike0 3.5,\f1\fs20\cf4\b0\i0\ul0\strike0 glu\f1\fs20\cf4\b0\i0\ul0\str
ike0 105,\f1\fs20\cf4\b0\i0\ul0\strike0 Hgb\f1\fs20\cf4\b0\i0\ul0\strike0 A1c
\f1\fs20\cf4\b0\i0\ul0\strike0 7.9\par\sect\sected\sbknone\cols1\colno1\colw122
40\pard\plain\sl-329\par\pard\plain\li1387\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 A
ssessment\f1\fs20\cf4\b\i0\ul0\strike0 and\f1\fs20\cf4\b\i0\ul0\strike0 Plan\p
i0\ul0\strike0 Continue\f1\fs20\cf4\b0\i0\ul0\strike0 BS\f1\fs20\cf4\b0\i0\ul0
\strike0 checks\f1\fs20\cf4\b0\i0\ul0\strike0 daily\f1\fs20\cf4\b0\i0\ul0\stri
ke0 with\f1\fs20\cf4\b0\i0\ul0\strike0 sliding\f1\fs20\cf4\b0\i0\ul0\strike0
scale\f1\fs20\cf4\b0\i0\ul0\strike0 as\f1\fs20\cf4\b0\i0\ul0\strike0 previousl
y\f1\fs20\cf4\b0\i0\ul0\strike0 prescribed\par\pard\plain\li2107\sl-300\f1\fs20
\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Start\f1\fs20\cf4\b
0\i0\ul0\strike0 Capsaicin\f1\fs20\cf4\b0\i0\ul0\strike0 topically\f1\fs20\cf4
\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 defer\f1\fs20\cf4\b0\i0\u
l0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 nephrologist\f1\fs20\cf4\b0\i0\ul0
\strike0 for\f1\fs20\cf4\b0\i0\ul0\strike0 any\f1\fs20\cf4\b0\i0\ul0\strike0
Rx\f1\fs20\cf4\b0\i0\ul0\strike0 at\f1\fs20\cf4\b0\i0\ul0\strike0 this\f1\fs20
\cf4\b0\i0\ul0\strike0 time.\f1\fs20\cf4\b0\i0\ul0\strike0 She\f1\fs20\cf4\b0\
i0\ul0\strike0 has\f1\fs20\cf4\b0\i0\ul0\strike0 an\par\pard\plain\li2287\sl-3
00\f1\fs20\cf4\b0\i0\ul0\strike0 appointment\f1\fs20\cf4\b0\i0\ul0\strike0 10\f
1\fs20\cf4\b0\i0\ul0\strike0 am\f1\fs20\cf4\b0\i0\ul0\strike0 tomorrow.\par\pa
\plain\sl-200\par\pard\plain\sl-241\par\pard\plain\li11361\sl-347\f1\fs24\cf1\b0
\i0\ul0\strike0 28

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sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 Diab
etes\f0\fs28\cf1\b\i0\ul0\strike0 (continued)\par\pard\plain\sl-200\par\pard\pl
ain\sl-200\par\pard\plain\sl-396\par\pard\plain\li1295\sl-411\f1\fs28\cf2\b0\i0\
ul0\strike0 Summary\f1\fs28\cf2\b0\i0\ul0\strike0 of\f1\fs28\cf2\b0\i0\ul0\stri
ke0 ICD-10-CM\f1\fs28\cf2\b0\i0\ul0\strike0 Impacts\par\pard\plain\li1295\sl-3
10\f1\fs20\cf4\b\i0\ul0\strike0 Coding\par\sect\sected\sbknone\cols2\colno1\colw
7250\colsr10\colno2\colw4980\pard\plain\li2373\sl-357\f1\fs20\cf4\b\i0\ul0\strik
e0 ICD-9-CM\f1\fs20\cf4\b\i0\ul0\strike0 Diagnosis\f1\fs20\cf4\b\i0\ul0\strike0
Codes\par\pard\plain\li0\sl-357\column\f1\fs20\cf4\b\i0\ul0\strike0 ICD-10-CM\
f1\fs20\cf4\b\i0\ul0\strike0 Diagnosis\f1\fs20\cf4\b\i0\ul0\strike0 Codes\par\
sect\sected\sbknone\cols4\colno1\colw2970\colsr10\colno2\colw3370\colsr10\colno3
\colw1430\colsr10\colno4\colw4440\pard\plain\sl-233\par\pard\plain\li1555\sl-233
\f1\fs20\cf4\b0\i0\ul0\strike0 250.41\par\pard\column\plain\sl-233\par\pard\plai
n\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Diabetes\f1\fs20\cf4\b0\i0\ul0\strike
0 with\f1\fs20\cf4\b0\i0\ul0\strike0 renal\par\pard\plain\li0\sl-280\f1\fs20\c
f4\b0\i0\ul0\strike0 manifestations,\f1\fs20\cf4\b0\i0\ul0\strike0 type\f1\fs20

\cf4\b0\i0\ul0\strike0 1,\f1\fs20\cf4\b0\i0\ul0\strike0 not\par\pard\column\pl
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rd\column\plain\sl-233\par\pard\plain\li0\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 T
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fs20\cf4\b0\i0\ul0\strike0 mellitus\f1\fs20\cf4\b0\i0\ul0\strike0 with\par\par
d\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 diabetic\f1\fs20\cf4\b0\i0\ul0\
strike0 chronic\f1\fs20\cf4\b0\i0\ul0\strike0 kidney\f1\fs20\cf4\b0\i0\ul0\str
ike0 disease\par\sect\sected\sbknone\cols1\colno1\colw12240\pard\plain\li2995\s
l-280\f1\fs20\cf4\b0\i0\ul0\strike0 stated\f1\fs20\cf4\b0\i0\ul0\strike0 as\f1\
fs20\cf4\b0\i0\ul0\strike0 uncontrolled\par\sect\sected\sbknone\cols4\colno1\co
ard\plain\li1555\sl-279\f1\fs20\cf4\b0\i0\ul0\strike0 585.6\par\pard\plain\li155
5\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 250.61\par\pard\plain\li0\sl-280\column\f
1\fs20\cf4\b0\i0\ul0\strike0 End\f1\fs20\cf4\b0\i0\ul0\strike0 stage\f1\fs20\cf
4\b0\i0\ul0\strike0 renal\f1\fs20\cf4\b0\i0\ul0\strike0 disease\par\pard\plain
\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 Diabetes\f1\fs20\cf4\b0\i0\ul0\strike0
with\f1\fs20\cf4\b0\i0\ul0\strike0 neurological\par\pard\plain\li0\sl-280\f1\
fs20\cf4\b0\i0\ul0\strike0 manifestations,\f1\fs20\cf4\b0\i0\ul0\strike0 type\f
1\fs20\cf4\b0\i0\ul0\strike0 1,\f1\fs20\cf4\b0\i0\ul0\strike0 not\par\pard\pla
in\li0\sl-279\column\f1\fs20\cf4\b0\i0\ul0\strike0 N18.6\par\pard\plain\li0\sl-2
80\f1\fs20\cf4\b0\i0\ul0\strike0 Z99.2\par\pard\plain\li0\sl-280\column\f1\fs20\
cf4\b0\i0\ul0\strike0 End-stage\f1\fs20\cf4\b0\i0\ul0\strike0 renal\f1\fs20\cf4
\b0\i0\ul0\strike0 disease\par\pard\plain\li0\sl-280\f1\fs20\cf4\b0\i0\ul0\stri
ke0 Dependence\f1\fs20\cf4\b0\i0\ul0\strike0 on\f1\fs20\cf4\b0\i0\ul0\strike0
renal\f1\fs20\cf4\b0\i0\ul0\strike0 dialysis\par\pard\plain\li0\sl-280\f1\fs20\
cf4\b0\i0\ul0\strike0 Presence\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\
i0\ul0\strike0 AV\f1\fs20\cf4\b0\i0\ul0\strike0 shunt\f1\fs20\cf4\b0\i0\ul0\st
rike0 for\f1\fs20\cf4\b0\i0\ul0\strike0 dialysis\par\sect\sected\sbknone\cols1
\colno1\colw12240\pard\plain\li2995\sl-280\f1\fs20\cf4\b0\i0\ul0\strike0 stated\
f1\fs20\cf4\b0\i0\ul0\strike0 as\f1\fs20\cf4\b0\i0\ul0\strike0 uncontrolled\pa
r\sect\sected\sbknone\cols4\colno1\colw2970\colsr10\colno2\colw3370\colsr10\coln
o3\colw1430\colsr10\colno4\colw4440\pard\plain\li1555\sl-279\f1\fs20\cf4\b0\i0\u
l0\strike0 357.2\par\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0
Polyneuropathy\f1\fs20\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0
diabetes\par\pard\plain\li0\sl-279\column\f1\fs20\cf4\b0\i0\ul0\strike0 E10.42\p
ar\pard\plain\li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Type\f1\fs20\cf4\b
0\i0\ul0\strike0 1\f1\fs20\cf4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul
0\strike0 mellitus\f1\fs20\cf4\b0\i0\ul0\strike0 with\par\sect\sected\sbknone\
cols1\colno1\colw12240\pard\plain\li7819\sl-279\f1\fs20\cf4\b0\i0\ul0\strike0 po
lyneuropathy\par\sect\sected\sbknone\cols2\colno1\colw2970\colsr10\colno2\colw92
60\pard\plain\li1645\sl-279\f1\fs20\cf4\b0\i0\ul0\strike0 V45.11\par\pard\plain\
li0\sl-280\column\f1\fs20\cf4\b0\i0\ul0\strike0 Renal\f1\fs20\cf4\b0\i0\ul0\stri
ke0 dialysis\f1\fs20\cf4\b0\i0\ul0\strike0 status\par\sect\sected\sbknone\cols
1\colno1\colw12240\pard\plain\sl-200\par\pard\plain\sl-331\par\pard\plain\li1295
\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Other\f1\fs20\cf4\b\i0\ul0\strike0 Impacts
\par\pard\plain\li1565\sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 E10.22\f1\fs20\cf4\b
0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\stri
ke0 combination\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strik
e0 in\f1\fs20\cf4\b0\i0\ul0\strike0 ICD-10-CM\f1\fs20\cf4\b0\i0\ul0\strike0 i
ncorporating\f1\fs20\cf4\b0\i0\ul0\strike0 both\f1\fs20\cf4\b0\i0\ul0\strike0
the\f1\fs20\cf4\b0\i0\ul0\strike0 type\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs2
0\cf4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 (type\f1\fs20\c
f4\b0\i0\ul0\strike0 1\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\
strike0 E10)\f1\fs20\cf4\b0\i0\ul0\strike0 and\par\pard\plain\li1565\sl-300\f1
\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 manifestation\f1\
fs20\cf4\b0\i0\ul0\strike0 chronic\f1\fs20\cf4\b0\i0\ul0\strike0 kidney\f1\fs2
0\cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 (after\f1\fs20\c
f4\b0\i0\ul0\strike0 decimal\f1\fs20\cf4\b0\i0\ul0\strike0 point.22).\f1\fs20\
cf4\b0\i0\ul0\strike0 Instructions\f1\fs20\cf4\b0\i0\ul0\strike0 from\f1\fs20\
cf4\b0\i0\ul0\strike0 Volume\f1\fs20\cf4\b0\i0\ul0\strike0 1\f1\fs20\cf4\b0\i0

\ul0\strike0 under\f1\fs20\cf4\b0\i0\ul0\strike0 the\par\pard\plain\li1565\sl300\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strike0 E10.22\f1\
fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\
i0\ul0\strike0 \u8220?use\f1\fs20\cf4\b0\i0\ul0\strike0 additional\f1\fs20\cf4
\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0
\strike0 identify\f1\fs20\cf4\b0\i0\ul0\strike0 stage\f1\fs20\cf4\b0\i0\ul0\st
rike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 chronic\f1\fs20\cf4\b0\i0\ul0\strike0
kidney\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0\strike0 N18
.1\f1\fs20\cf4\b0\i0\ul0\strike0 \u8211?N18.6\u8221?.\f1\fs20\cf4\b0\i0\ul0\str
ike0 In\par\pard\plain\li1565\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 this\f1\fs20
\cf4\b0\i0\ul0\strike0 documentation\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20
\cf4\b0\i0\ul0\strike0 ESRD\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0
\ul0\strike0 documented.\par\pard\plain\sl-366\par\pard\plain\li1565\sl-233\f1\
fs20\cf4\b0\i0\ul0\strike0 Code\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b
0\i0\ul0\strike0 type\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\s
trike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike
0 each\f1\fs20\cf4\b0\i0\ul0\strike0 associated\f1\fs20\cf4\b0\i0\ul0\strike0
complication\f1\fs20\cf4\b0\i0\ul0\strike0 (diabetes\f1\fs20\cf4\b0\i0\ul0\str
ike0 with\f1\fs20\cf4\b0\i0\ul0\strike0 renal\f1\fs20\cf4\b0\i0\ul0\strike0 d
isease\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 diabeti
c\par\pard\plain\li1565\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 neuropathy)\f1\fs20
\cf4\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 ICD-10-CM.\par\pard\pl
ain\sl-366\par\pard\plain\li1565\sl-233\f1\fs20\cf4\b0\i0\ul0\strike0 Code\f1\fs
20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 stage\f1\fs20\cf4\b
0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\st
rike0 patient\u8217?s\f1\fs20\cf4\b0\i0\ul0\strike0 chronic\f1\fs20\cf4\b0\i0\
ul0\strike0 kidney\f1\fs20\cf4\b0\i0\ul0\strike0 disease\f1\fs20\cf4\b0\i0\ul0
\strike0 per\f1\fs20\cf4\b0\i0\ul0\strike0 instruction\f1\fs20\cf4\b0\i0\ul0\s
trike0 under\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0
diabetic\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\ul0\strike0 E10.
22\par\pard\plain\li1565\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 Code\f1\fs20\cf4\b
0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 dialysis\f1\fs20\cf4\b0\i0\
ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 AV\f1\fs20\cf4\b0\i0\ul0\strike0
graft\f1\fs20\cf4\b0\i0\ul0\strike0 by\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\
fs20\cf4\b0\i0\ul0\strike0 use\f1\fs20\cf4\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0
\i0\ul0\strike0 \u8220?status\f1\fs20\cf4\b0\i0\ul0\strike0 codes\u8221?\f1\fs
20\cf4\b0\i0\ul0\strike0 (Z\f1\fs20\cf4\b0\i0\ul0\strike0 codes).\f1\fs20\cf4\
b0\i0\ul0\strike0 The\f1\fs20\cf4\b0\i0\ul0\strike0 key\f1\fs20\cf4\b0\i0\ul0\
strike0 word\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 f
ind\f1\fs20\cf4\b0\i0\ul0\strike0 this\f1\fs20\cf4\b0\i0\ul0\strike0 status\pa
r\pard\plain\li1565\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 code\f1\fs20\cf4\b0\i0\
ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0
Index\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\strike0 Disease
s\f1\fs20\cf4\b0\i0\ul0\strike0 from\f1\fs20\cf4\b0\i0\ul0\strike0 Volume\f1\f
s20\cf4\b0\i0\ul0\strike0 3\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\cf4\b0\i0
\ul0\strike0 \u8220?Dependence\u8221?\f1\fs20\cf4\b0\i0\ul0\strike0 and\f1\fs2
0\cf4\b0\i0\ul0\strike0 then\f1\fs20\cf4\b0\i0\ul0\strike0 sub\f1\fs20\cf4\b0\
i0\ul0\strike0 indent\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4\b0\i0\ul0\s
trike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 word\f1\fs20\cf4\b0\i0\ul0\strike0 \
u8220?on\u8221?\par\pard\plain\li1565\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 and\f
1\fs20\cf4\b0\i0\ul0\strike0 then\f1\fs20\cf4\b0\i0\ul0\strike0 to\f1\fs20\cf4
\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\strike0 words\f1\fs20\cf4\b0\i0\u
l0\strike0 renal\f1\fs20\cf4\b0\i0\ul0\strike0 dialysis\f1\fs20\cf4\b0\i0\ul0\
strike0 Z99.2\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200
\pard\plain\sl-200\par\pard\plain\sl-256\par\pard\plain\li11361\sl-347\f1\fs24\c
f1\b0\i0\ul0\strike0 29
7;32768}}
}}
7;32768}}
}}

7;32768}}
}}
7;32768}}
}}
}

}}
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}}
7;32768}}
}}

rike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 ER\f0\fs28\cf1\b\i0\ul0\strike0 F
ollow\f0\fs28\cf1\b\i0\ul0\strike0 Up\par\pard\plain\sl-200\par\pard\plain\sl-2
00\par\pard\plain\sl-200\par\pard\plain\sl-248\par\pard\plain\li1387\sl-279\f1\f
s24\cf2\b0\i0\ul0\strike0 Scenario\f1\fs24\cf2\b0\i0\ul0\strike0 Details\par\pa
rd\plain\sl-280\par\pard\plain\li1387\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 Chief\
f1\fs20\cf4\b\i0\ul0\strike0 Complaint\par\pard\plain\li2107\sl-246\f1\fs20\cf4
\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 \u8220?Seen\f1\fs20\cf4
\b0\i0\ul0\strike0 in\f1\fs20\cf4\b0\i0\ul0\strike0 the\f1\fs20\cf4\b0\i0\ul0\
strike0 ER\f1\fs20\cf4\b0\i0\ul0\strike0 over\f1\fs20\cf4\b0\i0\ul0\strike0 t
he\f1\fs20\cf4\b0\i0\ul0\strike0 weekend.\u8221?\par\pard\plain\sl-328\par\pard
\plain\li1387\sl-324\f1\fs20\cf4\b\i0\ul0\strike0 History\par\pard\plain\li2107\
sl-246\f1\fs20\cf4\b0\i0\ul0\strike0 \u183?\f1\fs20\cf4\b0\i0\ul0\strike0 Mrs.\
f1\fs20\cf4\b0\i0\ul0\strike0 Jones\f1\fs20\cf4\b0\i0\ul0\strike0 is\f1\fs20\c
f4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 64-year-old\f1\fs20\cf4\b
0\i0\ul0\strike0 female,\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs20\cf4\b0\i0\
ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 history\f1\fs20\cf4\b0\i0\ul0\stri
ke0 of\f1\fs20\cf4\b0\i0\ul0\strike0 morbid\f1\fs20\cf4\b0\i0\ul0\strike0 obe
sity,\f1\fs20\cf4\b0\i0\ul0\strike0 type\f1\fs20\cf4\b0\i0\ul0\strike0 2\f1\fs
20\cf4\b0\i0\ul0\strike0 diabetes\f1\fs20\cf4\b0\i0\ul0\strike0 with\par\pard\
plain\li2287\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 nephropathy,\f1\fs20\cf4\b0\i0
\ul0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 asthma,\f1\fs20\cf4\b0\i0\ul0\s
trike0 presents\f1\fs20\cf4\b0\i0\ul0\strike0 here\f1\fs20\cf4\b0\i0\ul0\strik
e0 for\f1\fs20\cf4\b0\i0\ul0\strike0 follow-up\f1\fs20\cf4\b0\i0\ul0\strike0
ER\f1\fs20\cf4\b0\i0\ul0\strike0 visit\f1\fs20\cf4\b0\i0\ul0\strike0 two\f1\fs
20\cf4\b0\i0\ul0\strike0 days\f1\fs20\cf4\b0\i0\ul0\strike0 ago\f1\fs20\cf4\b0
\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\strike0 shortness\f1\fs20\cf4\b0\i0\
ul0\strike0 of\par\pard\plain\li2287\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 breat
h.\f1\fs20\cf4\b0\i0\ul0\strike0 Patient\f1\fs20\cf4\b0\i0\ul0\strike0 was\f1\
fs20\cf4\b0\i0\ul0\strike0 discharged\f1\fs20\cf4\b0\i0\ul0\strike0 with\f1\fs
20\cf4\b0\i0\ul0\strike0 a\f1\fs20\cf4\b0\i0\ul0\strike0 diagnosis\f1\fs20\cf4
\b0\i0\ul0\strike0 of\f1\fs20\cf4\b0\i0\ul0\strike0 bronchitis,\f1\fs20\cf4\b0
\i0\ul0\strike0 an\f1\fs20\cf4\b0\i0\ul0\strike0 Albuterol\f1\fs20\cf4\b0\i0\u
l0\strike0 and\f1\fs20\cf4\b0\i0\ul0\strike0 Beclomethasone\par\pard\plain\li2
287\sl-300\f1\fs20\cf4\b0\i0\ul0\strike0 inhaler\f1\fs20\cf4\b0\i0\ul0\strike0
prescription,\f1\fs20\cf4\b0\i0\ul0\strike0 along\f1\fs20\cf4\b0\i0\ul0\strike0
with\f1\fs20\cf4\b0\i0\ul0\strike0 five\f1\fs20\cf4\b0\i0\ul0\strike0 day\f1
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\u183?\f1\fs20\cf4\b0\i0\ul0\strike0 BP\f1\fs20\cf4\b0\i0\ul0\strike0 142/64\
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ate\f1\fs20\cf4\b0\i0\ul0\strike0 persistent,\f1\fs20\cf4\b0\i0\ul0\strike0 wi
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ion\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
\plain\li11361\sl-347\f1\fs24\cf1\b0\i0\ul0\strike0 30
7;32768}}
}}

7;32768}}
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7;32768}}
}}
7;32768}}

}}
}
}}
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7;32768}}
rike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 ER\f0\fs28\cf1\b\i0\ul0\strike0 F
ollow\f0\fs28\cf1\b\i0\ul0\strike0 Up\f0\fs28\cf1\b\i0\ul0\strike0 (continued)
n\li1295\sl-411\f1\fs28\cf2\b0\i0\ul0\strike0 Summary\f1\fs28\cf2\b0\i0\ul0\stri
ke0 of\f1\fs28\cf2\b0\i0\ul0\strike0 ICD-10-CM\f1\fs28\cf2\b0\i0\ul0\strike0
Impacts\par\pard\plain\li1295\sl-310\f1\fs20\cf4\b\i0\ul0\strike0 Clinical\f1\fs
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Guidelines\f1\fs20\cf4\b0\i0\ul0\strike0 for\f1\fs20\cf4\b0\i0\ul0\strike0 O
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\li2215\sl-295\f1\fs20\cf4\b0\i0\ul0\strike0 S=\f1\fs20\cf4\b0\i0\ul0\strike0 S
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7;32768}}
sl-309\f0\fs28\cf1\b\i0\ul0\strike0 Scenario:\f0\fs28\cf1\b\i0\ul0\strike0 ER\f
0\fs28\cf1\b\i0\ul0\strike0 Follow\f0\fs28\cf1\b\i0\ul0\strike0 Up\f0\fs28\cf1
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f0\fs20\cf2\b\i0\ul0\strike0 October\f0\fs20\cf2\b\i0\ul0\strike0 1,\f0\fs20\c
f2\b\i0\ul0\strike0 2015\par\pard\plain\li8798\sl-157\f1\fs8\charscalex97\cf6\b
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charscalex97\cf6\b0\i0\ul0\strike0 Industry\f1\fs8\charscalex97\cf6\b0\i0\ul0\s
trike0 Resources\f1\fs8\charscalex97\cf6\b0\i0\ul0\strike0 for\f1\fs8\charscal
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0\f1\fs8\charscalex97\cf6\b0\i0\ul0\strike0 Transition\par\pard\plain\li8798\sl
-142\f1\fs10\charscalex98\cf6\b\i\ul0\strike0 www.cms.gov/ICD10\par\pard\plain\s
l-200\par\pard\plain\sl-200\par\pard\plain\sl-212\par\pard\plain\li11361\sl-347\
f1\fs24\cf1\b0\i0\ul0\strike0 32
7;32768}}

}}
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}}

7;32768}}
}}
{\shptxt\pard\plain \ql\li0\ri0\widctlpar\sl65\slmult0\pvpara\aspalpha\aspnum\fa
auto\adjustright\rin0\lin0\itap0
\picscalex100\picscaley100\piccropl0\piccropr0\piccropt0\piccropb0\picwgoal60\pi
chgoal60\jpegblip
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fb5e2bf8d517fbc55dbda256f8fb687fffd9}{\par}\pard \ql \li0\ri0\nowidctlpar\faauto

}}
ichgoal60\jpegblip
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88ad08c52af5524a319a492492492d12496c8fffd9}{\par}\pard \ql \li0\ri0\nowidctlpar\
faauto\rin0\lin0\itap0 {\par}}}}
}}
ichgoal60\jpegblip
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d633149fd4b112d31157e24a8352f8f74db69ee9b76dcfffd9}{\par}\pard \ql \li0\ri0\nowi
dctlpar\faauto\rin0\lin0\itap0 {\par}}}}
}}
ichgoal60\jpegblip
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9cda7ef3bfe538ec662de069c9e2b12dac44526ebd5ba5cf8ad2fcd7b7bb1d36f757647fffd9}{\p
ar}\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\par}}}}
}}
\picscalex100\picscaley100\piccropl0\piccropr0\piccropt0\piccropb0\picwgoal60\pi
chgoal60\jpegblip
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5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
f2f3f4f5f6f7f8f9faffda000c03010002110311003f00feafbf67e83c7da7783a5d9f16fc4c64b9
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e0f0cde2710dba71bb75aa36f587f78fffd9}{\par}\pard \ql \li0\ri0\nowidctlpar\faauto
}}
ichgoal300\jpegblip
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e69c953a518c14a52d64ed793d5b6cffd9}{\par}\pard \ql \li0\ri0\nowidctlpar\faauto\r
in0\lin0\itap0 {\par}}}}
}}
ichgoal300\jpegblip
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I CD 10 Clinical Concepts Internal Medicine 1

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I CD 10 Clinical Concepts Internal Medicine 1

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