Q&A CPC practice questions

[ksiva]

I have doubts regarding late effects, i have coded , but wanted to check if my answers are correct.

1. Hemiplegia due to previous cerebrovascular accident.
2. Malunion of fracture right femur.
3. Scoliosis due to old infantile paralysis.
4. Keloid secondary to injury 9 months ago.
5. Mental retardation due to previous viral encephaliti
6. Traumatic arthritis of the right shoulder due to old fracture of right humerus
7. Paralysis of left leg due to old poliomyelitis
8. Scoliosis due to poliomyelitis at age 12
9. Traumatic arthritis of the right shoulder due to old fracture of right humerus
10. Paralysis of left leg due to old poliomyelitis
11. Patient with residual aphasia due to subdural hemorrhage two years ago who is admitted because of acute cerebral thrombosis would have the following codes
12. Cerebrovascular accident two years ago with residual hemiplegia of the dominant side
13. Contracture of hip following partial hip replacement one year ago
14. Traumatic arthritis right ankle following fracture right ankle
15. Cicatricial contracture of left hand due to burn
16. Brain damage following cerebral abscess seven months ago
17. Flaccid hemiplegia due to old cerebrovascular accident
18. Bilateral neural deafness resulting from childhood measles 10 years ago
19. Mononeuritis median nerve, resulting from previous crush injury to right arm
20. Posttraumatic painful arthritis left hand
21. Residuals of previous severe burn left wrist
22. Locked in state (paralytic syndrome) due to old cerebrovascular accident

Should we first go to late effects in the alphabetical list or code first for todays treatment.
Everytime i think that i have got it right, but still i am not coding it correctly
Regards,

kamakshi

 

[Laureen]

I get you started with one

1. Malunion of fracture right femur.

The malunion is the reason they walked through the door so look that up and code as usual. To tell the story that the malunion is due to an old fracture you go to the index under the entry "late" the the sub-term "fracture" lower extremity and code that as a secondary code.

Also when you want others to check your work it's best to show your work - like give us your answers and we can quickly look them up to let you know if they are correct.

 

[ksiva]

Hi Laureen,

SOrry for not providing my answers, here are the answers

1. Hemiplegia due to previous cerebrovascular accident. 342.9 438.20
2. Malunion of fracture right femur.
3. Scoliosis due to old infantile paralysis. 737.43 438.50
4. Keloid secondary to injury 9 months ago. 701.4 908.9
5. Mental retardation due to previous viral encephalitis.319 139.0
6. Hemiplegia due to previous cerebrovascular accident. 342.9 438.20
7. Traumatic arthritis of the right shoulder due to old fracture of right humerus 716.11 905.2
   
8. Paralysis of left leg due to old poliomyelitis 344.30 138
   
9. Scoliosis due to poliomyelitis at age 12 737.43,13
10. Patient with residual aphasia due to subdural hemorrhage two years ago who is admitted because of acute cerebral thrombosis would have the following codes 434.00, 438.11
11. Cerebrovascular accident two years ago with residual hemiplegia of the dominant side 438.21
12. Contracture of hip following partial hip replacement one year ago 718.45
13. Traumatic arthritis right ankle following fracture right ankle 716.17,905.4
14. Cicatricial contracture of left hand due to burn 709.2 906.6
15. Brain damage following cerebral abscess seven months ago 348.9,326
16. Flaccid hemiplegia due to old cerebrovascular accident 342.0,
17. Bilateral neural deafness resulting from childhood measles 10 years ago 389.12,139.8
18. Mononeuritis median nerve, resulting from previous crush injury to right arm 354.1, 906.4
19. Posttraumatic painful arthritis left hand 716.14,908.6
20. Residuals of previous severe burn left wrist 906.6
21. Locked in state (paralytic syndrome) due to old cerebrovascular accident 344.81, 438.50

regards,
kamakshi

 

[Carolyn Heath]

I will take a look at this on Thursday, October 24, 2013 and get back to you of my findings. I do notice that you do not have #2 Malunion of facture right femur coded.

 

[ksiva]

hi carolyn,

Malunion fracture of right femur 733.81 905.4

is it necessary that all late effect codes should have 2 codes, questions 11, 12, 16, 20, i am not able to think of a code more than this, above all thanks for your reply and help.

regards,
kamakshi

 

[Laureen]

is it necessary that all late effect codes should have 2 codes

No if you can tell the story of effect and cause in one code then that is fine.

 

[Carolyn Heath]

Just finished checking your answers and here are the results of that checking:

1. Hemiplegia due to previous cerebrovascular accident. 438.20
2. Malunion of fracture right femur. 733.81, 905.4
3. Scoliosis due to old infantile paralysis. 737.30
4. Keloid secondary to injury 9 months ago. 701.4, 908.9
5. Mental retardation due to previous viral encephalitis.319, 139.0
6. Hemiplegia due to previous cerebrovascular accident. 438.20
7. Traumatic arthritis of the right shoulder due to old fracture of right humerus 716.11, 905.2
8. Paralysis of left leg due to old poliomyelitis 138, 344.30
9. Scoliosis due to poliomyelitis at age 12 138, 737.43
10. Patient with residual aphasia due to subdural hemorrhage two years ago who is admitted because of acute cerebral thrombosis would have the following codes 434.00, 438.11
11. Cerebrovascular accident two years ago with residual hemiplegia of the dominant side 438.21
12. Contracture of hip following partial hip replacement one year ago 718.45
13. Traumatic arthritis right ankle following fracture right ankle 716.17, 905.4
14. Cicatricial contracture of left hand due to burn 709.2, 906.6
15. Brain damage following cerebral abscess seven months ago 348.9
16. Flaccid hemiplegia due to old cerebrovascular accident 342.0
17. Bilateral neural deafness resulting from childhood measles 10 years ago 389.12,139.8
18. Mononeuritis median nerve, resulting from previous crush injury to right arm 354.1, 906.4
19. Posttraumatic painful arthritis left hand 716.14,908.6
20. Residuals of previous severe burn left wrist 906.6
21. Locked in state (paralytic syndrome) due to old cerebrovascular accident 344.81, 438.50
The ones that are in red are changes that I have made. 438.20 does not need a second code. 737.43 has certain associated diseases that must be coded first and infantile paralysis is not included in them. Numbers 1 and 6 are identical. 326 is for the late effects of codes 320-325 excluding 320.7, 321.0-321.8, 323.01-323.42, and 323.6-323.7. 326 also has two additional codes to identify the condition that must be coded and 348.9 is not one of them.

Tip: Always read notes and instructions in the coding manuals.

 

[ksiva]

carolyn,

THanks a lot, i would do look at it, and would give more importance in reading notes and instructions

 

[ksiva]

THanks laureen,have clearly understood, late effects coding. In one line no one can explain it better than you.

No if you can tell the story of effect and cause in one code then that is fine.

regards,
kamakshi

 

[Carolyn Heath]

You are so welcome.