Rasmussen HIM1126 2020 April All Modules Coding Worksheets Latest

HIM1126 ICD-PCS Coding

Module 1 Coding Worksheet

1. Refer to the 0HH table in your code book. Which of the following is an invalid PCS code?

a. 0HHPXYZ

b. 0HHT71Z

c. 0HHT0ZZ

d. 0HHW3NZ

2. Which approach value is selected for a laparoscopic appendectomy?

                a. 0- open

                b. 3- percutaneous

                c. 4- percutaneous endoscopic

                d. 8- via natural or artificial opening endoscopic

3. Which coding guideline describes the body part values for bypass procedures?

                a. B3.4a

                b. B3.6a

                c. B3.7

                d. B3.11a

4. Using the coding table below, choose the  code for a Bronchoscopy.  (Be sure you know how a Bronchoscopy is done and what body part is involved.)

                ?           0BJ14ZZ

                ?           0BJ08ZZ

                ?           0BJ04ZZ

                ?           0BJ07ZZ

                0   Medical and Surgical

                BRespiratory System

                JInspection

Body Part Character 4	Approach Character 5	Device Character 6	Qualifier Character 7
0   Tracheobronchial Tree 1   Trachea K   Lung, Right L   Lung, Left Q   Pleura T   Diaphragm	0   Open 3   Percutaneous 4   Percutaneous Endoscopic 7   Via Natural or Artificial Opening 8   Via Natural or Artificial Opening, Endoscopic X   External	Z   No device	Z   No Qualifier

 

5.            Using the coding table below, choose the  code for Mediastinoscopy.  (Be sure you know what this procedure is and what body part is involved.)

                ?0WJCXZZ

                ?0WJC4ZZ

                ?0WJQ7ZZ

                ?0WJ80ZZ

                0   Medical and Surgical

                W Anatomical Regions, General

                J   Inspection

Body Part Character 4	Approach Character 5	Device Character 6	Qualifier Character 7
0  Head 2   Face 3   Oral Cavity and Throat 4   Upper Jaw 5   Lower Jaw 6   Neck 8   Chest Wall F   Abdominal Wall K   Upper Back L   Lower Back M   Perineum, Male N   Perineum, Female	0   Open 3   Percutaneous 4   Percutaneous Endoscopic X   External	Z   No device	Z   No Qualifier
1   Cranial Cavity 9   Pleural Cavity, Right B   Pleural Cavity, Left C   Mediastinum D   Pericardial Cavity G   Peritoneal Cavity H   Retroperitoneum J   Pelvic Cavity	0   Open 3   Percutaneous 4   Percutaneous Endoscopic	Z   No device	Z   No Qualifier
P   Gastrointestinal Tract Q   Respiratory Tract R   Genitourinary Tract	0   Open 3   Percutaneous 4   Percutaneous Endoscopic 7   Via Natural or Artificial Opening 8   Via Natural or Artificial Opening, Endoscopic	Z   No device	Z   No Qualifier

Code the following procedure statements using ICD 10 PCS codes.

One code is required for each statement. Each  code is worth one point.

6.Laryngoscopy with removal of polyps on the left vocal cord ______________

7. Laparoscopic cholecystectomy (entire gallbladder removed) _______________

8. A patient with undescended testes has an open bilateral orchiopexy _____________

9. Percutaneous control of bleeding at operative site after a procedure done on the right lower arm ____________

10. Repair of sclera, right eye ________

 

 

 

HIM1126 ICD-PCS Coding

Module 2 Coding Worksheet

HIM1126Cfw ICD 10 PCS Module 02 Coding Worksheet

1.            Use the following documentation to fill in the blanks given below:  “A colostomy was performed from the sigmoid colon all the way to the abdominal wall.”   Fill in the blank with the written description of the character value, not the letter or number.

A.            The section is ___________________

B.            The body system is _______________

C.            The root operation is ______________

D.            The body part is __________________

E.            The approach is __________________

F.            The device is _____________________

G.           The qualifier is ___________________

                                                

2.            Locate the table 0WU in your code book and finish building the code for the following documentation: “A laparoscopic ventral hernia repair with Paritex mesh.”

Complete the last four characters of the code.   0WU_____________

Code the following nervous system procedure statements using ICD 10 PCS codes.

One code is required for each statement. Each  code is worth one point.

3.            Carpal tunnel release, right, percutaneous endoscopic approach

4.            Neurorrhaphy of tibial nerve, left, open approach

5.            Mapping of the cerebellum , open approach

6.            Suture ulnar nerve, left, open approach

7.            Diagnostic excisional biopsy of a facial nerve tumor, open approach

8.            Removal of bullet fragment from facial nerve, open

9.            Spinal cordotomy, thoracic, open approach

10.          Replacement of drainage tube of burr hole (into brain)

 

 

 

HIM1126 ICD-PCS Coding

Module 3 Coding Worksheet

HIM1126Cfw Module 03 Coding Worksheet

Code the following procedures.  The first 15 are brief statements of documentation worth 1 point for each  code.  Each statement requires one code. The last 3 are case studies and are worth five points each.  Partial credit for in codes in the case studies may be given at the discretion of the instructor. There is a total of 30 points possible.  Place your answers in this word document and submit to the drop box when complete.

1.            Open excision of the entire right axillary lymph node chain. The PCS code for this procedure is: ___________.

2.            Bone marrow aspiration biopsy obtained via needle from posterior iliac crest, left side. The PCS code for this procedure is: _____________.

3.            Repair of laceration sclera of right eye.   The PCS code for this procedure is: _____________.

4.            A patient has a bronchoscopy for diagnostic purposes.  The PCS code for this procedure is: ________.

5.            A patient had a gastroscopy done for diagnostic purposes.The PCS code for this procedure is:  ________.

6.            A patient had an open colostomy performed from the descending colon to the abdominal wall.  The PCS code for this procedure is: _________________

7.            The patient had the distal portion of the right lower (inferior) parathyroid removed using an open approach. The PCS code for this procedure is: _______________.

8.            A patient had a portion of the pancreas removed for biopsy via FNA (fine needle aspiration).  The PCS procedure code for this procedure is:  ___________.

9.            A mitral valve replacement is done using a porcine valve via a sternotomy. The PCS code for this procedure is: ___________.

10.          Harvesting of the right internal mammary artery (to be used for a graft), open approach. The PCS code for this procedure is: __________.

 

 

 

HIM1126 ICD-PCS Coding

Module 4 Coding Worksheet

Code the following procedures.  The first 15 are brief statements of documentation worth 1 point for each  code.  Each statement requires one code. The last 3 are case studies and are worth five points each.  Partial credit for in codes in the case studies may be given at the discretion of the instructor. There is a total of 30 points possible.  Place your answers in this word document and submit to the drop box when complete.

1.            Removal of foreign body from third metatarsal joint left foot, open approach. Click here to enter text.

2.            Incision and drainage of abscess, ankle joint, right. Click here to enter text.

3.            Percutaneous biopsy of right gastrocnemius muscle. Click here to enter text.

4.            Open repair of ruptured right deltoid muscle. Click here to enter text.

5.            Open reduction of a displaced right pisiform fracture. Click here to enter text.

6.            Left reverse shoulder replacement, metal on polyethylene. Click here to enter text.

7.            Left ureter surgically ligated to prevent further hemorrhage, open approach. Click here to enter text.

8.            Extracorporeal shock wave lithotripsy (ESWL) of large bladder stone. Click here to enter text.

9.            Retropubic total prostatectomy. Click here to enter text.

10.          Laparoscopic bilateral tubal ligation using Falope ring. Click here to enter text.

 

 

 

HIM1126 ICD-PCS Coding

Module 5 Coding Worksheet

Code the following procedures.  The first 15 are brief statements of documentation to code for 1 point each.  The last 3 are case studies and are worth five points each.  Partial credit for in codes in the case studies may be given at the discretion of the instructor. There is a total of 30 points possible.  Place your answers in this word document and submit to the drop box when complete.

1.            Insertion of a monitoring electrode for the baby’s heartbeat into the mother via a natural opening.   ________

2.            The nurse changed the monitoring electrode for the products of conception via a natural opening. _________

3.            Acupuncture through skin of right arm, without anesthesia_______

4.            Amniocentesis for diagnostic purposesdone using a percutaneous approach. ______

5.            Low dose rate brachytherapy to testes using Iridium ________

6.            Patient presented to the ER with a non-displaced fracture of the left radius. The ER physician applied a cast to the patient’s left arm.________

7.            The patient was kept on a ventilator for 31 hours after surgery and then extubated.  (Code only the ventilation.) _________

8.            CPR (Cardiopulmonary Resuscitation) was performed on the patient using defibrillation. _________

9.            A patient with ESRD (End Stage Renal Disease) received dialysis.  The dialysis was performed once during the hospital stay for four hours. _______

10.          A patient with suspected obstructive sleep apnea completed a 48 hr. sleep study _________