George McKeown, a 65-year-old male, presents with pain around his right eye and sensitivity to bright light. Dr. Zabawa notes redness of the eye and sagging skin around the lower eyelid. George is diagnosed with entropion of the right eye, lower eyelid……H02.002 Principal diagnosis: Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries What is the key term – Entropion What is the anatomical site – Eye What is the laterality – Right Do any of the following apply to the condition – Lower eyelid Do any of the following apply to the condition – Unspecified Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - No If so does the Includes note help to clarify – No Includes notation Is there a Code first notation - No If so does the Code first note apply to the case study – No Code first notation Is there a Code also notation – No If so does the Code also note apply to the case study – No Code also notation Is there a Use additional code notation – No If so does the Use additional code note apply to the case study – No Use additional code notation Is there an Excludes1 notation – Yes If so does the Excludes1 note apply to the case study – No Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study – No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code – H02.002 Overall Feedback: H02.002: Entropion>right>lower Rosa Fuller, a 24-year-old female, presents with ear pain. Dr. Rider documents a thick greyish-white matter. After a thorough examination, Rosa is diagnosed with diffuse otomycosis, external ear. Principal diagnosis: Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries What is the key term – Otomycosis What is the location – external Do any of the following apply to the condition – None of these Is there a manifestation code - Yes Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - Yes If so does the Includes note help to clarify – Yes Is there a Code first notation - No If so does the Code first note apply to the case study – No Code first notation Is there a Code also notation – No If so does the Code also note apply to the case study – No Code also notation Is there a Use additional code notation – Yes If so does the Use additional code note apply to the case study – No Is there an Excludes1 notation – Yes If so does the Excludes1 note apply to the case study – No Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study – No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No
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