Questions On Medical Codes

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1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting.
The difference between the official coding guidelines for using V codes in an inpatient and outpatient setting is the guidelines for an outpatient setting indicates code sequencing for physician office and clinical encounters. V codes also may be used as the principal and secondary diagnosis in the inpatient setting compared to those that may be as the first listed or secondary diagnosis in the outpatient setting. The most important difference in the official guidelines of V codes is that the definition of principal diagnosis applies only to inpatients in acute, short-term, general hospitals. This means that the V coding
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2. Why would a coder want to take special precaution when coding the diagnosis of human immunodeficiency virus or acquired immunodeficiency syndrome?
When coding the diagnosis of HIV or AIDS, the coder should first verify with the physician that the diagnosis is accurate. The coder should also remember the patient behind the codes and must realize that a wrong code placed on a patient’s chart can affect the patient’s insurance coverage, employment, and life.

3. If a patient suffers multiple burns, describe the correct coding sequence.
To correctly code sequence for multiple burn is to first sequence the highest degree of burn. Then, classify burns of the same local site, but if different degrees to the subcategory identifying the highest degree recorded in the diagnosis. Take note that non-healing burns are coded as acute burns and necrosis of burned skin should be coded as a non-healed burn. Assign any codes whether the burns are infected, if the location of the burns are not documented, not elsewhere classified, not specified, or when there is a need for additional data. Lastly, encounters for the treatment of the late effects of burns should be coded to the residual condition by the appropriate late effect code.

4. What is the result of an erroneous coding of a neoplasm?
An incorrect malignancy coded on a patient’s chart can cause long-term problems, such as the loss of