5.7 Coding and UHDDS Subdomain V.B.1 Analyze current regulations and established guidelines in clinical classification systems You have agreed to accept an HIM student for their professional practice experience at you facility. Today you are working on coding. You are giving feedback on the codes that the student assigned for the following scenario. Explain in detail, by tying your feedback to the Uniform Hospital Discharge Data Set and reimbursement, justify what the correct coding should be. Patient: John Smith MR#121212 Acct. 000633553 Patient came to ER complaining of chest pain. EKG and labs, including troponin levels, were performed. Nitroglycerin was administered and oxygen therapy initiated. Results of the tests indicated the patient was having an anterior wall myocardial infarction. Patient was taken to the cath lab for immediate Mgte besserangioplasty. Following the percutaneous coronary intervention, the patient was admitted to the floor. He was monitored z continuously. Beta blockers and Coumadin therapy were begun. The patient's hypertension was addressed and he received medication for low potassium Tevels as well. His diabetes was managed by medication and diet with no significant issues during the admission. After four days the patient was discharged home to continue his medication regime and begin cardiac rehab. Codes assigned by student: Px Dx: R07.9 110 E87.6 121.09 E11.9 PX Px 02703ZZ 5.7 Coding and UHDDS Subdomain V.B.1 Analyze current regulations and established guidelines in clinical classification systems You have agreed to accept an HIM student for their professional practice experience at you facility. Today you are working on coding. You are giving feedback on the codes that the student assigned for the following scenario. Explain in detail, by tying your feedback to the Uniform Hospital Discharge Data Set and reimbursement, justify what the correct coding should be. Patient: John Smith MR#121212 Acct. 000633553 Patient came to ER complaining of chest pain. EKG and labs, including troponin levels, were performed. Nitroglycerin was administered and oxygen therapy initiated. Results of the tests indicated the patient was having an anterior wall myocardial infarction. Patient was taken to the cath lab for immediate Mgte besserangioplasty. Following the percutaneous coronary intervention, the patient was admitted to the floor. He was monitored z continuously. Beta blockers and Coumadin therapy were begun. The patient's hypertension was addressed and he received medication for low potassium Tevels as well. His diabetes was managed by medication and diet with no significant issues during the admission. After four days the patient was discharged home to continue his medication regime and begin cardiac rehab. Codes assigned by student: Px Dx: R07.9 110 E87.6 121.09 E11.9 PX Px 02703ZZ