Kenya (previous scenario) didn’t want to give away her new kitten, so Dr. Beech prepared the
allergenic extract and began immunotherapy injections. She received the first injection today.
Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic Index
What type of procedure - Allergen immunotherapy
What type - Allergenic extracts injectionr
How many injections - 1
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there an additional notation - No
If so does the notation apply - No
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code - 95120
Overall Feedback:
95120: Index>allergen immunotherapy>allergenic extracts>injection and provision
Angie Ullman, a 7-year-old female, is brought into the ER by her parents due to a painful rash on
her legs. The ER physician documents a temperature of 101 F and admits Angie to the hospital
with the diagnosis of severe poison ivy. Angie’s mother admitted she was walking their dog at
the local park this morning and must have come in contact with the poison ivy there.
Explanation
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 – Dermatitis
What type – Contact
What type – Allergic
Due to – Plants, non-food
Do any of the following apply to the condition – None of these
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 – L23.7
Second diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term – Contact
With – Plant leaves
Do any of these apply to the condition – Initial encounter
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 - No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - Yes
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – W60.XXXA
Third diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the Place of Occurrence – Park
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 notation 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 notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1
Is there an Excludes2 notation – No Excludes2
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 – Y92.830
Fourth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term - Activity
What type – Walking an animal
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 notation 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 – No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
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 – Y93.K1
, Fifth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term - Status
What type - Leisure activity
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 notation 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 – No
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 – Y99.8
Overall Feedback:
L23.7: Dermatitis>contact>allergic>due to>plants, non-food
W60.XXXA: External cause index>contact>plant>leaves>initial encounter
Y92.830: External cause index>place of occurrence>park
Y93.K1: External cause index>activity>walking>an animal
Y99.8: External cause index>status>leisure activity
Mark Gamble, a 57-year-old male, presents with a low fever and right ear pain. Dr. Martin
completes an examination with otoscope, which confirmed a moderately bulging, nonperforated,
right tympanic membrane; left tympanic membrane is noted to be within normal limits. Dr.
Martin also notes this is the third bout this year. Mark is diagnosed with acute suppurative otitis
media, recurrent, right 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 – Otitis
What is the location – media
Do any of the following apply to the condition – Suppurative
Do any of the following apply to the condition – Acute
Do any of the following apply to the condition – Recurrent
What is the laterality - Right
allergenic extract and began immunotherapy injections. She received the first injection today.
Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic Index
What type of procedure - Allergen immunotherapy
What type - Allergenic extracts injectionr
How many injections - 1
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there an additional notation - No
If so does the notation apply - No
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code - 95120
Overall Feedback:
95120: Index>allergen immunotherapy>allergenic extracts>injection and provision
Angie Ullman, a 7-year-old female, is brought into the ER by her parents due to a painful rash on
her legs. The ER physician documents a temperature of 101 F and admits Angie to the hospital
with the diagnosis of severe poison ivy. Angie’s mother admitted she was walking their dog at
the local park this morning and must have come in contact with the poison ivy there.
Explanation
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 – Dermatitis
What type – Contact
What type – Allergic
Due to – Plants, non-food
Do any of the following apply to the condition – None of these
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 – L23.7
Second diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term – Contact
With – Plant leaves
Do any of these apply to the condition – Initial encounter
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 - No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
Is there a symbol indicating additional characters are required - Yes
Do you need to use the placeholder “X” - Yes
Did you code to the highest level of specificity - Yes
What is the correct diagnosis code – W60.XXXA
Third diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the Place of Occurrence – Park
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 notation 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 notation
Is there an Excludes1 notation – No
If so does the Excludes1 note apply to the case study – No Excludes1
Is there an Excludes2 notation – No Excludes2
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 – Y92.830
Fourth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term - Activity
What type – Walking an animal
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 notation 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 – No
If so does the Excludes2 note apply to the case study – No Excludes2 notation
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 – Y93.K1
, Fifth diagnosis:
Where should you begin to look up the code in the coding manual – External cause of injuries
index
What is the key term - Status
What type - Leisure activity
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 notation 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 – No
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 – Y99.8
Overall Feedback:
L23.7: Dermatitis>contact>allergic>due to>plants, non-food
W60.XXXA: External cause index>contact>plant>leaves>initial encounter
Y92.830: External cause index>place of occurrence>park
Y93.K1: External cause index>activity>walking>an animal
Y99.8: External cause index>status>leisure activity
Mark Gamble, a 57-year-old male, presents with a low fever and right ear pain. Dr. Martin
completes an examination with otoscope, which confirmed a moderately bulging, nonperforated,
right tympanic membrane; left tympanic membrane is noted to be within normal limits. Dr.
Martin also notes this is the third bout this year. Mark is diagnosed with acute suppurative otitis
media, recurrent, right 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 – Otitis
What is the location – media
Do any of the following apply to the condition – Suppurative
Do any of the following apply to the condition – Acute
Do any of the following apply to the condition – Recurrent
What is the laterality - Right
