Close
Varicose vein of heel and mid-foot with presence of ulceration and swelling
Premature menopause with headache
Acute myocardial infarction of the anterolateral wall
Subsequent encounter for obesity resulting from the prescription drug Tryptanol®
Crohn’s disease of ileum with rectal bleeding and abscess
Bilateral central corneal ulcer
Severe generalized abdominal pain with abdominal rigidity
Female with bilateral breast cancer of lower outer quadrant
Acute nonsuppurative otitis media of the right ear
Initial encounter for concussion and edema of the thoracic spine
Initial encounter for third degree burn of the right thigh by gasoline to fifteen percent of the total body surface area
CODING SCENARIO
While chopping vegetables in the kitchen of his mobile home for the local food bank’s Thanksgiving dinner, John Doe lacerated his right thumb causing injury to the nail.
Borderline glaucoma
Congestive heart failure due to hypertension
HIV positive status without symptom
Urinary frequency
Morbid obesity with a BMI of 42 in an adult
Congenital red cell aplastic anemia
Cleft palate involving both the soft and hard palate with bilateral cleft lip
Severe persistent asthma with acute exacerbation
Fatigue fracture of vertebra, lumbar region, and subsequent encounter for fracture with delayed healing
Interstitial cystitis due to E. coli with hematuria
Sleep-related teeth grinding
Non-conclusive HIV-test finding in infants
CODING SCENARIO
Jane and John Doe were shopping at the mall the day after Thanksgiving to take advantage of the sales. While rushing for the newest iPhone, John fell down the stairs. Thankfully, John sustained only minor abrasions to his right elbow.
Routine infant or child health check
Acquired loss of teeth due to trauma, partial
Influenzal myocarditis
Elevated fasting triglycerides
Hungry bone syndrome
Primary open-angle glaucoma, moderate stage in left eye and mild stage in right eye
Dorsal somatic dysfunction
Invasive ductular carcinoma of breast, completely excised
Decompensated COPD with (acute) exacerbation
Concussion without loss of consciousness, initial encounter with neck pain
CODING SCENARIO
A 16-year-old student was at the gymnasium participating in a dancing contest to raise money for her class. She slipped on the gym floor and fell, injuring her left ankle. After she visited the emergency room, it was determined that she did not fracture her ankle. However, she did suffer a sprain to that ankle.
Atrial tachycardia
Irregular astigmatism of both eyes
Shaken infant syndrome, initial encounter
Painful respiration
Neonatal esophageal reflux
Twin pregnancy, one placenta, two amniotic sacs, third trimester with complication of gestational hypertension
Lisping
Subacute monocytic leukemia, in remission
Neoplasm of uncertain behavior of the nasal cavities
Benign carcinoid tumor of the small intestine
Atypical chest pain due to angina
CODING SCENARIO
Due to ailing health, Jane’s grandfather will be moving in with her in a few months. To understand what care is needed, Jane escorted her grandfather to his doctor appointment for the first time. The doctor told Jane that her grandfather was being treated for mild nonproliferative diabetic retinopathy with macular edema. He has type 2 diabetes and takes insulin on a daily basis. He has also developed diabetic cataract in his right eye.
