Name:______ This assignment will be worth 45 points.
Part I Instructions (Part I of II):
Review the following cases. Select and code the principal diagnosis and all significant secondary diagnoses, as well as the principal procedure and secondary procedures as applicable. Use the computer (encoder and grouper) for this assignment. You may use your coding book to locate the codes if you don’t feel comfortable enough with the encoder yet. Once you obtain your correct codes, you can input them directly into the Summary screen to calculate the DRG. ** There is no correlation between the number of spaces provided and the number of codes!!
Use the following admission/discharge dates for all: 1/10/xx—1/15/xx. All will have a Discharge Status of Home. Be sure the payer is St. Vincent Hospital and all are classified as Inpatients.
In addition, designate whether or not the diagnoses were present on admission (Y for “yes” or N for “no”).
Incomplete or incorrect information will result in a 1 point deduction for each.
1. Patient was a 66 year old male admitted for excision of malignant melanoma, base of the skull. The day after admission a wide excision of scalp with split thickness skin graft and bilateral radical cervical lymph node dissection was performed.
Principal Dx Code: 172.4 POA: Y Secondary Dx Code(s) & POAs:
Principal Proc. Code:86.69 Secondary Proc. Code(s):01.6 & 40.42
DRG:00578 Weight: 0.99250
Payment:6,049.53 MLOS1: 2.4000
2. Patient was an 85 year old male with a long history of benign prostatic hypertrophy. He was admitted and scheduled for a transurethral resection of the prostate. However, the night before surgery, he fell out of the hospital bed and fractured his right hip (right femoral neck). This required an unexpected trip to the operating room for open reduction and internal fixation of the fracture. While in the operating