• Identify ONE Primary with ICD 10 code diagnosis given the information in part one and part two together.
Include the rationale and a reference for your diagnoses.
• Migraine Headaches (G43.0)- Migraine headaches are the most common type of headaches in the pediatric population. Diagnostic criteria can be complex in pediatrics. Patients often experience headaches that are bilateral and located in the frontal temporal region. It is associated with pulsating pain, nausea, photophobia, phonophobia and aggravated with activity. (Pathostatement) The pathophysiology is often elusive. The cause is often neurovascular and take place in the brain. A type of neuron event can cause an imbalance in the trigeminal system causing inflammation. This type
…show more content…
They are occuring 1-2 times a week. He does not have aura. He is unable to continue tasks when they start. He is also having nausea with the headaches. Light hurts his eyes, and sleep seems to help at times. The patient is not getting enough sleep at night and he is having trouble going to sleep. He describes the pain as pulsating pain in the temporal region. There is no identified trigger.
• Identify any relevant secondary diagnoses (differential diagnoses are eliminated in part two).
Insomnia (ICD 10 G47.00)-(Pathostatement) Insufficent sleep that causes deficits in waking hours (Hysing, Pallesen, Stormark, Lundervold, & Sivertsen, 2013). Rational: Patient states that he has trouble falling asleep. He only sleeps for 5-6 hours.
• Design a first-line treatment plan for your primary diagnoses based on current evidence-based journal articles.
1. Keep a headache journal- log headache days, any triggers, nausea, visual disturbance, and duration of headaches.
2. Triptans are considered first line when OTC medication has not worked. Guidelines recommend the use of combination therapy with triptans and analgesics such as Acetaminophen (Kennis, Kernick, & O 'Flynn, 2013). The patient has not had relief from Ibuprofen or
Why did dizziness accompany his angina? His dizziness which accompanied his angina, was probably caused by the nitroglycerin, and or the consumption of the
The ICD-10 and CPT codes are required to be submitted because the ICD-10 codes represent all diagnosis and the CPT codes represent all procedures performed. In order for the physician to get paid accurately and to be sure that patients are billed for everything they should be billed for they must both be submitted. Adding on, it is unethical to have a procedure done with no diagnosis because at that time the insurance company can choose to deny payment for that procedure without the proper
How ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity
How many times have your ICD-10 leadership team asked themselves the question, are we ready for the conversion? The clock is ticking and there’s very little time left for the healthcare organizations that are behind schedule. On October 1, 2015 the healthcare industry will begin to use, process, and exchange ICD-10. Providers and practices should be preparing themselves for the transition and approaching the implementation with confidence.
Stephanie has become a light sleeper because she has to be alert during the night to make sure that her daughter is not alone when she having a seizure. Stephanie was not always a light sleeper but when her daughter was diagnosed with epilepsy she had to be alert throughout the day. Not being able to sleep some nights leaves Stephanie restless and stressed. Dawn as well has an irregular sleeping pattern, she often falls asleep on the couch after a long day of work and gets about 4 hours of sleep.
Current meds included Suboxone, morphine, amlodipine, maxzide, ecotrin, halfprin, testosterone injection, Norco, and dyazide. He likes his meds and denies craving. He is not receiving PT and is doing HEP. He stated that he is no longer with Kaiser but MediCal. The patient reported constant aching pain in the left knee and has difficulty doing his job.
There are many significant differences between the ICD-9 code set and the ICD-10 code set. ICD-9 codes are 3-5 characters in length, there are approximately 13,000 codes, and the first digit is usually an alphabet (E or V) or a numeric (2-5). ICD-10 codes are 3-7 Characters in length, there are approximately 68,000 codes, digit one is an alpha, digits 2 and 3 are numeric, and digits 4-7 are alpha or numeric. ICD-10 codes are also flexible for adding new codes, whereas ICD-9 codes do not have that flexibility. ICD-10 codes are also more detail oriented and specific than ICD-9 codes.
These headaches would disappear when doing soldierly activities and when he took drugs. At times when the drugs wear off, like when he tries to fall asleep, they come back and haunt him, making him stay awake. " Through my mind’s eye, I would see sparks of flame, flashes of scenes I had witnessed, and the agonizing voices of children and women would come alive in my head. I cried quietly as my head beat like the clapper of a bell. Sometimes after the migraine had stopped, I was able to fall asleep briefly, only to be woken up by nightmares” (Beah 103).
ICD-9 CM is the abbreviation for International Classification of Diseases, 9th edition, Clinical Modification. It is the HIPPA transaction set of codes that is used by hospitals, doctors, and allied health workers to indicate diagnosis for all patient encounters (American College, 2014). These codes are composed by 3-5 numeric characters representing illnesses and conditions, and alphanumeric E codes, describing external causes of injuries, poisonings, and adverse effects; and V codes describe factors influencing health status and contact with health services. ICD-10 will be the 2015 revision of the ICD-9 codes. There is not a big significant change between the codes.
ICD classification of somatoform disorders The International Classification of Diseases (ICD) started as a list of causes of death but the sixth edition started including diseases and injuries. The ICD-6 mentioned psychoneuroses with somatic symptoms and psychoneuroses without anxiety which included hysteria. This was later modified to psychoneuroses with somatic symptoms affecting other systems in ICD-7. The term hysteria was retained in ICD-8[23] and ICD-9[24].
Hello! I 'm sorry I have not been able to come to the Wednesday guard practices but a lot has been going on with my health that I feel I should tell you about in advance. I have been diagnosed with Complex Migraines, with a side effect of vertigo; they are most often heat induced and sometimes last for up to 4 days. Common symptoms I experience are things such as, vertigo, or severe dizziness, nausea, partial loss of vision, most often in my left eye, feeling faint, and debilitating headaches.
First of all, I’d like to explain briefly how sleep works, then I’ll tell you the effects of not sleeping at all and finally, I’ll give you some advice that may help to improve the quality of our sleep. Probably most of you have stayed up all night at least once in your life, owing to several possible reasons, such as that crazy party on your first years of university, or that awful night working against the clock before the submission deadline, or maybe when your babies wouldn’t stop crying all night. And it wouldn’t be unlikely that you hadn’t had time to get a proper sleep the next morning since you had to go to work or to class or wherever. Then you were bond to face this tricky dilemma:
How to get rid of a sinus headache Many people suffer from headaches, and is not usually a sign of a serious or life-threatening illness. But they can be very painful, and the best way to cure a headache often depends on what is causing this. Sinus problems, headaches, which may lead to severe. They are mainly due to pressure build up in your sinuses when you have swelling and mucous membranes secrete mucus properly. This type of inflammation is a tumor (benign or malignant), a rare bone infection and in rare cases, allergy, may be due to an infection, or in the upper teeth.
The first and the most frequent I dealt with was from stress. Rather it be from a long day of work, paying bills or just from the day to day routines of being a husband and dad. I found myself planning out in my head ways I could do things differently to help issues going on with my kids or solving problems at work as well as connecting the dots to ensure enough money is in our bank account to verify everything gets paid this month. A report from the American Psychology Association states “findings show that stress may be getting in the way of quality sleep. American adults report sleeping an average of 6.7 hours a night — less than the minimum recommendation of seven to nine hours.
I. Introduction: Almost everyone has had a headache. Headache is most common disorder of nerves system. It has estimated that 47% of adult populations have a headache. II.