230 Chapter 18
ASSIGNMENT 18.2 - CODING MEDICINE REPORTS
Instructions
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the
appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes.
1. CAROTID ULTRASOUND
DIAGNOSIS: Screening exam, risk factors for cardiovascular disease.
Multiple real-time images were made of both carotid arteries from the supraclavicular area to the bifurcation.
The common carotid arteries are of normal caliber bilaterally with no evidence of any plaque formation or
stenosis. The bifurcations are well demonstrated bilaterally and are normal. There is a very tiny calcified
plaque involving the posterior wall of the left carotid artery just proximal to the bifurcation. This is only
about 2 mm in size, and I do not think it is significant
CONCLUSION: Normal carotid ultrasound.
2. ELECTROENCEPHALOGRAM (EEG)

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

Anurse is caring for a client who has nicotine use disorder and asks about taking varenicline. the nurse should identify that which of the following conditions is a contraindication for this medication? a. rheumatoid arthritis b. copd c. anorexia nervosa d. major depressive disorder

Anurse is preparing to administer lidocaine via continuous iv infusion at 4 mg/min. available is lidocaine 2 g dextrose 5% in water 500 ml. the nurse should set the iv pump to deliver how many ml/hr? (round the answer to the nearest whole number. use a leading zero if applicable. do not use a trailing zero.)