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Understanding ICD-10-CM and ICD-10-PCs: A Worktext
(9781435481589)
I need help with these please. thanks

Week #3
1. Chapter 24 Case 1
Physician office note
The patient's wife brought the patient to my office after the patient tried to separate a raccoon and their dog, which were fighting. While trying to separate the animals, the patient was bitten. He is not sure whether the raccoon or the dog bit him.
Exam:
The patient's left forearm has bite marks on it. The wound is bleeding and is deep, and there is tendon involvement.
The nurse cleaned the wound, and a Tetanus shot was given. Because the wound is deep and there is tendon involvement, I called Dr. Black for a surgical consult. The wound was dressed to control the bleeding.
ICD-10-CM code assignment: _____, Main Term:_____ (Points : 10)
2. Chapter 24 Case 2
ER note
Chief Complaint: This two-year-old patient presents with a cut on his face.
History of present illness: patient fell off a kitchen chair and struck his face on the seat of the chair.
Vital Signs: Pulse 117, Respirations 28, BP103/43
Respiratory: Airway clear.
Breath sounds: clear
Skin: 1.5 cm laceration to the forehead.
Laceration repair note: The patient was papoosed with his mother's knowledge and presence. The wound was injected with 2% plain Lidocaine, and the wound edges were approximated with three #6-0 nylon sutures.
The patient was sent for an x-ray to rule out any facial bone fractures.
Plan: follow-up with family position in one week.
ICD-10-CM code assignment: _____, Main Term:_____ (Points : 10)
3. Chapter 24 Case 3
Chief complaint: pain in her right arm.
History of present illness: this 39-year-old female was carrying groceries into her house when she slipped on ice and fell. She landed on her right side and on her arm.
Exam: extremities: her right arm is swollen, and it appears to be broken due to its abnormal appearance.
An in-office X-ray was completed and that showed a complete fracture of the shaft of the humerus. Patient was referred to Dr. Break, the orthopedic surgeon on call. Patient was sent to Dr. Break's office.
ICD-10-CM code assignment:_____, Main Term:_____ (Points : 10)
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