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Clinical Coding Workout 2012 .... help please? - DJ


Posted: Mar 05, 2015

Hi everyone,
I'm studying for practice as well as for an upcoming CCS Exam
I have the 2012 book with answers but I'm getting a contradiction in answers between pgs. 274 & 357. for the same conditions. Both Behavioral Health sections.
** Case Studies from Inpatient Health Records (p 274) Behavioral Health Condition #7.26
It reads,  ".. a 26 y/o white male was admitted after being transferred  from the outpatient evaluation service with severe homicidal and suicidal ideation. Admitting diagnosis  was severe major depressive disorder with psychotic features..."
Answer: A 296.24 (Depressive, affective 296.2x --> 296.24), V62.84 (Ideation, suicidal)
** Case Studies from Ambulatory Health Records (p. 357) Behavioral Health Conditions.
It reads,  ".. a 26 y/o white male was admitted after being transferred  from the outpatient evaluation service with severe homicidal and suicidal ideation. Admitting diagnosis  was severe major depressive disorder with psychotic features..."
Answer: A 296.24 (Depressive, affective)
---  Why is suicidal ideation left out of the Amb Health record, but not the Inpatient record? 

Hi everyone,I'm studying for practice as well as for an upcoming CCS Exam
I have the 2012 book with answers but I'm getting a contradiction in answers between pgs. 274 & 357. for the same conditions. Both Behavioral Health sections.

** Case Studies from Inpatient Health Records (p 274) Behavioral Health Condition #7.26

It reads,  ".. a 26 y/o white male was admitted after being transferred  from the outpatient evaluation service with severe homicidal and suicidal ideation. Admitting diagnosis  was severe major depressive disorder with psychotic features..."

Answer: A 296.24 (Depressive, affective 296.2x --> 296.24), V62.84 (Ideation, suicidal)
------------------------------
** Case Studies from Ambulatory Health Records (p. 357) Behavioral Health Conditions.

It reads,  ".. a 26 y/o white male was admitted after being transferred  from the outpatient evaluation service with severe homicidal and suicidal ideation. Admitting diagnosis  was severe major depressive disorder with psychotic features..."

Answer: A 296.24 (Depressive, affective)

---  Why is suicidal ideation left out of the Amb Health record, but not the Inpatient record? 

 

Thanks Much

No particular reason - sm

[ In Reply To ..]
They did not include homicidal ideation, either.

There is no particular reason to leave out one or the other. It was just inconsistency.

If you coded all three or two, you were correct.


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