Then, in
1–2 pages address the following. You may add your narrative answers to these
questions to the bottom of the case scenario document and submit altogether as
one document.
•Explain what pertinent information,
generally, is required in documentation to support DSM-5-TR and ICD-10 coding.
• Explain what pertinent
documentation is missing from the case scenario, and what
other information would be helpful to narrow your coding and billing option
• Finally, explain how to improve
documentation to support coding and billing for maximum reimbursement.
• Use APA format 7th edition with at least 3
references dated within the last 5 years. Complete the attached template in its
entirety. Template and Example is attached.
PTSD diagnostic criteria:
Exposure to or witnessing of
others' death, severe injuries, or undergoing emotional or sexual torture.
Distressing memories regarding
the situation
Distressing, persistent, and
recurrent dreams regarding the events
Dissociative reactions.
Avoidance of thoughts, places,
or people that trigger the memories
Negative impact on mood and
cognitive alterations following the situation,
Experiencing the disturbances
for more than one month.
Specify the dissociative
symptoms or delayed expression
Other factors include:
Assessing the prevalence,
development and course, prognostic and risk factors, cultural issues, gender
and sex issues, comorbidity, and whether the disorder leads to suicidal
behaviors or thoughts.