NRNP 6675 WEEK 2 Assignment 1: Evaluation and Management

NRNP 6675 WEEK 2 Assignment 1: Evaluation and Management


Pathways Mental Health

Psychiatric Patient Evaluation

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  Use the following case template to complete Week 2 Assignment 1. On page 5, assign DSM-5 and ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.

Identifying Information

  Identification was verified by stating of their name and date of birth.

Time spent for evaluation: 0900am-0957am

Chief Complaint

  “My other provider retired. I don’t think I’m doing so well.”


  25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.

Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking.  Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.

Diagnostic Screening Results

  Screen of symptoms in the past 2 weeks:

PHQ 9= 0 with symptoms rated as no difficulty in functioning
Interpretation of Total Score
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression

GAD 7= 2 with symptoms rated as no difficulty in functioning
Interpreting the Total Score:
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety

MDQ screen negative

PCL-5 Screen 32

Past Psychiatric and Substance Use Treatment

  ·         Entered mental health system when she was age 19 after raped by a stranger during a house burglary.

·         Previous Psychiatric Hospitalizations:  denied

·         Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015

·         Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)

·         Previous mental health diagnosis per client/medical record: GAD, Unspecified Trauma, PTSD, Stimulant use disorder, ADHD confirmed by school records

Substance Use History


Have you used/abused any of the following (include frequency/amt/last use):

Substance Y/N Frequency/Last Use
Tobacco products Y ½
ETOH Y last drink 2 weeks ago, reports drinks 1-2 times monthly one drink socially
Cannabis N  
Cocaine Y last use 2015
Prescription stimulants Y last use 2015
Methamphetamine N  
Inhalants N  
Sedative/sleeping pills N  
Hallucinogens N  
Street Opioids N  
Prescription opioids N  
Other: specify (spice, K2, bath salts, etc.) Y reports one-time ecstasy use in 2015


Any history of substance related:

·         Blackouts:  +

·         Tremors:   –

·         DUI: –

·         D/T’s: –

·         Seizures: –

Longest sobriety reported since 2015—stayed sober maintaining sponsor, sober friends, and meetings

Psychosocial History

  Client was raised by adoptive parents since age 6; from Russian orphanage. She has unknown siblings. She is single; has no children.

Employed at local tanning bed salon

Education: High School Diploma

Denied current legal issues.

Suicide / HOmicide Risk Assessment


·         Suicidal Ideas or plans – no

·         Suicide gestures in past – no

·         Psychiatric diagnosis – yes

·         Physical Illness (chronic, medical) – no

·         Childhood trauma – yes

·         Cognition not intact – no

·         Support system – yes

·         Unemployment – no

·         Stressful life events – yes

·         Physical abuse – yes

·         Sexual abuse – yes

·         Family history of suicide – unknown

·         Family history of mental illness – unknown

·         Hopelessness – no

·         Gender – female

·         Marital status – single

·         White race

·         Access to means

·         Substance abuse – in remission



·         Absence of psychosis – yes

·         Access to adequate health care – yes

·         Advice & help seeking – yes

·         Resourcefulness/Survival skills – yes

·         Children – no

·         Sense of responsibility – yes

·         Pregnancy – no; last menses one week ago, has Norplant

·         Spirituality – yes

·         Life satisfaction – “fair amount”

·         Positive coping skills – yes

·         Positive social support – yes

·         Positive therapeutic relationship – yes

·         Future oriented – yes


Suicide Inquiry: Denies active suicidal ideations, intentions, or plans. Denies recent self-harm behavior. Talks futuristically. Denied history of suicidal/homicidal ideation/gestures; denied history of self-mutilation behaviors


Global Suicide Risk Assessment: The client is found to be at low risk of suicide or violence, however, risk of lethality increased under context of drugs/alcohol.


No required SAFETY PLAN related to low risk

Mental Status Examination

  She is a 25 yo Russian female who looks her stated age. She is cooperative with examiner. She is neatly groomed and clean, dressed appropriately. There is mild psychomotor restlessness. Her speech is clear, coherent, normal in volume and tone, has strong cultural accent. Her thought process is ruminative. There is no evidence of looseness of association or flight of ideas. Her mood is anxious, mildly irritable, and her affect appropriate to her mood. She was smiling at times in an appropriate manner. She denies any auditory or visual hallucinations. There is no evidence of any delusional thinking. She denies any current suicidal or homicidal ideation. Cognitively, She is alert and oriented to all spheres. Her recent and remote memory is intact. Her concentration is fair. Her insight is good.

Clinical Impression

  Client is a 25 yo Russian female who presents with history of treatment for PTSD, ADHD, Stimulant use Disorder, in remission.

Moods are anxious and irritable. She has ongoing reported symptoms of re-experiencing, avoidance, and hyperarousal of her past trauma experiences; ongoing subsyndromal symptoms related to her past ADHD diagnosis and exacerbated by her PTSD diagnosis. She denied vegetative symptoms of depression, no evident mania/hypomania, no psychosis, denied anxiety symptoms. Denied current cravings for drugs/alcohol, exhibits no withdrawal symptoms, has somatic concerns of GI upset and headaches.

At the time of disposition, the client adamantly denies SI/HI ideations, plans or intent and has the ability to determine right from wrong, and can anticipate the potential consequences of behaviors and actions. She is a low risk for self-harm based on her current clinical presentation and her risk and protective factors.

Diagnostic Impression


[Student to provide DSM-5 and ICD-10 coding]

i.            Posttraumatic Stress Disorder (PTSD) DSM-5 309.81; ICD-10: F43. 10

ii.            Attention-Deficit Hyperactivity Disorder DSM-5 314.01; ICD-10: F90. 0

Treatment Plan

  1)       Medication:

·         Increase fluoxetine 40mg po daily for PTSD #30 1 RF

·         Continue with atomoxetine 80mg po daily for ADHD.  #30 1 RF

Instructed to call and report any adverse reactions.

Future Plan: monitor for decrease re-experiencing, hyperarousal, and avoidance symptoms; monitor for improved concentration, less mistakes, less forgetful


2)       Education: Risks and benefits of medications are discussed including non-treatment. Potential side effects of medications discussed. Verbal informed consent obtained.

Not to drive or operate dangerous machinery if feeling sedated.

Not to stop medication abruptly without discussing with providers.

Discussed risks of mixing  medications with OTC drugs, herbal, alcohol/illegal drugs. Instructed to avoid this practice. Praised and Encouraged ongoing abstinence. Maintain support system, sponsors, and meetings.

Discussed how drugs/ETOH affects mental health, physical health, sleep architecture.


3)       Patient was educated about therapy and services of the MHC including emergent care. Referral was sent via email to therapy team for PET treatment.


4)       Patient has emergency numbers: Emergency Services 911, the national Crisis Line 800-273-TALK, the MHC Crisis Clinic. Patient was instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal.


5)       Time allowed for questions and answers provided. Provided supportive listening. Patient appeared to understand discussion and appears to have capacity for decision making via verbal conversation.


6)       RTC in 30 days


7)       Follow up with PCP for GI upset and headaches, reviewed PCP history and physical dated one week ago and include lab results

Patient is amenable with this plan and agrees to follow treatment regimen as discussed.



Narrative Answers

DSM-5 refers to the standard diagnostic manual published by the American Psychiatric Association (APA) and contains the criteria and definitions of mental disorders. The ICD-10 is a system used by healthcare providers in the United States to classify and code all symptoms, diagnoses, and procedures performed jointly with hospital care (Regier & Narrow, 2018). Providers must assign an ICD-10 code when submitting claims or giving clients receipts for insurance reimbursement.



[In 1-2 pages, address the following:

·         Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

The documentation needed to support DSM V coding includes diagnostic features, associated features supporting the diagnosis, clinical subtypes, risk, diagnostic measures, prognostic factors, and functional consequences. In addition, differential diagnosis, culture-related diagnostic issues, gender-related diagnostic issues, and recording procedures are needed in documentation (Regier & Narrow, 2018). The ICD-10 has codes for clinical symptoms, abnormal physical and diagnostic findings, diagnosis, social circumstances, and external causes of injury and disease. Therefore, the pertinent information needed in documentation to support ICD-10 coding includes the disease or injury cause, anatomical site, signs and symptoms, type, and severity of the injury or disease (Regier & Narrow, 2018).

·         Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

Pertinent documentation omitted in the case scenario includes the severity of symptoms, the patient’s comorbidities, and the primary and differential diagnoses with their ICD-10 and DSM V codes. Details about the patient, practitioner, and the clinic visit would help confine the coding and billing options. The patient details include the name, date of birth, the onset of the clinical symptoms, and insurance details. The practitioner’s details should include the name, address, signature, and the National Provider Identifier (NPI) number. Lastly, the details of the clinic visit should include the date and time of the visit, diagnosis codes, procedure codes, code modifiers, the quantity of items used in assessing, diagnosing, and treatment, and authorization information.

·         Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

Documentation is key in coding and billing processes to ensure maximum reimbursement for healthcare providers and organizations. Providers can improve documentation by avoiding using EHR shortcuts which create obstacles in documenting a patient’s continuous inpatient status. Providers should document specific details about a procedure, such as the surgical approach used, each procedure performed during the operation, and unexpected events that occurred during the surgical procedure (Jaqua et al., 2020). In addition, healthcare providers should document evaluation and management in full to support coding and billing (Jaqua et al., 2020). Furthermore, providers can improve documentation by meeting or exceeding each history, physical examination, and medical decision-making element for the service level they choose in the following patient encounters: new patient visits, emergency services, consultations, and follow-up services. Organizations can adopt a Clinical documentation improvement (CDI) program, which improves the collection of medical data to maximize claims reimbursement revenue and improve quality of care (Rodenberg et al., 2019). Organizations can implement the CDI program by carrying out a gap analysis to identify issues in documentation in areas such as patient population, patient safety indicators, the severity of disease, risk of mortality, hospital-acquired infections, and rates of claim denial.






Jaqua, E. E., Chi, R., Labib, W., Uribe, M., Najarro, J., & Hanna, M. (2020). Optimize your documentation to improve Medicare reimbursement. Cleveland Clinic Journal of Medicine87(7), 427-434.

Regier, D. A., & Narrow, W. E. (2018). Understanding ICD-10-CM and DSM-5: A quick guide for psychiatrists and other mental health clinicians. Retrieved September20, 2018.

Rodenberg, H., Shay, L., Sheffield, K., & Dange, Y. (2019). The Expanding Role of Clinical Documentation Improvement Programs in Research and Analytics. Perspectives in health information management16(Winter), 1d.



Assignment 1: Evaluation and Management (E/M)
Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5 to ICD-10.

Photo Credit: Getty Images/Tetra images RF

To Prepare
Review this week’s Learning Resources on coding, billing, reimbursement.
Review the E/M patient case scenario provided.
The Assignment
Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario.
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 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 options.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

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