SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM

Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Sepsis A41.9

Secondary Diagnosis :
Malignant Neoplasm of C20
rectum

Procedure Code Supervisor’s remark

Main Procedure :
Colonoscopy 45.23

Secondary Procedure :
NIL
NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)
 SCHOOL OF BUSINESS AND MANAGEMENT
DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
vericella B01.9

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)
 SCHOOL OF BUSINESS AND MANAGEMENT
DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Leiomyoma of uterus D25.9

Secondary Diagnosis :
Anemia D64.9

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL
NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)
 SCHOOL OF BUSINESS AND MANAGEMENT
DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Acute Leukaemia C95.0

Secondary Diagnosis :
Leukocytosis D72.8

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)
 SCHOOL OF BUSINESS AND MANAGEMENT
DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Allergic Purpura D69.0

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)
 SCHOOL OF BUSINESS AND MANAGEMENT
DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Idiopathic Thrombocytopenic D69.3
Purpura

Secondary Diagnosis :
NIL
NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

KPJUC/SOBM/DHIM/CCF/16(01)
 DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

Main Diagnosis :
Hypoglycaemia E16.2

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

KPJUC/SOBM/DHIM/CCF/16(01)
 Diagnosis Code Supervisor’s remark

Main Diagnosis :
Polycystic Ovarian Syndrome E28.2

Secondary Diagnosis :
NIL
NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

KPJUC/SOBM/DHIM/CCF/16(01)
 Diagnosis Code Supervisor’s remark

Main Diagnosis :
Hemiplegia G81.9

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Trigeminal neuralgia G50.0

Secondary Diagnosis : NIL

NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Keratoconjunctivitis H16.2

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Dislocation of Lens H27.1

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
Removal of Dislocated Lens 13.8
IOL Left Eye

Secondary Procedure :
Insertion of Anterior Chamber
13.70
IOL left eye

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Impacted cerumen H61.2

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
Endoscopy 18.11

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Cholesteatoma of external ear H60.4

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
Ear Suction Under Microscope 98.11

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Open Wound of Nose S01.2

Secondary Diagnosis :
Striking Against or Struck by W22
Other Object

Procedure Code Supervisor’s remark

Main Procedure :
Primary Repair Right Nasal 21.88

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Open Wound of Forearm S51.9

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
Repair of Muscle 83.87

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Failure Chronic Kidney Disease N18.9

Secondary Diagnosis :
NIL
NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Open wound of lower leg S81.9

Secondary Diagnosis :

Procedure Code Supervisor’s remark

Main Procedure :
Exploration Surgical 86.22
Debridement

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

SCHOOL OF BUSINESS AND MANAGEMENT

DIPLOMA HEALTH INFORMATION MANAGEMENT PROGRAM
Diagnosis and Procedure Coding Form

Diagnosis Code Supervisor’s remark

KPJUC/SOBM/DHIM/CCF/16(01)
 Main Diagnosis :
Postsurgical states Z98.8

Secondary Diagnosis :
NIL NIL

Procedure Code Supervisor’s remark

Main Procedure :
NIL NIL

Secondary Procedure :
NIL NIL

…………………………………………………… …………………………………………………..

Student’s name and signature Supervisor’s name and signature

Date:……………………………………………. Date:…………………………………………….

KPJUC/SOBM/DHIM/CCF/16(01)