Question

A 67-year-old man was found by his family in an altered state. He has a 50-year history of seizure disorder, and paramedics who were called to the home witnessed a grand mal seizure. The patient’s family tells doctors that he has acute bronchitis and has been poorly compliant with his antiepileptic medications. The patient is admitted in a nonresponsive and lethargic state. CT of head is negative for significant acute pathology.

Final diagnoses and procedure: (1) Postictal encephalopathy following grand mal seizure, (2) epilepsy, (3) acute bronchitis, (4) CT of head.

Assign the appropriate diagnosis codes. * Do not code the CT of head*

Answer 1

Postictal encephalopathy;

* encephalopaThy du to postictal Locued sepaadth Looledd Stact nok 1 to The condli tion iE is Fntgaal a tsansient postietad stat is olesi or occusing ocasing betwaer Tha The partienh &pileptic sezu and baseline to 2utun

Diagnostic codes for postictal encephalopathy - ICD-9-CM.

Epilepsy;

eailep sy 93504p Neuaolo zical diserduy chauacteized byn0urent epiloplic seizured Lauses a Baau jy soke, Baai tumos, nacion Tha biau Symptom cu peaiod Vo20 Shakthg naaly cundete ctable spells

Diagnostic codes for epilepsy - G40.909(ICD-9-CM).

Acute bronchitis;

Acuti baonchitis: 3 thest cold also known baonchitis lammation ->3hoak teim eionch? g cough, The ite LomMOh ymprom shortness maus, uhergig coughing cup MuLus b 2sath, euer 7 RIsh, paracatamol *

Diagnostic codes for acute bronchitis - J20.9(ICD-10-CM)