A patient with type 2 diabetes was admitted because of nephrotic syndrome. Renal biopsy of the...
A patient with type 2 diabetes was admitted because of nephrotic syndrome. Renal biopsy of the left kidney found amyloid deposition but was negative for diabetic nephropathy. Rapid deterioration in renal function, sudden increase in proteinuria, and the absence of diabetic retinopathy also ruled out diabetic nephropathy.
Final diagnoses and procedure: (1) Glomerulonephritis with nephrotic syndrome due to amyloidosis, (2) type 2 diabetes mellitus, (3) percutaneous biopsy of the kidney.
Assign the appropriate codes.
Homework Answers
Appropriate codes for final diagnosis of patient are
- N08.3 - glomerular disorders in diabetes mellitus. It describes the manifestation of underlying disease.
- E11.29 –type 2 diabetes with kidney complications
- 50200- percutaneous biopsy of the kidney. It uses needle percutaneously (through the skin).
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A 45-year-old woman with Type 1 diabetes mellitus is admitted to the hospital and has preliminary diagnosis of the nephrotic syndrome. She has not been feeling well for the past week and has bilateral pitting edema in her lower limbs. Her admission urinalysis results follow Color Clarity SG Ph Blood Protein LE Nitrite Glucose Ketones Bilirubin Urobilinogen Colorless Clear 1.010 5.0 small 500 mg/d Negative Negative 250 mg/di Negative negative normal **Large amount of white foam noted. 1. 2. Circle...
Assign diagnosis codes to conditions some have more than one.
EI1.51, Type 2 diabetes mellhlus wll Use seventh character to designate laterality E13.620, Other specified diabetes mellitus with diabetic to designate laterality Whr dgiopathy y without gangrene. . specified diabetes mellitus dermatitis. Use seventh character the associated conditions that a patient may have had treated. An except for type I diabetes. Type needed to identify all additional code of 279.4 is The coder may assign as many codes from categories...
Outpatient clinic visit: The patient with type 2 diabetes was status post cadaveric kidney and pancreatic transplants. He was being seen for follow-up of a recent below-the-knee amputation (BKA) of the foot due to a nonhealing, gangrenous ulcer on his left foot secondary to diabetic peripheral vascular disease. The operative site was healing very nicely, and there was no evidence of infection. Diagnoses: (1) Status post left foot amputation, (2) status post kidney and pancreas transplants (3) diabetes mellitus.
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