Question

Review each case and underline the diagnoses and procedures to which ICD-10-CM and ICD-10-PCS codes are to be assigned. Then assign appropriate ICD-10-CM and ICD-10-PCS codes for each diagnosis and procedure in correct sequence.

6. Patient admitted with hypokalemia, diuretically induced due to medication for hypertensive vascular disease. Suspect streptococcal pharyngitis. The patient is a 34-year-old white female seen in the emergency room for fevers, chills, and severe pharyngitis. The patient was on Moduretic 5/50 for hypertension and Micro-K tablets 6 milliequivalents, one tablet twice daily, for low potassium levels. The patient has been sick with fever, very sore throat, and difficulty swallowing. Potassium in the emergency room was only 2.5. She was admitted for intravenous potassium therapy and treatment of her severe sore throat. She was maintained on her hypertensive vascular disease medications. Her temperature was 102.4, pulse 118, respirations 20, blood pressure 122/82. The patient had hyperemia of the pharynx, had difficulty swallowing, and felt very tired and run down. Potassium was 2.5. Complete blood count was normal. Electrolytes levels were repeated the next day and were normal with potassium of 4.3. Throat culture was negative for beta strep Group A. The patient’s course in the hospital was one of rapid improvement. She had intravenous fluids and potassium, and she was administered NSAIDs for her severe pharyngitis. By the next day, the patient was feeling quite a bit better. By the afternoon, she was feeling a lot better and did not feel so tired. She still had a sore throat but was able to swallow better, and her potassium was normal. She’s being discharged home on no medications. FINAL DIAGNOSES: Hypopotassemia, diuretic induced. Acute pharyngitis. Hypertension. Long-term use of therapeutic diuretics. (Initial encounter.)

8. Patient admitted to the hospital from the emergency room with history of having taken several tranquilizer or nerve-type tablets. She was groggy and sleepy upon arrival. Patient states that she was not trying to hurt herself but that she just “wanted to calm down.” Examination revealed a well-developed 43-year-old white woman who appeared to be very groggy, but she was aroused with very little difficulty. Complete blood count was normal. Potassium was a little low at 3.7. Other electrolytes were normal. Fasting blood sugar and blood urea nitrogen were normal. Patient had nasogastric tube passed and was given intravenous lactated Ringer’s. Later, after she became more alert, Valium 5 milligrams three times per day. The nasogastric tube was removed after a few hours. The patient was allowed to be up. She has been sleeping most of the time on the sedatives given. Patient was discharged home. She will be followed as an outpatient. FINAL DIAGNOSES: Accidental overdose of tranquilizer. Acute anxiety state. (Initial encounter.)

Answer 1

Answer:

6. ICD-10-CM code

* Hypertension - I10

* Long term use of therapeutic diuretics - Z79. 899

* Hypopotassemia , diuretic induced - E87. 6

* Acute pharyngitis - J02. 9

8. ICD-10-CM CODE

* Acute anxiety state - F41. 1

* Accidental overdose of tranquilizer- T43. 501A