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Using the techniques described in this chapter carefully read through the case study and determine the...

Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Angel Dunbar, a 27-year-old male, presents to see his physician, Dr. Davison, with the complaints of difficulty breathing, muscle weakness, and fatigue. Following a complete examination, Dr. Davison notes ataxia and sudden muscle spasms in Angel’s legs. The lab results are positive for lactic acidosis. CSF results show elevated protein and the muscle biopsy is positive for ragged red fiber. Angel is diagnosed with MERRF syndrome. Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.

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Answer #1

MERRF SYNDROME

ICD- 10 - CM Section E70- E88

Metabolic Disorders

E70- Disorders of aromatic amino- acid metabolism

E71- Disorders of branched- chain amino- acid metabolism and fatty - acid metabolism

E72- Other disorders of amino - acid metabolism

E73- Lactose intolerance

E74- Other disorder of carbohydrate metabolism

E75- Disorders of shingolipid metabolism and other lipid storage diorders

E76- Disorders of glycosaminoglycan metabolism

E77- Disorders of glycoprotein metabolism

E78- Disorders of lipoprotein metabolism and other lipidemias

E79- Disorders of purine and pyrimidine metabolism

E80- Disorders of porphyrin and bilirubin metabolism

E83- Disorders of mineral metabolism

E84- Cystic fibrosis

E85 - Amyloidosis

E86- Volume depletion

E87- Other Disorders of fluid, electrolyte and acid- base balance

E88- Other & Unspecified Metabolic Disorders

E88.0- disorders of plasma protein metabolism, not else where classified

E88.1- Lipodystrophy, not elsewhere classified

E88.2- Lipomatosis, not elsewhere classified

E88.3 - Tumor lysis syndrome

E88.4 - Mitochondrial Metabolism disorders

E88.40 - Mitochondrial metabolism syndrome. unspecified

E88.41- MELAS syndrome

E88.42 - MERRF syndrome

E88.49 - Other mitochondrial metabolism disorders

E88.8 - Other specified metabolic disorders

E88.9 - Metabolic disorder, unspecified

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