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.
Patient: Winston Waller
Physician: Morris Johnston, MD
August 1, 2018
History
This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have an acute infarction of the anterior wall of his heart showing an ST elevation. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart.
Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and developing severe deconditioning, he was discharged to a subacute rehabilitation facility.
Examination
While he was there he was noted to have symptoms consistent with mild depression, as well as a prior history of a major depressive episode in 2016. Mirtazapine (Remeron) 25 mg/day was started.
He was transferred to a skilled nursing unit for another month of rehabilitation management of his medical conditions and then discharged home to the care of his wife.
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.
What is/are the correct diagnosis code(s)?
ICD-10-CM code is the tenth version of international classification of disease and is used by healthcare workers to code a disease.
ICD-10-CM code of :-
- Type 2 diabetes mellitus is E11.65
- Hypertension is I10
- Acute infarction is I21.9
- Renal failure is N17.8
- Cardiogenic shock is T81.11XA
Using the techniques described in this chapter carefully read through the case study and determine the most accurate I...
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. Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have...
Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used...
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. PATIENT: Carolina Spencer REASON FOR ENCOUNTER: Assistance with tracheostomy management. HISTORY OF PRESENT ILLNESS: The patient is a 73-year-old female admitted to McGraw Hospital on July 17th with acute ischemic CVA and DKA. The patient has a very complicated...
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. Patient: Lorraine Parnete Physician: Jason Nuouri, MD July 16, 2018 History A well-established, 67-year-old female patient (since 1991) has controlled hypertension with no complications. She is a smoker [cigarettes, about one pack a day] and takes clonidine and HCTZ...
Using the techniques described in this chapter, carefully read through the case stud and determine the most accurate ICD-10-CM code(s) and external cause code(s) appropriate. Remember, check the chapter-specific, subchapter-specific, and category specific notations within the Tabular List Oscar Franklin Jt., a 9-day-old male, was born full-term, thought to be healthy, and discharged second day postpartum. His sister, Elizabeth. 5 years old, just came down with rubella. Oscar is brought in today by his mother to see Dr. Belkin, his...
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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. DATE OF ADMISSION: 11/15/2018 DATE OF DISCHARGE: 11/25/2018 DISCHARGE DIAGNOSES: AXIS I: Bipolar disorder, depressed, with psychotic features, symptoms in remission. Attention deficit hyperactivity disorder, symptoms in remission. AXIS II: Deferred. AXIS III: None. AXIS IV: Moderate. AXIS V:...
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. Harris Teal, a 19-year-old male, reports to the hospital-based urgent care clinic for headache and wheezing. Following examination, he is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies. Be sure to...
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. Harris Teal, a 19-year-old male, reports to the hospital-based urgent care clinic for headache and wheezing. Following examination, he is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies. Be sure to...
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. Harris Teal, a 19-year-old male, reports to the hospital-based urgent care clinic for headache and wheezing. Following examination, he is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies. Be sure to...