Week 1 & 2
The diagnosis codes that you report explain the justification for the procedure, service, or treatment provided to a patient during his or her encounter.
Medical Necessity
Generalized anxiety disorder:
F41.1
Acute generalized periodontitis severe:
K05.223: Index>periodontitis>acute>generalized>severe
A: Scabies, HIV
B86: Scabies
B20: Human>immunodeficiency
Which ICD-10-CM official guideline is concerned with acute and chronic conditions?
Section I.B.8
After reviewing the test results, Dr. Hoogenboom diagnoses April with schizophrenic catatonia.
F20.2: Schizophrenia>catatonic
The biopsy confirms a diagnosis of black hairy tongue.
K14.3: Black>hairy tongue
FINAL DIAGNOSES:
1. Acute myocardial infarction—anterior wall
2. Systemic arterial hypertension
3. Cardiomegaly with chronic systolic CHF
4. Cardiac arrhythmia
I21.09: Index>Infarct>myocardial>STEMI>anterior
I11.0: Index>Hypertension>with>heart failure (congestive)
I50.22: Index>Failure>heart>systolic>chronic
I49.9: Index>Arrhythmia
A: Sickle-cell/Hb-C crisis with acute chest syndrome ACS
D57.211: Disease>sickle-cell>Hb-C>with crisis>with>acute chest>syndrome
R50.81: Fever>due to>conditions classified elsewhere
Stenosis of lacrimal sac, bilateral:
H04.573: Index>stenosis>lacrimal>sac>bilateral
Acne conglobata:
L70.1: Index>acne>coglobata
DISCHARGE DIAGNOSIS: Schizoaffective disorder; hypothyroidism; hypercholesterolemia; borderline hypertension
25.9: Schizoaffective psychosis>unspecified
E03.9: Hypothyroidism>unspecified
E78.0: Hypercholesterolemia>pure
R03.0: Hypertension
Z91.19: Noncompliance>with>medical treatment (hydrochlorothiazide)
DX: Herpesviral keratoconjunctivitis (simplex), secondary to AIDS
B20: index>HIV
B00.52: index>Herpes>keratoconjunctivitis
Total attic perforation of tympanic membrane, right ear:
H72.821: Index>perforation>tympanum>total>right
After an examination, Dr. Lane diagnoses Anna with a pressure ulcer of the elbow, stage 2
L89.022: Ulcer>pressure>stage 2>elbow>left
A: Atelectasis, post-op complication
J95.89: Complication>post-procedural>specified NEC>respiratory system
J98.11: Atelectasis
Mitchell is diagnosed with a malignant primary neoplasm of the posterior mediastinum.
C38.2: Neoplasm table>mediastinum>posterior>malignant primary
Vestibular neuronitis, left:
H81.22: Index>neuronitis>vestibular>left
Acute nephritic syndrome with dense deposit disease
N006.6: Index>nephritic, nephritic>acute>with>dense deposit disease
Pt is a 47-year-old male with left breast carcinoma, terminal stage, metastatic to the brain and liver. Wilson is undergoing chemotherapy and has become dehydrated, showing signs of confusion and disorientation. He is admitted to Weston Hospital for rehydration. Procalamine 3%, IV, 50mL/hr was given for 12 hours. Patient stabilized and was discharged home with no other treatment.
E86.0: Dehydration
C50.922: Neoplasm table>breast>malignant primary>male>left
C79.31: Neoplasm table>brain>malignant, secondary
C78.7: Neoplasm table>liver>malignant, secondary