My Kidneys Are On Vacation
Patient informs you they have progressive condition characterized by gradual loss of kidney function over time linked to diabetes and hypertension, this chronic condition is staged from 1 to 5 based on glomerular filtration rate (GFR) but you don't have GFR .
What is chronic kidney disease (CKD)? Code N18.9 (Unspecified)
This form of diabetes is typically diagnosed in children and young adults and results from autoimmune destruction of insulin-producing beta cells in the pancreas.
What is type 1 diabetes mellitus? Code E10.9
This acquired condition, characterized by an increased tendency for blood clot formation, can be a potential contributing factor to stroke in patients with atrial fibrillation.
What is thrombophilia? ICD D68.69: Other thrombophilia
A chronic neurological disorder marked by recurrent, unprovoked seizures. Diagnosis requires at least two unprovoked seizures more than 24 hours apart.
What is epilepsy? Code G40.909
An autoimmune condition where the immune system mistakenly attacks moisture-producing glands, leading to dry mouth and dry eyes.
What is Sjögren’s syndrome? Code M35.00
This stage of chronic kidney disease is the final and most severe, often requiring dialysis or a kidney transplant GFR 7 and GFR 9
3 months earlier
What is end-stage renal disease (ESRD)? Code N18.6
This common complication of diabetes affects the nerves, often leading to numbness, pain, or weakness in the extremities.
What is diabetic neuropathy? Code E11.40
This condition occurs when the heart is unable to pump blood efficiently, often leading to fatigue, shortness of breath, and fluid retention
What is congestive heart failure (CHF)? Code I50.9
This condition involves seizures that do not stop on their own or occur back-to-back without recovery, and it’s a medical emergency.
What is status epilepticus? Code G41.9
This ICD-10 code is used to report a positive HIV status when the patient has no documented symptoms of the disease."
What is Z21?
Asymptomatic human immunodeficiency virus (HIV) infection status" or "Positive HIV serological status" when no symptoms are present.
A patient diagnosed with Type 2 diabetes mellitus with diabetic nephropathy and documented proteinuria would be assigned this specific ICD-10 code.
What is E11.21? Type 2 diabetes mellitus with diabetic nephropathy
48 year old female has type 2 diabetes Hgb A1c is 7.5% and fasting blood glucose today was 130. You code this
Whats is E11.65: Type 2 diabetes mellitus with hyperglycemia
A 55-year-old individual with a long history of uncontrolled hypertension presents for a routine check-up. They report occasional shortness of breath with strenuous activity and mild chest pressure that resolves with rest. Physical exam reveals a blood pressure of 160/95 mmHg, and an electrocardiogram (EKG) shows evidence of left ventricular hypertrophy (LVH). However, the individual denies symptoms suggestive of fluid overload like significant swelling in the legs, and there are no signs of crackles in their lungs on auscultation.
What is hypertensive heart disease without heart failure? ICD I11.9 · Hypertensive heart disease without heart failure
Should be pared with
A 48 year male who drinks 4 glasses of vodka daily develops a sudden, uncontrollable and rapid shaking of the body caused by repeated contraction and relaxation of voluntary muscles after not drinking for 1 week
What is a convulsion? Code R56
This 68-year-old patient, who is receiving chemotherapy for non-Hodgkin's lymphoma, develops a severe fungal infection due to a compromised immune system caused by the chemotherapy drugs.
What is D84.821, which represents Immunodeficiency due to drugs.
58 year-old female with history of diabetes and hypertension has a
GFR of 50 mL/min/1.73m2 with a previous GFR of 48 mL/min/1.73m2 three months ago. Creatinine/albumin level is greater than 50 and greater than 130 a month ago.
What is CKD stage 3a? Code N18.3a
60 year old male with Type 2 diabetes diagnosed 20 years ago. Myocardial infarction 10 years ago , coronary stent 2015 x1 and 2018 x3. Denies chest pain shortness of breath, edema. Your coding
What is E11.59: Type 2 diabetes mellitus with other circulatory complications ( should be paired with I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris, I25.2: Old myocardial infarction and Z95.5: Presence of coronary angioplasty implant and graft)
A 70-year-old male with a long-standing history of uncontrolled hypertension presents with increasing shortness of breath, especially when lying down, swollen ankles, and overall fatigue. On physical examination, crackles are heard in the lungs, and he exhibits elevated jugular venous pressure and peripheral edema. His ECG shows left ventricular hypertrophy and strain, and an echocardiogram confirms a reduced ejection fraction and left ventricular dilation.
What is hypertensive heart disease with systolic heart failure? I11: Hypertensive heart disease
(should be combined I50: This code represents heart failure such as Systolic (congestive) heart failure, I50.42: Chronic combined systolic (congestive) and diastolic (congestive) heart failure. or I50. 32 Chronic diastolic (congestive) heart failure
A 18 year old patient present frequent, brief episodes of staring spells, often described as "daydreaming" that started at age 12. The cause is undetermined. The episode lasted a few seconds and she resumed normal activity. She explain that her last episode was 3 years after being placed on Keppra 500 mg twice a day.
What is G40.A09: Absence epileptic syndrome, not intractable, without status epilepticus (known as Petit mal)?
This patient, receiving radiation therapy for cancer, developed a significantly weakened immune system leading to frequent infections
What is D84.822 is the ICD-10-CM code for "Immunodeficiency due to external causes".
A patient presents with a GFR of 12 mL/min and a history of type 2 diabetes mellitus with diabetic nephropathy. The physician's documentation indicates this stage of chronic kidney disease as well as the underlying diabetic complication.
What are ICD-10-CM codes for this case study?
Explanation:
Therefore, the correct ICD-10-CM codes are:
This condition, characterized by difficulties achieving or maintaining an erection, is a common complication in men with this other widespread chronic disease, particularly type 2, due to potential damage to nerves and blood vessels caused by high blood sugar levels.
What is E11.69 and N52.1?
Explanation:
Breakdown of the Clue:
78 year old male with hypertension, Chronic systolic heart failure and reported Chronic kidney disease. Last echo was 2/2024 ejection fraction 20 %. patient is following up with nephrologist that document CKD stage 3b Kidney No labs are available in the chart
What are Hypertension, Heart Failure, and Chronic Kidney Disease? I13.0: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
Explanation (for educational purposes, not part of the Jeopardy clue):
A 32-year-old woman experiences episodes lasting less than a minute, characterized by staring, repetitive hand movements, and occasional swearing. She is confused for several minutes afterward and has no memory of the event. She is currently on Divalproex sodium 100 mg twice a day
What is a complex partial seizure (or focal impaired awareness seizure)? G40.219: Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
A patient with long-standing Crohn's disease, treated with immunosuppressants, presents with a severe fungal infection.
What is D84.81: Immunodeficiency due to conditions classified elsewhere?