Question

The patient is an 89-year-old man with advanced COPD who was admitted to the hospital complaining...

The patient is an 89-year-old man with advanced COPD who was admitted to the hospital complaining of cough, shortness of breath, and fever. It was determined that he was suffering from COPD with acute bronchitis. He is supplemental oxygen dependent and also has corpulmonale. He was treated with bronchodilators, antibiotics, and a tapering dose of steroids. The patient was on "do not resuscitate" (DNR) status. The patient was becoming progressively weaker with more respiratory distress. During this hospital stay, the family members decided to initiate comfort care measures after speaking with the physician about the patient's prognosis. The family elected to receive hospice care and took the patient home to receive home end-of-life and comfort care. Identify and code the 4 medical codes for this scenario.
Science   Biology   
0 0
Add a commentTranscribed image text
Next >

Homework Answers

Answer #1

The first one is COPD for which the medical code is 491.22. COPD is chronic obstructive pulmonary disease which is basically chronic inflammatory lung disease and it leads to obstruction in the airflow from lungs. It leads to breathing difficulty, cough, sneezing and irritation.

The medical code for “Do not Resuscitate” is Z66 which is billable/specific ICD-10-CM code and it is basically used in diagnosis of the reimbursement purpose.

The COPD with acute bronchitis is basically a chronic obstructive pulmonary disease and causes infection of acute lower respiratory tract. It has the coding as J44.0 which is billable/specific ICD-10-CM.

The Cor Pulmonale has a medical code of I27.81 which is billable/specific ICD-10-CM.

0 0
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Log In

Sign Up

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
4. A 36-year-old patient is dying from acute lymphocytic leukemia. He is a home hospice patient,...
4. A 36-year-old patient is dying from acute lymphocytic leukemia. He is a home hospice patient, and 6 hours ago his family brought him to the emergency room for pain and intractable vomiting. He’s now resting comfortably after receiving medications and hydration. His family, however, is concerned because they’ve noticed that his extremities look mottled. He also rouses less easily. His blood pressure is 80/40 and his pulse is 150, with occasional skipped beats. The family reviews his DNR status...
SB is a 74 year old man who presents to the ED with his wife complaining...
SB is a 74 year old man who presents to the ED with his wife complaining of shortness of breath and fever. He is confused about what to use when, so you are not sure which medications he actually takes. No known allergies. Past Medical/Surgical History o   Heart failure following myocardial infarction at age 68 years o   COPD (on 2 L home oxygen) o   Hypertension o   Appendectomy JS Past Record Review  (brought by wife) -      Echocardiogram with EF of 25% -      Spirometry with FEV1 35% predicted that...
Piya Jordan is a 68 year old patient who was admitted to the hospital to have...
Piya Jordan is a 68 year old patient who was admitted to the hospital to have surgery to remove an abdominal mass. She underwent a colectomy yesterday removing a mass from her right ascending colon. She has a large abdominal incision with a clean, dry and intact dressing, but fortunately did not require a colostomy. She is on the post operation surgical unit and is requiring post-operative nursing care. She is alert and fully oriented to her surroundings. She has...
Case 1 A 45-year-old man presented with a complaint of an increasingly persistent cough that produced...
Case 1 A 45-year-old man presented with a complaint of an increasingly persistent cough that produced moderately thick, white mucus. The patient stated that the cough had been present for several years and was particularly severe in the morning on awakening. His wife was more bothered by the cough than he was and had sent him to the physician so that he might be convinced to stop smoking. On questioning, the patient, who was about 30 lb overweight and had...
Case Study #4 George is a 75-year-old man who presents to the hospital with a cough...
Case Study #4 George is a 75-year-old man who presents to the hospital with a cough and increased breathlessness; he has thick green sputum and is feeling feverish and has a loss of appetite. He has a history smoking and of moderate COPD and is on inhaled therapy.  On examination of his chest, he has coarse sounding crackles heard over the base of the right lung, which do not clear on coughing, and there is a dull percussion noted in the...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest....
Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the...
Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty breathing, a productive cough for a week, and fever. Chest x-ray revealed right lower lobe pneumonia. IV was started of normal saline at 75 mL per hour. He is receiving oxygen at 2 L/min per nasal cannula. SpO2 on room air was 90%, which increased to 95% with supplemental...
Helga Freidericks is a 57-year-old woman who came to the urgent-care clinic today complaining of SOB....
Helga Freidericks is a 57-year-old woman who came to the urgent-care clinic today complaining of SOB. On admission, her respiration's were labored, at a rate of 32 breaths per minute. Her SpO2 was just 84%, and her VC was decreased. She appeared anxious and stated that she:[couldn't] get enough air". Her lungs had bilateral wheezes throughout, scattered rhonchi, and bilateral crackles. She had a frequent cough, productive of thick green sputum. Stat ABGs were drawn. She was put on O2...
ellenor is a 65 year old woman who was admitted to the hospital for a total...
ellenor is a 65 year old woman who was admitted to the hospital for a total hip arthroplasty. her primary diagnosis is osteoporosis. she states she was walking with her walker down the the hallway and just fell. 1) what type of fracture is she most likely to have suffered? 2) describe the routine draping f procedure for this case. 3)osteomyelitis is a grave concern; what may be down right after draping, and why? 4.)after the femoral osteoporosis guide is...
Patient Profile G.N., a 65-year-old African American man, was admitted to the hospital emergency department with...
Patient Profile G.N., a 65-year-old African American man, was admitted to the hospital emergency department with partial-thickness burns that involved his face, neck, and upper trunk. He also had a lacerated right leg. His injuries occurred about 36 hours earlier when he fell out of a tree onto his gas grill (which was lit) while trimming tree branches. Subjective Data • Complains of slightly hoarse voice and irritated throat • States that he tried to treat himself because he does...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT