Question

Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The...

Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:

The patient was admitted after visiting the emergency department for shortness of breath, chest pain, hypoxia, and a white cell count of 32,600. The patient had a history of chronic obstructive pulmonary disease. Interstitial infiltrate at the right middle and lower lobes of the lung was seen on chest X-ray. Sputum culture grew Streptococcus pneumoniae. He tolerated the antibiotics, and the symptoms improved significantly.

Discharge diagnoses: (1) Right lower lobe pneumonia due to Streptococcus pneumoniae, (2) acute exacerbation of chronic obstructive lung disease.

Homework Answers

Answer #1

According to ICD-10-CM code

  • J13, streptococcal pneumoniae,lobar streptococcus pneumoniae
  • J44.1, Chronic obstructive pulmonary disease with (acute) exacerbation
  • R09.02 Hypoxemia,Hypoxemia (low blood oxygen); Hypoxia (low oxygen levels):

Shortness of breath, chest pain,and a white cell count of 32,600 are symptoms of Pneumonia ,so those are covered under J13 title code.

Streptococcus pneumoniae is the cause for pneumonia. Streptococcus is one of the organism specified in the title of code J13.

Code J44.1 is assigned for Chronic obstructive pulmonary disease with (acute) exacerbation Exacerbations of COPD have short- and long-term clinical implications which needs clinical evaluation. Therefore, it is listed as an additional code.

Code R09.02, Hypoxemia, is assigned as an additional diagnosis for the hypoxia because it is not a symptom of pneumonia.

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Surgery Case-005 week 5 Surgery for Outpatient assign CPT and ICD-10-CM codes LOCATION: Inpatient, Hospital PATIENT:...
Surgery Case-005 week 5 Surgery for Outpatient assign CPT and ICD-10-CM codes LOCATION: Inpatient, Hospital PATIENT: Dorothy Fredrick SURGEON: Gregory Dawson, M.D. PREOPERATIVE.DIAGNOSES: Right middle lobe mass. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES PERFORMED: Bronchoscopy, right thoracotomy, right middle lobectomy, mediastinal lymphadenectomy. INDICATIONS: Dorothy is a 65-year-old female who was admitted with complaints of chest pain. The patient had undergone a medical workup for her chest pain which identified a lung lesion on the right side on chest x-ray. A CT scan...
Code the following scenario utilizing ICD-10-CM: There are 9 codes, make sure you sequence them correctly...
Code the following scenario utilizing ICD-10-CM: There are 9 codes, make sure you sequence them correctly (What is included in the 9 codes need to code for how the injury happened, where the injury happened, the activity what the patient was doing when the injury happened) Please make sure there is 9 codes to be assigned The patient was admitted following a fall from a ladder at home while watering flowerboxes in the garden, in which she sustained numerous injuries....
Code CPT and ICD-10-CM code LOCATION: Inpatient, Hospital PATIENT: Sally Jacobson ATTENDING PHYSICIAN: Leslie Alanda, MD...
Code CPT and ICD-10-CM code LOCATION: Inpatient, Hospital PATIENT: Sally Jacobson ATTENDING PHYSICIAN: Leslie Alanda, MD PREOPERATIVE DIAGNOSIS: Acute appendicitis POSTOPERATIVE DIAGNOSIS: Acute appendicitis ANESTHESIA: General anesthesia INDICATION: The patient is a 17-year-old female with insulin- dependent diabetes mellitus who presents with crampy, colicky right lower quadrant abdominal pain and an ultrasound showing a question of appendicitis. Her white count is within normal limits. She continues to have pain in the right lower quadrant. She presents today for elective open...
CASE STUDY –Pneumonia Patient B is a man, 82 years of age, living at home. He...
CASE STUDY –Pneumonia Patient B is a man, 82 years of age, living at home. He has Chronic Obstructive Pulmonary Disease (COPD), a history of smoking, and arthritis. In the morning, his family notes that he has a temperature of 101°F, is confused, and has had a poor appetite over the last few days. His primary care practitioner is notified and he is transported to an acute care facility by ambulance. What are some of the risk factors for pneumonia...
Surgery Case-019 week 5 Surgery for Outpatient assign CPT and ICD-10-CM codes LOCATION: Inpatient, Hospital PATIENT:...
Surgery Case-019 week 5 Surgery for Outpatient assign CPT and ICD-10-CM codes LOCATION: Inpatient, Hospital PATIENT: Pete Sharp SURGEON: Rita Wimer, M.D. PREOPERATIVE DIAGNOSES: 1. Cataract, left eye. 2. Excess myopia, both eyes. 3. Hypertension. 4. Diabetes mellitus, diet controlled. 5. Anxiety. 6. Hyperlipidemia POSTOPERATIVE DIAGNOSES: Same. PROCEDURE PERFORMED: Simple Extracapsular cataract extraction, left eye, with insertion of posterior chamber lens implant, left eye for calcification of lens. ANESTHESIA: General. INDICATIONS: This 49-year-old male has had vision decrease in his...
True/False The exchange of gas molecules from areas of higher concentration to areas of lower concentration...
True/False The exchange of gas molecules from areas of higher concentration to areas of lower concentration is called osmosis. Oxygen and carbon dioxide exchange takes place in the alveoli. Cyanosis is a reliable and early sign of hypoxia. When a nurse documents that a patient is tachypneic, it indicates a respiratory rate greater than 24 breaths/minute. On assessment, the nurse would describe coarse crackles as discontinuous popping sounds heard in early inspiration. A serious complication of a group A beta-hemolytic...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath. HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs....
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT