Chapter 3

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Courtney Selvidge ICD-10-CM Feb. 2024 Chapter 3 – Outpatient Coding and Reporting Guidelines: 1. Corneal ulcer with hypopyon of left eye. ICD-10-CM Code: H16.023 Explanation: H16.023 is the ICD-10-CM code for corneal ulcer with hypopyon of the left eye. The H16 category is for keratitis (inflammation of the cornea), and the .023 extension specifies a corneal ulcer with hypopyon (accumulation of pus) in the left eye. 2. Screening for respiratory tuberculosis. ICD-10-CM Code: Z11.1 Explanation: Z11.1 is the ICD-10-CM code for encounter for screening for respiratory tuberculosis. The Z11 category is for encounter for screening for infectious and parasitic diseases, and the .1 extension specifies screening for respiratory tuberculosis. 3. Long-term (current) use of systemic steroids. ICD-10-CM Code: Z79.52 Explanation: Z79.52 is the ICD-10-CM code for long-term (current) use of systemic steroids. The Z79 category is for long-term (current) drug therapy, and the .52 extension specifies the use of systemic steroids. 4. Long-term (current) use of aspirin. ICD-10-CM Code: Z79.82 Explanation: Z79.82 is the ICD-10-CM code for long-term (current) use of aspirin. The Z79 category is for long-term (current) drug therapy, and the .82 extension specifies the use of aspirin. The ICD-10-CM code Z20.4 is used to denote exposure to rubella, also known as German measles. This code is used when a patient has been exposed to the disease, but it does not necessarily mean that the patient has contracted it. The code is used in a variety of settings, such as in public health reporting, to track potential outbreaks of the disease. It's also used in clinical settings to document a patient's exposure to the disease for future reference. 10. The ICD-10-CM Code Z12.11 is used for a patient who is undergoing a screening for colon cancer. The term "screening" in the medical field refers to tests or exams used to find a disease in people who do not have any symptoms. In this case, the patient is having a colonoscopy, which is a test that allows a doctor to look at the inner lining of the large intestine. This test can find ulcers, polyps, tumors, and areas of inflammation or bleeding. The code Z12.11 is specifically used when the screening is for colon cancer. For question 12, the patient initially came in for nausea and vomiting. However, the physician determined that these symptoms were due to acute appendicitis. Therefore, the first-listed diagnosis is "Acute appendicitis". Iritis is an inflammation of the iris, the colored part of the eye. The symptoms described in the question - redness and sensitivity to light - are common symptoms of iritis. Therefore, based on the symptoms and the documentation provided, the diagnosis for the patient is indeed iritis. H16. Z11.1 Z79.52 Z79.82 Z20.4 Z Z01.83 Z20.4
Courtney Selvidge ICD-10-CM Feb. 2024 Z04.1 Z12.11
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