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Medicine

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Apr 3, 2024

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5. INPATIENT HOSPITAL Gender: F Age: 17 Preprocedure diagnosis: second debridement for extensive burns on both arms Procedure: excisional debridement and graft. Cut out necrotic subcutaneous tissue and fascia and applied autologous skin substitute on both lower arms and nonautologous tissue substitute on both upper arms. ICD-10-PCS Code 1 0JRD0KZ 5. INPATIENT HOSPITAL Gender: F Age: 17 ICD-10-PCS Code 2 5. INPATIENT HOSPITAL Gender: F Age: 17 ICD-10-PCS Code 3 5. INPATIENT HOSPITAL Gender: F Age: 17 ICD-10-PCS Code 4 This 82-year-old female was admitted for acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia. The discharge diagnoses state acute exacerbation of chronic obstructive pulmonary disease and pancytopenia. Transfusion of nonautologous packed red blood cells was given via peripheral vein. What codes are assigned for this case? Principal diagnosis code in ICD-10: Additional Diagnoses code in ICD-10: Procedure code in ICD-10: An 80-year-old patient with hypertension was admitted to the hospital for cholecystectomy. The patient underwent an attempted laparoscopic cholecystectomy, but due to extensive adhesions, it had to be converted to an open cholecystectomy with exploration of the common duct and choledocholithotomy. Final diagnostic statement: 1. Acute and chronic cholecystitis with choledocholithiasis and cholelithiasis. 2. Hypertension. Principal diagnosis code in ICD-10: K80.66 . Review ICD-10-PCS Coding Guideline B3.11c. regarding coding Inspection procedures.

Additional diagnoses code 1 in ICD-10: I10 Additional diagnoses code 2 in ICD-10: Z53.09 Additional diagnoses code 3 in ICD-10: For code 0FT40ZZ, the Alphabetic Index main term is Resection, subterm gallbladder. Additional Procedure code 1 in ICD-10: For code 0FC90ZZ, the Alphabetic Index main term is Choledocholithotomy Additional Procedure code 2 in ICD-10: For code 0FJ44ZZ, the Alphabetic Index main term is Inspection, subterm gallbladder. 8. INPATIENT HOSPITAL Gender: F Age: 32 Diagnosis: traumatic brain injury, cervical musculoskeletal strain Procedure: neuromuscular reeducation including therapeutic conditioning exercise to improve range of motion, strength, and coordination; home management Plan: patient did not reach goal because he has been admitted to inpatient rehabilitation ICD-10-PCS Code 1 F07M6GZ ICD-10-PCS Code 2 F08Z4ZZ ICD-10-PCS Code 2 F08Z4ZZ 9. INPATIENT HOSPITAL Gender: M Age: 59 Diagnosis: atrial fibrillation, persistent, with rapid ventricular rate Procedure: transesophageal echocardiogram (TEE) and direct current cardioversion. Transesophageal probe was placed in the esophagus, and views of the right and left heart were then obtained. Following this, direct current cardioversion performed. Unsuccessful conversion to sinus rhythm; remained in atrial fibrillation.

ICD-10-PCS Code 1 B246ZZ4 ICD-10-PCS Code 2 5A2204Z ICD-10-PCS Code 2 5A2204Z The patient, a 29-year-old woman, was admitted due to numbness in the right arm. Based on the physical exam and the presence of saline breast implants, the physician ordered ultrasound and MRI exams of both breasts. The results showed her bilateral breast implants were leaking, causing thoracic outlet syndrome. She underwent surgery to remove both implants and chose not to have them replaced at this time. Assign diagnosis codes for the conditions. Assign procedure codes for the imaging studies and removal of the implants (open procedure). Dx: Leaking breast implants Procedures: Bilateral breast ultrasound and bilateral breasts—MRI—with and without contrast; removal of saline breast implants Principal diagnosis in ICD-10: Leaking breast implants—T85.43XA; ; ; Bilateral breast US—BH42ZZZ; bilateral MRI of breasts, with and without contrast—BH32Y0Z Additional diagnoses in ICD-10: G54.0 Thoracic outlet syndrome—G54.0 (brachial plexus disorders) Principal procedure code 1 in ICD-10: 0HPT0JZ Bilateral removal of breast implants—0HPT0JZ, 0HPU0JZ Principal procedure code 2 in ICD-10: 0HPU0JZ Bilateral breast US—BH42ZZZ Additional procedure code 1 in ICD-10: BH42ZZZ Additional procedure code 2 in ICD-10: BH32Y0Z

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