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This comes from the book 2020 Clinical Coding Workout.  Chapter 7...

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This comes from the book 2020 Clinical Coding Workout.  Chapter 7...

This comes from the book 2020 Clinical Coding Workout.

 Chapter 7 - Case studies from Inpatient Health Records

Hello, I need assistance with locating additional codes for the below .  The questions/ numbers are listed as well as the topics. I have included the initial answers and how many more codes I am searching for. Thank you

 

Disorders of the Digestive System

7.12  

ICD-10-CM Principal Diagnosis: 

K25.0-Y Acute gastric ulcer with hemorrhage

ICD-10-CM Additional Diagnoses:

K86.1-Y Other chronic pancreatitis

K70.30-Y Alcoholic cirrhosis of liver without ascites

F10.20-Y Alcohol dependence, uncomplicated 

B18.2-Y Chronic viral hepatitis C

5 correct ICD10-CM codes; 3 PCS codes needed 

 

 

Endocrine

7.16  

ICD-10-CM Principal Diagnosis:

 E10.10-Y Type 1 diabetes mellitus with ketoacidosis without coma

ICD-10-CM Additional Diagnoses:

 E86.0-Y Dehydration

I50.9-Y Heart failure, unspecified

I35.0-Y Nonrheumatic aortic valve disorders 

N39.0-Y Urinary tract infection, site not specified

 B96.5-Y Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere

E87.5-Y Hyperkalemia 

I73.9-Y Peripheral vascular disease, unspecified

I12.9-Y Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

E78.5-Y Hyperlipidemia, unspecified

N18.9-Y Chronic kidney disease, unspecified

F17.210-Y Nicotine dependence, cigarettes, uncomplicated

I25.10-Y Atherosclerotic heart disease of native coronary artery without angina pectoris

11 correct ICD10-CM codes; 5 more ICD10-CM codes needed 

 

Disorders of the Genitourinary System

7.18 

 ICD-10-CM Principal Diagnosis: 

A41.9-Y  Sepsis, unspecified organism

Additional diagnoses:

R65.20-Y Severe sepsis without septic shock

L03.116-Y Cellulitis of left lower limb 

N39.0-Y Urinary tract infection, site not specified 

B95.5 Unspecified streptococcus as the cause of diseases classified elsewhere

N17.0-Y  Acute kidney failure with  tubular necrosis

E11.9-Y Type 2 diabetes mellitus without complications

J44.9-Y  Chronic obstructive pulmonary disease, unspecified
 

E03.9-Y Hypothyroidism, unspecified

I10-Y Essential (primary) hypertension

D50.9-Y Iron deficiency anemia,unspecified

11 correct ICD10-CM codes; 1 more ICD10-CM code needed and 1 PCS code needed 

 

7.32  

ICD-10-CM Principal Diagnosis: 

 M51.17-Y  Intervertebral disc disorders with radiculopathy, lumbosacral region

ICD-10-CM Additional Diagnoses: 

G89.18-N Other acute postprocedural pain

G97.41-N Accidental puncture or laceration of dura during a procedure

Y65.8-N Other specified misadventures during surgical and medical care

 Y92.234-N Operating room of hospital as the place of occurrence of the external cause

ICD-10-PCS Procedures: 

0SB40ZZ Excision of Lumbosacral Disc, Open Approach

0SH30CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Open Approach

 00QT20ZZ   Repair Spinal Meninges, Open Approach

5 correct ICD10-CM codes and 2 correct PCS codes; 1 more PCS code needed 

 

Neoplasms

7.34

ICD-10-CM Principal Diagnosis: 

C34.32-Y Malignant neoplasm of lower lobe, left bronchus or lung

ICD-10-CM Additional Diagnoses:

I97.791-N Other intraoperative cardiac functional disturbances during other surgery

I10-Y Essential (primary) hypertension

I95.89-N Other hypotension

J44.9-Y Chronic obstructive pulmonary disease, unspecified

M51.36-Y Other intervertebral disc degeneration, lumbar region

6 correct ICD10-CM codes; 5 more ICD10-CM codes needed and 1 PCS code needed 

 

7.36 

 ICD-10-CM Principal Diagnosis:

 M84.58XA-Y Pathological fracture in neoplastic disease, other specified site

ICD-10-CM Additional Diagnoses:

 C79.51-Y Secondary malignant neoplasm of bone

C78.01-Y Secondary malignant neoplasm of right lung

N39.0-Y Urinary tract infection, site not specified

B96.5-Y Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere

 I10-Y Essential (primary) hypertension

6 correct ICD10-CM codes; 3 more ICD10-CM codes needed and 1 PCS code needed 

 

Disorders of the Nervous System

7.38 

ICD-10-CM Principal Diagnosis:  

G45.9-Y Transient cerebral ischemic attack, unspecified

R42-Y Dizziness and giddiness

ICD-10-CM Additional Diagnoses:

E11.9-Y Type 2 diabetes with mellitus without complications

I25.10-Y Atherosclerotic heart disease of native coronary artery without angina pectoris

E78.5-Y Hyperlipidemia, unspecified

F17.210-Y Nicotine dependence, cigarettes, uncomplicated

I25.2 Old myocardial infarction

I10-Y Essential (primary) hypertension

8 correct ICD10-CM codes; 3 more ICD10-CM codes needed 

 

 

Conditions of Pregnancy

7.46

 ICD-10-CM Principal Diagnosis: 

O42.02-Y Full term premature of membranes, onset of labor within 24 hours of rupture

ICD-10-CM Additional Diagnoses:

 O62.1-N Secondary uterine inertia

O64.0XX0-Y  Obstructed labor due to incomplete rotation of fetal head 

 O66.41-N Failed attempted at vaginal birth after previous cesarean delivery

 O34.21-Y Maternal care for scar from previous cesarean delivery

O99.824-Y Streptococcus B carrier state complicating childbirth 

Z3A.37-Y 37 weeks  gestation of pregnancy

ICD-10-PCS Procedures:

 10D00Z1 Extraction of Products of Conception, Low, Open Approach

 3E033VJ Introduction of Other Hormone into Peripheral Vein, Percutaneous

6 correct ICD10-CM codes and 2 correct PCS codes; 2 more ICD10-CM codes needed 

 

7.48

ICD-10-CM Principal Diagnosis: 

O60.14X0-Y Preterm labor third trimester with preterm delivery third trimester

ICD-10-CM Additional Diagnoses:

 O30.003-Y Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

O41.1230-U Chorioamnionitis, third trimester 

O69.1XX1-U Labor and delivery complicated by cord around neck, with compression

Z3A.32-Y 32 weeks gestation of pregnancy

ICD-10-PCS Procedure:

10D00Z1 Extraction of Products of Conception, Low, Open Approach

5 correct ICD10-CM codes and 1 correct PCS code; 1 more ICD10-CM code needed

 

7.60 

 ICD-10-CM Principal Diagnosis: 

S36.115A-Y Moderate laceration of liver, initial encounter

ICD-10-CM Additional Diagnoses:

T81.31XA-N Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter 

T81.4XXA-N Infection following a procedure, initial encounter

ICD-10-PCS Procedures:

0FT10ZZ Resection of Right Lobe Liver, Open Approach

0W9F0ZZ  Drainage of Abdominal Wall, Open Approach

2 correct ICD10-CM codes and 2 correct PCS codes; 3 more ICD10-CM codes needed 


 

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