The 4 questions are in the attachment. Must Know ICD 10-CM coding to answer questions.
Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:
The patient, a man in extremely poor health due to chronic
obstructive pulmonary disease and chronic alcoholism, was admitted for
severe shortness of breath, a PO2 of 42, abdominal pain, and what
appeared to be impending delirium tremens. He was placed on Ventolin and
Solu-Medrol. Librium was also given to prevent delirium tremens. A
colonoscopy was performed because of a past history of polyps, with no
recurrence found. It was felt that the patient had mild colitis. On
discharge, he was no longer dyspneic at rest. He was to start taking
Zantac for colitis and to continue Solu-Medrol.
Discharge
diagnoses: (1) Chronic lung disease with acute bronchospasm, (2)
impending delirium tremens, (3) alcohol dependence, (4) colitis, (5)
history of adenomatous colon polyps.
Expert Solution Preview
Introduction:
This inpatient scenario involves a patient who has chronic obstructive pulmonary disease and chronic alcoholism. The patient was admitted due to severe shortness of breath, abdominal pain, and what appeared to be impending delirium tremens. The patient received various treatments and underwent a colonoscopy that resulted in a diagnosis of mild colitis. The patient was discharged with a few diagnoses, which need to be coded using ICD-10-CM codes only.
Answer:
The ICD-10-CM codes assigned to this patient’s discharge diagnoses are as follows:
1. J44.1 – Chronic obstructive pulmonary disease with (acute) exacerbation
2. F10.23 – Alcohol dependence with withdrawal
3. K52.9 – Noninfective gastroenteritis and colitis, unspecified
4. Z85.048 – Personal history of malignant neoplasm of colon
5. F10.239 – Alcohol dependence with unspecified alcohol-induced disorder
The first diagnosis code (J44.1) represents the patient’s chronic obstructive pulmonary disease with acute exacerbation. The second code (F10.23) represents the patient’s alcohol dependence with withdrawal symptoms. The third code (K52.9) represents the patient’s mild colitis. The fourth code (Z85.048) represents the patient’s personal history of malignant neoplasm of colon, specifically adenomatous colon polyps. Finally, the fifth code (F10.239) represents the patient’s alcohol dependence with an unspecified alcohol-induced disorder.
It should be noted that these codes were selected based on the information provided in the scenario. If additional information were available, the codes assigned may be different. Also, it is essential to review the official guidelines for accurate coding and sequencing.
