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4.50) This 65-year-old chronic cigarette smoker for the past 40 years was admitted to the hospital with acute exacerbation of her chronic obstructive pulmonary disease. She has a history of anxiety syndrome due to hypothyroidism, and is maintained on medications for both the anxiety and the hypothyroidism. No symptomatology at the time of admission. On hospital day two, she developed extreme anxiety and a psychiatric consultation was ordered. What codes are assigned in this case? ICD-10-CM Code(s) with POA Indicator and MS-DRG: ICD 10 PCS CODES?

4.52) This patient has been living at home, but his dementia has been getting progressively worse. he was diagnosed with alzheimer’s disease over two years ago. The family called the police because he was missing from home. A search was conducted and an observant passerby called in a report of an elderly man who seemed to be dis-oriented at a nearby public park. He was found after several hours and brought to the hospital . He had fallen in the park and had a laceration on his right knee that required suturing of the subcutaneous tissue and skin. What codes are reported in this case?

ICD 10 CM CODES WITH POA INDICATOR AND MS-DRG: ICD 10 PCS CODES?

4.56) This is a 65 year- old- lady with complaints of low-back pain with radiation down her right leg to her foot. This pain has been progressively worse over the last several months. MRI scan of the lumbar spine showed degenerative disc disease at L2-3, L3-4 and L4-5; L3-L4 WITH MILD Central canal stenosis ; and facet arthropathy at L3-L4 and L4-L5. Past medical history includes coronary artery disease , hypertension. And lumbar osteoarthritis. Her current medications include Liptor, Avapro, Ecotrin, Imdur, Lasix, K-Dur, calcium, and Vioxx. She had a CABG two years ago and PTCA  with cardiac stents placed three years ago. Patient admitted for lumbar epidural steroid injections for her lumbar radiculopathy due to degenerative disc disease as noted on MRI results. Which of the following answers would be correct?

a. M51.16, M47.26, 125.10, 10, Z95.1, Z95.5, 3E0S33Z, BR39ZZZ 

b. M54.16, M47.26, 125.10, 110, Z95.1, Z95.5, 3E0S33Z, BR39ZZZ 

C. M51.06, M47.16, 125.10, 10, Z95.1, Z95.5, 3E0S33Z, 3E0S3BZ, BR39ZZZ 

d. M51.16, M47.26, 125.10, 110, Z95.1, Z95.5, 3E0R33Z, BR39ZZZ

4.58) A patient is admitted with an ainfected right partial hip prosthesis. The prosthesis was removed , and the patient underwent a total a hip titanium-polyethylene arthroplasty. What codes are assigned?

ICD10 CM CODES WITH POA INDICATOR AND MS-DRG

ICD 10 PCS CODES?

4.64)

4.64. This 45-year-old female patient was diagnosed with right breast carcinoma three years ago, at which time she had a mastectomy performed with chemotherapy administration. She has been well since that time with no further treatment but yearly checkups. She has metastasis in three axillary lymph nodes. She is admitted now with visual disturbances, dizziness, headaches, and blurred vision. Workup was done that revealed metastasis to the brain. What is the correct code assignment for this admission? ICD-10-CM Code(s) with POA Indicator and MS-DRG:

 ICD 10 PCS Codes

(4.66) This 60-year- old male had bronchoscopy with brushings, washings, and fine-needle aspiration due to left lung tumor. The bronchoscope was advanced into the left upper lobe. Brushing was taken followed by transbronchial lavage to the area and then two fine needle aspirations. The cytology report describes the findings from the fine-needle biopsy of the left upper lobe of the lung and emphysema. What are the code assignments for the patient? 

ICD-10-CM Code(s) with POA Indicator and MS-DRG:

 ICD 10 PCS Codes

4.70) This is a 71 -year- old female admitted with complaint of right sided weakness. She denies any fever, shortness of breath, cough, headaches, or chest pain. Patient has NIDDM, controlled by diet. Patient currently smokes a half pack of cigarettes per day. Mid right-sided paralysis was found on physical examination. Patient is right-handed. Gadolinium-enhanced brain MRI demonstrated subacute middle cerebral artery infarct in the left basal ganglia. Discharge diagnosis was CVA- subacute infract. Physical therapy and speech therapy for her hemiparalysis and dysphasia started and will continue at the rehabilitation facility where she was transferred.

Which of the following correct?

 I69.312, I69.351, R47.02, E11.9, F17.210, B030Y0Z
I69.351, I69.321, E11.9, F17.210, B030Y0Z
I63.9, E11.9, F17.210, B030Y0Z
I62.512, G81.91, R47.02, E11.9, F17.210,B030Y0Z

4.72) This 19-year-old college student was brought to the emergency department and admitted with high fever, stiff neck, chest pain, cough , and nausea. A lumbar puncture was performed, and results were positive for meningitis. Chest x-ray revealed pneumonia. Sputum cultures grew Pneumococcus. Patient was treated with IV antibiotics and was discharged with the diagnosis of pneumococcal meningitis and pneumococcal pneumonia. 

Procedure note: = The patient was placed in the left lateral decubitus position in a semi-fetal position. The area was cleansed and draped in usual sterile fashion. Anesthesia was achieved with 1 percent Lidocaine. A20 -gauge, 3.5 -inch spinal fluid was obtained. Four tubes were filled, and these were sent for the usual tests. The patient had no immediate complications and tolerated the procedure well.

What codes are assigned?

ICD-10-CM Code(s) with POA Indicator and MS-DRG:

 ICD 10 PCS Codes

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4.74) A male newborn, born at this hospital with pre axial polydactyly of the thumbs, bilateral claw hands and claw feet, had a harsh murmur heard posteriorly and faint femoral pulses on initial newborn exam. The newborn was 39 weeks gestation and was born vaginally. Cardiology was consulted and determined a diagnosis of coarctation of the aorta and very small conoventricular ventricular septal defect. The newborn had surgical repair of the coarctation, but the VSD could not be repaired at this young age to closeness to the aortic valve. Cardiology will follow to manage the VSD. Orthopedics was consulted for the hand and feet deformities and will schedule serial repaired after the age of about one year. The family will be seen by Medical Genetics as an outpatient for possible determination of a syndrome that encompasses this combination of defects. Assign the correct diagnostic codes. 

ICD-10-CM codes

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