1.)Assign the appropriate ICD-10-CM and ICD-10-PCS code(s): A 70-year-old man was admitted after seeing bright red...

1.)Assign the appropriate ICD-10-CM and ICD-10-PCS code(s):

A 70-year-old man was admitted after seeing bright red blood in the toilet following a bowel movement. An esophagogastroduodenoscopy (EGD) revealed a chronic gastric ulcer with evidence of recent bleeding. The final diagnoses documented were acute blood loss anemia and chronic gastric ulcer with recent hemorrhage.

2.) Assign the appropriate external cause code for injury due to tackle in a football game, initial encounter

Expert Solution

Ans) 1) Ulcers are broadly classified based on the organ they are present.

1) Gastric ulcer (K25)

2) Duodenal ulcer (K26)

3) Peptic ulcer (K27)

4) Gastrojejunal ulcer (K28)

Each type of ulcer is further classified into acute or chronic. If the nature of ulcer cannot be determined, an “unspecified” code may be used.

Coding now goes up to the 4th level (or the fourth digit of ICD-10 code) of specificity. Each type of ulcer is coded with reference to the complications associated with it. For example, the code used for Acute gastric ulcer with hemorrhage would be K25.0

The ICD-10 CM manual also instructs the use additional codes if the patient is diagnosed with alcohol abuse and dependence.

F10 is the ICD-10 code for alcohol related disorders which is classified further into alcohol abuse, alcohol dependence alcohol use, unspecified . The F10 code can be further specified by the use additional codes. For example, blood alcohol level measurement is

2) Y93.61A , Y92.320

Nightingale answered 2 years ago

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