Question

For each of the five scenarios identify the following Principal diagnosis Identify the guideline followed for the principal diagnosis selection (Look at Section II of the Guidelines lines, which one (A, B, C, etc.) would you follow?) Identify the main term of the principal diagnosis (what term would you start with to look up the diagnosis in the alphabetical index) Assign the appropriate ICD-10-CM code. Scenario 1: The patient was admitted to the hospital with right lower quadrant abdominal pain. Following an ultrasound of the abdomen, it was determined that the patient had an acute appendicitis. The patient was taken to surgery where an acute appendicitis with perforation was confirmed. Scenario 2 Patient was admitted to the hospital after having a seizure. The admitting diagnosis was to rule out epilepsy. After testing was performed, the cause of the seizure was not determined. The attending physician documented that the patient did not have epilepsy. Final diagnostic statement was seizure of unknown etiology. Scenario 3 The patient was admitted to the hospital with fever, cough, and shortness of breath. After study, the physician could not identify the exact cause of these symptoms but felt that most likely cause was pneumonia. The physician’s final diagnostic statement was possible viral pneumonia Scenario 4 Patient with osteoarthritis of the right knee was admitted for a total right knee replaced. Prior to surgery, the patient developed atrial flutter and the surgery was canceled until the patient could be evaluated by cardiology. Scenario 5 Patient was admitted into the outpatient surgery unit for a cholecystectomy due to chronic cholecystitis. Following surgery, the patient developed severe chest pain and was changed to an inpatient. A cardiac catheterization was performed and identified extensive CAD. The physician’s final diagnostic statement was Chronic Cholecystitis and Arteriosclerotic Coronary Artery Disease with Unstable Angina

Answer 1

The ICD-10-CM classification is nothing but the The International Classification of Diseases,Tenth Revision,Clinical Modification is a system used by the physicians and other healthcare providers to classify and code all diagnoses,symptoms and procedures recorded in conjunction with hospital care in the United States.

Scenario 1:

• Here for the first scenario the principal diagnoses based according to guidelines of ICD-10-CM classification is 'A' that is Codes for symptoms,signs, and ill-defined conditions
• The ICD-10-CM ation classificcode for this case is KOO-K93 and the chapter XI that is Diseases of the digestive system

Scenario 2:

• For this case the principal diagnoses based according to guidelines of ICD-10-CM classification is ''F' that is original treatment plan not carried out.
• The ICD-10-CM classification code for this case is G00-G99 of chapter VI,that is disease of the nervous system assigned in chapter VI

Scenario 3:

• The principal diagnoses based on this case according to the guidelines of ICD-10-CM classification is 'C',that is Two or more diagnoses that equally meet the definition for principal diagnoses
• The ICD-10-CM classification code for this case is J00-J99,that is deseases of the diseases of the respiratory system assigned in chapter X

Scenario 4:

• The principal diagnoses based on this case according to the guidelines of ICD-10-CM classification is 'D' that is Two or more comparative or contrasting conditions
• The ICD-10-CM classification code for this case is 100-199, that is diseases of the circulatory system assigned in chapter IX and M00-M99 that is diseases of the musculoskeletal system and connective tissue assigned in chapterXIII

Scenario 5.

• The principal diagneses based on this case according to the guidelines of ICD-10-CM classification is 'G' that is complications of surgery and surgeryother medical care
• The ICD-10-CM classification code for this case is E00-E90 and 100-199 that is endocrine,nutritional and metabolic diseases and diseases of the circulatory system respectively