Question

This 23-year-old female is admitted with double pneumonia. She also has multiple bilateral lesion of the vulva and private part with fluid-filled blisters. The history includes fever and pain for two days. Sputum cultures show group A streptococcus. History also includes pain, particularly with urination, and itching of the genitals. Physician documents group A streptococcus double pneumonia, vulvovaginitis due to herpes. What codes are assigned?

ICD-10-CM Codes with POA Indicator and MS-DRG:

Answer 1

Pneumonia is a bacterial infection that inflames air sacs in one or both lungs, which may fill with fluid.

ICD code is the international classification for diseases. The codes contains diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. POA indicator is used to differentiate the conditions present at the time of admission from the conditions during inpatient admission. POA MS DRG is used for general claim on acute care hospitals.MS DRG classifies hospital cases according to certain groups.

• Pneumonia is classified under ICD - 10 classification.
• Pnuemonia due to streptococcus pneumoniae isclassified under ICD-10 J13.
• POA indicator
  • The POA code Y: Diagnosis was present at the time of inpatient admission. Here the patient has fever and pain for two days. History also includes pain particularly with urination and itching of genitals.
  • CMS will pay the MS-DRG for those selected cases.