ASSIGNMENT: Using your ICD-10-CM code book, apply the correct ICD-10-CM diagnosis code(s) to each. All documentation...

ASSIGNMENT: Using your ICD-10-CM code book, apply the correct ICD-10-CM diagnosis code(s) to each. All documentation in the scenarios should be considered physician documentation. Remember, when the documentation indicates a patient was "admitted", you are required to use inpatient coding guidelines. Don't forget to verify your code as well as any instructional notes, etc. in the Tabular section so as to secure you have a valid code assignment.

SCENARIO #1: The patient was admitted to the hospital for monitoring of seizure-like spells. A 3 day workup was performed to observe the spells as they were occurring, however, there was not epileptic activity revealed. FINAL DIAGNOSIS: Transient alteration of awareness, seizure disorder was ruled out.

SCENARIO #2: Screening colonoscopy was performed with findings that were positive for sigmoid diverticulitis.

SCENARIO #3: Admission due to fever and cough. The patient was evaluated for bronchitis but no evidence for such was found.

Solutions

Expert Solution

1.R40.4 is a billable ICD code used to specify a diagnosis of transient alteration of awareness. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Section R40-R46 — Symptoms and signs involving cognition, perception, emotional state and behavior

R40 Somnolence, stupor and coma

R40.0 Somnolence
Inclusion term(s):Drowsiness

R40.1 Stupor
Inclusion term(s):Catatonic stupor, Semicoma

R40.2 Coma

R40.3 Persistent vegitative state

R40.4 Transient alteration of awareness

2. K57.32 is a billable ICD code used to specify a diagnosis of diverticulitis of large intestine without perforation or abscess without bleeding.

Diagnosis Index entries containing back-references to K57.33

Diverticulitis (acute) K57.92
intestine K57.92
large K57.32
withbleeding K57.33

3. R50. 9 - Fever, unspecified. ICD-10-CM.
R05 is a billable ICD code used to specify a diagnosis of cough.

Because cough and fever are symptoms of COVID19 so,

Both categories, U07. 1 (COVID19, virus identified) and U07. 2 (COVID19, virus not identified) are suitable for cause of death coding

Nightingale answered 1 year ago

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