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1.Code the following scenario utilizing ICD-10-CM: 5 Codes Patient was seen in the physician's office today...

1.Code the following scenario utilizing ICD-10-CM: 5 Codes

Patient was seen in the physician's office today for a sore throat, diagnosed with strep throat. Patient also has small cell carcinoma of the right lower lobe of the lung with metastasis to the intrathoracic lymph nodes, brain, and right rib.

2.

After reviewing the coding guideline on coding Human Immunodeficiency Virus (HIV)

Choose one of the guidelines and then create and provide a coding scenario and how you would code it (provide the codes)

Expert Solution

Solution:

1.

J02.0 strep throat

C34.91 malignant neoplasm of right part of bronchus or lung

C77.1 secondary and unspecified malignant neoplasm of intrathoracic lymph nodes.

C79.31 secondary malignant neoplasm of brain.

C79.51 secondary neoplasm of bone.

2.

- Asymptomatic human immunodeficiency virus.

Z21, Asymptomatic human immunodeficiency virus infection status, is to be applied when the patient without any documentation of symptoms is listed as being "HIV positive," "Known HIV, "HIV test positive", or similar terminology. Do not use this code if the term "AIDS" is used or if the patient is treated for any HIV - related illness or is described as having any conditions, resulting from his/her HIV positive status, use B20 in these case.

- If a patient admitted for an human immunodeficiency virus related condition, the principal diagnosis should be B20, HIV disease followed by additional diagnosis codes for all reported HIV related condition.

HIV with CMV :

B20 Human immunodeficiency virus disease.

B25.9 Cytomegalovirus disease, unspecified.

Explanation:

Cytomegalovirus is a Human immunodeficiency virus related condition, so the human immunodeficiency virus diagnosis code is reported first, followed by the code for Cytomegalovirus.

Nightingale answered 2 years ago

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