A 75-year-61d patient is admitted to the hospital with the acute onset of neurol

Question

A 75-year-61d patient is admitted to the hospital with the acute onset of neurologic symptoms including double vision, speech difficulty, and loss of balance. Because the patient had a cerebral infarction 5 years previously, with residual hemiparesis on her left non-dominant side, the physician is concerned the patient is having another stroke. Physical and neurologic examination along with CT scanning and blood tests prove the patient has not had another stroke. The physician describes this episode of illness as a "TIA" or transient ischemic attack. The patient's symptoms completely resolve, but she is seen by a physical therapist for the residual hemiparesis on her left side that was the result of her previous cerebral infarction. The patient's essential hypertension is also treated. The stage II chronic kidney disease due to her type 2 diabetes mellitus was monitored and treated. The patient is discharged on the hospital day 3 for follow up in her physician's office in 1 week. Please identify and code the 5 medical codes for this scenario A 75-year-61d patient is admitted to the hospital with the acute onset of neurologic symptoms including double vision, speech difficulty, and loss of balance. Because the patient had a cerebral infarction 5 years previously, with residual hemiparesis on her left non-dominant side, the physician is concerned the patient is having another stroke. Physical and neurologic examination along with CT scanning and blood tests prove the patient has not had another stroke. The physician describes this episode of illness as a "TIA" or transient ischemic attack. The patient's symptoms completely resolve, but she is seen by a physical therapist for the residual hemiparesis on her left side that was the result of her previous cerebral infarction. The patient's essential hypertension is also treated. The stage II chronic kidney disease due to her type 2 diabetes mellitus was monitored and treated. The patient is discharged on the hospital day 3 for follow up in her physician's office in 1 week. Please identify and code the 5 medical codes for this scenario Please identify and code the 5 medical codes for this scenario

Explanation / Answer

Ans) 1) ICD-10-CM Diagnosis code - E11.22 - Type 2 Diabetic mellitus with stage II chronic kidney.

2) cerebral infarction with residual hemiparesis on her left non-dominant side - ICD-10-CM Diagnosis code = 169.351

3)  Transient ischemic attack ICD-10-CM code = G45.9

4) stage II chronic kidney ICD-10-CM code = N18.2

5) stage II chronic kidney disease with hypertension ICD-10-CM code = I12.9

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