The patient is an 89-year-old man with advanced COPD who was admitted to the hos
ID: 259832 • Letter: T
Question
The patient is an 89-year-old man with advanced COPD who was admitted to the hospital complaining of cough, shortness of breath, and fever. It was determined that he was suffering from COPD with acute bronchitis. He is supplemental oxygen dependent and also has corpulmonale. He was treated with bronchodilators, antibiotics, and a tapering dose of steroids. The patient was on "do not resuscitate" (DNR) status. The patient was becoming progressively weaker with more respiratory distress. During this hospital stay, the family members decided to initiate comfort care measures after speaking with the physician about the patient's prognosis. The family elected to receive hospice care and took the patient home to receive home end-of-life and comfort care. Identify and code the 4 medical codes for this scenario. The patient is an 89-year-old man with advanced COPD who was admitted to the hospital complaining of cough, shortness of breath, and fever. It was determined that he was suffering from COPD with acute bronchitis. He is supplemental oxygen dependent and also has corpulmonale. He was treated with bronchodilators, antibiotics, and a tapering dose of steroids. The patient was on "do not resuscitate" (DNR) status. The patient was becoming progressively weaker with more respiratory distress. During this hospital stay, the family members decided to initiate comfort care measures after speaking with the physician about the patient's prognosis. The family elected to receive hospice care and took the patient home to receive home end-of-life and comfort care. Identify and code the 4 medical codes for this scenario.Explanation / Answer
The first one is COPD for which the medical code is 491.22. COPD is chronic obstructive pulmonary disease which is basically chronic inflammatory lung disease and it leads to obstruction in the airflow from lungs. It leads to breathing difficulty, cough, sneezing and irritation.
The medical code for “Do not Resuscitate” is Z66 which is billable/specific ICD-10-CM code and it is basically used in diagnosis of the reimbursement purpose.
The COPD with acute bronchitis is basically a chronic obstructive pulmonary disease and causes infection of acute lower respiratory tract. It has the coding as J44.0 which is billable/specific ICD-10-CM.
The Cor Pulmonale has a medical code of I27.81 which is billable/specific ICD-10-CM.
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