Review each of the following medical coding scenarios. Assign the ICD-10-CM code

Question

Review each of the following medical coding scenarios. Assign the ICD-10-CM codes for the diagnoses indicated in each scenario. Also assign the ICD-10-PCS code if any procedures are performed, unless otherwise indicated.

1. A 61-year-old female patient is seen for a complaint of severe heartburn, lightheadedness, skin reddening, and shortness of breath. The physician renders a diagnosis of GERD, sickle cell anemia, lymphangitis, and diaphragmatic paralysis. What code(s) should be assigned? ICD-10:

Lymphangitis : ICD-10-CM code

Disease of skin and subcutaneous tissue ( LOO-L 99), LO3.91

Diaphragmatic paralysis:   ICD-10- CM Diagnosis code J 98.6( J 00- J 99- Disease of the respiratory system)

2. A 37-year-old patient comes in complaining of swollen joints and headaches. The physician’s diagnosis is SLE. The patient also has rheumatoid arthritis and asthma with status asthmaticus. What code(s) are assigned? ICD-10:

ICD 10-CM Diagnosis code J45.092 for asthma with asthmaticus

ICD 10-CM Diagnosis code M06.9 for rhematoid arthritis

ICD 10-CM Diagnosis code M32.9 for SLE

3. A 52-year-old patient is seen for mouth pain, knee pain, and fluid buildup in the chest. The physician renders a diagnosis of pulp degeneration, old disruption of the posterior cruciate ligament, and pleural effusion. The physician also performed a chest tube insertion (draining the right pleural cavity with a drainage device using a percutaneous approach) prior to diagnosing the patient’s pleural effusion. What diagnosis and procedure code(s) are assigned? ICD-10: __________________________________________

4. A 30-year-old male is admitted to the hospital with lymphadenitis, acute lymphoid leukemia in relapse, and von Willebrand disease. What code(s) are reported? ICD-10: __________________________________________

5. A 47-year-old male is involved in a motor vehicle accident. He was driving on the highway when his car collided with another vehicle. He was brought to the hospital with a lower arm injury. The physician obtained an x-ray of the arm and, after careful review and interpretation of the x-ray, rendered a diagnosis of lower arm fracture. The physician repaired the arm fracture using open reduction and internal fixation (reposition of the right radius with internal fixation using a percutaneous endoscopic approach). What diagnosis and procedure code(s) are reported? ICD-10: __________________________________________

Explanation / Answer

solving first question

1

following are the codes assigned

Lymphangitis : ICD-10-CM Diagnosis Code I89.1

Applicable To

Disease of skin and subcutaneous tissue =>ICD-10-CM Diagnosis Code L98.9

Diaphragmatic paralysis:   ICD-10-CM Diagnosis Code J98.6

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