When coding any record using ICD-10-CM, you have to read the entire report and t

Question

When coding any record using ICD-10-CM, you have to read the entire report and then pick out final diagnoses or signs and symptoms if there is not final diagnosis.

8. A 36-year-old patient is admitted through the Emergency Department with epigastric abdominal pain and diarrhea. An ultrasound shows calculus in her gallbladder but no obstruction. The doctor diagnoses the pain as cholelithiasis with acute cholecystitis. What is the final diagnosis codes(s) and how do you get your answer?

9. A 92 year old patient came into her physician’s office complaining about shortness of breath. She has a history of chronic obstructive asthma (pulmonary disease) and essential hypertension that she continually has used nebulizer treatments for. MD assesses her and determines that she is having an acute exacerbation of her chronic obstructive asthma and some elevated hypertension. What is the final diagnosis code(s) and how did you get your answer?

Explanation / Answer

8. K80-K87 represents any disorders pertaining to gallbladder, biliary tract, and liver. The term "cholelithiasis" means stone in gall bladder and " cholecystitis" means inflammation of gall bladder; chole=gallbladder, lith=stone, and titis=inflammation. The diagnosis is of cholelithiasis with acute cholecystitis and an ultrasound shows calculus in her gallbladder without obstruction. So, the final diagnosis codes(s) are K80.0 and K80.00. The answer has been derived with the help of ICD-10-CM-Codes-Tables-and-Index-2018.

9. Asthma is a repiratory disorder and J00-J99 represents respiratory disorders; hypertension is linked with diseases of circulatory systen and I00-I99 represents circulatory diseases. The final diagnosis code(s) are I10 for hypertension and J44 and J45 chronic obstructive asthma (pulmonary disease). The answer has been derived with the help of ICD-10-CM-Codes-Tables-and-Index-2018.

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