Case 1 This is a 38-year-old-male who presents with a diagnosis of Kaposi’s sarc

Question

Case 1
This is a 38-year-old-male who presents with a diagnosis of Kaposi’s sarcoma, lungs, and the diaphragm.
The patient will be receiving two separate treatments today.
TREATMENT: Radiation therapy
PROCEDURE PERFORMED: Radiation treatment delivery
INDICATIONS FOR PROCEDURE: Kaposi’s sarcoma, lung, with mets to diaphragm
PROCEDURE: Two separate treatment areas, right lung and the diaphragm. Each area was properly marked, and beam radiation of 20-MeV photons was delivered to each area, first the lungs, then the diaphragm.
Patient tolerated his treatment well and will return in 2 days for the next treatment.
ICD-10-PCS Code Assignment:__________ and _________________

Case 2
Mr. Afina presents today with a very painful, barky cough. He said this has been going on for the last 2 days and he feels terrible. He has been running a fever and is feeling weak. After a physical exam, Dr. Divine ordered a chest x-ray with AP/PA and lateral views. This x-ray confirmed the diagnosis of pneumonia, and Mr. Afina was sent to the hospital immediately. ICD-10-PCS Code Assignment: __________

Case 3
Caryn is a 40-year-old female who presented to the doctor’s office with a recent change in her mental status. Her doctor wants an MRI of the brain with and without contrast—STAT. Multiplanar, multisequence imaging of the brain was performed. There is an abnormality of the right frontal region. Postadministration of gadolinium contrast, there is an increased signal on T2 weighted images within the left basal ganglia. The appearance is typical of a focal basal ganglionic infarct on the left.
IMPRESSION: 2-cm lesion of right frontal area
Basal ganglia, likely ischemic in nature, left
ICD-10-PCS Code Assignment: ____________________

Explanation / Answer

1. ICD 10 PCS code assignment-Beam radiation of lungs using photons >10Mev:DB022ZZ and Beam radiation of diaphram using protons >10Mev:DB082ZZ

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