ICD-10 Scenarios- final 4-10-16
IC D-10 Sc e na rio s
Infe c tio us d ise a se ? C ha p te r 1 Sc e na rio 1 Miss Ma tild a , a n 88 yr o ld , ha s c e llulitis o f rig ht lo we r le g tha t is infe c te d with E c o li. She is re c e iving IV a ntib io tic s.
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Infe c tio us d ise a se ? C ha p te r 1- Sc e na rio 1 Miss Ma tild a , a n 88 yr o ld , ha s c e llulitis o f rig ht lo we r le g tha t is infe c te d with E c o li. She is re c e iving IV a ntib io tic s.
Prima ry Dia g no sis- _________ ________________________________ Se c o nd a ry Dia g no sis___________ _______________________________________________ ___________ _______________________________________________ ___________ _______________________________________________ ___________ _______________________________________________
Infe c tio us d ise a se ? C ha p te r 1- Sc e na rio 1 - ANSWER Miss Ma tild a , a n 88 yr o ld , ha s c e llulitis o f rig ht lo we r le g tha t is infe c te d with E c o li. She is re c e iving IV a ntib io tic s.
Prim a ry Dia g no sis- L03.115 - C e llulitis o f rig ht lo we r lim b Se c o nd a ry Dia g no sisB96.20 - Unspe c ifie d Esc he ric hia c o li [E. c o li] a s the c a use o f dise a se s c la ssifie d e lse whe re Z45.2 Enc o unte r fo r a djustm e nt a nd m a na g e m e nt o f va sc ula r a c c e ss de vic e Z79.2 Lo ng te rm (c urre nt) use o f a ntib io tic s Use B96 c o d e s to id e ntify the o rg a nism c a using the infe c tio n. B96 c o d e s ind ic a te o the r b a c te ria l infe c tio ns with the e xc e p tio n o f Stre p to c o c c a l, Sta p hylo c o c c a l, a nd Ente ro c o c c a l infe c tio ns. The se c o d e s a re a lwa ys c o d e d a fte r the infe c tio n c o d e fro m o the r c ha p te rs o the r tha n c ha p te r 1, fo r e xa mp le , UTIs a nd c e llulitis.
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Infe c tio us d ise a se ? C ha p te r 1- Sc e na rio 2
Mr. Ea rl is a d mitte d to ho me he a lth with a d ia g no sis o f se p sis d ue to stre p to c o c c us, g ro up A. The p hysic ia n tre a te d he r with IV a ntib io tic s in the ho sp ita l a nd she will b e ta king o ra l a ntib io tic s a t ho me . Prima ry Dia g no sis- _________ ________________________________ Se c o nd a ry Dia g no sis___________ _______________________________________________ ___________ _______________________________________________
Infe c tio us d ise a se ? C ha p te r 1- Sc e na rio 2
Mr. Ea rl is a d mitte d to ho me he a lth with a d ia g no sis o f se p sis d ue to stre p to c o c c us, g ro up A. The p hysic ia n tre a te d he r with IV a ntib io tic s in the ho sp ita l a nd she will b e ta king o ra l a ntib io tic s a t ho me .
Prima ry Dia g no sis A40.0 - Se p sis d ue to stre p to c o c c us, g ro up A O nly the c o d e fo r the und e rlying syste mic infe c tio n is ne e d e d . "A
c o d e fro m sub c a te g o ry R65.2, Se ve re se p sis, sho uld no t b e a ssig ne d unle ss se ve re se p sis o r a n a sso c ia te d a c ute o rg a n d ysfunc tio n is d o c ume nte d ," a c c o rd ing to IC D-10 o ffic ia l g uid e line s (Se c tio n I.C .1.d .1(a )).
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C ha p te r 2- Ne o p la sms- Sc e na rio 1 Mr Jimmy Le e is a d mitte d to HH fo llo wing ho sp . He ha s live r me ts a nd a histo ry o f lung c a . He c o ntinue s to smo ke ! He ha d b o o d tra nsfusio n in ho sp b ut is no t no w re c e iving tre a tme nt fo r a ne mia . He a lso ha s C O PD.
Prima ry Dia g no sis- _________ ________________________________ Se c o nd a ry Dia g no sis___________ _______________________________________________ ___________ _______________________________________________ ___________ _______________________________________________ ___________ _______________________________________________ ___________ _______________________________________________
C ha p te r 2- Ne o p la sms- Sc e na rio 1- ANSWER Mr Jimmy Le e is a d mitte d to HH fo llo wing ho sp . He ha s live r me ts a nd a histo ry o f lung c a . He c o ntinue s to smo ke ! He ha d b o o d tra nsfusio n in ho sp b ut is no t no w o nly re c e iving iro n p ills fo r a ne mia . He a lso ha s C O PD.
Prim a ry Dia g no sis - C 78.7 Se c o nda ry m a lig na nt ne o pla sm o f live r a nd intra he pa tic b ile Se c o nda ry Dia g no sisD63.0- Ane m ia in ne o pla stic dise a se J44.9- C O PD Z72.0- To b a c c o Use Z85.118- pe rso na l hx o the r m a lig na nt ne o pla sm o f b ro nc hus & lung
Ane m ia is to b e c o de d a fte r the ne o pla stic dise a se in IC D- 10. To b a c c o c o de is re q uire d in IC D- 10 with lung diso rde rs. C o ding c linic sta te s to c o de to b a c c o de pe nde nc e o nly if physic ia n sta te s tha t. if unkno wn c o de to b a c c o use .
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C ha p te r 2- Ne o p la sms- Sc e na rio 2- Mrs. Sm ith is a d m itte d a fte r surg e ry fo r re se c tio n fo r c o lo n c a nc e r. The sup p o rting d o c ume nta tio n sta te s c o lo n c a nc e r is re so lve d with surg e ry a nd no furthe r tre a tme nt is p la nne d .
Prima ry Dia g no sis- _________ ________________________________ Se c o nd a ry Dia g no sis___________ _______________________________________________ ___________ _______________________________________________
C ha p te r 2- Ne o p la sms- Sc e na rio 2- ANSWER Mrs. Smith is a d mitte d a fte r surg e ry fo r re se c tio n fo r c o lo n c a nc e r. The sup p o rting d o c ume nta tio n sta te s c o lo n c a nc e r is re so lve d with surg e ry a nd no furthe r tre a tme nt is p la nne d .
Prim a ry Dia g no sis - Z48.3 Afte rc a re fo llo wing surg e ry fo r ne o pla sm Se c o nda ry Dia g no sis- Z85.038 Pe rso na l histo ry o f o the r m a lig na nt ne o pla sm o f la rg e inte stine Whe n ne o pla sm is re so lve d, pe rso na l histo ry o f c a nc e r c o de is use d.
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