Reference no: EM133617579
Review case study #1, #2, and #3 below and assign the ICD-10-CM codes for principle diagnosis or first-listed diagnosis and secondary diagnosis(es).
Case 1
A 68-year-old man was admitted to the hospital for an inguinal hernia repair that could not be done on an outpatient basis because of anticipated extended recovery time required due to his other medical conditions. After being prepared for surgery and taken to the operating room, the patient complained of precordial chest pain. The surgery was cancelled, and the patient was returned to his room. Cardiac studies failed to find a reason for the chest pain, which resolved the same day. The patient's medications for his hypertension and COPD were also given.
Principal Diagnosis: __________________________
Secondary Diagnosis(es): _________________________
Case 2
The patient is an 81-year-old woman who was admitted to the hospital for intractable emesis, near syncope, and extreme weakness and fatigue. The patient had been in the hospital two weeks previously for pneumonia, which was treated at that time. A visit in the physician's office five days ago revealed the pneumonia to be resolving. During the hospital stay it was determined the patient had a nonspecific form of gastroenteritis with resulting dehydration. Because the patient had multiple conditions, the physician was queried as to what was the main reason for admission after study, and she stated it was gastroenteritis. The patient is also known to have a hiatal hernia and reflux esophagitis, which were treated with her usual medications. A chest x-ray still showed the pneumonia to be present, and she was continued on oral antibiotics. The patient was discharged home to continue taking oral antibiotics and usual other medications.
Principal Diagnosis: __________________________
Secondary Diagnosis(es): _________________________
Case 3
The patient is a 55-year-old female who is being seen in the outpatient endoscopy center for a sigmoidoscopy with biopsy. The patient's complaint is chronic, watery, nonbloody diarrhea. The gastroenterologist examines the biopsy sample under the microscope and determines there are an increase number of lymphocytes in the specimen. The physician concludes the patient has lymphocytic colitis. (The procedure is not coded in this exercise as ICD-10-PCS is reserved in inpatient procedures.)
First-listed Diagnosis code: _______________________