icd 10 answer the following Questions & Answers

Answer the following questions after listening to the video clip and reading the following case study. Inpatient Visit Physician Note S: This 92 year old male patient was admitted two days ago due to a sudden onset of fever, headache and complaining of a very stiff neck. The patient took Tylenol at home to relieve his headache but it did not relieve the headache. When his fever reached 101 his daughter brought him to the emergency department and he was admitted. Testing confirmed meningitis. O: Respirations are 32. Pulse is 100 BP: 130/90. He is alert and in some pain at this time. LUNGS: Clear, no wheezing present. HEENT: WNL. Heart: Normal sounds. Abdomen: Soft and nontender. A: Results from a cerebral spinal tap confirm meningitis due to streptococcus pneumoniae. P: Due to the patient's age he will remain in the hospital for a course of IV antibiotics for approximately two more days. What is the correct ICD-10-CM - ANSWERSG00.1 Answer the following questions after listening to the video clip and reading the following case study. Inpatient Discharge Summary History of Present Illness:This patient is 76 years old with a known history of cancer of the lung with metastasis to the brain. The brain neoplasm is present at this time. Cancer of lung was resected 6 months ago and there is no evidence that it is present at this time. The patient was admitted because his daughter noticed him getting weaker and because he was not eating or drinking well for the last two days. He has undergone chemotherapy and radiation in the past 5 months, and he asked for the treatment to be stopped. Upon examination at the time of admission, he was dehydrated and weak due to lack of eating. Hospital Course: The patient requested that he receive care only for his dehydration. He was given IV hydration and refused all other treatment. Medications at Discharge: The pati - ANSWERSE86.0, C79.31, Z85.118 Answer the following questions after listening to the video clip and reading the following case study. Physician Office Note John Jones, a three week old infant, returns to the office today with his parents to follow up on diagnostic testing. Following delivery it was noted that there was prolonged bleeding from the umbilical cord of the infant and after circumcision. The initial level of fibrinogen in the venous blood was found to be below normal range. The following tests were completed and all were found to be abnormal: bleeding time, partial thromboplastin time, prothrombin time, Reptilase time and thrombin time. A congenital fibrinogen deficiency test was then ordered and the results were discussed today. The child appears in no acute distress and all vital signs are within normal limits. Skin: On the left arm there is a bruised area. Also on both legs there are bruised areas. Abdomen: Soft and nontender Heart: - ANSWERSD68.2 Answer the following questions after listening to the video clip and reading the following case study. Inpatient Discharge Note This 10 year-old male patient is a type 1 diabetic. He was admitted from the emergency room because he was in a coma with ketoacidosis. During his hospitalization his insulin levels were adjusted and he is stabilized at this time. He was instructed to follow up with me in the office in one week or sooner if needed. Diagnosis: type 1 diabetes with ketoacidosis with coma What is the correct ICD-10-CM diagnostic code(s) for this case? - ANSWERSE10.11, Z79.4 Answer the following questions after listening to the video clip and reading the following case study. Emergency Department Note This 48 year old woman is brought to the emergency department today by her mother. This patient is profoundly retarded which is complicating the examination. The mother states that the patient has had bouts of hypoglycemia and she is not eating well today. The patient is very "low on energy" per mother. Vital signs: B/P: 120/85, Temperature 99.8 Weight: 160 pounds HEENT: Normal Abdomen: Soft, nontender and no masses noted. Lungs: Clear Blood sugar was taken and found to be 45. The patient was started on IV as I felt this is the most advantageous manner in which to raise the blood sugar due to the patient's mental deficient. Blood sugar was then again taken and rose to 90. Patient's mother was given information about hypoglycemia and instructed to follow up with the patient's primary care pr - ANSWERSE16.2, F73 Answer the following questions after listening to the video clip and reading the following case study. Office Note This 39 year old male presents today because of pain in his right leg that occurs at night. He describes this as a cramping feeling. He states that he has not injured his leg in the past. EXAM: HEENT: Normal Lungs: Clear Extremities: Normal to touch and neurological testing. ROM normal. I instructed him to heat his leg prior to going to bed and offered to give him a referral to PT at this time. He stated he wanted to try at-home exercises first. Since this is only occurring at night when sleeping, I feel that this is sleep-related leg cramps. What is the correct ICD-10-CM diagnostic code(s) for this case? - ANSWERSG47.62 Answer the following questions after listening to the video clip and reading the following case study. Office Note This 69 year old male presents to the office today complaining of an irregular floating spot in his left eye and blurred vision. Ophthalmoscope Examination: Examination revealed no findings in the right eye. In the left eye there is a separation of the inner layers of the retina with fluid in the subretinal space. There is also retinal break. Assessment: retinal detachment with retinal break Plan: patient will be scheduled for surgery What is the correct ICD-10-CM diagnostic code(s) for this case? - ANSWERSH33.002 Answer the following questions after listening to the video clip and reading the following case study. Office Note This 84 year old patient presents today with a compliant of acute loss of hearing, tinnitus and pain in her left ear. Vital Signs: B/P 130/80, Weight 194 pounds Ear: Inspection of the right ear has no findings Inspection of the left ear reveals impacted cerumen in the ear. Mineral oil was placed in her ear and then the ear was irrigated and the wax removed. Hearing was normal. What is the correct ICD-10-CM diagnostic code(s) for this case? - ANSWERSh61.22