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Answer 2-acute recurrent suppurative otitis media having Inflammation in middle ear and infectious purulent fluid also in middle ear cause ear pain, fever, headache.
Acute recurrent sinusitis due to infection in sinus because patient is chronic smoker cause thick yellow discharge, nasal congestion, swelling, pressure around eyes headache.
Antibiotics cefrixone, clindamycin is effective, analgesic ibuprofen and acetomenophen.
Sinusitis treatment by use of antibiotics and decongestant use.
Isotonic iv fluid therapy effective for treatments and improve hydration status.
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2. OFFICE Gender: F Age: 12 Reason for encounter: Left earache, fever,...
I need the codes 2. OFFICE Gender: F Age: 12 Reason for encounter Left earache, fever,...
I need the codes
2. OFFICE Gender: F Age: 12 Reason for encounter Left earache, fever, head congestion Assessment: Acute recurrent suppurative otitis media and acute recurrent sinusitis, mother is a heavy cigarette smoker in the home (continued) 2. (continued) Plan: Antibiotics for OM, decongestant, and fluids 3 ICD-10-CM Codes 3. OFFICE Gender: M Age: 19 Reason for encounter: Dizziness, nausea, low back pain, headache on right side Assessment: Dizziness, nausea, and headache due to labyrinthitis, right Plan: Refer to...
3. OFFICE Gender: F Age: 54 Reason for encounter: Difficulty seeing, gritty feeling in eyes, ocular...
3. OFFICE Gender: F Age: 54 Reason for encounter: Difficulty seeing, gritty feeling in eyes, ocular hyperemia (bloodshot eyes) Assessment: Bilateral grade 2 corneal and conjunctival deposits, likely due to end-stage renal failure, patient has been on dialysis for about 18 months Plan: Schedule cornea scraping to remove deposits Tip: Instructional notes in the Tabular List guide you to the additional codes and sequencing. 4 ICD-10-CM Codes 2. OFFICE Gender: F Age: 53 ason for encounter: Blurred vision, eye pain,...
3. OFFICE Gender: F Age: 45 Reason for encounter: Follow-up exam after completing treatment for surgical...
3. OFFICE Gender: F Age: 45 Reason for encounter: Follow-up exam after completing treatment for surgical removal of uterus due to endometrial cancer Assessment: No new findings Plan: FU 6 months Tip: Remember to read all instructional notes in the Tabular List. 3 ICD-10-CM Codes 4. INPATIENT HOSPITAL Gender: F Age: 62 Reason for admission: Radical cystectomy followed by inpatient radiotherapy Assessment: Stage III carcinoma of the bladder, invasive into bladder, no metastasis found Plan: Continue radiotherapy as outpatient 2...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with acute bronchitis exacerbation and chronic bronchitis (continued) 2. (continued) Plan: Antibiotics for the infection, begin oxygen therapy, patient must cease cigarette smoking as it continues to impact her respiratory conditions, counseled her regarding treatment options for tobacco dependence Tip: Read the instructional notes in the Tabular List for sequencing instructions. 3 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 78 Reason for admission: Asbestosis...
2. INPATIENT HOSPITAL Gender: M Age: 86 Reason for admission: Admitted from nursing facility due to...
2. INPATIENT HOSPITAL Gender: M Age: 86 Reason for admission: Admitted from nursing facility due to generalized weakness Assessment: Weakness is due to hyponatremia, patient presents an elopement risk due to late onset AD, dementia with hallucinations, and wandering Plan: Discharged to nursing facility ambazo Tip: Sequencing of the additional diagnoses is indicated in the Index and Tabular List. 5 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 42 Reason for admission: Admitted from emergency department where patient presented with...
I need the codes and the codes in the correct sequence 4. OFFICE Gender: M Age:...
I need the codes and the codes in the correct sequence
4. OFFICE Gender: M Age: 45 Reason for encounter: HIV positive patient with no related conditions presents with dysuria, weakness and fever Assessment: Urosepsis (UTI) d/t E. coli (non-Shiga toxin-producing) Plan: Antibiotics Tip: Urosepsis is not sepsis or septicemia. Refer to OGCR I.C.1.a.2)(d) and I.C.1.b. 3 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 77 Reason for admission: Admitted from SNF 1 day post-hospital-discharge with 102° F fever, dyspnea,...
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with...
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with hemorrhaging and intoxication with BAL of .09 Assessment: Patient has long-term alcohol use with dependence, prior cocaine abuser but states he no longer uses Plan: Patient agreed to counseling after discharge Tid: Follow instructional notes in the Tabular List to help determine sequencing. 4 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: M Age: 56 Reason for encounter: Severe depression due to bipolar disorder Assessment: Patient...
of 24-hour ne sodium 4. OFFICE Gender: M Age: 40 Reason for encounter: FU on lab...
of 24-hour ne sodium 4. OFFICE Gender: M Age: 40 Reason for encounter: FU on lab test results of aldosterone excretion rate 18 mcg; 24-h urine sod above 400 mEq (milliequivalent) after presentina with severe hypokalemia, fatigue, muscle weakness cramping, and hypertension Assessment: Primary hyperaldosteronism (Conn's syndrome) with secondary hypertension Plan: Medication to normalize BP, Na (sodium), electrolytes, and aldosterone 2 ICD-10-CM Codes
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index...
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index finger, sustained when she accidentally cut her finger with a butcher knife while preparing dinner Assessment: Wound is healed. Removed sutures. Tip: Assign a code for the injury with the appropriate seventh character for care provided during the healing phase. Do not assign external cause codes. 1 ICD-10-CM Code
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index...
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index finger, sustained when she accidentally cut her finger with a butcher knife while preparing dinner Assessment: Wound is healed. Removed sutures. Tip: Assign a code for the injury with the appropriate seventh character for care provided during the healing phase. Do not assign external cause codes. 1 ICD-10-CM Code
I need the codes
2. OFFICE Gender: F Age: 12 Reason for encounter Left earache, fever, head congestion Assessment: Acute recurrent suppurative otitis media and acute recurrent sinusitis, mother is a heavy cigarette smoker in the home (continued) 2. (continued) Plan: Antibiotics for OM, decongestant, and fluids 3 ICD-10-CM Codes 3. OFFICE Gender: M Age: 19 Reason for encounter: Dizziness, nausea, low back pain, headache on right side Assessment: Dizziness, nausea, and headache due to labyrinthitis, right Plan: Refer to...
3. OFFICE Gender: F Age: 54 Reason for encounter: Difficulty seeing, gritty feeling in eyes, ocular hyperemia (bloodshot eyes) Assessment: Bilateral grade 2 corneal and conjunctival deposits, likely due to end-stage renal failure, patient has been on dialysis for about 18 months Plan: Schedule cornea scraping to remove deposits Tip: Instructional notes in the Tabular List guide you to the additional codes and sequencing. 4 ICD-10-CM Codes 2. OFFICE Gender: F Age: 53 ason for encounter: Blurred vision, eye pain,...
3. OFFICE Gender: F Age: 45 Reason for encounter: Follow-up exam after completing treatment for surgical removal of uterus due to endometrial cancer Assessment: No new findings Plan: FU 6 months Tip: Remember to read all instructional notes in the Tabular List. 3 ICD-10-CM Codes 4. INPATIENT HOSPITAL Gender: F Age: 62 Reason for admission: Radical cystectomy followed by inpatient radiotherapy Assessment: Stage III carcinoma of the bladder, invasive into bladder, no metastasis found Plan: Continue radiotherapy as outpatient 2...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with acute bronchitis exacerbation and chronic bronchitis (continued) 2. (continued) Plan: Antibiotics for the infection, begin oxygen therapy, patient must cease cigarette smoking as it continues to impact her respiratory conditions, counseled her regarding treatment options for tobacco dependence Tip: Read the instructional notes in the Tabular List for sequencing instructions. 3 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 78 Reason for admission: Asbestosis...
2. INPATIENT HOSPITAL Gender: M Age: 86 Reason for admission: Admitted from nursing facility due to generalized weakness Assessment: Weakness is due to hyponatremia, patient presents an elopement risk due to late onset AD, dementia with hallucinations, and wandering Plan: Discharged to nursing facility ambazo Tip: Sequencing of the additional diagnoses is indicated in the Index and Tabular List. 5 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 42 Reason for admission: Admitted from emergency department where patient presented with...
I need the codes and the codes in the correct sequence
4. OFFICE Gender: M Age: 45 Reason for encounter: HIV positive patient with no related conditions presents with dysuria, weakness and fever Assessment: Urosepsis (UTI) d/t E. coli (non-Shiga toxin-producing) Plan: Antibiotics Tip: Urosepsis is not sepsis or septicemia. Refer to OGCR I.C.1.a.2)(d) and I.C.1.b. 3 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 77 Reason for admission: Admitted from SNF 1 day post-hospital-discharge with 102° F fever, dyspnea,...
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with hemorrhaging and intoxication with BAL of .09 Assessment: Patient has long-term alcohol use with dependence, prior cocaine abuser but states he no longer uses Plan: Patient agreed to counseling after discharge Tid: Follow instructional notes in the Tabular List to help determine sequencing. 4 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: M Age: 56 Reason for encounter: Severe depression due to bipolar disorder Assessment: Patient...
of 24-hour ne sodium 4. OFFICE Gender: M Age: 40 Reason for encounter: FU on lab test results of aldosterone excretion rate 18 mcg; 24-h urine sod above 400 mEq (milliequivalent) after presentina with severe hypokalemia, fatigue, muscle weakness cramping, and hypertension Assessment: Primary hyperaldosteronism (Conn's syndrome) with secondary hypertension Plan: Medication to normalize BP, Na (sodium), electrolytes, and aldosterone 2 ICD-10-CM Codes
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index finger, sustained when she accidentally cut her finger with a butcher knife while preparing dinner Assessment: Wound is healed. Removed sutures. Tip: Assign a code for the injury with the appropriate seventh character for care provided during the healing phase. Do not assign external cause codes. 1 ICD-10-CM Code
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index finger, sustained when she accidentally cut her finger with a butcher knife while preparing dinner Assessment: Wound is healed. Removed sutures. Tip: Assign a code for the injury with the appropriate seventh character for care provided during the healing phase. Do not assign external cause codes. 1 ICD-10-CM Code
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