Question

Jason Browne was admitted through the ED with dizziness and visual disturbance. He is a 62 year old male. Endocrinology consult notes indicate patient has mild nonproliferative diabetic retinopathy with macular edema of the right eye. Dizziness and visual disturbances are determined to be from the macular edema. He has type 2 DM and takes insulin on a daily basis. He also has a diabetic cataract in his right eye.

1) Assign the ICD-10-CM Diagnosis(es) – be sure to clearly indicate the PRINCIPAL dx!

2) Assign the POA indicators for this case

3) What is the MS-DRG for this case

Answer 1

Answer:

1. ICD-10-CM CODE

* Mild nonpoliferative diabetic retinopathy with macular edema of the right eye - E11. 3211 -

Macular edema - principal dx.

*Type 2 diabetes mellitus - E11.9

*Diabetic cataract of right eye- E11.36

2.* Mild nonpoliferative diabetic retinopathy with macular edema - Y

* Type 2 diabetes mellitus- Y

* Diabetic cataract of right eye- Y

3. MS-DRG of diabetes -638 w CC