Question

How do you figure this out?

A 76-year-old morbidly obese white male, was admitted to the facility with an acute exacerbation of COPD. He is a previous smoker, but has not smoked for the past year because his breathing issues have continued to worsen. He was started on oxygen and treated with an oral corticosteroid with prophylactic antibiotics administered. The progress note of day two states that the pressure ulcer of his right heel (stage 4) was non-excisionally debrided at the bedside.

As an auditor, you will review the POA status, code assignment, and DRG assignment shown below fro this patient’s stay.

POA Status	ICD-10-CM codes assigned	DRG assignment 192
Y	J44.1
N	L89.614
Y	E66.01
E	Z87.891

Answer 1

POA Status	ICD -10	DGR assig 192
Y	J44.1	Mucopurulent chronic bronchitis
N	L89.614	Healing pressure ulcer of right heel
Y	E66.01	obesity due to excess calories
E	Z87.891	Personal history of Nicotine