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Principal Diagnosis: list, describe, and code
Secondary diagnosis: list describe and code
Explain why you are choosing a particular diagnosis as the principal diagnosis and also why you
are sequencing the codes in a particular fashion.
Module 5 cases : please code cases 4 and 5.
Please do not code any procedures.
4. Inpatient admission: The patient, witharterio sclerotic coconary heart disease and type 2
diabetes metlitus, eemme to the hospital with sympioms that were believed to represent sepois.
She was placed on antibioties; and the sy mipious . improved. ST- and T-wave changes patient's
glocose showed marked on an EKG. The patienis to becondary to the sepsis: The blond sugars
were brought under control The with an adjustment of her insalin therapy and an appropriate
diet. Discharge diagnosess. (1) Arterioselerotic : Uncontooled el abeles may cefer to kisod
nugars being Nowatiod coconary heart disesse, ( 2 ) uncontrolled type 2 diabetes mellitus, (3)
questionable sepsis. Etros Tyee 2 dinceter metica watho 2704 bong formicutinte used aisuin
Comments: The admission was recesstated by signs and Byt ceoms of sopsis, which was nevar
ruled cut and, thecolere. is: Fo princlpal dagnoils iCDig-.CM coong gudolnes stane biat Iter at a
agnosis of eeasis, the aspropriate codo for the undirying. Systerici infese on is assigned, Code
Acs.9 is aseigned if the : (hyperpycemiay oi 40 low (tippoglysemis), in this case, tho : paient's
glucose thowed mained eleration, For by diabeles : codo, refer to the man uem 0 sbelet, in the
Aphabotio index. The subterm funcontrelid meaning Zyperglyeemis, adisos tha usor to 'seo.
Dlibotes, by type, with typenelyeerria.". No eode is assigned ter ses ST.and T. Wave changes on
the. EkG becauso they represint abonomal fodings that wore not treased or furtior avalussed.
Codo 2794 is assigned for the patunts long-term insuifin therapy. 5. Dutpatient clinic visit: The
HIV-infecred patient was. Suffering from an acute lymphadenitis due to his HIV infection. The
glands in the nock area were most affected. Antibiotics were preseribed. but the patient refused
antiretrosiral treatment. at this time. He was of the opinion that bis 8xy) Runan ititunodethenc
vies it M ditebset religion would eventally make antiretroviral medication unnecessiry Another
consideration Was his nareotic dependency. He was encounaged to costinue participation in
support groups for people with narcotic addiction and HIV. F1120 Cplad depundense,
uncorgiculid Diagnoses: (1) Mcute lymphadeniris secosdary to HIV infection. (2) narcotic
dependence, (3) refusal of medication due to religious reasons. Comments: Code 820 is assigned
for al Hiv lotections and is C. Cosignssed as the cealon fec encounter whan the pabent wat sean
for Hiv inlection or a re atod consition, Code L0t A. Acule bimphadenitis of tise, heod and neck
ehould not be assigesd : achg w in code Ba0 beceuse of the torcludest note as camegery Lo4
exeluding Hil di soaso resuling in gkoalaled lymphade. nopothy (aesi For the narcoto
depenstence cose, vee the main Wian in the Index Dependenco. navoobo (drug) NEC, wheh
cwors: the user to see Oependence, dwus oplold. Folowing this intruos sonal note, the uset
articas ef code fil so. Codo 263 . may be asslened to show the relusal ot modications fer has g
fous reavons. 6. Inpaticnt udmission: The patient is an 85 -yearA4t,a Sepescio to Hemophius
intuncoion old female who presented to the emergency department (HD) with increasing
shortness. of breath, hypoxia, productive cough, and progressive weakness. Sho acutely
detertorated in the ED and was emergently sent to the intensive care unit (ICU) in the ICU, the
parient was intubated, meebanically venblared for four dyys. and started on broad-spectrazn
antibiceics. 3.4 Preumenia doo to Harsophis infuenate. Diasnoses; (1) Septie shock, (2) acute
respiratory R65 21 Sovere Hovis winispe thocx 5Alisis Respuralory wert ali on 24 96
conoeculve hours. ceHi7E2 insertion of enotrecheal a roway into trachai. fillure. (3) Hemiophilhs
influentae pneumonia. Commante: For ckies of covere sepess, the undory ng infection: Is
sequenceld fist followed by a code from escoategory fos ? Sevece topsis. When tre cosson tor
admission is both sepels. the cede for the locsl ted intecton should bo ass gned as a secondsy
dagnosis. The potort was intibased ta the iCls and maintahed on ventiaton tor lour deys ies
hourst.

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  • 1. Principal Diagnosis: list, describe, and code Secondary diagnosis: list describe and code Explain why you are choosing a particular diagnosis as the principal diagnosis and also why you are sequencing the codes in a particular fashion. Module 5 cases : please code cases 4 and 5. Please do not code any procedures. 4. Inpatient admission: The patient, witharterio sclerotic coconary heart disease and type 2 diabetes metlitus, eemme to the hospital with sympioms that were believed to represent sepois. She was placed on antibioties; and the sy mipious . improved. ST- and T-wave changes patient's glocose showed marked on an EKG. The patienis to becondary to the sepsis: The blond sugars were brought under control The with an adjustment of her insalin therapy and an appropriate diet. Discharge diagnosess. (1) Arterioselerotic : Uncontooled el abeles may cefer to kisod nugars being Nowatiod coconary heart disesse, ( 2 ) uncontrolled type 2 diabetes mellitus, (3) questionable sepsis. Etros Tyee 2 dinceter metica watho 2704 bong formicutinte used aisuin Comments: The admission was recesstated by signs and Byt ceoms of sopsis, which was nevar ruled cut and, thecolere. is: Fo princlpal dagnoils iCDig-.CM coong gudolnes stane biat Iter at a agnosis of eeasis, the aspropriate codo for the undirying. Systerici infese on is assigned, Code Acs.9 is aseigned if the : (hyperpycemiay oi 40 low (tippoglysemis), in this case, tho : paient's glucose thowed mained eleration, For by diabeles : codo, refer to the man uem 0 sbelet, in the Aphabotio index. The subterm funcontrelid meaning Zyperglyeemis, adisos tha usor to 'seo. Dlibotes, by type, with typenelyeerria.". No eode is assigned ter ses ST.and T. Wave changes on the. EkG becauso they represint abonomal fodings that wore not treased or furtior avalussed. Codo 2794 is assigned for the patunts long-term insuifin therapy. 5. Dutpatient clinic visit: The HIV-infecred patient was. Suffering from an acute lymphadenitis due to his HIV infection. The glands in the nock area were most affected. Antibiotics were preseribed. but the patient refused antiretrosiral treatment. at this time. He was of the opinion that bis 8xy) Runan ititunodethenc vies it M ditebset religion would eventally make antiretroviral medication unnecessiry Another consideration Was his nareotic dependency. He was encounaged to costinue participation in support groups for people with narcotic addiction and HIV. F1120 Cplad depundense, uncorgiculid Diagnoses: (1) Mcute lymphadeniris secosdary to HIV infection. (2) narcotic dependence, (3) refusal of medication due to religious reasons. Comments: Code 820 is assigned for al Hiv lotections and is C. Cosignssed as the cealon fec encounter whan the pabent wat sean for Hiv inlection or a re atod consition, Code L0t A. Acule bimphadenitis of tise, heod and neck ehould not be assigesd : achg w in code Ba0 beceuse of the torcludest note as camegery Lo4 exeluding Hil di soaso resuling in gkoalaled lymphade. nopothy (aesi For the narcoto depenstence cose, vee the main Wian in the Index Dependenco. navoobo (drug) NEC, wheh cwors: the user to see Oependence, dwus oplold. Folowing this intruos sonal note, the uset articas ef code fil so. Codo 263 . may be asslened to show the relusal ot modications fer has g fous reavons. 6. Inpaticnt udmission: The patient is an 85 -yearA4t,a Sepescio to Hemophius intuncoion old female who presented to the emergency department (HD) with increasing shortness. of breath, hypoxia, productive cough, and progressive weakness. Sho acutely detertorated in the ED and was emergently sent to the intensive care unit (ICU) in the ICU, the
  • 2. parient was intubated, meebanically venblared for four dyys. and started on broad-spectrazn antibiceics. 3.4 Preumenia doo to Harsophis infuenate. Diasnoses; (1) Septie shock, (2) acute respiratory R65 21 Sovere Hovis winispe thocx 5Alisis Respuralory wert ali on 24 96 conoeculve hours. ceHi7E2 insertion of enotrecheal a roway into trachai. fillure. (3) Hemiophilhs influentae pneumonia. Commante: For ckies of covere sepess, the undory ng infection: Is sequenceld fist followed by a code from escoategory fos ? Sevece topsis. When tre cosson tor admission is both sepels. the cede for the locsl ted intecton should bo ass gned as a secondsy dagnosis. The potort was intibased ta the iCls and maintahed on ventiaton tor lour deys ies hourst.