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Can someone please help me with my ICD 10 Coding II questions
The female patient was admitted with right lower quadrant abdominal pain, diarrhea, fever,
chills, and nausea for the past 5 days. Blood and stool cultures were negative. CT of the abdomen
ruled out colon disease but was positive for ascites and cirrhosis. This was consistent with the
patient’s history of cirrhosis due to hemochromatosis. The patient refused paracentesis.
Antibiotics were started with improvement of pain and diarrhea. At discharge, the differential
diagnosis was acute gastroenteritis or spontaneous bacterial peritonitis.
Final diagnosis: (1) Possible gastroenteritis versus spontaneous bacterial peritonitis, (2)
cirrhosis, (3) hemochromatosis
Assign the appropriate codes.
Solution
Ans.) ICD-10 code determined by the International Statistical Classification of Diseases and
Related Health Problems, it is the 10th revision of medical classification by the World Health
Organization (WHO). It assigns codes to diseases, their symptoms, abnormal findings,
complaints, social circumstances and external causes of injury or diseases. The code set have
more than 14,400 different codes and allow the listing of new diagnoses also. The codes can be
increased up to 16,000 codes by applying optional sub-classifications.
The appropriate code for the mentioned diseases are given below
Possible gastroenteritis versus spontaneous bacterial peritonitis - K65.2
(It is an acute bacterial infection of ascitic fluid. Its causal agent is difficult to identify. But in
severe case, it is caused due to contamination of dialysate.)
Cirrhosis - K74.60
(Cirrhosis is a slow progression illness in which vigorous liver tissue is replaced with the scar
tissue and consequently stops normal functioning of liver.)
Hemochromatosis - E83.110
(In Hemochromatosis, body consumes up and store more iron than it is needed. The extra iron is
stored in the liver, heart and pancreas. Eventually it causes liver disease, heart problem and
cancer. Its symptoms are serious illness for example diabetes, pain within the joints and
abdomen, tiredness and impotence. In some cases, hemochromatosis may be inherited or it may
be caused by blood transfusion.)
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Can someone please help me with my ICD 10 Coding II questionsThe f.pdf

  • 1. Can someone please help me with my ICD 10 Coding II questions The female patient was admitted with right lower quadrant abdominal pain, diarrhea, fever, chills, and nausea for the past 5 days. Blood and stool cultures were negative. CT of the abdomen ruled out colon disease but was positive for ascites and cirrhosis. This was consistent with the patient’s history of cirrhosis due to hemochromatosis. The patient refused paracentesis. Antibiotics were started with improvement of pain and diarrhea. At discharge, the differential diagnosis was acute gastroenteritis or spontaneous bacterial peritonitis. Final diagnosis: (1) Possible gastroenteritis versus spontaneous bacterial peritonitis, (2) cirrhosis, (3) hemochromatosis Assign the appropriate codes. Solution Ans.) ICD-10 code determined by the International Statistical Classification of Diseases and Related Health Problems, it is the 10th revision of medical classification by the World Health Organization (WHO). It assigns codes to diseases, their symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases. The code set have more than 14,400 different codes and allow the listing of new diagnoses also. The codes can be increased up to 16,000 codes by applying optional sub-classifications. The appropriate code for the mentioned diseases are given below Possible gastroenteritis versus spontaneous bacterial peritonitis - K65.2 (It is an acute bacterial infection of ascitic fluid. Its causal agent is difficult to identify. But in severe case, it is caused due to contamination of dialysate.) Cirrhosis - K74.60 (Cirrhosis is a slow progression illness in which vigorous liver tissue is replaced with the scar tissue and consequently stops normal functioning of liver.) Hemochromatosis - E83.110 (In Hemochromatosis, body consumes up and store more iron than it is needed. The extra iron is stored in the liver, heart and pancreas. Eventually it causes liver disease, heart problem and cancer. Its symptoms are serious illness for example diabetes, pain within the joints and abdomen, tiredness and impotence. In some cases, hemochromatosis may be inherited or it may be caused by blood transfusion.)