A patient is admitted to an acute care facility for detoxification from alcohol and barbiturate
intoxication with chronic alcoholism and barbiturate abuse. The patient also has cirrhosis of
the liver due to alcoholism. ✔✔ICD-10-CM: F10.229, F13.129, K70.30,
(Schraffenberger 2013, 140-143.)
ICD-10-PCS HZ2ZZZZ
(Leon-Chisen 2014, 186).
Inpatient:
,A 30-year-old patient was seen in the emergency department for recurrent epileptic seizures.
The patient also had tic douloureux. ✔✔ICD-10-CM: G40.909, G50.0
(Schraffenberger 2013,158-159).
Inpatient:
A patient was admitted to an acute care facility with a temperature of 102 and atrial fibrillation.
The chest x-ray reveals pneumonia with subsequent documentation by the physician of
pneumonia in the progress notes and discharge summary. The patient was treated with oral
antiarrhythmia medications and IV antibiotics. ✔✔ICD-10-CM: J18.9, 148.91-
In accordance with the UHDDS, both conditions are not equally treated. The pneumonia
was treated with IV antibiotics. This diagnosis had greater utilization of resources of
medications and staff time compared with the atrial fibrillation, which was treated with oral
medication. Because of this, the pneumonia is sequenced first (HHS 2014, Section II, C).
Inpatient:
A patient with chronic cholecystitis and gallbladder stones underwent a laparoscopic
cholecystectomy in an acute care facility. However, due to extensive gallbladder adhesions
the procedure was converted to an open cholecystectomy. ✔✔ICD-10-CM: K80.10, K82.8
(Schraffenberger 2013, 249-250, 454); HHS 2011, Section I, 18. d, 14), ICD-10-PCS: OFT40ZZ,
OFJ44ZZ (Leon-Chisen 2014, 250).
, Inpatient:
A patient is admitted to the inpatient setting with hydronephrosis and a staghorn calculus of the
right kidney. The patient underwent an uretetoscopy with placement of bilateral ureteral stents
for dilation purposes and removal of calculus of right kidney. ✔✔ICD-10-CM: N13.2,
ICD-10-PCS: OT788DZ, OTC08ZZ
(Leon-Chisen 2013, 269).
Inpatient:
A 77-year-old nursing home patient was admitted to the acute care setting for excisional
debridement of decubitus stage 3 ulcer of the right heel via surgical excision in the OR. The
patient also has degenerative joint disease of both knees. ✔✔ICD-10-CM: L89.613, M17.0,
ICD-10-PCS: OJBQOZZ
(Schraffenberger 2013, 265-266, 278, 282-284).
Inpatient:
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