Review each of the following medical coding scenarios Assign

Review each of the following medical coding scenarios. Assign the ICD-10-CM codes for the diagnoses indicated in each scenario. Also assign the ICD-10-PCS code if any procedures are performed, unless otherwise indicated.

2. A 52-year-old patient is seen for mouth pain, knee pain, and fluid buildup in the chest. The physician renders a diagnosis of pulp degeneration, old disruption of the posterior cruciate ligament, and pleural effusion. The physician also performed a chest tube insertion (draining the right pleural cavity with a drainage device using a percutaneous approach) prior to diagnosing the patient’s pleural effusion. What diagnosis and procedure code(s) are assigned? ICD-10: __________________________________________

3. A 30-year-old male is admitted to the hospital with lymphadenitis, acute lymphoid leukemia in relapse, and von Willebrand disease. What code(s) are reported? ICD-10: __________________________________________

4. A 47-year-old male is involved in a motor vehicle accident. He was driving on the highway when his car collided with another vehicle. He was brought to the hospital with a lower arm injury. The physician obtained an x-ray of the arm and, after careful review and interpretation of the x-ray, rendered a diagnosis of lower arm fracture. The physician repaired the arm fracture using open reduction and internal fixation (reposition of the right radius with internal fixation using a percutaneous endoscopic approach). What diagnosis and procedure code(s) are reported? ICD-10:

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Solution

Answer for Question 2.

Different conditions happened on different sites.

So, According to ICD-10 Version 2010;

Code for pulp degenerations is: K04.2

Code for knee degeneration is: M23.5

Code for Pleural effusion is: J90

Procedure code (PCS) (chest tube) is 0w9930z

Answer for Question 3.

Code for acute lymphoid leukaemia: C91.92

Code for Von Willebrand disease is D68.0

Answer for Question 4.

ICD 10 code is: S52.91XA

Procedure code (PCS) (Fracture) is 0psh04z