Coding Chapter 6

S25.01xA, S21.332A, B20, W27.1xxA, Y92.71, 02UW0JZ, 0JQ60ZZ, 0HQ5XZZ

A patient with HIV disease was admitted with a puncture wound to the left front wall of the thoracic, penetrating the thoracic cavity and lacerating the thoracic aorta. The patient was working in his barn and fell on a pitchfork that was hidden in the hay. Patient underwent open repair of thoracic aorta with insertion of synthetic substitute and open repair of chest skin, subcutaneous tissue, and fascia.

K81.0, J95.821, 0FT40ZZ

A patient with acute cholecystitis was admitted to the hospital and underwent open cholecystectomy. Postoperatively, the patient developed adult respiratory failure.

C18.7, Z51.11, 0DTN0ZZ, 0D1N8Z4

A hospital inpatient underwent open sigmoidectomy with creation of temporary colostomy due to obstruction, which was determined to be carcinoma of the sigmoid colon. The patient received his first round of chemotherapy during his inpatient stay.

G20, N39.0, B96.20

A patient admitted to the hospital for treatment of parkinsonism and urinary tract infection due to Escherichia coli. The patient received treatment for all of these conditions.

M20.11, 0QBQ0ZZ, 2W3QX2Z

A patient diagnosed with bunion, right foot, underwent open bunionectomy, right foot, and was fitted with a below-knee cast.

A41.52, R65.21

A patient is seen in the emergency department for high fever, chills, abdominal pain, and vomiting and is then admitted to the hospital with a diagnosis of severe sepsis due to Pseudomonas with septic shock.

I25.10, I25.83, E78.0, 02703DZ

A patient received inpatient treatment for atherosclerotic heart disease of the native right coronary artery. Patient has been on medication for hypercholesterolemia and atherosclerosis due to lipid-rich plaque. Percutaneous transluminal coronary angioplasty (PTCA), right coronary artery, with insertion of coronary stent was performed.

I63.40

A patient received inpatient treatment for cerebral embolism with infarction.

C25.9, D50.9, 0FTG0ZZ

A patient suffering from weight loss and fatigue is diagnosed with pancreatic cancer and anemia due to impaired absorption. The patient is admitted to the hospital and undergoes radical pancreatectomy.

Q50.2, 0UT10ZZ

A patient undergoes inpatient open oophorectomy, left, for congenital torsion of the left ovary.

S72.302A, I50.9, W19xxxA, Y92.010, 0QS904Z

A patient undergoes open reduction and insertion of internal fixation device, left femoral shaft fracture (closed). The patient fell in the kitchen at her home. The patient was also treated for congestive heart failure during the inpatient stay.

Q35.1, 0CQ20ZZ

A patient undergoes open repair of cleft hard palate as a hospital inpatient.

E11.51, 0Y6J0Z3

A patient underwent below-knee amputation of the left leg as a hospital inpatient due to peripheral angiopathy secondary to type 2 diabetes mellitus.

K25.2, 0DB60ZZ

A patient was admitted to the hospital with acute gastric ulcer with hemorrhage and perforation. Patient had been treated conservatively during a previous hospitalization with nasogastric suction as well as intravenous, pain control, antiulcer medication, and antibiotics. During this admission, patient underwent open partial gastrectomy. She recuperated postoperatively and was discharged home in stable condition.

P28.5, P07.33

A 17-hour-old infant was transferred to Alfred State Medical Center's neonatal intensive care unit (NICU) for treatment of respiratory failure of newborn due to prematurity at 30 weeks' gestation.

O33.6xx0, Z37.0, 10D00Z0

A female patient is admitted with intrauterine pregnancy at term. A classical cesarean section was performed due to hydrocephalic fetus. A live male infant was delivered.

Z38.00, J06.9

A full-term male was born via vaginal delivery in the hospital and subsequently developed upper respiratory infection.

T81.4xxA, B95.62, 3E03329

Last month, a patient underwent outpatient total left knee replacement surgery using a synthetic substitute for severe osteoarthritis of the left knee. She was admitted this week as an inpatient when a postoperative wound infection of the left knee developed, which cultured as methicillin-resistant Staphylococcus aureus. The patient received successful intravenous antibiotic therapy for treatment of the infection and was discharged.

T42.72xS, G93.1

The patient received inpatient treatment for cerebral anoxia, which was the result of a suicide attempt using sedatives approximately three years earlier.

L89.313, L89.323, 0HD8XZZ

The patient was admitted to the hospital for acute treatment of stage III decubitus bedsores of the buttocks. Patient underwent nonexcisional wound debridement, buttocks, using high pressure waterjet with suction