CODE THE FOLLOWING SCENARIOS USING PROPER ICD 10 CM AND PCS CODES:
Seventy year old male admitted with bleeding esophageal varices. Patient has a long history of cirrhosis of the liver due to alcoholism. An EGD was performed, the varices were ligated, and he received three units of packed cells to treat his acute blood loss anemia and raise his hematocrit from 25 to 34. Discharged on the fifth day with no further bleeding and stable hematocrit. (DO NOT CODE BLOOD TRANSFUSION PROCEDURE)
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3. Sixty-six year old male admitted with complaints of acute abdominal pain, nausea, vomiting, and flatulence. Patient had adenocarcinoma of colon & underwent a partial resection three years ago and has been well since. Work-up revealed small bowel obstruction probably due to recurrent neoplasm of the colon. Laparotomy revealed recurrence of cancer in the ileum and a single area of metastasis as identified in the left liver lobe. The mass tumor on the liver was excised. Then a partial ileocecectomy was performed with formation of a colostomy to excise the recurrent cancer. Post-operatively, the patient experienced pseudomonas sepsis. Patient responded to vigorous antibiotic therapy and was discharged home.
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4.
Admission Diagnosis: Possible small bowel obstruction postoperatively.
Discharge Diagnoses: Nausea, vomiting, and weight loss of unknown etiology.
Procedure: Esophagogastroduodenoscopy (Normal)
Discharge Summary: Patient had TAH and BSO two months ago; no real etiology for her nausea, vomiting, and general failure to thrive after surgery was found on this admission. However, at discharge the patient was doing well.
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