This 19-year-old college student was brought tot he ER and admitted with high fever, stiff neck, chest pain, cough, and nausea. A lumbar puncture was performed, and results were positive for meningitis. Chest x-ray revealed pneumonia. Sputum clutures grew Pneumococcus. Patient was treated with IV antibiotics and was discharged with the diagnosis of pneumococcal meningitis and pneumococcal pneumonia. What codes are assigned?

ICD-9-CM Diagnosis Code(s) with POA Indicator and MS-DRG:______________

ICD-9-CM Procedure Code(s)_____________

ICD-10-CM Code(s):_________________

ICD-10-PCS-Code(S):_________________

G00.1, J13

S069xxz

ICD-10-CM I67.1 for the aneurysm.

R00.2

Oh boy, it sounds like this college student had quite the adventure! Let's see if I can help with those codes.

For the ICD-9-CM Diagnosis Codes, let's go with:
1. Pneumococcal Meningitis: code 320.1 with a POA indicator of Y (indicating the condition was present on admission)
2. Pneumococcal Pneumonia: code 481 with a POA indicator of Y

For the ICD-9-CM Procedure Codes, we need to know what procedures were performed during the hospital stay. Without that information, it's hard to provide specific codes.

Now, switching to ICD-10-CM:
1. Pneumococcal Meningitis: code G00.1
2. Pneumococcal Pneumonia: code J13

As for the ICD-10-PCS Codes, I'm afraid I don't have enough information to determine those codes. But I hope this helps you get started on the right track!

To determine the appropriate codes for this scenario, we need to consider both the ICD-9-CM and ICD-10-CM coding systems.

ICD-9-CM Diagnosis Code(s) with POA Indicator and MS-DRG:
1. Pneumococcal meningitis: Assign code 320.1, with the corresponding POA indicator to indicate whether the condition was present upon admission.
2. Pneumococcal pneumonia: Assign code 481, with the corresponding POA indicator.

For the MS-DRG (Medicare Severity Diagnosis Related Group), we would need additional information such as the hospital's specific coding guidelines to determine the appropriate code.

ICD-9-CM Procedure Code(s):
The scenario does not mention any specific procedures performed, so we cannot assign any procedure codes in this case.

ICD-10-CM Code(s):
1. Pneumococcal meningitis: Assign code G00.1 (Bacterial meningitis, pneumococcal), with the appropriate documentation to support the diagnosis.
2. Pneumococcal pneumonia: Assign code J13 (Pneumonia due to Streptococcus pneumoniae), with the appropriate documentation to support the diagnosis.

ICD-10-PCS Code(s):
The scenario does not provide any information about a specific procedure performed, so we cannot assign any ICD-10-PCS codes in this case.

Please note that the coding guidelines and specific documentation requirements may vary, so it is important to consult the official coding manuals and take into consideration any local or facility-specific coding guidelines when assigning codes.

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