This 65-year-old chronic cigarette smoker for the past 40 years was admitted to the hospital with acute exacerbation of her chronic obstructive pulmonary disease. She has a hsitory of anxiety syndrome due to hypothyroidism, and is maintained on medications for both the anxiety and the hypothyroidism. No symptomatology at the time of admission. One hospital day 2, she dveloped extreme anxiety and a psychiatric consultation was ordered. What codes are assigned in this case?
ICD-9-CM Diagnosis Code(s) with POA Indicator and MS-DRG:_______________
ICD-10-CM Code(s):___________________
ICD-9-CM Diagnosis Code(s) with POA Indicator and MS-DRG:
Based on the information provided, the codes that could potentially be assigned in this case are:
1. Chronic obstructive pulmonary disease with acute exacerbation - 491.21 (POA indicator: Y)
2. Hypothyroidism - 244.9 (POA indicator: Y)
3. Anxiety syndrome - not enough information provided to assign a specific code
MS-DRG cannot be determined without additional information.
ICD-10-CM Code(s):
1. Chronic obstructive pulmonary disease with acute exacerbation - J44.1
2. Hypothyroidism - E03.9
3. Anxiety syndrome - not enough information provided to assign a specific code
To determine the applicable codes for this case, the ICD-9-CM and ICD-10-CM code sets need to be consulted. ICD-9-CM Diagnosis Codes should have a POA (Present on Admission) indicator, and MS-DRGs (Medicare Severity Diagnosis-Related Group) need to be considered as well.
Since the question doesn't provide specific information about the patient's symptoms or the reason for extreme anxiety, we can only provide general guidance on coding options.
For ICD-9-CM Diagnosis Codes with POA Indicator and MS-DRG, the specific codes will depend on the detailed clinical documentation. However, some possible codes that may be relevant for this case could include:
ICD-9-CM Diagnosis Codes:
1. Chronic obstructive pulmonary disease (COPD) - code range 490-496
2. Anxiety disorder - code range 300-308
3. Hypothyroidism - code range 244
4. History of anxiety syndrome due to hypothyroidism - appropriate combination code based on documentation
MS-DRG codes are used for inpatient hospital reimbursement. The specific MS-DRG code will depend on the primary diagnosis and other codes assigned to the case. This information is not provided in the question, so a specific MS-DRG code cannot be determined.
For ICD-10-CM Codes:
Specific codes will also depend on the detailed clinical documentation. However, some possible codes that may be relevant for this case could include:
1. Acute exacerbation of COPD - J44.1
2. Anxiety disorder - F41.x
3. Hypothyroidism - E00-E03
4. History of anxiety syndrome due to hypothyroidism - appropriate combination code based on documentation
It is important to note that without complete clinical documentation and more specific information about the patient's condition, it is not possible to provide definitive codes. A qualified healthcare professional should review the patient's medical record and documentation to accurately assign the appropriate codes for this case.