This 82 yr old female was admitted for acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia. The discharge diagnoses state acute exacerbation of chronic obstructive pulmonary disease and pancytopenia. Transfusion of nonautologous packed red blood cells was given via peripheral vein. What codes are assigned for this case? a. 491.21, 284.19, 99.04 b. 491.21, 284.19, 285.9, 99.04 c. 496, 284.19, 99.
04, d.491.21, 284.19, 284.9, 99.02 I was thinking D??
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Please use your textbook, study materials, and a good search engine or two to find your answers.
1. Go to http://www.google.com or http://www.bing.com
2. Type in cpt codes (or whatever search terms you need). Press Enter.
3. Read different search results until you find what you need.
4. Re-search with different search terms if you don't find all you need.
To determine the correct codes for this case, we need to analyze the provided information. Let's break it down step by step:
1. The patient's primary reason for admission is an acute exacerbation of chronic obstructive pulmonary disease (COPD). We can find the appropriate code for this condition in the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) index or tabular list.
Looking for the code for acute exacerbation of COPD:
491.21 - Obstructive chronic bronchitis with (acute) exacerbation
2. The progress notes indicate that the patient received a transfusion for anemia. Anemia is not explicitly mentioned in the discharge diagnoses, but it is important to report. We need to find a code for anemia.
Looking for the code for anemia:
284.19 - Anemia of chronic illness
3. The discharge diagnoses also mention pancytopenia. Pancytopenia is a condition characterized by a decrease in all blood cell types. We need to find a code for this condition as well.
Looking for the code for pancytopenia:
284.9 - Pancytopenia, unspecified
4. Lastly, it is mentioned that a transfusion of nonautologous packed red blood cells was given via a peripheral vein. We need to find the appropriate code for this procedure.
Looking for the code for transfusion:
99.04 - Injection or infusion of packed red blood cells
Now that we have identified the appropriate codes for each aspect of the patient's condition and procedures, let's look at the provided options:
a. 491.21, 284.19, 99.04
b. 491.21, 284.19, 285.9, 99.04
c. 496, 284.19, 99.04
d. 491.21, 284.19, 284.9, 99.02
Out of these options, the correct codes for this case would be:
b. 491.21, 284.19, 285.9, 99.04
Option b includes all the codes we identified:
491.21 for acute exacerbation of COPD,
284.19 for anemia of chronic illness,
285.9 for an unspecified pancytopenia,
and 99.04 for the transfusion of packed red blood cells.
Therefore, the correct answer is b. 491.21, 284.19, 285.9, 99.04.
The correct answer for this case is option B: 491.21, 284.19, 285.9, 99.04.
First, we need to assign a diagnosis code for the acute exacerbation of chronic obstructive pulmonary disease, which is 491.21.
Next, the discharge diagnoses state pancytopenia, which is a condition characterized by low levels of all three blood cell types: red blood cells, white blood cells, and platelets. The appropriate code for pancytopenia is 284.19.
Lastly, the patient received a transfusion for anemia. The correct code for the anemia due to chronic blood loss is 285.9.
Since the transfusion was given via peripheral vein, we will assign the code 99.04 for the administration of nonautologous packed red blood cells.
Therefore, the correct answer is option B: 491.21, 284.19, 285.9, 99.04.