What codes are assigned for a patient admitted for an azathioprine I drug-induced aplastic anemia (initial encounter)? The patient has peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis. ICD-9-CM Diagnosis Codes with POA Indicator and MS-DRG:
icd-9-CM Procedure Code:
Totally lost on this one!
To assign the proper codes for a patient admitted for azathioprine I drug-induced aplastic anemia with peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis, you will need to use the appropriate ICD-9-CM diagnosis codes.
You will also need to determine the POA (Present on Admission) indicator and the MS-DRG (Medicare Severity Diagnosis Related Group) for this specific scenario.
First, let's identify the relevant diagnosis codes:
1. Azathioprine I drug-induced aplastic anemia:
- The ICD-9-CM code for aplastic anemia is 284.9.
- To indicate that this is drug-induced, you can use an additional code, such as E933.1, which signifies "iatrogenic (doctor-induced) drug dependence."
2. Peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis:
- The ICD-9-CM code for rheumatoid arthritis is 714.0.
- To indicate the peripheral neuropathy, you can use an additional code, such as 354.9, which signifies "mononeuritis of the lower limb, unspecified."
- It is important to document the severity of rheumatoid arthritis, as specific codes may vary based on severity.
Now, with regards to the ICD-9-CM Procedure Code, it seems that you have not provided any information about a specific procedure being performed. The procedure codes would depend on the specific medical interventions or treatments performed during the patient's stay.
Regarding the POA indicator and MS-DRG, these are additional considerations for insurance billing purposes that may not directly affect the coding process. The POA indicator is used to determine whether the condition was present on admission. The MS-DRG is a system used for determining reimbursement levels for Medicare patients based on the diagnoses and procedures.
For accurate coding and billing, it is advisable to consult professional medical coders or experts who can assess all the clinical details, medical records, and guidelines specific to your healthcare facility.