This 82 year old female was admittd 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 exacebation 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?

J44.1, D61.818, 30233N1

To assign the appropriate codes for this case, we need to review the documentation provided and identify the relevant codes from the appropriate coding system. In this case, we will use the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes.

1. Chronic obstructive pulmonary disease (COPD): The progress notes indicate acute exacerbation of chronic obstructive pulmonary disease, so we need to assign a code for this condition. The ICD-10-CM code for acute exacerbation of COPD is J44.1.

2. Anemia: The progress notes mention that the patient received a transfusion for anemia. To code this condition, we need further details regarding the type and cause of anemia. However, if no additional information is available, we can assign a nonspecific code for unspecified anemia, such as D64.9.

3. Pancytopenia: The discharge diagnoses state pancytopenia. Pancytopenia refers to a decrease in all three blood cell types: red blood cells, white blood cells, and platelets. The ICD-10-CM code for pancytopenia is D61.9.

4. Transfusion: The documentation indicates that a transfusion of nonautologous packed red blood cells was given via a peripheral vein. To code this procedure, we'll use the American Medical Association's Current Procedural Terminology (CPT) codes, specifically the transfusion codes. The appropriate CPT code for a transfusion of packed red blood cells is 36430.

So, the codes assigned for this case would be:

- J44.1 (Acute exacerbation of COPD)
- D64.9 (Unspecified anemia)
- D61.9 (Pancytopenia)
- 36430 (Transfusion of packed red blood cells)

Please note that it's important to review the complete documentation and follow any specific coding guidelines or instructions provided by the healthcare facility or payer when assigning codes.