what codes are assigned for a patient admitted for an azathiopring i drug induced aplastic anemia? 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 icd9 cm procedure codes icd 10 cm codes and icd 10 pcs codes
To assign codes for a patient admitted for azathioprine drug-induced aplastic anemia, as well as peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis, you would need to use the following codes:
ICD-9-CM Diagnosis Codes:
1. Azathioprine drug-induced aplastic anemia: 284.89
2. Peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis: 714.0
POA Indicator:
The Present on Admission (POA) indicator should be documented by the healthcare provider indicating whether the condition was present upon admission or if it developed after admission. This information is specific to the medical record and should be obtained from the relevant documentation.
MS-DRG:
For MS-DRG (Medicare Severity-Diagnosis Related Group) assignment, it is necessary to have additional information such as the patient's age, any complications, comorbidities, procedures performed in the hospital, and the discharge status. Without this information, it is difficult to provide a specific MS-DRG code.
ICD-9-CM Procedure Codes:
The ICD-9-CM Procedure codes would depend on the specific procedures performed during the patient's hospital stay, which are not mentioned in the question.
ICD-10-CM Codes:
1. Azathioprine drug-induced aplastic anemia: D61.1
2. Peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis: M05.57
ICD-10-PCS Codes:
The ICD-10-PCS (Procedure Coding System) codes would depend on the specific procedures performed during the patient's hospital stay, which are not mentioned in the question.
Please note that assigning accurate codes requires clinical documentation and coding expertise. It is recommended to consult with a qualified healthcare professional or medical coder to ensure appropriate coding and billing guidelines are followed.
To find the appropriate diagnosis and procedure codes for a patient admitted for azathioprine drug-induced aplastic anemia with peripheral neuropathy and severe rheumatoid arthritis, you would need to consult the International Classification of Diseases (ICD) coding systems. In this case, you need the ICD-9-CM diagnosis codes with the present-on-admission (POA) indicator, MS-DRG (Medicare Severity Diagnosis-Related Group) ICD-9-CM procedure codes, and ICD-10-CM and ICD-10-PCS codes. Here's how you can find these codes:
1. ICD-9-CM Diagnosis Codes with POA Indicator:
a. Start by looking up the diagnosis code for azathioprine drug-induced aplastic anemia. In the ICD-9-CM coding system, aplastic anemia falls under category 284 and has specific codes for different types. Look for the appropriate code that indicates drug-induced aplastic anemia.
b. Next, find the diagnosis code for peripheral neuropathy of multiple joints of lower extremities, which is a manifestation of rheumatoid arthritis. Look for a code in the range of 713.5-713.9 that corresponds to the specific condition.
c. Once you have selected the diagnosis codes, check for the POA indicator in the medical record documentation to determine if the conditions were present on admission.
2. MS-DRG ICD-9-CM Procedure Codes:
a. Identify any specific procedures performed for the patient's conditions during the hospital stay. Consult the ICD-9-CM procedure code book to find the appropriate code.
3. ICD-10-CM Codes:
a. Transitioning to ICD-10-CM codes, look for the diagnosis code for azathioprine drug-induced aplastic anemia starting with the appropriate category and drilling down to the correct code.
b. Similarly, find the ICD-10-CM code for peripheral neuropathy of multiple joints of lower extremities due to severe rheumatoid arthritis.
4. ICD-10-PCS Codes:
a. If there were any relevant procedures performed, you would need to find the corresponding ICD-10-PCS (Procedure Coding System) codes.
b. Look up the specific procedure in the ICD-10-PCS code book to determine the appropriate code.
It's important to note that coding can be complex and specific to each patient's medical record. Accurate and up-to-date coding requires knowledge of the coding manuals, guidelines, and an understanding of the patient's medical condition and treatment. It is recommended to consult a certified medical coder or healthcare professional with expertise in coding to ensure accurate code assignment.