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ICD-10-PCS CODING HELP NEEDED PLEASE      A patient 24 weeks…

ICD-10-PCS CODING HELP NEEDED PLEASE 

 

 

A patient 24 weeks pregnant was diagnosed as having an iron-deficiency anemia and was admitted for IV transfusion of nonautologous packed red blood cells, via peripheral vein. 

2 dx codes     1 pcs code

Obstetrics diagnosis code is always first

 

Malignant neoplasm of the left ovary

Introduction of antineoplastic (chemotherapy) through a central venous catheter

1 dx code 1 pcs code

 

Pregnant patient (38 weeks gestation) with increasing fetal heart rate irregularity (bradycardia) was noted during labor.  The patient as transferred to the surgical suite, where a classical cesarean delivery was performed.  A full-term normal male was delivered (outcome). 

1 dx code 2 z codes 

 

A patient who has had recurrent attacks of unstable angina was seen in this physician’s office because he felt that the angina attacks seemed to be occurring more frequently.  He had not had a thorough evaluation previously, and bypass surgery had not been recommended in the past.  He was admitted to the hospital for diagnostic studies to determine the underlying cause of this unstable angina.  He underwent combined right and left (sampling and pressure) heart catheterization, percutaneous) which revealed significant native artery atherosclerotic heart disease.

1 dx code 1 pcs code 

 

Age-related osteoporosis with current pathological fracture, left humerus, initial encounter.  Type 2 diabetes mellitus

A cast was applied to the arm to immobilized the fracture

2 dx codes 1 pcs codes

 

Admission for fitting and adjustment of (see Preparatory care for subsequent treatment) a dialysis catheter, in a patient with stage 5 chronic kidney disease due to type 1 diabetes mellitus.  A right internal jugular vein catheter (infusion device) was inserted and a single (4 hour) hemodialysis session was performed

1 z code 2 dx codes 2 pcs codes 

 

The patient had end-stage renal disease secondary to hypertension.  He was admitted for a cadaveric renal transplant.  He underwent a single renal hemodialysis session prior to transplant.  The left donor kidney was transplanted in the left  iliac fossa.  dialysis was less than 6 hours 

2 dx codes 2 pcs codes

 

The patient had a history of frequent episodes of severe chronic interstitial cystitis.  Despite previous treatment, she has had no resolution of her symptoms.  She was admitted for and received an open partial cystectomy(bladder) and bilateral (ileocutaneous) ileoureterostomy(bypass)

1 dx codes 2 pcs codes 

 

Ductal Carcinoma in situ of left breast

     Procedure:  left needle-localized lumpectomy

1 dx codes 1 pcs codes

 

Subtotal Supracervical abdominal hysterectomy due to Post menopausal bleeding and endometriosis  (open approach)

 

Subtotal Supracervical abdominal hysterectomy due to Post menopausal bleeding and endometriosis  (open approach)

2 dx codes 1 pcs code

 

Patient has Vulvar Dysplasia. She presents for vulvar Biopsies

  PROCEDURE: The patient was prepped and draped sterilely in the lithotomy position. The lesions were at the base of the labia majora bilaterally, extending onto the perineal body. An elliptical incision was made starting about halfway up on the labia minora on the left, bringing it around on the perineal body on the outside and around the hymenal ring on the inside, up to about halfway up the labia on the opposite side. The Bovie cautery was then used to undermine the subcutaneous tissues and the specimen was marked at 12 o’clock and frozen section biopsy submitted to pathology, proven to be dysplasia. I obtained frozen section biopsies from 2, 4, and 6 o’clock, and all were reported as negative for dysplasia   

see coding guideline for procedure

1 dx code 1 pcs code

 

Pregnant mom at 39 weeks gestation delivers  a live infant  by low cervical cesearean section (without indication)   

1 dx code 2 z codes 1 pcs code

 

Cardioversion for Paroxymal atrial fibrilation

1 dx code 1 pcs code

 

Administration of pneumonia vaccine intramuscular

1pcs code

 

Intramuscular injection of steroid ( anitinflammatory) in the knee joint

1 pcs codes

 

 

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