Question Answered step-by-step Assign and properly sequence the ICD-10-CM diagnosis and ICD-10-PCS… Assign and properly sequence the ICD-10-CM diagnosis and ICD-10-PCS procedure codes for the following hospital inpatient cases.This patient was admitted to the hospital due to severe low back pain and a great amount of indigestion. She has had frequent episodes of abdominal pain in the past, but this is more severe and has failed to respond to therapy as an outpatient. She is known to have chronic ulcer disease, esophageal hiatus hernia, and polyps of the gallbladder in addition to her osteoporosis and stenosis of the lumbar spine, all of which were medically managed during the inpatient stay. The physical examination revealed a 74-year-old white woman who appeared to be acutely and chronically ill. She had epigastric tenderness with no masses palpable. The patient’s EKG was normal. An upper gastrointestinal series showed a small sliding hiatal hernia and a chronic duodenal ulcer with considerable evidence for an active ulcer. The gallbladder showed abnormal filling defects, which were consistent with polyps. The x-rays of the spine showed a great deal of osteoporosis and stenosis of the lumbar spine. The patient was given Demerol and Phenergan for the pain and was started on intravenous Prevacid. She was given Dalmane 30 milligrams at bedtime and a calcium supplement one time daily. She was started on a bland diet. The patient has slowly improved as far as the back pain. She is now up and about and is having less indigestion since therapy for the ulcer was begun. The patient is being discharged to be followed as an outpatient. She will continue on a bland diet and will be discharged on Prevacid, Carafate, a calcium substitute, and Darvocet.DISCHARGE DIAGNOSES: Acute and chronic duodenal ulcer. Sliding esophageal hiatus hernia. Gallbladder polyps. Osteoporosis. Spinal stenosis of the lumbar region.Assign ICD-10-CM and ICD-10-PCS codes: Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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