A 39 year-old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code
... [Show More] for this encounter?: K41.91
Rationale: In the ICD-10-CM Alphabetic Index, look for Hernia/femoral/recurrent. You are directed to K41.91. Verify the code selection in Tabular List.
A patient presents for a liver transplant. The provider documents the patient has Laennec's cirrhosis associated with long term alcohol dependent use. What is the diagnosis code for this encounter?: K70.30, F10.20 Rationale: In the ICD 10-CM Alphabetic Index, look for Cirrhosis, cirrhotic (hepatic) (liver)/Laennec's /alcoholic K70.30. In this scenario the patient has a history of alcohol use making K70.30 the correct code. There is an instructional note under category code K70 to use additional code to identify alcohol abuse and dependence. The patient is alcohol dependent. In the Alphabetic Index look for Dependence/alcohol referring you to code F10.20. Verify code selection in the Tabular List.
A 22 year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal organism unknown). Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM codes are reported (in the correct sequencing)?: A41.9, R65.20, N17.9
Rationale: ICD-10-CM guideline I.C.1.d.1.b indicates: The coding of severe sepsis requires a minimum of two codes. First, a code for the underlying systemic infection, followed by a code from subcategory R65.2, Severe sepsis. If the causal organism is not documented, assign code A41.9, Sepsis, unspecified organism, for the infection. Additional codes(s) for the associated acute organ dysfunction are also required (if present). The first code to report is sepsis; look for the main term Sepsis in the ICD 10-CM Alphabetic Index referring you to code A41.9. Next, look for Sepsis/with organ dysfunction (acute) (multiple) referring you to code R65.20. For the last code, look for Failure/renal/acute referring you to code N17.9. In the Tabular List you will find an instructional note under subcategory R65.2 indicating what codes should be reported first and what codes should be reported as additional codes. [Show Less]