Question
sing the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if
sing the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list.
WESTON HOSPITAL
629 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6541
PATIENT: SAMUELS, BERNARD
ACCOUNT/EHR #: SAMUBE001
DATE: 09/16/18
Attending Physician: Oscar R. Prader, MD
This 82-year-old male was admitted to the hospital with high fever, myalgia, headache, rhinitis, and a nonproductive cough. He also shows signs of confusion.
PE: Ht: 5’9”, Wt: 173, T: 103.2, R: 22, BP: 90/59. Pt’s condition deteriorated with definite signs of septic shock, pneumonia, and hypotension. He is now in acute renal failure.
DX: Influenza with pneumonia due to E. coli; septic shock, acute renal failure
ORP/pw D: 09/16/18 09:50:16 T: 09/18/18 12:55:01
Be sure to list the codes, one code per box, in the correct sequence, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.
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