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Use ICD -10-CM/PCS to code the following case scenarios for neoplasms. All documentation in the scenarios should be considered physician documentation. Follow general coding guidelines,
Use ICD -10-CM/PCS to code the following case scenarios for neoplasms. All documentation in the scenarios should be considered physician documentation. Follow general coding guidelines, sequence codes appropriately. 1. This 30-year-old female patient has multiple intramural fibroids. She has become more symptomatic with menorrhagia, resulting in anemia due to blood loss. The patient would like to maintain fertility, so a myomectomy is performed. Final diagnosis: intramural uterine fibroids. Procedure: myomectomy. (Need 4 codes) 2. This 55-year-old female patient was admitted for immunotherapy. She had a melanoma removed from her right calf three years ago. The melanoma has metastasized to the liver and right lung. There is no mets to the brain. Patient received high-dose interleukin-2 via central vein (percutaneous) without complications. She was discharged home and instructed to follow up with her oncologist in one week. Final diagnosis: metastatic melanoma for immunotherapy. (Need 5 codes) 3. The patient is admitted for chemotherapy for stage IIIA breast (left) cancer that has spread to the axillary lymph nodes. The patient tolerated the chemotherapy regimen with no complications and will return as arranged for cycle 3. Final diagnosis: breast cancer, stage IIIA Procedure: chemotherapy via central vein. (Need 4 codes) 4. The patient was admitted for pain control. the patient has a history of prostate cancer and underwent a radical prostatectomy a couple years ago. His cancer has progressed by metastasizing to the bones. He has received palliative radiation in an attempt to sustain quality-of-life. Over the past couple of days, his pain has become unbearable. The patient was discharged to home once his pain was controlled. Final diagnosis: metastatic prostate cancer (Need 5 codes) 5. This is a 59-year-old male patient who is admitted from the ER for dyspnea and chest pain. Chest x-ray shows a large pleural effusion on the right. A thoracentesis is performed, and the patient's symptoms resolved. The cytology report shows that this is a malignant effusion. The patient has a history of colon cancer that was removed 5 years ago with no recurrence until now. The patient has an appointment with his oncologist next week. Final diagnosis: colon cancer with metastasis to the Pleura procedure: diagnostic thoracentesis (Need 5 codes)
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