This is a 71-year-old female admitted with a complaint of…
Question Answered step-by-step This is a 71-year-old female admitted with a complaint of… This is a 71-year-old female admitted with a complaint of right-sided weakness. She denies any fever, shortness of breath, cough, headaches, or chest pain. The patient has NIDDM, controlled by diet. The patient currently smokes a half pack of cigarettes per day. Mild right-sided paralysis was found on physical examination. The patient is right-handed. Gadolinium-enhanced brain MRI demonstrated subacute middle cerebral artery infarct in the left basal ganglia. Discharge diagnosis was CVA, subacute infarct. Physical therapy and speech therapy for her hemiparalysis and dysphasia started and will continue at the rehab facility where she was transferred to. Codes assigned are: Principal diagnosis: I63.9Additional diagnoses: E11.9, F17.210Procedure codes assigned: B030Y0ZAre these the correct codes per the clinical documentation and ICD-10-CM/PCS coding guidelines? Is I63.9 the correct principal diagnosis per the clinical documentation and UHDDS guidelines? Are there any missing ICD-10-CM codes? Health Science Science Nursing HIT 205 Share QuestionEmailCopy link Comments (0)
