Question

Answer the following questions:

4.1 This 45-year old man underwent colon resection for carcinoma of the transverse colon. The physician progress note on postoperative day 2 states anemia. Hemoglobin and hematocrit levels dropped significantly after surgery, and a blood transfusion was ordered. How is the anemia coded?
ICD-9-Code(s) :
a. 285.1
b. 998.11
c. 998.11,285.1
d. Query the physician because opportunity exists to improve documentation of etiology of anemia

4.2 This 82 year old female was admitted to acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia.
The discharge diagnoses state acute exacerbation of chronic obstructive pulmonary disease and pancytopenia. Transfusion of are assigned for this case?
ICD-9- Code(s):
a. 491.21, 284.19, 99.04
b. 491.21, 284.19,285.9, 99.04
c. 496,284.19,99,04
d. 491.21,284.19,285.9,99.02

4.3 This 35 year old female patient has carcinoma of the upper-outer left breast.
She had a lumpectomy performed and a sentinel lymph node biopsy of the axillary lymph node. The pathology report for the lymph node states no pathological change. What codes are assigned in this case?
ICD-9-CM Procedure Code: 85.21-40.23

4.4 An 8 year old male hemophiliac is admitted with acute blood loss anemia following uncontrolled bleeding. He was given 4 units of packed red blood cells via the peripheral vein. While in the hospital he also received his regular preventive infusion of clotting factors. Which of the following answers would be correct?
ICD-9-CM Codes
a. 286.0 , 99.06, 99.03
b. 285.1, 286.0, 99.04, 99.06
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03

4.5 What Code is/are assigned for a patient admitted for an azathioprine I drug-induced aplastic anemia? The patient has peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis.
ICD-9-CM   - 284.89
1. a
2.b
3.85.21-40.23
4. b
5.85.21-40.23

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4.1 This 45-year old man underwent colon resection for carcinoma of the transverse colon. The physician progress note on postoperative day 2 states anemia. Hemoglobin and hematocrit levels dropped significantly after surgery, and a blood transfusion was ordered. How is the anemia coded?
ICD-9-Code(s) :
a. 285.1
b. 998.11
c. 998.11,285.1
d. Query the physician because opportunity exists to improve documentation of etiology of anemia
Answer: Code 285.1 is assigned when the acute blood loss anemia is anticipated because of the disease condition. Code 998.11 is assigned when the anemia is as a result of surgical complication.

4.2 This 82 year old female was admitted to acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia.
The discharge diagnoses state acute exacerbation of chronic obstructive pulmonary disease and pancytopenia. Transfusion of are assigned for this case?
ICD-9- Code(s):
a. 491.21, 284.19, 99.04
b. 491.21, 284.19,285.9, 99.04
c. 496,284.19,99,04
d. 491.21,284.19,285.9,99.02
Answer: 491.21 codes for acute exacerbation of COPD, 284.19 codes for pancytopenia and 99.04 codes for blood transfusion. Code 285.9 is not necessary to use because it codes for unspecified anemia and we have already coded for pancytopenia....

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