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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?
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?
a. 491.21, 284.19, 99.04
b. 491.21, 284.19,285.9, 99.04
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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