Using 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.





Patient: Lorraine Parnete
Physician: Jason Nuouri, MD
July 16, 2018



History



A well-established, 67-year-old female patient (since 1991) has controlled hypertension with no complications. She is a smoker [cigarettes, about one pack a day] and takes clonidine and HCTZ for her hypertension, and estrogen to address menopausal symptoms. Overall, she is well and fully active.



Examination



Patient presents with fatigue, about 1 month duration, associated with the withdrawal from estrogen because of published data suggesting an increased risk of breast cancer and other complications. Exam includes complete review of systems. CXR [chest x-ray] and PPD (tuberculin skin test) are negative except for the following:



cough with minimal sputum
a low grade fever to about 100°F
5 pound weight loss


Plan



Order for CBC, glucose tolerance test, TSH.

Patient to return to discuss lab results.





Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.



What is/are the correct diagnosis code(s)?

Answers

Answer 1
Final answer:

Coding for Lorraine Parnete's case requires focusing on her presenting symptoms due to the lack of a definitive diagnosis in the case study, considering her medical history, and consulting the ICD-10-CM guidelines for accurate and up-to-date practices.

Explanation:

The correct diagnosis codes for Lorraine Parnete, based on the provided case study, would involve coding for the symptoms she is presenting with, which include fatigue, cough with minimal sputum, a low-grade fever, and weight loss. Given the patient's history of controlled hypertension but current symptoms potentially unrelated directly to her chronic condition, the codes would focus on her acute presenting symptoms. Without a definitive diagnosis given in the case study, we must rely on symptom codes. Additionally, her history of smoking and current menopausal status may influence code selection.

It's important to select codes that reflect her presenting symptoms accurately, and if there were external cause codes necessary (such as for the smoking status), those should be added as per ICD-10-CM guidelines. Attention to the ICD-10-CM's chapter-specific, sub-chapter-specific, and category-specific notations within the Tabular list is crucial for accurate coding.

However, without disclosing the exact codes, the approach to coding this case would require careful consideration of the symptoms, the patient's current and past medical history, including her use of clonidine, HCTZ, and estrogen, alongside her significant smoking history. Always consult the latest ICD-10-CM guidelines for the most accurate and up-to-date coding practices.


Related Questions

Beyond helping with reinflation, what function does residual CO2 serve?

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Answer:a posture disorder characterized by excessive curvature or arch in the lower back

Explanation:

What had to happen to make a new virus that can infect humans?​

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It had to have come from an animal that we aren’t used to interacting with or eating.

Why is learning to strategize such an important skill in handball?

Answers

Answer:

It is important to strategize because handball requires not only hand-eye coordination, but also a plan on where to hit a ball with what power to gain points and beat another person.

Because it's far vital to strategize because handball calls for no longer handiest hand-eye coordination, however additionally a plan on where to hit a ball with what power to advantage factors and beat any other individual.

What are the 5 regulations of handball?

gamers are not accepted to pull, hit or punch the ball out of the hands of an opponent. gamers can not make touch with the ball under the knee. players cannot dive on the floor to regain a loose ball. A player is permitted to use the torso of the body to hinder an opponent without or with the ball.

what's handball known as now?

American handball called handball in the USA and every now and then referred to as wallball, is a game in which gamers use their hands to hit a small, rubber ball towards a wall such that their opponent(s) cannot do the same without the ball touching the ground twice nor hitting out-of-certain.

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which disorder is characterized by the following: a pattern of reocccuring thoughts or behaviors, such as repeatedly checking if doors are locked, that prevents people from going about their day normally?

Answers

Answer: OCD

Explanation:

OCD; Obsessive Compulsive Disorder

OCD is a psychological compilation of paranoia that triggers a person to mostly be desirable over less likely scenarios that soon become a control freak situation.

What do the cells and tissues of the heart need to function

Answers

Answer:Cardiac muscle tissue is a specialized, organized type of tissue that only exists in the heart. It is responsible for keeping the heart pumping and blood circulating around the body. Cardiac muscle tissue, or myocardium, contains cells that expand and contract in response to electrical impulses from the nervous system.

Explanation:

cirrhosis of the liver is a potentially life-threatening condition caused by chronic alcohol abuse

Answers

What is your question?

Answer:

True

Explanation:

Which type of fitness involves an exercise program that focuses on strengthening heart rate and decreasing body fat

Answers

Answer:

cardio/aerobic

Explanation:

Aerobic exercise, also known as “cardio” exercise, uses repetitive contraction of large muscle groups to get your heart beating faster and is the most beneficial type of exercise for your cardiovascular system (your heart and blood vessels). Regular cardio workouts can: Strengthen your heart and blood vessels

Answer:

cardiovascular

Raj is recovering from a knee injury and needs physical therapy. At first, his health insurance would not cover the cost, and he was worried that he could not get therapy. However, the insurance company recently reversed its decision, and Raj will be able to have the therapy. He found a therapist who accepts his insurance. However, her office is more than 10 miles away, and Raj does not own a car. She would like him to visit three times a week for at least six weeks. Which would be appropriate strategies for overcoming the barrier? Check all that apply. getting a ride from a family member seeing the therapist just once a week instead of three times a week using public transportation to get to his appointment contacting his insurance company to see if there is a therapist who is closer to his home waiting to see if his knee gets better on its own

Answers

Answer: A, C, D

Explanation:

just took the test

Final answer:

Raj has several options to overcome the transportation barrier in getting to his physical therapy appointments, including family assistance, public transportation, and checking with his insurance for a closer therapist. Reducing the frequency of visits or waiting for the injury to heal on its own are not recommended.

Explanation:

Raj is recovering from a knee injury and needs to attend physical therapy three times a week, but faces transportation barriers due to not owning a car and the therapist's office being over 10 miles away. To overcome this barrier, Raj could consider several strategies:

Getting a ride from a family member to ensure he can attend the necessary therapy sessions consistently.Using public transportation if it is available and conveniently connects him to the therapist's office.Contacting his insurance company to inquire if they can provide information on a therapist who is closer to his home, which might make travel easier and more affordable.

Seeing the therapist just once a week instead of three times is not ideal, as it may not provide sufficient therapy to ensure proper recovery. Waiting to see if his knee gets better on its own is also not advisable, given that appropriate physical therapy is often crucial for recovery. A consistent and professional physical therapy plan is key to recovering normal limb function and getting back to a regular level of physical activity after an injury.

What do articulations connect so movement can occur?

Muscles
Bones
Tendons
Nerves

Answers

The Correct answer is Bones
I believe the answer is B bones

Which are roles of the female reproductive system? Select three options.

releasing urine
producing eggs
producing sperm
allowing for fertilization
releasing semen
allowing for childbirth

Answers

production of eggs

allowing for child birth

allowing fertilization

The roles of the female reproductive system are:

B. producing eggs.

D. allowing for fertilization.

F. allowing for childbirth.

What is a reproductive system?

A reproductive system is one of the systems of organisms that have the function of reproduction and its related functions. The male and female reproductive systems are not distinct in some animals.

The female reproductive system produces eggs as females produce eggs, and as the female bear the child, it allows for childbirth and help in bearing a child and allows for fertilization in females

Thus, the correct options are:

B. producing eggs.

D. allowing for fertilization.

F. allowing for childbirth.

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A diagram of the human digestive system is shown below. Removing which organ would have the smallest impact on digestion, absorption, and elimination? (Assume the system will remain connected if a large organ is removed.)
A. Esophagus
B. Stomach
C. Small intestine
D. Large intestine

Answers

Answer:

Esophagus

Explanation:

esophagus provides a passway between the mouth and stomach otherwise it has no other major function in digestion, absorption and elimination

In a hypothetical situation in which an organ could be removed from the digestive system, the one that would have the least impact on digestion, absorption, and elimination is the esophagus.

The esophagus is the name of an organ of the digestive system of living beings. The esophagus is a tube that measures about 25 centimeters, which connects the pharynx with the stomach, so its main function is that of a conduit for food to get there.

According to the above, the correct answer is A. because the esophagus is only a conduit, while the stomach and the intestines (large and small) have important functions in the process of digestion, absorption, and elimination.

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Why is knowledge of anatomical terminology important for health science workers? Check all that apply.
so communication is more efficient
so costly errors can be avoided
so workers learn about different cultures
so as to prevent confusion
so more students choose health science careers

Answers

So costly errors can be avoided
So as to prevent confusion
So communication is more efficient

Answer:

the answers are-

so communication is more efficientso costly errors can be avoidedso as to prevent confusion

Explanation:

just did the unit test review, hope this helped <3

Joanne has an infection. Choose the correct way to complete each sentence

Answers

Where’s the answers?
Can’t answer question makes no sense

How are anaerobic bacteria different from fish? 

a. Fish produce lots of young; anaerobic bacteria cannot reproduce.

b. Fish require oxygen to survive; anaerobic bacteria don't.

c. Certain species of fish thrive in polluted water; anaerobic bacteria cannot.

d. Fish thrive in very hot temperatures; anaerobic bacteria thrive in very cold temperatures​

Answers

The answer is b because anaerobic bacteria are bacteria that do not live or grow when oxygen is present.

The major risk for a victim in anaphylaxis is
O swelling around the eyes
O heart attack
O internal bleeding
O breathing problems

Answers

A) swelling around the eyes

It tends to do with allergies and asthma and swelling is a sign
Final answer:

Breathing problems are the major risk for a victim in anaphylaxis. This condition can lead to suffocation due to swelling of the throat and requires immediate treatment with epinephrine to alleviate the symptoms.

Explanation:

The major risk for a victim in anaphylaxis is breathing problems. Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur rapidly. It can lead to a dangerous drop in blood pressure, significant swelling of the throat and tongue, and severe respiratory distress. One of the hallmark symptoms of anaphylaxis is the swelling of the throat, which can quickly lead to suffocation if not treated immediately. This type of swelling can severely impede airflow, making it extremely difficult or impossible for the victim to breathe. This condition, known as anaphylactic shock, requires emergency treatment with epinephrine to counter the blood pressure and breathing effects, and it can be fatal if not addressed promptly.

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Five out of twenty patients Nurse B is caring for
require hourly visits. What fraction of patients does
Nurse B need to visit every hour? Choose the
most reduced answer.
114
1/5
5/5
5/20

Answers

Answer:

A. 1/4

Explanation:

why would be any of the others

Which barriers can make it difficult for individuals to obtain necessary health care? Check all that apply.

exposure to toxins and chemicals
absence of public transportation options
inability to see a doctor during work hours
shortage of specialized services
lack of money to pay for care

Answers

Answer:

Absence of public transportation options

Inability to see a doctor during work hours

Shortage of specialized services

Lack of money to pay for care

(b,c,d,e)

The barriers to suitable health care include:

Absence of public transportation optionsInability to see a doctor during work hoursShortage of specialized services Lack of money to pay for care

What is health care?

Health care refers to the procedures to protect overall health (both mental and physical health) and well-being.

Health care involves different measures to maintain health (e.g.,  diagnosis, prevention, treatment of diseases/injuries, etc).

Different political measures must be addressed to improve health care outcomes in clinical settings.

In conclusion, the absence of public transportation options, inability to see a doctor during work hours, shortage of specialized services, and lack of money to pay for care are ALL barriers to suitable health care.

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drinking milk with dinner will keep you hydrated

Answers

Answer:

Yes it does and it will help in food digestion

True - provides a good source of calcium

why are most genetic disorders considered lifelong diseases

Answers

Answer:

Common diseases are diseases frequently encountered in health care. ... Firstly, most monogenic disorders are also affected by modifier genes ... genetic variants to be considered in combination with environmental factors. ... and attitudes that will make students lifelong learners of genetics and genomics. Most genetic diseases are the direct result of a mutation in one gene. However, one of the most difficult problems ahead is to further elucidate how genes contribute to diseases that have a complex pattern of inheritance, such as in the cases of diabetes, asthma, cancer, and mental illness.

Explanation:

You can not change your genetics therefore most are lifelong


Some T cells and B cells become ____ and give your body long-term protection against many diseases.

Answers

Activated when they recognize small components of antigens

which body weight activity would best increase upper body muscular strength?

Answers

Final answer:

To increase upper body muscular strength, exercises such as push-ups, pull-ups, and planks are highly effective and should be done at least two days a week with 8 to 12 repetitions per set.

Explanation:

To best increase upper body muscular strength, a body weight activity that overloads the muscles in the upper body, such as push-ups, pull-ups, or planks, is highly effective. These exercises align with the Specificity Principle, which indicates that only the muscles engaged in the exercise will be strengthened. Push-ups, for example, work multiple muscle groups simultaneously, including the chest, shoulders, and arms. According to recommendations, these muscle-strengthening activities should be performed at least two days a week, with sets of 8 to 12 repetitions proving effective, though two to three sets may yield better outcomes. Gradually increasing the number of repetitions or intensity will lead to progressive strength and endurance development over time.

Select the correct answer.
Which of the following statements about striving for a goal is TRUE?
A.
If you do not succeed the first time you try to achieve your goal, you should find a new goal.
B.
When you face a barrier to your goal you may need to ask others for help.
C.
The most important thing about goal setting is that you achieve your goal.
D.
All of the above

Answers

B. Is the best answer choice but c is also a realistic answer
The correct in my opinion would be C just because that’s what you have to do to succeed. And you don’t rely on other and not to give up. You will always fail the first time but the second time you will come back up stronger.

Complex diseases are caused by imperfections in multiple genes.


Please select the best answer from the choices provided.

T
F

Answers

Answer: true

Explanation:

The correct answer would be True

Route of administration of Glucotrol and Micronase?

Answers

Answer:

home drugs a-z list side effects drug center micronase (glyburide) drug

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Drug Description

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MICRONASE®

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DESCRIPTION

MICRONASE Tablets contain glyburide, which is an oral blood-glucose-lowering drug of the sulfonylurea class. Glyburide is a white, crystalline compound, formulated as MICRONASE Tablets of 1.25, 2.5, and 5 mg strengths for oral administration. Inactive ingredients: colloidal silicon dioxide, dibasic calcium phosphate, magnesium stearate, microcrystalline cellulose, sodium alginate, talc. In addition, the 2.5 mg contains aluminum oxide and FD&C Red No. 40 and the 5 mg contains aluminum oxide and FD&C Blue No. 1. The chemical name for glyburide is 1-[ [p-[2-(5-chloro-o-anisamido)-ethyl]phenyl]-sulfonyl]-3-cyclohexylurea and the molecular weight is 493.99. The structural formula is represented below.

Explanation:

Final answer:

Glucotrol and Micronase are both taken orally before meals to manage blood sugar levels in people with type 2 diabetes.

Explanation:

The route of administration of both Glucotrol (glipizide) and Micronase (glyburide) is oral. These drugs are part of the sulfonylurea class of medications, which are used to manage blood sugar levels in individuals with type 2 diabetes. These medications stimulate the pancreas to produce more insulin and help the body use insulin more effectively. They are typically taken once or twice a day before meals.

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Choose all that apply. The main organs of the female reproductive system include:
uterus
Vas Deferens
ovaries
fallopian tubes
seminiferous tubules

Answers

All apply expect for seminiferous tubules and vas deferens.
all except vas deferens and seminiferous tubules

Explain how microevolution and migration can affect an ecosystem.

Answers

Question- Explain how microevolution and migration can affect an ecosystem.

Answer-Migration can negatively impact an ecosystem if the migration is permanent and leads to the loss of native species. Temporary migration, such as in the case of birds flying south in the winter, can maintain the biodiversity of an ecosystem.

I hope that this helps you understand a little bit more:) have a wonderful day!

Final answer:

Microevolution and migration can significantly influence an ecosystem. Microevolution, through genetic changes over time, can lead to biodiversity and adaption to different environments. Migration, which is the movement of species to various places, can introduce new elements to the food web and alter ecosystem dynamics.

Explanation:

Microevolution refers to changes in the genetic makeup of a population over time, often as a result of genetic drift, mutation, natural selection, and gene flow. This can significantly affect an ecosystem because it can lead to biodiversity, creating a variety of species that can adapt to different environments and contribute to the balance of the ecosystem.

On the other hand, migration is the movement of species from one place to another, often driven by seasonal changes, food availability, or changes in the environment. Migration can alter an ecosystem by introducing new competitors, predators, or prey, and can also cause a change in the overall food web structure, influencing the ecosystem dynamics in considerable ways.

Thus, both microevolution and migration play significant roles in shaping the composition and functionality of ecosystems.

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Which of the following is NOT a common sign and symptom of a swallowed poison?
O nausea
O uncontrolled shaking
O dizziness
O drowsiness

Answers

Answer:

uncontrolled shaking

Explanation:

Answer:

The answer is uncontrolled shaking.

Explanation:

Nausea, dizziness, and drowsiness often occur when poison has been swallowed but uncontrolled shaking is more a sign of fever or some other condition.

pls help me its for health, 25points if you help

Answers

Answer:

A, C, and D

Personal biases can be those 3 things. B is irrelevant to the question.

Answer can either be C or D

The liver and pancreas secrete enzymes which help digestion in the:
A.small intestine
B.Large intestine
C.Gallbladder
D.Rectum

Answers

Answer:

c gallbladder

Explanation:

The answer is the gallbladder

what are 5 signs that you or someone else might need help by typing a word or phares below and pressing enter

Answers

self harm, emotional reck, eating to much or to less, syisidal thoughts, and sleeping less

Final answer:

Five signs that might indicate someone needs help include a change in normal behavior or mood, difficulty with everyday tasks, excessive tiredness or sleep issues, overwhelm or inability to handle stress, and a decline in work or school performance.

Explanation:

Recognizing when you or someone else may need help can be vital. Here are five possible signs that someone might require assistance:

Change in normal behavior or mood, such as becoming increasingly withdrawn or anxious.Difficulty in completing daily tasks, such as managing bills or keeping up with personal hygiene.Excessive tiredness or problems sleeping might indicate health issues or stress.If the person seems overwhelmed or unable to cope with stress, this could indicate that support is needed.Noticeable decline in performance at work or school might be a signal of needing help.

Noticing these signs and taking action by typing out a message, speaking in phares, or pressing the issue can pave the way to getting the needed help.

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