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Determining Diagnosis Code Categories

Determining Diagnosis Code Categories

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Researchers in the medical field have often collected information from various hospital records indicating the medical complications of the patients and their possible death causes. This process has been of critical importance in establishing emerging medical conditions and determining forms of appropriate treatment according to the (World Health Organization, 2004). When the descriptions are written, it is essential that the symptoms of such medical complications are coded to enable standard diagnoses. This creates the need for a coding system that enables physicians to gather information used to educate the population on various diseases and how to retain a healthy lifestyle. The codes used for diagnosis are often utilized when reporting the condition of patients on claims.

In the first diagnosis of the neck cancer case, the ICD-9-CM Code would be that of 175.9, 338.3, and 723.1. This is based on the fact that the 69 year old patient is placed under the management care for adenocarcinoma. The diseases index looks up adenocarcinoma, which replicates to the neoplasm condition. It is evident that the neck pain he is experiencing is through the cancer. From the index to diseases, the pain and the neoplasm cases are closely related. Usually, from the ICD-9-CM guideline 1.C.6.a.5 it is advised that the patient also be put under care and management of the cancer disease. The neck pain diagnosis falls under the code of 723.1.


Hyperlipidemia

It is evident that the 69 year old patient also has hyperlipidemia. From the disease index, hyperlipidemia falls under the code of 272.4. In terms of dealing with hyperlipidemia, there is a plan to sample his lipitors for a period of two months. There is also need to increase his Coreg to 25 mg bid and the patient will be advised to come back for checking after a period of six months. These would fall under the code of ICD-9-CM (414.01, 272.4). The reason behind this thinking is that the index of the disease falls under the group of artery and coronary. This implies that under the arteriosclerosis group or coronary, the most appropriate code is that of 414.00. From the analysis above, it is not clear whether the patient has in the past had any issues of a CABG Coronary Artery Bypass Graft according to Buck (2013).

The ethical issue in this is that the patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life. This implies that the end of life type of care that should be given to him will be that which reflects humanity; respect and dignity in line with his wishes so as to enable him cope with the physical and any other forms of insults that affect him psychologically. It is essential that the end-of-life care must be helpful to the patients and their families towards achieving healthcare that is advanced and progressive to become incurable until their time of death.

References

Buck, C. J. (2013). 2013 ICD-9-CM for physicians, volumes 1 & 2. St. Louis, Mo: Elsevier/Saunders.

World Health Organization. (2004). ICD-10: International statistical classification of diseases and related health problems.Geneva: World Health Organization.


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