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. Patient has NIDDM, controlled by diet. Patient currently smokes. Mild right-sided paralysis was found on physical examination. 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. Physcial Therapy and speech therapy for her hemiparalysis and dysphasia started and will continue at the rehabilitation facility where she was transferred.

Question

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. Patient has NIDDM, controlled by diet. Patient currently smokes. Mild right-sided paralysis was found on physical examination. 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. Physcial Therapy and speech therapy for her hemiparalysis and dysphasia started and will continue at the rehabilitation facility where she was transferred.

Which of the following answers would be correct?

ICD-9-CM Code(s):
A. 434.91, 438.21, 438.12, 250.00 305.1, 88.91, 93.39, 93.72

B. 434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.74

C. 436, 250.00, 305.1, 88.91, 93.39, 93.74

D. 434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.72

ICD-10-CM Code(s):___________________

ICD-10-PCS Code(s):___________________

Answer 1

B. 434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.74

Answer 2

A. 434.91, 438.21, 438.12, 250.00 305.1, 88.91, 93.39, 93.72

Answer 3

I63.9, G81.91, R47.02, E11.9, F17.210

Answer 4

To determine the correct answer, we need to understand the patient's diagnosis and the corresponding codes in the ICD-9-CM, ICD-10-CM, and ICD-10-PCS code sets.

The patient's diagnosis is "CVA--subacute infarct." CVA stands for cerebrovascular accident, which is commonly referred to as a stroke. An infarct refers to an area of tissue death due to a lack of blood supply.

Let's analyze the provided answer options:

A. 434.91, 438.21, 438.12, 250.00, 305.1, 88.91, 93.39, 93.72
B. 434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.74
C. 436, 250.00, 305.1, 88.91, 93.39, 93.74
D. 434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.72

To find the correct answer, we need to identify the code(s) that correspond to a cerebrovascular accident or stroke. Let's break down the answer options:

A. contains multiple codes, including 434.91, which corresponds to a cerebral artery occlusion, and 93.72, which is a code for diagnostic radiology.
B. contains multiple codes, including 434.91, which corresponds to a cerebral artery occlusion, and 342.91, which is a code for hemiplegia, or weakness on one side of the body.
C. contains a single code, 436, which corresponds to an acute, but ill-defined, cerebrovascular disease.
D. contains multiple codes, including 434.91, which corresponds to a cerebral artery occlusion, and 342.91, which is a code for hemiplegia, or weakness on one side of the body.

Based on the provided information about the patient's diagnosis, the correct ICD-9-CM code is option D (434.91, 342.91, 784.59, 250.00, 305.1, 88.91, 93.39, 93.72).

To determine the correct ICD-10-CM and ICD-10-PCS codes, we need more information about the patient's diagnosis, such as the location, severity, and other relevant details of the infarct. Without this additional information, we cannot accurately provide the corresponding ICD-10-CM and ICD-10-PCS codes.