Question
LTC Coding Activity
Quiz Instructions
Using the information, you learned by reading the course materials, assign the appropriate ICD-10 code(s) for the following scenarios.
Case 1
A long-term care resident with multiple sclerosis was re-admitted for continuing long-term antibiotic therapy for a urinary tract infection due to E. Coli.
Principal Diagnosis:
Secondary Diagnoses (3):
Case 2
A 75-year-old woman is admitted for occupational therapy following cardiac bypass surgery. She continues to have post-thoracotomy pain.
Principal Diagnosis:
Secondary Diagnoses (2):
Case 3
A 48-year-old male was admitted for PT and OT to maintain strength for Parkinson’s disease. He requires continued monitoring and is not able to live alone. He also has type 1 diabetes mellitus and COPD.
Principal Diagnosis:
Secondary Diagnoses (3):
Case 4
Resident is admitted to the nursing home following hospitalization for acute osteomyelitis and gangrene due to a chronic stage 3 decubitus ulcer of the right ankle. Antibiotic therapy is continued. The resident is a type 1 diabetic with peripheral vascular disease due to the diabetes. The resident also has stage 4 chronic kidney disease, hypertension, and is status post left below-the-knee amputation. Past medical history also includes hypercholesterolemia and chronic alcoholism which is in remission.
Principal Diagnosis:
Secondary Diagnoses (7):
Case 5
Resident is admitted following a hospital stay for an acute cerebral infarction. The resident will receive PT, OT, and ST for the resulting left hemiplegia of the nondominant side, dysphasia, and facial droop. Other admitting diagnoses include GERD, rheumatoid arthritis, and early onset Alzheimer’s disease with dementia and aggressive behavior. The resident is a wanderer.
Principal Diagnosis:
Secondary Diagnoses (7):
Case 6
A resident is admitted to the nursing facility following foot amputation due to diabetic peripheral vascular disease. PT and OT were ordered with the plan for the resident to return home. Staff is to change dressing as ordered. Other diagnoses include gastroparesis due to type 2 diabetes (receiving insulin), generalized DJD, and COPD.
Principal Diagnosis:
Secondary Diagnoses (7):