Patient Presents Ambulance Question & Answer Guide (With Explanation)

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Key Explanation

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Original Question

A patient presents via ambulance to the emergency room in cardiac arrest. He has a medical history of chronic ventricular fibrillation and a non—Q wave myocardial infarction three weeks prior to this admission. Discharge diagnosis: Sudden cardiac arrest due to ventricular fibrillation. Which is the correct code assignment? 149.01 , 146.2, 121 .3 149.01 , 146.2, 121 .4 146.2, 149.01 , 121 .4 149.01 , 146.2, 125.2 2) A patient is admitted with acute respiratory failure, hypoxia, and aspiration pneumonia. Which diagnosis should be sequenced as the principal diagnosis? A) Either J69.0 or J96.01 may be acceptable as the principal diagnosis, if both are equally responsible for the admission B) R09.02 C) J96.01 D) J69.0 3) A patient’s pressure ulcer of the left heel is evaluated during a hospital stay. Documentation stated, “Deep tissue ulcer. Unable to assess due to obscuration by eschar.” Which is the correct diagnosis code? A) L89.626 B) L89.629 C) L89.623 D) L89.609 4) A patient presents in transfer from a facility 30 miles away with aphasia, dysphagia, and left-sided hemiparesis. A CT of the head is performed, which shows signs of an acute embolic CVA. It is noted tPA was administered two hours before transfer to the current facility. At discharge, the patient’s aphasia and dysphagia have resolved, with persistent left hemiparesis. Which is the correct coding sequence? A) Late effect CVA with hemiparesis B) CVA, administration of tPA, aphasia, dysphagia, hemiparesis C) Aphasia, dysphagia, hemiparesis, CVA D) CVA, administration of tPA, hemiparesis 5) A patient presents with a stroke due to nontraumatic deep intracerebral subcortical hemorrhage. He has residual left arm paralysis and will be discharged to an inpatient rehabilitation facility. Discharge diagnosis: Stroke due to intracerebral hemorrhage, left upper extremity monoplegia. Which is the correct code assignment? A) I61.0, G83.24 B) I61.9, G83.9 C) G83.24, I61.9 D) I69.132, G83.9

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