A 35-year-old male patient presents to the Emergency Room with a chief complaint of severe pain in the right hand after sustaining a fall down a flight of concrete steps at his apartment complex. Upon examination, the patient sustained multiple closed fractures to the hand. The patient is also HIV positive and suffers from peripheral neuropathy. Select the appropriate code selection and sequence to report for this patient:

Question

Quizplus · Accepted Answer

The correct coding sequence is B20 for HIV disease, S62.91XA for a closed fracture of the hand, unspecified, initial encounter, and G99.0 for neuropathy in diseases classified elsewhere, which in this case is due to the patient's HIV status. The primary diagnosis is the patient's HIV status (B20), as it is a chronic condition that affects the management of the patient. The fracture (S62.91XA) is the reason for the current visit and is listed next, followed by the code for the patient's peripheral neuropathy (G99.0) which is a complication of the HIV.

A 35-Year-Old Male Patient Presents to the Emergency Room with a Chief