Patient was admitted to the hospital with usual pain symptoms for sickle cell/Hb-SS disease.Patient did not fill the pain medication prescription,and recent cold weather has brought on a vaso-occlusive crisis.Chest X-ray was performed and revealed evidence of acute chest syndrome.Patient has had right hip replacement for avascular necrosis and is scheduled to have the left hip replaced next month because of avascular necrosis,which is due to Patient's sickle cell disease.Final Diagnosis: Sickle cell crisis with acute chest syndrome.Status post hip replacement.

Question

Quizplus · Accepted Answer

The patient's diagnosis of sickle cell crisis with acute chest syndrome is coded as D57.01. The patient has a history of hip replacements due to avascular necrosis related to their sickle cell disease, which is coded as M90.552. The patient also has a history of not filling their pain medication prescription, which may indicate noncompliance or neglect, and is coded as Z91.14. Z96.641 is used to indicate the presence of the sickle cell trait.

Patient Was Admitted to the Hospital with Usual Pain Symptoms