The patient is a 2-year-old child who was admitted after falling down four steps and hitting his head on concrete. The accident occurred at the patient's house. There was about 5 minutes' LOC with continued lethargy per paramedics. CT of the head and neck revealed no abnormality. The patient is on oral antibiotics for pneumonia and AOM, and these were continued during the hospital stay. He will follow up with pediatrician.Final Diagnosis: Closed head injury due to fall
A)S06.9x0A, J18.9, H66.90, W10.9xxA, Y92.019
B)S06.9x1D, J18.9, H66.90, W10.9xxD, Y92.019
C)S06.9x1A, J18.9, H66.90, W10.9xxA, Y92.019
D)S06.9x1A, J18.8, H66.90, W10.9xxA

Question

Quizplus · Accepted Answer

The patient's final diagnosis is closed head injury due to fall, which corresponds to code S06.9x1A. The codes J18.9, H66.90, W10.9xxA, and Y92.019 are all additional diagnoses or external causes that may be relevant to the patient's treatment and management. However, code J18.8 is not applicable to this case as the patient's pneumonia and AOM are being treated with oral antibiotics, and there is no documentation of a more severe respiratory condition. Additionally, the code suffix D in option B is used for subsequent encounters, which is not appropriate for this initial hospital admission.

The Patient Is a 2-Year-Old Child Who Was Admitted After