A 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

D57.01 - Sickle cell anemia with crisis
Z96.641 - Presence of right artificial hip joint
M90.552 - Avascular necrosis of hip
Z91.14 - Noncompliance with medication regimen
The additional code Z96.641 is used to indicate status-post hip replacement, and M90.552 is used to denote avascular necrosis of the hip. Z91.14 is used to indicate noncompliance with medication, which contributed to the crisis.

A Patient Was Admitted to the Hospital with Usual Pain