The ER physician documents that the patient is being admitted for hematemesis.The patient has an Hct of 24.3.A transfusion of packed red blood cells is administered (via peripheral vein),and the patient is taken to the OR for an EGD.The EGD reveals that the patient has an acute perforated duodenal ulcer that is causing the bleed.The ulcer is cauterized.The patient is treated with IV antibiotics,omeprazole,and NG tube.The discharge summary lists an additional diagnosis of acute blood loss anemia.
A)D62,K26.2,0D597ZZ,30233N1
B)K26.2,D62,0D598ZZ,30233N1
C)D62,K26.1,0D597ZZ,30233P0
D)K26.1,D62,0D598ZZ,30233P1

Question

Quizplus · Accepted Answer

- K26.2 for acute perforated duodenal ulcer causing hemorrhage
- D62 for acute blood loss anemia
- 0D598ZZ for EGD with cauterization of duodenal ulcer
- 30233N1 for administration of packed red blood cells as well as IV antibiotics and NG tube treatment in the hospital setting.

A is incorrect because it lists 30233N1 (transfusion of packed red blood cells) and 0D597ZZ (EGD with biopsy) instead of 0D598ZZ (EGD with cauterization). 
C is incorrect because it lists K26.1 instead of K26.2 for the duodenal ulcer causing the hemorrhage. 
D is incorrect because it lists 30233P1 instead of 30233N1 for the hospital setting treatment.

The ER Physician Documents That the Patient Is Being Admitted