Newly diagnosed multiple cutaneous Kaposis sarcoma lesions in previously

Newly diagnosed multiple cutaneous kaposis sarcoma

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Newly diagnosed multiple cutaneous Kaposi’s sarcoma lesions in previously diagnosed HIV disease B20 Human immunodeficiency virus [HIV] disease C46.0 Kaposi’s sarcoma of skin Explanation: Even though the HIV was diagnosed on a previous encounter, it is still sequenced first when coded with an HIV related condition. Kaposi’s sarcoma is an HIV-related condition. Patient admitted with acute appendicitis. Status positive HIV test on Atripla, with no prior symptoms K35.80 Unspecified acute appendicitis Z21 Asymptomatic human immunodeficiency virus [HIV] infection status Explanation: Code Z21 is sequenced second since documentation indicates that the patient has had a positive HIV test but has been asymptomatic. Being on medication for HIV is not an indication that code B2 0 is used instead of Z21. Unless there has been documentation that the patient has had current or prior symptoms or HIV-related complications, code B2 0 is not used. The appendicitis is not an AIDS-related complication and is sequenced first.
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Guidelines and Examples Chapter 1. Certain Infectious and Parasitic Diseases ICD-10-CM 2017 Chapter 1. Certain Infectious and Parasitic Diseases 430 ICD-10-CM 2017 c. Infections resistant to antibiotics Many bacterial infections are resistant to current antibiotics. It is necessary to identify all infections documented as antibiotic resistant. Assign a code from category Z16, Resistance to antimicrobial drugs, following the infection code only if the infection code does not identify drug resistance. d. Sepsis, severe sepsis, and septic shock 1) Coding of Sepsis and Severe Sepsis (a) Sepsis For a diagnosis of sepsis, assign the appropriate code for the underlying systemic infection. If the type of infection or causal organism is not further specified, assign code A41.9, Sepsis, unspecified organism. A code from subcategory R65.2, Severe sepsis, should not be assigned unless severe sepsis or an associated acute organ dysfunction is documented. (i) Negative or inconclusive blood cultures and sepsis Negative or inconclusive blood cultures do not preclude a diagnosis of sepsis in patients with clinical evidence of the condition; however, the provider should be queried. (ii) Urosepsis The term urosepsis is a nonspecific term. It is not to be considered synonymous with sepsis. It has no default code in the Alphabetic Index. Should a provider use this term, he/she must be queried for clarification. (iii)Sepsis with organ dysfunction If a patient has sepsis and associated acute organ dysfunction or multiple organ dysfunction (MOD), follow the instructions for coding severe sepsis. (iv)Acute organ dysfunction that is not clearly associated with the sepsis If a patient has sepsis and an acute organ dysfunction, but the medical record documentation indicates that the acute organ dysfunction is related to a medical condition other than the sepsis, do not assign a code from subcategory R65.2, Severe sepsis. An acute organ dysfunction must be associated with the sepsis in order to assign the severe sepsis code. If the documentation is not
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