question archive What is the 1st listed diagnosis and 2nd if there is one? For outpatient visits you will need to find the First-Listed Diagnosis and any Secondary Diagnoses per the Coding Guidelines for Outpatient Coding found in your code book
What is the 1st listed diagnosis and 2nd if there is one? For outpatient visits you will need to find the First-Listed Diagnosis and any Secondary Diagnoses per the Coding Guidelines for Outpatient Coding found in your code book
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What is the 1st listed diagnosis and 2nd if there is one?
For outpatient visits you will need to find the First-Listed Diagnosis and any Secondary Diagnoses per the Coding Guidelines for Outpatient Coding found in your code book.
The mother of a 3-year-old female brought the child to the emergency department (ED) because of fast breathing, a fast heartbeat, and a generalized erythematous rash. The mother stated the child had been refusing food and drink and had not urinated much during the past 12 hours. The ED physician found the child, clinging to her mother, to be dehydrated, febrile, and lethargic. The child was started on IV fluid for rehydration and respiratory treatments of albuterol to improve her respiratory rate. Multiple chicken pox lesions were noted over the child's face, trunk, and legs, but the majority were crusted and nonvesiculating. The mother reported that her 6-year-old son had chicken pox recently. The physician also noted the child's abdomen to be distended. Examination of the ears showed a right otitis media with the left ear tympanic membrane normal. The chest exam demonstrated expiratory and inspiratory rhonchi with expiratory wheezes at the bases that were consistent with pneumonia. The child was placed into the pediatric observation unit. Over the next 12 hours the patient's symptoms improved after treatment. Amoxicillin medication was started for the ears. The child became more alert, smiling, and happy, but still clinging to her mother. The mother was allowed to take the child home the next day with pediatric home care follow-up ordered. Discharge instructions included bed rest and continuation of albuterol suspension and amoxicillin. Discharge diagnoses were chicken pox complicated by pneumonia, dehydration, and acute nonsuppurative right otitis media.
