38.4k views
4 votes
A patient is admitted and discharged with chest pain. After evaluation, it is suspected the patient may have gastroesophageal reflux disease (GERD). The final diagnosis was "Rule out GERD." The correct code assignment would be:

User Iali
by
7.7k points

1 Answer

5 votes

Final answer:

The correct code assignment for a patient admitted and discharged with chest pain, and a final diagnosis of 'Rule out GERD,' would be the code for chest pain (R07.9) as the principal diagnosis, and the additional code for GERD (K21.9) as a secondary diagnosis.

Step-by-step explanation:

The correct code assignment for a patient admitted and discharged with chest pain, and a final diagnosis of 'Rule out GERD,' would be the code for chest pain (R07.9) as the principal diagnosis, and the additional code for GERD (K21.9) as a secondary diagnosis.

To accurately assign the correct codes, it is important to review the patient's medical records thoroughly, including any diagnostic tests or procedures performed, and consult the official ICD-10-CM coding guidelines and code descriptions. The primary topic of this question is the correct coding for a patient with suspected GERD after being admitted and discharged with chest pain.

User DanCouper
by
7.2k points