Question

The patient underwent an enucleation for retinal cancer and is here today with right orbital cellulitis, a foreign body response to the temporary implant placed following the surgery. The implant was removed, and the patient was admitted for observation and IV antibiotics. Select the correct diagnosis codes. A.T85.79XA B.H05.011 C. Z85.840

Answer 1

The patient with retinal cancer, orbital cellulitis, and a foreign body response should be coded with T85.79XA for the infection related to the implant, H05.011 for acute inflammation of the right orbit, and Z85.840 for personal history of eye cancer.

Step-by-step explanation:

The correct diagnosis codes for the patient who underwent enucleation for retinal cancer and later developed right orbital cellulitis and a foreign body response to a temporary ocular implant would include a code for the complication related to the implant, as well as a code for the infection:

• T85.79XA - Infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts, initial encounter
• H05.011 - Acute inflammation of orbit, right eye
• Z85.840 - Personal history of malignant neoplasm of eye

Each code represents a different aspect of the current medical situation: the first is for the complication related to the implant, the second is for the infection of the orbit of the eye, and the third provides a historical context of the retinal cancer.