Question

A 44-year-old woman is visiting her mother and develops a headache. She normally uses ibuprofen for headaches, but her mother has only aspirin. The patient took the correct amount of aspirin according to the directions on the bottle. The patient noticed she started to have trouble breathing and developed hives on her chest. Her mother remembers her having a reaction to aspirin as a child and takes the patient to the ED. The ED physician notes a rapid pulse, pulmonary edema, hives, and altered mental status. The patient goes into acute respiratory failure with hypoxia, is diagnosed with anaphylactic shock due to aspirin, and is admitted for care. What is the correct coding and sequencing for the diagnoses?

Answer 1

The correct coding and sequencing for the diagnoses in this case would be: anaphylactic shock due to aspirin as the primary diagnosis, and respiratory failure with hypoxia, pulmonary edema, rapid pulse, hives, and altered mental status as secondary diagnoses.

Step-by-step explanation:

The correct coding and sequencing for the diagnoses in this case would be:

Primary Diagnosis: Anaphylactic shock due to aspirin

Secondary Diagnoses:

Respiratory failure with hypoxia

Pulmonary edema

Rapid pulse

Hives

Altered mental status

It is important to code the anaphylactic shock due to aspirin as the primary diagnosis because it is the main reason for the patient's admission and subsequent care. The other listed diagnoses are secondary diagnoses that are associated with the anaphylactic shock. The coding should be done according to the guidelines provided by the International Classification of Diseases (ICD).