Question

A 73 seen to determine any neurological issues. the patient has fallen in the past resulting in non-traumatic injuries. the family is concerned the patient may continue to fall if the cause cannot be determined quickly. what icd-10-com diagnosis code for this encounter

Answer 1

The ICD-10-CM diagnosis code for a patient with a history of repeated falls and potential neurological issues is R29.6. Further investigation of the patient's condition may lead to additional diagnosis codes.

Step-by-step explanation:

The correct ICD-10-CM diagnosis code for a patient who has a history of falls resulting in non-traumatic injuries and is being evaluated for potential neurological issues would typically be R29.6, which stands for 'Repeated falls.' This code is used for patients who have a known history of falling, which is not due to an acute event such as a trip or push but instead may be related to ongoing health issues. In the context of the assessment for potential neurological issues, further investigation might lead to additional codes based on the specific findings.

It is important for the healthcare provider to thoroughly assess the patient and determine the underlying causes of these repeated falls. The assessment may include a neurological examination, reviewing the patient's medication, their muscle strength, balance and gait, as well as evaluating their home environment for fall risks. Additional diagnostic codes may be added to the patient's record as more information is obtained and if a specific diagnosis is identified as the cause of the falls.