Case 3

Use the diagnostic statement in this case note to answer the following questions using the ICD-10-CM Code Book.

Discharge Note

This 85-year-old male patient is being discharged to Sunny Side Nursing facility. He has had a 4-day length stay due to a number of issues. Today he is stable and he is to be discharged. His final diagnosis is:

Stage 4 chronic renal disease accompanied by congestive heart failure due to hypertension.

I will follow up with him at the nursing facility in 10 days or sooner if needed.

Hints:

• Main term: The condition, check the Alphabetic Index for which term is bold.
• Sub term: Check first vertical line indented under the main term for terms that describe the main term (condition).
• Remember to include all required characters and follow sequencing guidance provided in the notes.
• Check category block, category, subcategory, and code for instructional sequencing notes.

Which ICD-10-CM diagnosis code should be assigned for stage 4 chronic renal disease?

Which ICD-10-CM diagnosis code should be assigned for this congestive heart failure?

Which ICD-10-CM diagnosis code should be assigned for due to hypertension?

What is the correct sequence to report these codes?

1st sequenced code:

2nd sequenced code:

3rd sequenced code: