Assignment task:
Using the techniques described in this chapter, carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s), if appropriate. Remember, check the chapter-specific, sub-chapter-specific, and category-specific notations within the Tabular List.
Rhonda Syncowski is a 64-year-old female with a long-standing history of a seizure disorder. She also has hypertension (high blood pressure) and chronic obstructive pulmonary disease (COPD). She is no stranger to the hospital because of her health issues. At home, she takes a number of medications, including three for her COPD and three-levetiracetam, lamotrigine, and valproate sodium-to help control seizures.
The patient went to see Dr. Bushera, her family physician, last week because she was wheezing and having trouble breathing. Dr. Bushera conducted a physical examination that yielded signs of an acute worsening of her COPD-including FEV1 of less than 50% predicted value plus respiratory failure.
PLAN: Orders written for flunisolide 160 mcg, b.i.d. via nebulizer; portable oxygen (gaseous) with 1-month supply. Follow up with physician in 3 weeks, or PRN.
Joshua Medical Supplies and Equipment was called by the patient to provide the equipment and medications to the patient's home. As per physician's orders:
- Nebulizer with compressor
- Flunisolide inhalation solution 1 mg
- Portable oxygen system (gaseous), rental, cannula
- Portable O2 contents, gaseous, 1 unit
Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.
Determine the most accurate HCPCS Level II code(s) and modifier(s), if appropriate.
The number of spaces provided does not indicate the number of codes required to accurately report this encounter.