by Dianna Foley, RHIA, CHPS, CCS, CDIP
Test your ICD-10-CM coding skills with this short scenario.
A week after school started, the Klutz children began to suffer from SRI (school-related illnesses). Each child exhibited symptoms of a different condition diagnosed by their pediatrician.
Little Dana kicked things off with a slight fever, and difficulty sleeping. Her mother noticed that she was tugging and pulling on her left ear. The pediatrician diagnosed her with an acute middle ear infection that was nonsuppurative. An antibiotic was prescribed which soon had Little Dana feeling much better.
Peter woke up one morning with both of his eyes matted shut. When his dad cleared the matter, he noticed that the whites of Peter’s eyes were red and there continued to be a yellowish drainage from them. Peter complained of his eyes being itchy. Another trip to the pediatrician ensued, and Peter was diagnosed with pink eye. His dad was instructed to alternate use of warm and cold compresses on Peter’s eyes and apply artificial tears several times a day until the eyes cleared.
Next to be affected was Egon. As a member of the high school band, he attended a bonfire before the first football game of the season where he ate some homemade ice cream. Later that evening, he began to feel unwell and overnight developed a fever, diarrhea, and nausea with vomiting. While trying to figure out what had made him sick (since none of the other family members were ill), his parents discovered that the homemade ice cream had been made with unpasteurized milk. A call to the pediatrician’s office verified that they were treating several children with the same symptoms and the best course of treatment for the E. coli enteritis would be rest and plenty of fluids.
It was an itchy head that befell Raymond. He’d been borrowing a friend’s comb all week to use before recess so he could look his best when he tried to talk to Emma. By the end of the week, he was scratching his head fiercely and still hadn’t gotten up the courage to speak with Emma. When he got home that Friday, his mom noticed him scratching his head and discovered he had lice. By now the pediatrician was on speed-dial and called in a prescription shampoo for the lice. Mrs. Klutz was familiar with all the other strategies that would need to be employed to keep the infestation to a minimum and began them right away.
Meanwhile, Janine had spent the night at her friend, Kayla’s house. Kayla complained of a headache during the sleep over, and soon thereafter, Janine was too. She quickly developed a sore throat, and swelling of the lymph nodes in her neck. A final trip to the pediatrician found that Janine had strep throat, and she ordered an antibiotic to treat the infection.
Mr. and Mrs. Klutz were glad the children’s illnesses were minor…for now!
Little Dana kicked things off with a slight fever, and difficulty sleeping. Her mother noticed that she was tugging and pulling on her left ear. The pediatrician diagnosed her with an acute middle ear infection that was nonsuppurative. An antibiotic was prescribed which soon had Little Dana feeling much better.
Peter woke up one morning with both of his eyes matted shut. When his dad cleared the matter, he noticed that the whites of Peter’s eyes were red and there continued to be a yellowish drainage from them. Peter complained of his eyes being itchy. Another trip to the pediatrician ensued, and Peter was diagnosed with pink eye. His dad was instructed to alternate use of warm and cold compresses on Peter’s eyes and apply artificial tears several times a day until the eyes cleared.
Next to be affected was Egon. As a member of the high school band, he attended a bonfire before the first football game of the season where he ate some homemade ice cream. Later that evening, he began to feel unwell and overnight developed a fever, diarrhea, and nausea with vomiting. While trying to figure out what had made him sick (since none of the other family members were ill), his parents discovered that the homemade ice cream had been made with unpasteurized milk. A call to the pediatrician’s office verified that they were treating several children with the same symptoms and the best course of treatment for the E. coli enteritis would be rest and plenty of fluids.
It was an itchy head that befell Raymond. He’d been borrowing a friend’s comb all week to use before recess so he could look his best when he tried to talk to Emma. By the end of the week, he was scratching his head fiercely and still hadn’t gotten up the courage to speak with Emma. When he got home that Friday, his mom noticed him scratching his head and discovered he had lice. By now the pediatrician was on speed-dial and called in a prescription shampoo for the lice. Mrs. Klutz was familiar with all the other strategies that would need to be employed to keep the infestation to a minimum and began them right away.
Meanwhile, Janine had spent the night at her friend, Kayla’s house. Kayla complained of a headache during the sleep over, and soon thereafter, Janine was too. She quickly developed a sore throat, and swelling of the lymph nodes in her neck. A final trip to the pediatrician found that Janine had strep throat, and she ordered an antibiotic to treat the infection.
Mr. and Mrs. Klutz were glad the children’s illnesses were minor…for now!
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