Using the techniques described in this chapter carefully readthrough the case study and determine the most accurate ICD-10-CMcode(s) and external cause code(s) if appropriate. Remember, checkthe chapter specific, sub-chapter specific and category specificnotations within the Tabular list. Patient: Lorraine ParnetePhysician: Jason Nuouri, MD July 16, 2018 History Awell-established, 67-year-old female patient (since 1991) hascontrolled hypertension with no complications. She is a smoker[cigarettes, about one pack a day] and takes clonidine and HCTZ forher hypertension, and estrogen to address menopausal symptoms.Overall, she is well and fully active. Examination Patient presentswith fatigue, about 1 month duration, associated with thewithdrawal from estrogen because of published data suggesting anincreased risk of breast cancer and other complications. Examincludes complete review of systems. CXR [chest x-ray] and PPD(tuberculin skin test) are negative except for the following: coughwith minimal sputum a low grade fever to about 100°F 5 pound weightloss Plan Order for CBC, glucose tolerance test, TSH. Patient toreturn to discuss lab results. Be sure to list the codes, one codeper box, in the correct order, from top to bottom. Capitalization,punctuation, and spacing can impact whether or not your answer iscorrect. Follow coding best practices. What is/are the correctdiagnosis code(s)?
