Answer :
Final Answer:
1. N18.3 - Chronic kidney disease, stage 3
2. E07.9 - Thyroid carcinoma, unspecified
3. I10 - Essential (primary) hypertension
Explanation:
The patient's primary reason for consultation is chronic kidney disease (CKD) stage 3, denoted by the ICD-10-CM code N18.3. Additionally, the presence of thyroid carcinoma is indicated with the code E07.9, specifying an unspecified type of thyroid carcinoma. The third diagnosis involves hypertension, represented by the code I10.
In the medical report, the patient is diagnosed with CKD stage 3 with superimposed acute renal failure likely due to over-diuresis and acute tubular necrosis from hypotensive episodes. Furthermore, the report mentions the existence of a thyroid mass, indicating thyroid carcinoma, and recommends the removal of the thyroid and mass.
These ICD-10-CM codes provide a standardized way of representing the patient's diagnoses, facilitating communication among healthcare professionals and enabling accurate billing for medical services. Proper coding ensures a clear understanding of the patient's conditions and supports effective healthcare management.
Final Answer:
1. N18.3 - Chronic kidney disease, stage 3
2. C73.9 - Thyroid carcinoma, unspecified
3. I10 - Essential (primary) hypertension
Explanation:
The patient's primary diagnosis is chronic kidney disease (CKD) stage 3 (ICD-10 code N18.3), with superimposed acute renal failure likely due to over-diuresis and acute tubular necrosis from hypotensive episodes. The secondary diagnosis is thyroid carcinoma (ICD-10 code C73.9), supported by the presence of a mass in the anterior neck. Additionally, the patient has a history of hypertension, and the presumed relationship between hypertension and CKD is coded using I10 for essential (primary) hypertension.
The CKD diagnosis is based on the elevated BUN and creatinine levels, indicating impaired renal function. The presence of a mass in the anterior neck supports the diagnosis of thyroid carcinoma. The hypertension diagnosis is justified by the patient's history of hypertension and its presumed relationship with CKD.
In summary, the final ICD-10-CM codes for this consultation report are N18.3 for CKD stage 3, C73.9 for thyroid carcinoma, and I10 for essential hypertension. These codes accurately capture the patient's current conditions and provide valuable information for billing, tracking, and analyzing healthcare data.