Wiki Intubation Help - Chest Xray 71045

[Cinceria.Johnson@icloud.com]

what is the best ICD 10 codes for the impression ?


STUDY TEXT
EXAM: XR CHEST AP OR PA

CLINICAL HISTORY:
Reason for Exam: Intubated/Sedated infant
Clinical Signs and Symptoms: Intubated

COMPARISON: Chest radiograph performed yesterday

FINDINGS:

Catheters/tubes/postoperative changes: The enteric tube tip is within the
stomach. Otherwise unchanged.

Lungs, pleura and airways: Unchanged

Cardiomediastinal structures: Unchanged

IMPRESSION:

Unchanged exam.

 

[thomas7331]

There aren’t any abnormalities documented here that you can use for coding and it’s not at all clear to me why this x-ray is being done. You may need to query the physician or review the record where the decision to order the test was made.

The x-ray could be part of the care of the patient’s underlying condition, or it may simply be for purposes of checking the placement of the equipment. If the latter is the case, you might consider using a code such as Z46.59, for example, if the x-ray was done to check the placement of the enteric tube that’s mentioned.