
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. WESTWARD HOSPITAL 591 Chester Road Masters, FL 33955 DISCHARGE SUMMARY PATIENT: FRIZZELLI, ALLISON DATE OF ADMISSION: 07/15/22 DATE OF DISCHARGE: 08/01/22 ADMITTING DIAGNOSIS: Schizoaffective disorder DISCHARGE DIAGNOSIS: Schizoaffective disorder; hypothyroidism; hypercholesterolemia; borderline hypertension The patient is a 34-year-old white female with a long history of schizoaffective disorder with numerous hospitalizations, brought in by ambulance for increasing paranoia; increasing arguments with other people; and, in general, an exacerbation of her psychotic symptoms, which had been worsening over the previous 2 weeks. She is now discharged to return to her home at the YMCA and also to return to her weekly psychiatric appointments with Dr. Mulford. The patient also is advised to follow up with her medical doctor for her hypertension. The patient was advised during this admission to start on hydrochlorothiazide 12.5mg daily, but she refused. She has been compliant with her medication until the recently refused hydrochlorothiazide. She is irritable at times, but overall she is redirectable and is considered to be at or close to her best baseline. She is considered in no imminent danger to herself or to others at this time. Roxan Kernan, MD 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. The number of spaces provided does not indicate the number of codes required to accurately report this encounter. What is/are the correct diagnosis code(s)?