The patient is a 50 year old male brought to the emergency department by fire department ambulance that was called to a restaurant in which the patient was eating dinner with friends
The patient is a 50 year old male brought to the emergency department by fire department ambulance that was called to a restaurant in which the patient was eating dinner with friends. The patient was eating steak when he felt something stick and his chest. He could not dislodge it, and was becoming rather panicky because of the intense epugastric pain. He was still able to breathe unassisted and was able to speak short responses. The emergency department physician examines the impatient and immediately caused a gastronologist for what the ED physician describes as “Steakhouse Syndrome”. The patient is examined by the gastronologist who suspects the food is lodged in the patient’s esophagus. The patient is taken immediately to the To the gastroenterology procedure suite, and the upper GI endoscopy is performed. The physician finds several large pieces of poorly chewed meat at the level of the lower esophagastric junction. The physician is able to remove some of the obstruction, but the smaller pieces of the meat had already passed into the stomach. The physician also documents that the reflux esophagitis is present. The physician is able to examine the upper GI tract, including the stomach, and no injury to the mucosa is found. Prior to the procedure, the patient was admitted to the hospital for overnight monitoring and discharged the next morning.
Note: List all applicable codes excluding the External Cause codes.
Principal Diagnosis:__________
Secondary Diagnoses:____________
Principal Procedure:____________
Secondary Procedure(s):__________
Has to an answered in ICD 10 CM codes !
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