Bernie, age 76, has suffered from Parkinson’s disease for 5 years. He wears a hearing aid due to his unilateral hearing loss.

Inpatient scenario #2: Bernie, age 76, has suffered from Parkinson’s disease for 5 years. He wears a hearing aid due to his unilateral hearing loss. Coming in through the ER today, he complains of a migraine headache. After a workup, and a 7-day hospital stay, his diagnosis is a ruptured berry aneurysm. Provide the appropriate ICD-10-CM code(s) and corresponding rationale. Be sure to use the correct terminology when identifying admitting, principal, and secondary diagnoses.

Admit Diagnosis: Migraine headache: Code G43.509

Principal Diagnosis: Ruptured berry aneurysm: Code I60.7

Secondary diagnosis:  Parkinson’s Disease: Code G20, Unilateral hearing loss: Code H91.90

Rationale: After a workup, and a 7-day hospital stay, his diagnosis is a ruptured berry aneurysm.

Coding guidelines: ICD-10-CM guidelines state 

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