ICD-10-CM Guideline: Section /V. N - Ambulatory Surgery:
For ambulatory surgery, code the diagnosis for which the
surgery was performed if the postoperative diagnosis is known
to be different from the pre-operative diagnosis at the time the
diagnosis is confirmed, select the postoperative diagnosis for
coding, since it is the most definitive.
Part 1 - Scenarios (7.5 points for each correct answer):
1. A patient is currently receiving chemotherapy for liver
cancer is admitted to observation two days after their last
treatment with nausea and vomiting.
First-Listed Diagnosis:
Secondary Diagnoses:
Title of Outpatient Guideline that applies to this case:

A35-year-old woman comes to the ed complaining of chest pressure. she has had such episodes intermittently over the last 5 years, usually when sleeping, but over the last year she has had more frequent severe symptoms that are occasionally associated with severe migraine headaches. the pain is midsternal and is described as pressure that extends as a band around her chest. the ed physician is initially dubious that the pain is cardiac in origin, because the woman has no coronary disease risk factors. an ecg, however, shows 2mm st-segment elevation and inverted t waves in leads v1 through v5 and 1mm st-segment depression in leads ii, iii, and avf. before the cardiologist arrives in the ed, the patient's ecg has returned to normal. this repeat normal ecg is obtained after the administration of aspirin, nitroglycerin, morphine, and oxygen. which of the following is most likely for these findings? - diffuse intimal thickening with focal areas of atherosclerotic narrowing - intermittent thrombus formation and lysis in the left anterior descending artery - intermittent thrombus formation and lysis in the right coronary artery - plaque rupture and thrombus formation in the left anterior descending artery - transiently increased coronary vascular tone in the right coronary artery