AHA Coding Clinic® for ICD-9 - 2012 Issue 3; Ask the Editor

Hypercalcemia due to Multiple Myeloma

An 84-year-old female with multiple myeloma and numerous severe complications has been hospitalized several times with gradual expected deterioration in her general condition. She was recently discharged to subacute rehabilitation but was readmitted when she developed nausea, vomiting and lethargy with a change in cognitive state. She was noted to be markedly hypercalcemic from the multiple myeloma. The patient was given intravenous hydration and supportive care. Aggressive treatment for the multiple myeloma was not pursued and the patient was transferred to hospice. How should this case be coded? ...

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