AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 2; Ask the Editor

Malignant Pleural Effusion

A patient was admitted to the hospital with acute respiratory failure (ARF) and hypoxia. The patient has a personal history of clitoral cancer and is status post removal of the clitoris and radiation treatment. During this admission, the patient was diagnosed with metastatic disease to the right lung and malignant pleural effusion. The provider stated that the ARF was most likely due to progression of the malignant pleural effusion. The provider was queried for clarification regarding the source of the patient’s malignant pleural effusion and documented that it was due to the primary clitoral cancer. What is the principal diagnosis for this case? ...

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