Reference no: EM133437651

Question

This 53 year old male with emphysema, previous lung transplant two years ago, was admitted with history of elevated temperature of 101 degrees with associated malaise, fatigue, and headache. The patient continued to have temperature elevations after admission. He was started on intravenous ganciclovir and intravenous Impenem. Blood and urine cultures were basically nondiagnostic. He underwent a bronchoscopy for bronchoalveolar lavage of the main bronchus from his left transplanted lung, which did not show any evidence of viral or bacterial pathogens. The BAL was performed by washing out the alveolar tissue in order to obtain alveolar tissue for diagnosis. Blood CMV antigen test was positive and hence he was diagnosed with CMV infection. He has had a persistent cough, and microscopy confirmed the presence of pulmonary tuberculosis. The physician documentation shows the infiltrating pulmonary tuberculosis and CMV are HIV-related. Patient was treated with ethambutol Icd 10 cm code and Icd 10 pcs Total of codes is 6.