This male patient complained of lower abdominal pain and the inability to urinate over the past 24 hours. After study, the patient was diagnosed as having acute kidney failure due to acute tubular necrosis, caused by a urinary obstruction. The urinary obstruction was a result of the patient’s benign prostatic hypertrophy. The patient was treated with medications, and the acute kidney failure was resolved prior to discharge Principal diagnosis: Diagnosis: Diagnosis: Hint: there are NO extra blanks
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Patient complained of frequent urination with pain and was d…
Patient complained of frequent urination with pain and was diagnosed with acute suppurative cystitis, with hematuria due to E. coli Principal Diagnosis: Diagnosis:
The patient has BPH with LUTS of the inability to completely…
The patient has BPH with LUTS of the inability to completely empty his bladder, urinary frequency 3-4 times per night as well as daytime urinary frequency, and urinary hesitancy. The patient also has a history of HTN that is currently well-controlled, and he has DM that is well-controlled on oral hypoglycemics. Principal diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Principal Procedure:
Tom was admitted to rule out IBS and enteritis. After workup…
Tom was admitted to rule out IBS and enteritis. After workup it was determined that he has diverticulitis of the small intestine with perforation and abscess with bleeding. The code(s) for this case is (are) ____________________.
Excisional debridement of subcutaneous tissue and fascia, ri…
Excisional debridement of subcutaneous tissue and fascia, right buttock Procedure:
The patient is a 38-year-old male who is admitted for repair…
The patient is a 38-year-old male who is admitted for repair of a right hiatal hernia that is causing reflux esophagitis. The patient admits to smoking 1 PPD for the past 15 years. The patient also has HTN that is well-controlled on his current medications, and he has type 2 DM that is well-controlled on injectable insulin. The patient underwent repair of right esophageal hiatal hernia, open approach. The patient tolerated the procedure well. The patient will be rechecked tomorrow and may be discharged home at that time. Principal Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Principal Procedure: Procedure:
Furuncle of the right lower leg is reported with code ____.
Furuncle of the right lower leg is reported with code ____.
Discharge summary: Final diagnosis: chronic ulcerative panco…
Discharge summary: Final diagnosis: chronic ulcerative pancolitis. Secondary diagnosis: rectal bleeding due to above. The correct code(s) for this case is (are) ____________________.
Cellulitis of left ankle is reported with code _____.
Cellulitis of left ankle is reported with code _____.
Skilled nursing facility progress note: “This 84-year-old pa…
Skilled nursing facility progress note: “This 84-year-old patient was seen today because the nurse asked me to examine the patient’s back. Exam: HEENT: no findings. Abdomen: bowel sounds are normal. Lungs: clear. Skin: on the left buttock there is an area of cellulitis, and on the right side of the chest wall there is also an area of cellulitis. I informed the nurse that I have ordered medications for this patient.” This encounter should be reported with code(s) Diagnosis: Diagnosis: