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The patient has a large abscess on her back that is draining.  Procedure: The patient undergoes incision and drainage of the large, draining abscess that is located on her left lower back. The cavity was widely opened because the fluctuance had penetrated down through the subcutaneous tissue. The purulent material was removed from this opened area, and the area was copiously irrigated. Specimens were collected and sent to the lab to test for bacterial sensitivity. The patient tolerated the procedure well. Procedure: 

The patient has a neoplasm of the left kidney. The patient underwent laparoscopic excision of the left kidney neoplasm. The tissue was submitted. Path report shows that the lesion is benign. The lesion will be closely monitored.    Procedure: 

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

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 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 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, right buttock Procedure:

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 ____.

Discharge summary: Final diagnosis: chronic ulcerative pancolitis. Secondary diagnosis: rectal bleeding due to above. The correct code(s) for this case is (are) ____________________.