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Hello Hi I am working on a coding project for case study: I am needing the MS-DRG, diagnosis and code and procedure code assignment for this case study. Thank you for you help in advance. MC 285-8 Unit 5 Assignment: Hospital Inpatient Surgical Coding Cases ICD-10-CM Diagnosis 1: ________ ICD-10-CM Diagnosis 2: ________ ICD-10-CM Diagnosis 3: _____________ ICD-10-CM Diagnosis 4: ________ ICD-10-CM Diagnosis 5: ________ ICD-10-CM Diagnosis 6: ________ ICD-10-PCS procedure 1: ________ MS-DRG:__________ Admission Discharge: Benign prostatic hypertrophy, urinary retention and history of rheumatic fever. Discharge Diagnosis: Same Operation: Transurethral resection of the prostate. Summary: Allergies none. Disposition Medication: Amoxicillin250 mgs. t.i.d. for five days, Peri-Colace daily, Maxide one daily, Trandate 200 mgs, q.i.d. Atromid daily. Follow-up in two weeks. Special Instructions: The patient was instructed to limit activity and force fluid. History illness: The patient is a 57 year old white male with complaints of voiding difficulties for the last ten years, however worse over the last two or three months. He was seen in the Emergency room prior to admission and had a foley catheter inserted at that time for 500 ccs. of post void residual urine. Urinalysis was remarkable only for 4-10 white cells at time. Subsequently as an outpatient he had a cystoscopic examination and trial of voiding which showed +3 to 4 trabeculation of the bladder with a small diverticulum of the left posterior wall. He was admitted at this time for transurethral resection of the prostate. Physical examination-blood pressure 140/90. Lungs were clear. Heart was regular without murmur or gallops. Abdomen was soft. There was an indwelling foley present. Testes were down bilaterally. The left one was atrophic secondary to mumps orchitis. The right one was normal with a 1.5 cms. spermatocele. Laboratory values on admission: Cardiograms was normal. Urine culture was negative. Acid phos. 0.1, glucose 94, creatinine 1. White count on admission 5.7 with 58 segs, 32 lymps, 6 monos, 3 eos, 1 band, 15.1 hemoglobin. Urinalysis 15-18 red cells and 1-3 white cells. Chest x-rays was normal Hospital Course: The patient was admitted, started on SBE prophylaxis, following morning taken to the operation room and under spinal anesthesia had a transurethral resection of the prostate. Postoperatively the patient did very nicely. His Foley catheter was discontinued three days postoperatively, voided with a good stream, good control and he was discharged the following day in good condition. Final pathologic diagnosis-21 grams of benign prostatic hyperplasia.
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