ICD 10 code and ICD PX code  Discharge Diagnosis:       1. …

ICD 10 code and ICD PX code 

Discharge Diagnosis:       1.  Gastrointestinal hemorrhage due to acute and chronic marginal ulcer

                                             exacerbated by the patient’s use of Coumadin for a h/o pulmonary embolism

                                             2.  Sigmoid diverticulosis

Procedure Performed:    1.  Laparoscopic partial resection of jejunum with end-to-end anastomosis

6. Discharge Diagnosis:       1. Fever and pain in right upper arm from COVID-19 vaccination

7. Discharge Diagnosis:       1.  Transferred from outside hospital with symptomatic HIV infection with pneumococcal pneumonia with abscess

2.  2 days after admit, the patient developed pneumococcal sepsis with septic shock 

Procedure Performed:    1.  Insertion of RIJ central venous line – CVL tip location not documented

8. Discharge Diagnosis:       1.  Acute osteomyelitis of left calcaneus in a diabetic patient

2.  CKD stage 2 due to hypertension

Procedure Performed:    1.  Excisional debridement (open) of left calcaneus osteomyelitis 

9.            Discharge Diagnosis:       1.  STEMI of anterior wall

                                             2.  Unstable angina

                                             3.  Coronary artery disease (no history of prior coronary intervention)

Procedure Performed:    1.  CABG x 3 (aortococoronary bypass grafting of SVG to RCA and Free radial artery graft to circumflex, LIMA to LAD)

2.  Percutaneous endoscopic harvest of both the left saphenous vein and right radial artery for grafting

10. Discharge Diagnosis:       1.  SOB due to metastatic disease of right lung

                                             2.  Malignant pleural effusion

                                             3.  History of ovarian cancer fully treated with no recurrence

Procedure Performed:    1.  Right thoracoscopic wedge resection of 2 pulmonary metastases in RML and RLL

2.  Therapeutic Percutaneous Right Thoracentesis

11. Discharge Diagnosis:       1.  Cerebral infarction due to embolism of the left internal carotid artery

                                             2.  Right hemiplegia and aphasia – both resolved at discharge

Procedure Performed:    1. Open embolectomy of LICA 

12. Discharge Diagnosis:       1.  Atherosclerosis of right leg with intermittent claudication, right calf ulcer and gangrene

Procedure Performed:    1.  PTA of right deep femoral artery with one drug eluting stent

2.  PTA right anterior tibial artery using a drug eluting balloon

13.Discharge Diagnosis:       1.  Admitted with sepsis due to aspiration pneumonia

                                             2.  AKI due to sepsis

                                             3.  Oropharyngeal dysphagia due to a stroke 5 years ago

Procedure Performed:    1.  Percutaneous gastrostomy tube placement

14. Discharge Diagnosis:       1.  Acute pyelonephritis due to the patient’s ileal conduit

                                             2.  Severe alcohol use disorder with intoxication

Procedure Performed:    None

15. Discharge Diagnosis:       1. Ruptured appendix with generalized peritonitis

                                             2. Suspicious nodules found on pancreas during appendectomy which were        

                                             biopsied and consistent with adenocarcinoma of pancreatic head

Procedure Performed:    1.  Laparoscopic appendectomy converted to an open appendectomy

2.  Needle Biopsy of pancreas performed during open appendectomy

16.         Discharge Diagnosis:       1.  Bleeding esophageal varices due to portal hypertension

                                             2.  Alcoholism with alcoholic cirrhosis 

Procedure Performed:    1.  Esophagoscopy with banding of esophageal varices

17.Discharge Diagnosis:       1.  Admitted for acute renal failure with tubular necrosis affecting transplanted      

                                             kidney function

                                             2.  S/p renal transplant in 2015 for ESRD due to adult type polycystic kidney 

                                             disease

18.Discharge Diagnosis:       1.  E. coli bacteremia due to infected Hickman catheter which was 

                                             previously placed to administer chemotherapy

                                             2.   Right breast adenocarcinoma with lung and bone metastases

19.Discharge Diagnosis:       1.  Admitted to evaluate seizures which was found to be due to newly 

diagnosed brain metastasis 

                                             2.   History of breast cancer fully treated with no recurrence at 

                                             primary site

Procedure Performed:    1.  Intrathecal chemotherapy with Methotrexate 

20. Discharge Diagnosis:       1.  Admitted with COPD exacerbation with emphysema

                                             2.  Hypertensive urgency

                                             3.  HTN with chronic HFpeF

                                             4.  Pulmonary hypertension due to COPD

                                             5.  Chronic respiratory failure with hypoxia

21.Discharge Diagnosis:       1. 1^st and 2^nd degree heart block

                                             2.  Hypertension 

                                             3.  Chronic kidney disease stage 3b due to Type 2 diabetes

                                             4.  Diabetic nephropathy

Procedure Performed:    1.  Dual chamber permanent pacemaker insertion with transvenous RV and RA leads and generator placement in abdomen

22.Discharge Diagnosis:       1.  NSTEMI secondary to cardiac stent thrombosis

                                             2.  Non-ischemic cardiomyopathy

Procedure Performed:    1.  Left heart cath with right and left coronary arteriography with Visipaque

                                             2.  PTCA of LAD with 1 drug eluting stent