Question

An elderly male patient with a history of benign hypertension became extremely febrile the day before admission. On admission, he was extremely lethargic with a possible septic urinary tract infection. He was pan cultured and started on IV antibiotics and fluids. Pseudomonas showed in the urine culture. The next day, his mind was quite clear and the fever defervesced from an initial 104.6 to 99.0 degrees. However, he had gross hematuria. As the IV fluids were decreased he resumed his usual hypertensive state. By the third hospital day, the urine had cleared and he was discharged on oral antibiotics, with septicemia ruled out. Discharge diagnoses: (1) Urinary tract infection due to Pseudomonas, (2) gross hematuria (3) benign essential hypertension.

Provide the codes below. (HINT:  There are 4 diagnoses codes and no procedure codes.)

Principal Diagnosis   

Secondary Diagnosis

Secondary Diagnosis

Secondary Diagnosis

Answer 1

Principal diagnosis:

ICD 9 cm:

401. 0 Essential hypertension malignant

401.1 Essential hypertension bengin

401.9 Essential hypertension unspecified

ICD 10:

I 10 primary essential hypertension

Secoary diagnosis:

UTI:

N39.0 used for coding UTI.

Secondary diagnosis:

R31.0 used to code gross hematuria

Secondary diagnosis:

401.1 used to code

Bengin essential hyper tension