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HILLSIDE HOSPITAL 359 Mountain Pass Road Langston, FL 33993 DISCHARGE DOCUMENT SUMMARY PATIENT DATE OF ADMISSION DATE OF DISCHARGE LOWENSON, MARC 08/01/18 08/22/18 FINAL DIAGNOSES Major depressive disorder, recurrent, current episode severe 2. 3. HIV 4. Tuberculosis of the lung, primary 5. Hepatitis C, DISCHARGE MEDICATIONS: 1. Zoloft 100 mg, po, qam 2. Seroquel 50 mg po qhs 3. Truvade 1 tab qam 4. Regataz 300 mg po qam 5. Norvir 100 mg po qam with breakfast 6. Dapsone 100 mg po qam 7. Hydrochlorothiazide 25 mg po qam DISPOSITION: The patient will return to his residence at the Midtown Hotel. He will attend the hospital continuing day treatment program PROGNOSIS: Guarded HISTORY: He is noted to have significant immunosuppression related to his HIV. Currently there is no stigmata of opportunistic infection During the course of admission, the patient was placed on hydrochlorothiazide 25 mg for hypertension, which he responded well to. CONDITION ON DISCHARGE: The patient is a 54-year-old single black male referred for his first BRU admission, his secon dependence since age 21. Prior to this admission, he had attained no significant period of sobriety other than time spent incarcerated. d lifetime rehabilitation. The patient has a history of alcohol and methamphetamine The patient participated in a 21-day MICA rehabilitation program. He worked rigorously throughout the entire program. He had perfect attendance and participated well as a peer support provider. The patient attended eight groups daily. He worked well in individual therapy with his nurse practitioner and social Continu worker
On discharge, the patient is alert and oriented x3. Mood is euthymic. Affect is full range. The patient denies SI, Hl, denies AH, VH. Thought process is organized. Thought contet There is no evidence of psychosis. There is no imminent risk of suicide or homicide -no delusions elicited Keith Masters, MD-5555 517895221/mt98328 08/22/18 12:13:56 08/22/18 17:51:58 Determine the most accurate ICD-10-CM code(s).
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Answer: For alcohol dependence ICD-10-CM code is F10.20.

For methamphitamine dependence ICD-10-CM code F15.20.

For major depressive disorders recurrent, severe ICD-10-CM code is F33.2.

For HIV ICD-10-CM code is ICD-10-CM B 20

For Tuberculosis of lungs primary ICD-10-CM code A15.0.

For hepatitis C ICD-10-CM code is B18.2.

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