[Solved]: WESTON HOSPITAL 629 Healthcare Way • SOMEWHERE, FL…

WESTON HOSPITAL 629 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6541 PATIENT: CROWDER, CHRISbottomHER ACCOUNT/EHR #:CROWCH001 DATE: Attending Physician: Oscar R. Prader, MD ADMITTING DIAGNOSES: Deep venous thrombosis (DVT) left leg Urinary tract infection (UTI) Parkinson’s disease FINAL DIAGNOSES: Acute DVT, left UTI Parkinson’s disease HOSPITAL COURSE: The patient presented to the office with left leg pain, and uneasiness as well as cloudy urine. He was evaluated, and Doppler studies of the leg confirmed DVT. Urinalysis reveals infection and the patient was started on Levaquin and Lovenox subcu 1 mg per kg twice a day; after 3 days, patient asymptomatic for both with his urinary symptoms and calf pain. Patient’s vital signs are stable. He is afebrile. Lungs clear. Heart rhythm regular. Neurologic examination: Tremors and rigidity secondary to Parkinson’s disease. Rest is unremarkable. His Doppler studies were positive for left popliteal vein thrombosis and flow abnormalities in superficial femoral vein. The results of the pelvic sonogram reveal an enlarged prostate and questionable intraluminal. Right kidney, normal. Left kidney, cyst lower pole. PT, INR on the day of discharge was 13.5 and 0.9 His UA was positive for blood, negative for leukocyte esterase, nitrites, and WBC. His CHEM-7 showed sodium of 135, potassium 3.8, chloride 98, CO2 29, sugar 126, BUN 18 mg/dL, and creatinine 1.1. WBC 6,500, H&H 17.2 and 52. Platelets 150,000. He was discharged home. DISPOSITION: Arrange for home health. Follow-up with his primary physician in 7 to 10 days. Arrange for patient evaluation for repeat urinalysis and urology consultation for possible BPH and bladder mass. Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. The number of spaces provided does not indicate the number of codes required to accurately report this encounter. What is/are the correct diagnosis code(s)?