[Answered]: WHAT ARE THE ICD-10-CM AND ICD-10-PCS FOR THIS…

WHAT ARE THE ICD-10-CM AND ICD-10-PCS FOR THIS SCENARIO Inpatient Patient Name: Dorothy Becker DOB: 02-10-67 Sex: F Date of Admission: 08-04-XX Date of Discharge: 08-08-XX Discharge Summary Discharge Diagnoses Acute LLE cellulitis OSA COPD Htn Hyperlipidemia DM II with peripheral neuropathy Osteoarthritis, generalized Morbid obesity History of Present Illness: This is a 51 y/o African-American female who presents to the ER with complaints of left lower extremity pain, swelling and warmth. She denies any known fevers or chills, no chest pain, shortness of breath, no known injuries to legs. She does state that she has had cellulitis of the left leg in the past about 6 months ago. She states that she has been diagnosed with MRSA infections in the past. Hospital Course: The patient was admitted to Dr. Meadows. She was initially started on Clindamycin, but due to her history of MRSA, infectious disease did see the patient and they recommended changing antibiotic regimen to Diflucan, Ceftriaxone, and Vancomycin. She was also provided miconazole topical powder to her bilateral feet in between the toes bases and Ace wrap was applied to the left lower extremity and changed daily. We also encouraged elevation of the left leg. The cellulitis in that leg has significantly improved. Her pain is improved as well as the edema, erythema and warmth. She will be switched to Duricef for a total 10 days at the time of discharge. She also will complete 5 days of Diflucan after discharge. We have written for the Miconazole powder, Ace wraps, and elevation of the extremity. The patient does have a known history of COPD and chronic lung disease. She denies the use of home oxygen at this time. We did check an ambulatory pulse ox, which was found to be low at 85%. Therefore, she does qualify for home oxygen. We have set this up at the time of discharge and we have encouraged her to follow up with the pulmonologist. She will also see her PCP and infectious disease after discharge. She is hemodynamically stable at this time. She will be discharged home with the medications stated on the med reconciliation. The patient was seen and examined in conjunction with Dr. Salmon who is currently covering for Dr. Meadows. Dr. Salmon agrees with above assessment and plan. Electronically Signed By: Jennifer Hughes, MD Emergency Department Date of Service: 08-04-XX Chief Complaint: Pain and swelling of left lower extremity.