ICD and PCS coding Discharge Diagnoses

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ICD and PCS coding Discharge Diagnoses: Sepsis 2/2 Staphylococcus Bacteremia Nausea and vomiting Dehydration Adenocarcinoma of rectosigmoid junction Benign liver lesion. Hospital Course: Patient was admitted to the hospital with sepsis secondary to staph non-aureus bacteremia. He was treated with IV Vancomycin. Repeat blood cultures were negative. His lines were saved as he is TPN dependent, however, he will need close follow up and BC surveillance as he is at high risk of developing bacteremia again. During his admission, a CT a/p was done for infectious workup he was found to have a hypodense lesion in the liver. This was aspirated but was benign and negative for any infection. Also, while admitted, he was treated for dehydration. Given his high ostomy output he requires a lot of IVF. In addition to TPN he will go home on NSS 1 L boluses daily. After his oncology follow up next week he will be re-evaluated to see if he should continue this same volume. On 1-13-XX he was stable for d/c to home. History of Present Illness: Mr. Smith is a 61 y/o male with a medical history significant for metastatic rectosigmoid adenocarcinoma (Kras and Braf mutation negative) on

Reference no: EM133712654

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ICD and PCS coding Discharge Diagnoses : Sepsis 2/2 Staphylococcus Bacteremia Nausea and vomiting Dehydration Adenocarcinoma of rectosigmoid junction Benign liver lesion.

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