Regina Posted Sun 15th of April, 2012 02:00:35 AM
Patient presesnts to ED via EMS for complaint of bleeding from surgical site/JP drain. Per husband, he was cleaning around the drain when blood started "pouring out" into the JP drain and from around the drain site. Patient's husband reports patient had surgery 4 weeks ago for ulcers and intestinal obstruction, developed an infection post-op and had the drain placed. Patient reports abdominal pain (constant, severe, sharp, throbbing, radiating from near surgical site).
ER physician diagnoses abdominal pain, right lower quadrant; abdominal pain, right upper quadrant,; upper GI bleed; postoperative infection.
Should this be coded as 338.18, 578.9, 998.59
SuperCoder Answered Mon 16th of April, 2012 07:46:05 AM
Yes, all the diagnosis seems correct in this scenario.
338.18-Acute Postop pain