Foul smelling urine icd 10

Title

ABC/123 Version X

1

Urinary System – Analyzing a Progress Note

HCS/214 Version 2

1

Urinary System – Analyzing a Progress Note
Part 1

Using the following progress note, define the highlighted terms within the chart provided.

This patient is a resident in a Nursing Home and is being assessed by a local doctor.

Progress note:

Patient is a 68 y.o. male with history of kidney stones, urinary tract infection (UTI) and diabetes insipidus. Nursing staff reports a change in mental status, foul smelling urine, and increased incontinence with complaints of pain with urination.

On examination patient is alert. Patient notes having increased pain with urination and burning along with extreme pain in the lower abdomen at times. A urine culture was positive for e-coli bacteria. The urinalysis is positive for WBCs, RBC, and increased pH with results favorable for stone formation.

Plan to start Macrobid, increase fluid intake, repeat urinalysis and kidney function in the morning. Please catheterize the patient. Portable ultrasound in am. If positive will discuss possible cystoscopy and nephrology referral.

Impression: UTI, kidney stone

D. George, M.D.

*Do not forget to include the sources for your definitions.
Medical term
Definition
Sources
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Part 2

Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.

Medical term

Medical code

Urinary Tract Infection (UTI)

N39.0 Urinary tract infection, site not specified

P39.3 Urinary tract infection of newborn

N99.89 Other postprocedural complications and disorders of the genitourinary system

N36.9 Urethral disorder unspecified

Diabetes insipidus

N25.1 Nephrogenic diabetes insipidus

E23.2 Diabetes insipidus

P70.2 Neonatal diabetes mellitus

E11.9 Diabetes mellitus without complications

Kidney stone

N28.1 Cyst of kidney, acquired

S37.009A Injury to kidney without mention of open wound into cavity, unspecified injury, initial encounter

D30.00 Benign neoplasm of kidney, unspecified kidney

N20.0 Calculus of kidney

References
Centers for Medicare & Medicaid Services (23 Oct. 2014). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from

https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx