ICD codes for these 2 scenarios:
The patient is a 68-year-old female who had a hysterectomy 22 years ago and had a cystocele repair eight years ago. Now the patient has had very significant urinary stress incontinence for the past two years and is admitted at this time for surgical treatment. Conservative management with medications provided no improvement of her stress incontinence. The patient required inpatient recovery and monitoring because of her oxygen dependence due to severe COPD. The day of admission, the patient was taken to surgery for a suprapubic sling operation. The procedure is a suspension of the urethra using the levator muscle to reposition the bladder neck to restore support to the bladder and urethra. The patient was able to be released from the hospital late in the afternoon on the day after surgery with no complications from the anesthesia, and her lung function returned to her baseline status. Home healthcare services were ordered for the patient, and a follow-up appointment in the urologist's office was scheduled for seven days after surgery.
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The patient is a 57-year-old male with painful swelling of the right scrotum. The patient also has an elevated PSA that is being monitored. Previous biopsy of the prostate was negative for malignancy. An aspiration of the hydrocele had been attempted as an outpatient but was unsuccessful as the hydrocele is large and thick-walled. For this reason, the patient is admitted to the hospital for surgery, that is, hydrocelectomy by the right tunica vaginalis. The preoperative laboratory tests were all within normal limits, and the electrocardiogram result was normal sinus rhythm.
DESCRIPTION OF THE PROCEDURE: The patient was administered general anesthesia and draped in a supine position. A right scrotal incision was made and carried down to the tunica vaginalis forming the hydrocele. The hydrocele was dissected free from the scrotal wall back to the base of the testicle and spermatic cord. In this manner, the hydrocele was excised, and fluid drained. The spermatic cord was infiltrated with 0.25% Marcaine. The edges of the tunica vaginalis adjacent to the spermatic cord were oversewn for hemostasis. The right testicle was replaced into the right scrotal space and affixed to the overlying fascia with sutures through the edge of the tunica vaginalis and the overlying fascia. The right scrotal incision was closed, first closing the fascia, then the skin. A sterile dressing and scrotal support were applied. The patient was transferred to the recovery room in good condition with no apparent complications or adverse reactions to the surgery or anesthesia. The patient will be monitored overnight. Addendum: The patient was examined the morning after surgery and found to be in good condition with minimal scrotal pain and swelling. An appointment was made for the patient to come to the surgeon's office in one week for a postoperative examination.
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The patient is a 57-year-old male with painful swelling of the right scrotum. The patient for malignancy. An aspiration of the hydrocele had been attempted as an outpatient but was unsuccessful as the hydrocele is large and thick-walled. For this reason, the patient is admitted to the hospital for surgery, that is, hydrocelectomy by the right tunica vaginalis. The preoperative laboratory tests were all within normal limits, and the electrocardiogram result was normal sinus rhythm. DESCRIPTION OF THE PROCEDURE: The patient was administered general anesthesia and draped in a supine position. A right scrotal incision was made and carried down to the tunica vaginalis forming the hydrocele. The hydrocele was dissected free from the scrotal wall back to the base of the testicle and spermatic cord. In this manner, the hydrocele was
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