The patient is a 56-year-old woman admitted to the hospital on February 12, 2023 after being seen in the physician’s office for two large draining abscesses on her back. One was on the left-
The patient is a 56-year-old woman admitted to the hospital on February 12, 2023 after being seen in the physician’s office for two large draining abscesses on her back. One was on the left-upper back and the other on the right-lower back skin. Both lesions were large, actively draining, and showed some necrotic features to the surrounding tissue. These areas on the back were warm to the touch and tender. Because of the size of the lesions, the patient was admitted as an inpatient for surgery. The surgeon performed an incision and drainage on two areas of the back. The right-lower back actually had two areas of abscess with necrotic tissue present. The cavity was widely opened with an incision that connected the two abscesses. Another incision was made in this area because the fluctuance had penetrated deeper down, and the entire area required drain?age and copious irrigation. A Penrose drain was placed to keep the tracks open. The left-upper back had an area of fluctuance of 3 cm x 5 cm. A transverse incision was made deep into the subcutaneous cavity, and all the purulent material was removed from the widely opened area. It was copiously irrigated. Specimens were collected from all these areas for cultures. The fluid cultures grew methicillin-resistant staphylococcus aureus susceptible to Clindamycin. While in the hospital, the patient received intravenous antibiotics. The patient was continued on this antibiotic orally for one more week. The drain was left in for the surgeon to remove about three days after discharge. The patient was known to have hypertension, and it was treated during the hospital stay. The patient had two fasting glucose tests performed in the hospital, and both were significantly elevated at 160 and 180. A hemoglobin A1c was performed with a finding of 9.5. The patient was informed that she had type 2 diabetes, poorly controlled with hyperglycemia. She had a dietary consultation in the hospital and will attend diabetic education classes after discharge. She was discharged home on February 14, 2023 with a glucose monitoring kit and a prescription for oral diabetic medication. She will be seen in the primary care physician’s office in one week.
What is the MS-DRG? (you do not need to provide the diagnosis codes – only the MS-DRG)
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