Thepatientisa69-year-oldgravida3,para2,AB1,femalewhoselastmenstrual period was in 1985. She originally came to see the gynecologist’s office complaining of postmenopausal bleeding. As an out
I need icd 10 cm code for this exercise. 3. Thepatientisa69-year-oldgravida3,para2,AB1,femalewhoselastmenstrual period was in 1985. She originally came to see the gynecologist’s office complaining of postmenopausal bleeding. As an outpatient, she had an endometrial biopsy that revealed poorly differentiated adenocarcinoma with clear-cell features of the endometrium. Today the patient was admitted to the hospital for an open total hysterectomy. Her medical history includes ongoing treatment for hypertension, anxiety disorder, postsurgical hypothyroidism with a history of thyroid cancer, and type 2 diabetes mellitus. The surgery performed was a radical abdominal hysterectomy. The patient failed to mention that her fallopian tubes and ovaries were removed as a fail-safe method of birth control in the 1950’s. There was no evidence of metastasis into other pelvic organs. A consultation with an oncologist was performed prior to discharge. The patient had an uneventful recovery from the surgery and was discharged on day three to follow up with her gynecologist and oncologist in the next two weeks. Total should be 8 code
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