Several months ago, the patient underwent an open cholecystectomy for chronic cholecystitis. He subsequently developed an infection of the post-operative wound and was seen in the wound clinic for subsequent aftercare/treatment. The wound tested positive for MRSA. At the time of the current visit, the wound is continuing to heal. The wound was cleaned and addressed per protocol. The patient was
instructed to continue the antibiotic treatment and to return for further cleaning and dressing of the wound in two days.
Principal diagnosis: ________
Secondary diagnoses: ________
Principal procedure: ________
What will be an ideal response?
Principal diagnosis: ________
Answer: Aftercare following surgery on the digestive system – Z48.815
Secondary diagnoses: ________
Answer: Postoperative MRSA wound infection – T81.4XXD, B95.62
Principal procedure: ________
Answer: Abdominal wall dressing – 2W23X4Z
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