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[Answered]: This 56-year-old female was admitted for…

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This 56-year-old female was admitted for resection of an adrenal mass. The patient has had hypertension of several years’ duration. Ultrasound was done on an outpatient basis in consideration of the possibility of a mass, and catecholamine studies have been normal. A 4–5 cm right adrenal mass was identified. Dr. White had obtained a 24-hour urinary free cortisol, ACTH, and short suppression tests, all of which confirmed the presence of Cushing’s syndrome. The patient was not diabetic. She did report weight gain, some shift in body configuration, and easy bruising of several years’ duration. Surgery: A 5 cm, well-circumscribed round, benign cortical tumor was resected from the adrenal gland via an open approach. Pathology diagnosis confirmed that the tumor was benign. Allergies: No known drug allergies Medications on Discharge: Hydrocortisone, rapidly tapering dose, currently on 40 mg daily; Toprol 50 mg q.a.m.; Prevacid 30 mg qd; Lipitor 10 mg q.a.m.; Prempro 0.625/2.5. Physical Exam: Vital signs stable. HEENT: Sclerae and conjunctivae clear. Neck: Supple. No palpable thyroid. Lungs: Somewhat decreased breath sounds currently. There is mild splinting with deep breathing. Abdomen: Tenderness in the incision area. She has active bowel sounds at this time. Extremities: No definite bruises currently. No edema noted. Discharge Diagnosis: Right adrenal tumor with Cushing’s syndrome secondary to tumor Plan: The patient appears to have tolerated the surgery well. She will require steroid replacement. Excess cortisol output is presumed entirely due to her tumor, and her ACTH was suppressed previously. As with exogenous steroid therapy, there will be contralateral adrenal suppression. The patient will be tapered rapidly to replacement hydrocortisone levels. We will try the remaining hydrocortisone withdrawal over the next six months or so, depending on her ACTH and cortisol responses. She is discharged to home with follow-up in my office in 1 week. please let me know the ICD-10-CM CODE and ICD-10-PCS Code

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