PATIENT IS A 46-YEAR-OLD FEMALE WHO HAD A HYSTERECTOMY PERFORMED APPROXIMATELY 7 DAYS…

PATIENT IS A 46-YEAR-OLD FEMALE WHO HAD A HYSTERECTOMY PERFORMED APPROXIMATELY 7 DAYS AGO COMPLAINING OF FEVER, NAUSEA, AND VOMITING OVER THE PAST 24-HOUR PERIOD. PATIENT HAS AN INDWELLING CATHETER THAT WAS PLACED POSTOPERATIVELY AND THE PATIENT WAS TO RETURN TO THEIR PHYSICIAN’S OFFICE IN 24-48 HOURS POSTOPERATIVELY FOR REMOVAL, HOWEVER, HAS NOT DONE SO AT THIS TIME. URINE SAMPLE FROM THE CATHETER WAS POSITIVE FOR RED AND WHITE CELLS. URINE CULTURE PERFORMED. THE PATIENT WAS GIVEN ANTIBIOTICS AND DIAGNOSED WITH BLADDER INFECTION DEU TO INDWELLING URETHRAL CATHETER AND TOLD TO FOLLOW UP WITH HER SUGEON WITHIN 24-48 HOURS CODE USING ICD-10-CM AND CPT