The patient, a 68-year-old female known to have congestive heart failure currently…

The patient, a 68-year-old female known to have congestive heart failure currently controlled by medication, is admitted to the hospital by her physician because of posterior calf pain with warmth and swelling of the proximal right lower leg. A duplex venous ultrasonography with pulse wave Doppler detected a thrombus of the right popliteal vein intravascularly. Anticoagulant therapy was started to prevent pulmonary embolism or further venous embolization. The patient was stabilized and was able to be discharged home. Home health nurse services were arranged to take blood samples for ongoing prothrombin time (PT) Laboratory tests to ensure the therapeutic level of the anticoagulant therapy in the blood. The patient was also treated for her compensated congestive heart failure while in the hospital. ICD-10-CM = 2 ICD-10-PCS = 1