Idiopathic ureteropelvic obstruction

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Inpatient admission: The patient became ill the day before admission with nausea, vomiting, dysuria and hematuria. Initial laboratory work included a urinalysis report of red blood cells too count, and a repeat urinalysis the following day reported the same results. On contrast retrograde pyelogram of both kidneys, the ureters and the bladder, hydronephrosis of the right kidney and possibly some secondary hydronephrosis with obstruction of the ureteropelvic junction were seen. Spontaneously, the hematuria and other symptoms cleared. The patient was to be referred to an urologist for follow-up.

Discharge summary: Hematuria and hydronephrosis possibly due to idiopathic ureteropelvic obstruction.

First code the scenario assigning Principal, all Secondary and any appropriate Procedure codes, assign the Present On Admission (POA) Indicators and validate the DRG.

Reference no: EM133875726

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