Inpatient sample charts / Sample Inpatient cases / Inpatient DRG coding / DRG coding sample charts
DISCHARGE
SUMMARY
Admission Diagnosis: Pre-Op Diagnosis Codes:
* OSTEOARTHRITIS OF
RIGHT HIP
Discharge Diagnosis: Post-Op Diagnosis Codes:
* OSTEOARTHRITIS OF
RIGHT HIP
Procedures Performed: Procedure(s) (LRB):
HIP REPLACEMENT ANTERIOR APPROACH TOTAL (Right)
Reason for Hospitalization: Surgical treatment of right hip
disease
Hospital Course: XXX was admitted for the above
procedure. She followed our standard clinical pathway for total joint surgery.
There were no unusual events.
Discharge Disposition: She was discharged to Home with Home
Health after meeting the criteria for discharge.
Complications: none
Condition at Discharge: stable
Medications and instructions: See Discharge
Instructions/AVS
Follow up appointments:
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