assign the ICD-10-CM codes for principal diagnosis and secondarydiagnosis(es); and ICD-10-PCS codes for principal procedure andsecondary procedures.

A 57-year-old male patient was admitted to the hospital with theknown diagnosis of right ureteral obstruction caused by secondaryneoplasm of the ureter. Known to have a primary malignancy of thestomach (body) that was originally resected 6 months earlier; thepatient was still receiving chemotherapy for the gastricmalignancy. Outpatient testing showed evidence of minor ascites andright ureteral metastasis causing obstruction, resulting in righthydronephrosis. The patient was admitted for treatment of thehydronephrosis. The patient was taken to the radiation departmentwhere an interventional radiologist percutaneously inserted anephrostomy tube directly into a right kidney for drainage. Apercutaneous paracentesis was also performed for diagnosticpurposes. Cytology examination of the peritoneal fluid showedevidence of peritoneal metastasis and malignant ascites. Thepatient did not want further aggressive therapy and was dischargedhome to consider using hospice services.

Principal Diagnosis:_____________________________________________________

SecondaryDiagnosis(es):_________________________________________________

Principal Procedure:_____________________________________________________

Secondary Procedure(s):_________________________________________________

Need the ICD-10-CM Codes