[Verified Answer]: Using the current year ICD-10 provide the…

Using the current year ICD-10 provide the diagnosis code for the patient case. PREOPERATIVE DIAGNOSIS: Postop bleeding from sacral wound. POSTOPERATIVE DIAGNOSIS: Same. SURGICAL FINDINGS: One very active bleeder and one less active bleeder along the wound margin. SURGICAL PROCEDURE: Wound exploration and cauterization of two bleeders of the wound edge. SURGEON: Tony Wellbed, MD ANESTHESIA: Local with plain 1% Xylocaine, approximately 10 cc along each suture line. Following her unroofing of the sinus tracts yesterday, I was called by the Recovery Room nurse for a large spot of blood on the dressing. She also incidentally had this on the bed. I took the dressing down and called for some silver nitrate because the patient had a very active bleeder coming from the edge of the wound. I asked for some sterile Kerlix fluffs and light. Because we could not adequately visualize everything that was going on at the time, I took the patient back to the Operating Room where the bleeder was easily identified and cautery was used to stop the bleeding. There was also one other small bleeder cauterized. No other bleeders were noted. I sprayed the bed with topical thrombin and packed some Surgicel in the more proximal aspect of the wound and then packed thrombin-soaked 2-inch vaginal packing in the wound followed by Kerlix fluffs and a snug dressing covered by Elastoplast. The bleeding appeared to be controlled. DESCRIPTION OF PROCEDURE: The patient was turned in the prone position and we injected more local anesthesia (1% Xylocaine and 1 : 100,000 epinephrine), having injected some in the Recovery Room. I cauterized the very active bleeder that was noted, and saw one more less-active bleeder along the suture line. Surgicel was in place at the depths of the wound in a pool of topical thrombin that we had placed in the proximal aspect of the wound from where the bleeding came. I then saturated a 2-inch vaginal gauze packing with topical thrombin and packed this in the wound followed by one box of Kerlix fluffs. The wound was then dressed with Elastoplast. Coincidentally noted at the time of her surgery with the wound exploration was conversion of her electrocardiogram to a Mobitz Type I heart block. I did consult the cardiologist at the same time.