The patient is a 22-year-old female who returns to her primary care physician’s office complaining that the acute cystitis she was diagnosed with two weeks
The patient is a 22-year-old female who returns to her primary care physician’s office complaining that the acute cystitis she was diagnosed with two weeks ago has not improved. During the first visit the patient described her symptoms as painful, burning, frequent urination. A urinalysis performed at the first visit revealed the presence of white cells, blood, and bacteria. The primary care physician had prescribed a ten-day dose of ciprofloxacin 250 mg. Upon questioning, the patient admitted that she took the drug as prescribed for five days and felt better. On the sixth day she left on a cruise vacation and decided to leave her medications at home because she thought she could not drink alcohol with the medication and she knew she was going to drink alcohol on vacation. During her seven-day cruise her symptoms returned and she made an appointment with the physician when she got home. The primary care physician advised the patient that her acute cystitis was not properly treated without taking the full ten-day supply of the medications. The patient was again given a ten-day dose of ciprofloxacin and strongly encouraged to take all the medications as prescribed. The conditions documented by the physicians for this office visit was acute cystitis with medication noncompliance in a patient who intentionally discontinued the ciprofloxacin as originally prescribed. Using ICD-10-CM, what are the first-listed diagnosis and the secondary diagnoses? First-Listed Diagnosis: Secondary Diagnosis:
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