Problem:
Patient was diagnosed with Coombs' negative hemolytic anemia four years earlier. Since diagnosis, her disease course has waxed and waned. During some bouts, she had 15 to 20 blood transfusions of two to three units of packed red blood cells each. This current admission was for a splenectomy. The plan also called for removing a kidney stone on the left side, which was identified on her pre-admission workup. Both surgeries, total splenectomy and laparoscopic pyelolithotomy (rarely done today but occasionally still performed to destroy a kidney stone) were performed without incident. Her postoperative recovery also went smoothly. The discharge diagnoses were listed as: Hypersplenism secondary to acquired hemolytic anemia; and stone in left kidney. The 3 CM code in proper sequence are, . The two procedure codes in order of most definitive procedure to correct the PDX are