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A patient with diabetes mellitus type 2 complained of weakness, nausea, vomiting and fever. There was a strong smell of ketones on examination, with levels of 3+ on urinalysis and blood glucose at ...
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How should a type 2 NSTEMI due to demand ischemia be coded?
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What code should be assigned when a patient is readmitted to the hospital with a new type 2 acute myocardial infarction occurring within four weeks of either a previous type 1 or type 2 acute myoca...
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A 75-year-old patient with type 2 diabetes mellitus is admitted for treatment of a nonhealing diabetic ulcer of the right ankle with muscle involvement. There is no evidence of necrosis on visual i...
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A patient is diagnosed with lumbar stenosis at L3-4 and L4-5 with severe neurogenic claudication. How should this diagnosis be coded?
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When coding the diagnosis of breast conditions and the physician documents the location in terms such as positions on a clock, is it appropriate to code to the associated breast quadrant? For examp...
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Coma scale codes R40.2110 - R40.2364 reflect various coma levels for eyes open, best verbal and motor response. Our pediatric coma scores are based on auditory/visual stimuli, agitated, persistent ...
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A critically ill patient had a medically induced coma. Should we assign a Glasgow coma score for a patient in a medically induced coma?
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Is there any official guidance as to when a pediatric versus an adult diagnosis code may be used? We are getting many rejections/denials, as there appear to be different ages for edits. Within my I...
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