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A non-pregnant patient experiencing chronic pelvic pain and postmenstrual bleeding underwent diagnostic hysteroscopy, and the provider diagnosed, “Lower uterine segment isthmocele.” She underwe...
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A patient with PTEN hamartoma tumor syndrome (PHTS) was seen in the clinic for further evaluation. The patient also had a history of a developmental learning delay, macrocephaly and autism spectrum...
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A patient with a history of dementia presented to the emergency department following a fall. Although the patient was alert when the family of the patient found her on the floor, they were unsure i...
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A patient presents to the Emergency Department after experiencing convulsions. He admitted to using a large amount of meth while getting high with friends. The provider diagnosed methamphetamine ov...
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A patient prescribed Desoxyn® for attention deficit hyperactivity disorder (ADHD) experienced rapid heart rate. The provider’s documentation states that the rapid heart rate was an adverse effec...
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A patient was admitted with hypertension and chronic kidney disease, stage 3, and atypical HUS. What is the correct code for atypical hemolytic-uremic syndrome?
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The provider documented the patient has both Von Willebrand disease (VWD), type 1, and Factor VIII (functional) deficiency. ICD-10-CM classifies VWD, type 1, to code D68.01, Von Willebrand disease,...
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A 58-year-old man with stage 4 chronic kidney disease (CKD) presents to the renal clinic. The provider noted, “Chronic metabolic acidosis and progressive decline in kidney function.” The patien...
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A patient with known severe dementia due to late onset of Alzheimer’s disease and functional quadriplegia is admitted from a senior living facility due to increased agitation and combativeness ov...
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A newborn, who had a normal vaginal delivery, is diagnosed with group B streptococcus colonization and is administered antibiotics prophylactically. What code should be assigned for this condition?...
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