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The patient is an 89-year-old female with known osteoporosis who fell from bed at the nursing home with resultant rib fractures. The provider was queried and confirmed that the rib fractures were d...
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The patient presents for elective cesarean section. During the last pregnancy, she had undergone a mid-transverse T incision cesarean delivery. What is the appropriate diagnosis code assignment for...
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A newborn infant was delivered at 38 weeks of gestation via spontaneous vaginal delivery and initially had a normal physical exam. However, the baby developed clonic seizures on the right side of t...
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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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