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A 68-year-old man with a history of hypertension, chronic obstructive pulmonary disease and coronary artery disease (CAD) was admitted to the hospital for evaluation of atrial fibrillation (AF). Wh...
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In the Alphabetic Index, the different types of atrial fibrillation all appear at the same indentation level under “Fibrillation, atrial.” If a provider documents various types of atrial fibril...
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A patient, who was admitted due to syncopal episodes, was diagnosed with a complete heart block. The cardiologist noted that the electrocardiogram (ECG) showed a complete AV block with periods of a...
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ICD-10-CM’s Index to Diseases, under the term “Asystole (heart)” instructs see Arrest, cardiac. Could you please clarify if cardiac arrest should be coded when the provider notes a finding of...
No. It is no...
What are the correct code assignments for aortic valve stenosis with mitral valve insufficiency? Does ICD-10-CM assume rheumatic fever origin when the provider does not document a cause?
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An 89-year-old woman presented to the Emergency Department (ED) due to an unwitnessed fall. The patient was diagnosed with a urinary tract infection and treated with Bactrim. During the ED encounte...
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What is the correct coding an of elevated troponin level, when an acute myocardial infarction is ruled-out? Our group is split between code R74.8, Abnormal levels of other serum enzymes; code R79.8...
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A patient with a history of bilateral lung transplant presents with aspiration pneumonia due to emesis with a continuous positive airway pressure (CPAP) mask. The Official Guidelines for Coding and...
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A patient with a history of a kidney transplant presents with acute renal failure (ARF) due to dehydration. Is acute renal failure always considered a complication of the kidney transplant?
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A patient was admitted with hypovolemic shock due to volume depletion as a result of persistent nausea and vomiting. There is an Excludes1 note at category E86-, Volume depletion that prevents the ...
When both de...