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What are the appropriate diagnosis codes for a strangulated recurrent incisional hernia with necrotic bowel and perforation? Would multiple codes be assigned to capture the patient’s conditions?...
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A patient who is status post colectomy presents with chills, abdominal pain, and fever. On examination, he was found to have feculent wound drainage and was diagnosed with anastomotic dehiscence of...
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A patient presented with palpitations and presyncopal symptoms, which he experienced while going from a sitting to standing position. The provider diagnosed sinus bradycardia and multiple premature...
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The patient became unresponsive after receiving intravenous Dilaudid. The provider documented “Unresponsiveness due to Dilaudid.” How is this diagnosis coded?
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A 15-year-old male presented with a growing mass on the right side of his head. After diagnostic workup, the provider documented “Craniofacial deformity secondary to leptomeningeal cyst/growing s...
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When the provider documents “sepsis due to aspiration pneumonia,” is a code for the sepsis, or the aspiration pneumonia assigned as the principal diagnosis?
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A patient was discharged with the following diagnoses: 1. sepsis secondary to aspiration pneumonia, 2. aspiration pneumonia secondary to probable gram-negative bacteria. Both diagnoses were present...
When sepsis ...
An 84-year-old male with chronic gait instability is admitted after a fall. The provider’s documentation states that the patient’s gait instability is related to chronic cerebrovascular acciden...
Although the...
A patient, who had suffered a traumatic brain injury (TBI) without loss of consciousness secondary to a high-speed motor vehicle accident, developed brain herniation. There is an Excludes1 note tha...
If the physi...
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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