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A patient was emergently intubated for airway protection. Post intubation, the patient was noted to have bleeding from the oral cavity/oropharynx. The endotracheal tube (ETT) had pierced through th...
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The patient, who is status post placement of a cardiac pacemaker, presents for pacemaker revision due to the right atrial and ventricular leads not sensing properly. After the right atrial lead was...
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A 15-year-old with a history of refractory B-cell acute lymphocytic leukemia (ALL) presents with fever two days following chimeric antigen receptor (CAR) T-cell infusion. The patient developed sign...
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The provider’s documentation states acute on chronic complex left medial meniscus tear/injury. Because of the Excludes1 notes at both code categories S83-, Dislocation and sprain of joints and li...
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How are old/chronic/degenerative tears of the ligament, muscle, or tendon coded? The ICD-10-CM Index to Diseases instructs to “see Sprain” when referencing tears of the ligament, and to “see ...
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What is the appropriate code for a degenerative/non-traumatic biceps tendon tear?
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An 83-year-old female, status post partial hip replacement, presents after falling from her wheelchair. The patient was found to have a left posterior superior dislocation of her hemiarthroplasty. ...
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A patient with history of metastatic breast cancer is diagnosed with hypoxemic acute respiratory failure, due to Paclitaxel/chemotherapy induced pneumonitis. Coding professionals are unclear whethe...
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A newborn delivered at 32 weeks gestation was admitted for prematurity, respiratory distress syndrome and respiratory failure requiring CPAP. The Excludes1 note at category P22, Respiratory distres...
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A 29-year-old female patient with right-sided pain and human chorionic gonadotropin (hCG) level of 94 presents to rule out an ectopic pregnancy. A transabdominal/ transvaginal ultrasound is perform...
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