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A patient is diagnosed with bilateral lower sacroiliac degenerative joint disease (DJD). When referencing the Index to Diseases under Degenerative, joint disease, ICD-10-CM directs the coding profe...
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What is the appropriate diagnosis code for long-term (current) use of a topical intranasal steroid, such as Flonase®? Even though it is administered intranasal, would Flonase® be considered an in...
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A patient with a complicated past medical history is admitted for severe sepsis due to ventilator-associated pneumonia (VAP). The VAP is due to Escherichia coli and methicillin susceptible Staphylo...
The VAP is t...
The patient, who is a type 2 diabetic, presents with Fournier’s gangrene. The Alphabetic Index under the main term “diabetes” provides a subentry “with gangrene.” Does this subentry inclu...
No, Fournier...
A patient with Type 2 diabetes mellitus presents to outpatient wound care for debridement of a chronic non-pressure ulcer of the right heel. The provider documented that the ulcer was necrotic with...
Yes. The sub...
A patient presented to wound care for debridement of a non-pressure chronic ulcer of the left lateral foot. The ulcer is documented as having visible skin breakdown prior to debridement and visible...
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A 79-year-old patient presents for a follow-up visit for multiple conditions, including personal history of recurrent deep vein thrombosis (DVT) of the lower extremity. The patient was initially an...
Based on the...
How is a diagnosis of retrolisthesis coded? Retrolisthesis is not indexed in ICD-10-CM; however, it appears to be a form of spondylolisthesis
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A 61-year-old patient was recently admitted for chronic osteomyelitis and abscess of the left distal femur. During that previous admission, she underwent incision and drainage of the abscess and pl...
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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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