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The provider diagnosed chronic methamphetamine-induced cardiomyopathy. Although the patient had a history of methamphetamine abuse in the past, he is no longer abusing the drug and is currently in ...
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The patient presents for treatment of cholesteatoma of the left ear, which is filling the aditus ad antrum, the attic area and extends into the mastoid. When cholesteatoma is present in more than o...
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A patient with a history of congestive heart failure and Stage IV chronic kidney disease presented due to dyspnea, edema and orthopnea. During the patient’s admission, contrast was used for radio...
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A 60-year-old female was diagnosed with acute kidney injury (AKI) due to acute tubular necrosis (ATN) secondary to contrast nephropathy. What are the appropriate code assignments for acute kidney i...
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What is the diagnosis code for a stage 3 gluteal cleft pressure ulcer? Are two codes required in order to capture the correct location since the gluteal cleft appears to be between both sides of th...
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A patient presents for outpatient surgery for excision of a lesion from the left temple. The provider documents that the lesion is an inflamed inverted follicular keratosis. What is the appropriate...
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A patient had an outpatient bone dual-energy x-ray absorptiometry (DEXA) scan. The test result finding is documented as “low bone density consistent with osteopenia.” What is the diagnosis code...
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A patient with known coronary artery disease had a diagnostic heart catheterization and coronary angiogram due to persistent chest pain and rising troponins. During left heart catheterization, the ...
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A patient with a retrorectal mass presented for surgical excision. The provider documented that the mass was a tailgut cyst. Would code Q85.8, Other phakomatoses, not elsewhere classified, be appro...
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The patient is a 58-year-old with celiac artery stenosis (CAS) who underwent balloon angioplasty of the stenosis. ICD-10-CM classifies CAS to code I77.4, Celiac artery compression syndrome; however...
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