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Should combination codes be assigned from categories F10-F19, Mental and behavioral disorders due to psychoactive substance use, any time a patient with a substance abuse or dependence diagnosis al...
Do not assum...
A patient with a history of traumatic brain injury, status post bilateral craniectomies is admitted for skull reconstruction due to bilateral frontoparietal cranial defects. Cranioplasty was perfor...
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A patient presents to the Emergency Department (ED) with abdominal pain, chills, and severe low back pain, after not being able to retrieve a tampon used for menstruation. After admission, the work...
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A patient stopped taking his prescribed dose of Amlodipine after running out of the antihypertensive medication several days ago. The provider documented that the patient’s blood pressure was sta...
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My facility has interpreted new HIV coding guideline I.C.1.a.2.i “History of HIV managed by medication” to mean that code B20, HIV disease, should be reported for any HIV positive patient on an...
The intent o...
An obstetrical patient is admitted to labor and delivery for a planned cesarean section due to breech presentation. The provider documents the gestational weeks as "40 weeks and 2 days." Is it appr...
Yes. When pr...
An obstetrical patient is admitted to labor and delivery for a planned cesarean section due to breech presentation. The provider documents the gestational weeks as “40 weeks and 2 days.” Is it ...
Yes. When pr...
Please clarify “completed weeks of gestation” when assigning codes: O48.0, Post-term pregnancy, O48.1, Prolonged pregnancy, O75.82, Onset (spontaneous) of labor after 37 completed weeks of gest...
In ICD-10-CM...
A 24-year-old patient was admitted with shortness of breath and fever due to postpartum sepsis and postpartum urinary tract infection (UTI). The patient had a history of spontaneous vaginal deliver...
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What is the appropriate ICD-10-CM code(s) for a diagnosis of unspecified hyperlipidemia and hypercholesterolemia?
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