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A patient with left knee osteoarthritis, varus contracture and previous anterior cruciate ligament repair presented for a total knee arthroplasty. During surgery, old staples in the tibia were enco...
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The patient is a 29-year-old who presents for an elective termination of pregnancy at 14 weeks due to septated fetal cystic hygroma and genetic testing consistent with Monosomy XO. Dilation and cur...
Code O72.1, ...
What is the appropriate sequencing of the principal diagnosis when a patient is admitted with von Hippel-Lindau syndrome with a related right cerebellar hemangioblastoma? The cerebellar hemangiobla...
Since the re...
A patient visits the primary care physician for follow-up of hypertension, hypothyroidism, chronic kidney disease and anemia. Since hypothyroidism is an endocrine disorder, some coding professional...
No. The clas...
Is it appropriate for the coding professional to assume a causal relationship between anemia and chemotherapy, blood loss or other deficiencies based on the subterm "due to" without provider docume...
No. The “W...
A 33-year-old patient presents with right pulsatile tinnitus due to dehiscence of the sigmoid sinus. Computed tomography angiography revealed that the sigmoid sinus had grown through the bone to th...
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A patient with an ileocolic anastomosis and diverting loop ileostomy was admitted for high output ileostomy with electrolyte abnormalities. During the admission, anti-motility medications were opti...
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A four-day-old infant with hypoplastic left heart syndrome (mitral stenosis, aortic stenosis) underwent midline incision, sternotomy, and subtotal excision of the thymus during a Norwood procedure ...
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A patient was admitted for exploratory laparotomy. During surgery, a right retroperitoneal abscess was discovered, and the surgeon noted that no appendiceal or colonic perforations were seen. There...
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A 96-year-old patient was admitted due to acute-on-chronic systolic/diastolic heart failure, and experienced epistaxis following attempted insertion of a nasogastric (NG) tube. The patient was on l...
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