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A patient was admitted at 37 weeks and 2 days gestation with complaints of decreased fetal movement and painful regular contractions. Due to discomfort, the patient requested an elective cesarean s...
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A patient presents to the Emergency Department with shortness of breath due to an exacerbation of asthma. The patient did not take his PRN medication, albuterol, because he lost his inhaler. Co...
It is not ap...
We are seeking clarification of the guidance published in Coding Clinic Second Quarter 2017, page 10, and First Quarter 2022, page 25, regarding the coding of posterior cerebral artery inf...
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What are the appropriate code assignments for asthma in a patient with chronic obstructive pulmonary disease (COPD)? The Alphabetic Index and Tabular List appear to conflict in code assignment. Whe...
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In previous issues of Coding Clinic (Fourth Quarter 2017 and First Quarter 2019), it was advised to report only code J43.9, Emphysema, unspecified, for a patient with both chronic obstruct...
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A 67-year-old patient who presented to the Emergency Department with chest pain was admitted due to bilateral pneumonia, chronic obstructive pulmonary disease (COPD) exacerbation, acute respiratory...
It would be ...
The provider documented both constipation and fecal impaction on the same encounter. There is an Excludes1 note for subcategory K59.0-, Constipation, under code K56.41, Fecal impaction, and there i...
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A patient was admitted for breast replacement/reconstructive surgery utilizing a deep inferior epigastric artery perforator (DIEAP) flap. Subsequent to the DIEAP flap procedure, it was noted that t...
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A patient was admitted for a bilateral deep inferior epigastric perforator (DIEP) flap procedure, following a failed expander-to-implant breast reconstruction. The postoperative course was complica...
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When referencing “Dementia,” there is an index entry that states “in (due to), epilepsy” with the etiology code listed first followed by the manifestation code in brackets. It appears that ...
When the hea...