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A patient with history of genital herpes was admitted for delivery at 39 weeks. There is no documentation of the patient being treated with antiviral medication and the patient is symptom free duri...
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What is the correct code assignment for a retracted jaw in a newborn?
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The patient was admitted and diagnosed with both acute upper and acute lower respiratory infection. The upper respiratory infection is assigned to code J06.9, Acute upper respiratory infection, uns...
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A patient was diagnosed with bipolar disorder and major depressive disorder recurrent, mild. Category F31, Bipolar disease, has an “Excludes1” note for “major depressive disorder, recurrent (...
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A patient, who is status post prosthetic joint removal and placement of antibiotic spacer due to infected elbow prosthesis, now presents for removal of the spacer and revision of the total right el...
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The patient presented for renal transplantation due to end stage renal disease (ESRD), and the provider’s final diagnostic statement listed, “ESRD due to diabetic nephropathy on dialysis, diabe...
When the pat...
What is the ICD-10-CM code assignment for a prenatal encounter during a normal pregnancy in which RhoGAM is given prophylactically?
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A patient presents as an outpatient for hernia repair surgery. The provider notes “Crohn’s disease,” in the past medical history and indicates the patient is taking an immune modulating drug ...
In the outpa...
In the home health setting, should additional diagnoses be reported? For example, would an existing “stable” diagnosis, such as controlled diabetes or gastroesophageal reflux disease (GERD) be ...
In the home ...
A patient is admitted with a neuroendocrine tumor of the colon with metastatic disease to the liver. What is the appropriate code assignment for a neuroendocrine tumor of the colon with liver metas...
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