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A patient, who is a type 2 diabetic, is admitted with a chronically infected ulcer of the left mid-foot. The provider documented, “Diabetic foot ulcer with skin breakdown, positive for Methicilli...
ICD-10-CM as...
A woman, who has had type 1 diabetes for over 40 years, developed chronic osteomyelitis of the right heel and presents to the infectious disease clinic for follow-up. The provider also noted, “Ch...
No, ICD-10-C...
What is the code assignment for duodenal ulcer with hemorrhage due to Coumadin therapy, initial encounter? Is D68.32, Hemorrhagic disorder due to extrinsic circulating anticoagulant, assigned for b...
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Should bleeding due to therapeutic anticoagulant be coded as a hemorrhagic disorder (category D68)?
...For the most...
This patient underwent an emergency ileocecectomy. The patient’s stay was complicated by postoperative coagulopathy and intra-abdominal hemorrhage due to prasugrel and aspirin taken as prescribed...
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What is the appropriate code assignment for a newborn diagnosed with a sacral dimple?
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The instructional note at category M50, Cervical disc disorders states, “Code to the most superior level of disorder.” Coders at our facility are trying to interpret this instruction for assign...
The intent o...
What is the appropriate diagnosis code assignment for laryngopharyngeal reflux disease?
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A 69-year-old patient with nonresectable hepatocellular carcinoma (HCC), status post radioembolization, presented with two weeks of progressive hyperbilirubinemia. He underwent endoscopic retrograd...
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This patient was admitted from acute care to the long-term care hospital (LTCH) with ongoing treatment of Clostridium difficile (C. difficile) colitis, chronic obstruction pulmonary disease (COPD) ...
The patient ...