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Surgical treatment is provided in the Official Coding Guidelines as an example of active treatment for the selection of the 7th character for initial encounter for codes in Chapter 19. If a patient...
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The patient presents for surgical treatment of a malunion of a fracture of the humeral greater tuberosity. This is the first time the malunion is being surgically treated, and the patient did not d...
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The patient had previously undergone open reduction internal fixation of a fracture. Three days post-discharge the patient is readmitted due to pain at the fracture site. An x-ray noted improper al...
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When a Rh negative mother delivers at term without complication, and she is administered Rhogam prophylactically during the admission, would code Z31.82, Encounter for Rh incompatibility status, be...
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A patient presents for otoscopy, tympanometry and audiometry. The patient is found to have moderate to severe mixed hearing loss in the right ear and moderate sensorineural hearing loss in the left...
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A patient presents for an audiogram and is found to have bilateral high frequency sensorineural hearing loss, as well as left-sided conductive hearing loss. What is the appropriate diagnosis ...
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What is the correct ICD-10-CM code for hyperplastic polyp of the descending colon, K63.5, Polyp of colon, or D12.4, Benign neoplasm of descending colon? The Alphabetic Index leads all colon polyps ...
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The Index entry for Alcohol, withdrawal, leads to code F10.239, Alcohol dependence with withdrawal. However, only alcohol abuse is documented by the physician. In ICD-10-CM, how is alcohol abuse wi...
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The Official Guidelines for Coding and Reporting, Section I.C.16.a.2, states that “A code from category Z38 is assigned only once, to a newborn at the time of birth. If a newborn is transferred t...
For physicia...