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A patient had a spontaneous vaginal delivery and experienced an obstetric fourth-degree perineal laceration. Is it correct to assign a code for each body part separately (i.e., perineum and anal sp...
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A pregnant patient, 13-weeks gestation, presents for anteversion of retroverted incarcerated uterus. During the procedure, the posterior wall of the uterus was pushed and the uterus was corrected b...
The ICD-10-P...
The patient presented at 39-weeks gestation for delivery. Due to maternal exhaustion, the decision was made to proceed with assisted vaginal delivery. First a vacuum was placed and assistance was g...
The vacuum w...
A patient with a history of stress urinary incontinence presents for pubovaginal sling placement. What is the appropriate ICD-10-PCS code for this procedure? Specifically, we are not sure what the ...
For the pubo...
A 19-month-old child was admitted for repair of severe subvalvar and valvar pulmonary stenosis, fenestrated secundum atrial septal defect and patent foramen ovale. A pulmonary valvotomy was perform...
This surgery...
A patient, who is status post creation of a neobladder due to invasive bladder cancer, presents with gross hematuria and undergoes surgical biopsy. The biopsy of the neobladder is positive for poor...
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A 58-year-old female presented with right superior hypophyseal aneurysm and was taken to interventional radiology for stent assisted coil embolization of the aneurysm. Provider documentation states...
Both the ste...
The patient presented with right hallux metatarsophalangeal (MTP) osteomyelitis, and underwent resection arthroplasty of the MTP joint. During the procedure, imbrication of the medial capsule was a...
If the docum...
A patient with early onset infantile idiopathic thoracic scoliosis is admitted for elongation derotation flexion (EDF) cast change. During the procedure the patient was placed in traction and a der...
The intent o...
A patient presents with urachal mass, and underwent laparoscopic excision of the mass. At surgery, the urachus was dissected off at the level of the umbilicus and then dissected off the anterior re...
The abdomina...