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When coding an initial x-ray for a fracture injury, we understand that the 7th character “A” initial encounter should be assigned. However, while the fracture is healing, there are often multip...
Yes, the enc...
A patient was treated for a fracture and placed in a cast. Two weeks later, the cast was wedged to obtain better position. Would this intervention be considered active treatment? Would any interven...
No, this sce...
Can a coder refer to a previous encounter to determine whether this is the initial or subsequent encounter for a particular injury, for the purpose of selecting the 7th character? How about for the...
No, document...
The patient presents with a history of premature birth, resulting in subglottic stenosis and tracheostomy dependence. The patient, who is status post laryngotracheal graft reconstruction, is curren...
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The patient developed an infection after a primary left total hip replacement and was admitted to the hospital for surgical treatment. At surgery, the prosthesis was removed. An antibiotic impregna...
For the init...
A 21-year-old male, who is status post open fracture of left femur secondary to an accidental gunshot wound, is admitted with intractable pain in the left hip. The patient’s injury occurred appro...
Yes, the tra...
The patient is status post third degree burns of the left external ear, which occurred while smoking in bed one year ago. The burns have healed; however the patient presented with severe pain, redn...
Yes, the aur...
The patient presents for release of skin contracture due to third degree burns of the right hand that occurred due to a house fire five years ago. What are the appropriate ICD-10-CM diagnosis codes...
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A patient presents with painful cicatricial alopecia due to second degree burns of the scalp, which occurred 10 months ago when the patient’s hair caught fire while she was lighting the grill. Si...
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The patient is a 54-year-old female with chronic renal failure, who was transferred from an acute care hospital following removal of an infected AV graft in her left arm. The patient was started on...
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