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A patient presented with a painful left hand. On examination, the provider documented thickened palmar fascia, fibromatosis and nodular tissue consistent with Dupuytren’s contractures of the prox...
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A patient with a paramedian forehead flap presented for flap takedown, nasal reconstruction revision and vestibular stenosis repair with structural grafting. During the first surgery, cartilage gra...
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What are the appropriate code assignments for asthma in a patient with chronic obstructive pulmonary disease (COPD)? The Alphabetic Index and Tabular List appear to conflict in code assignment. Whe...
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In previous issues of Coding Clinic (Fourth Quarter 2017 and First Quarter 2019), it was advised to report only code J43.9, Emphysema, unspecified, for a patient with both chronic obstruct...
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A 67-year-old patient who presented to the Emergency Department with chest pain was admitted due to bilateral pneumonia, chronic obstructive pulmonary disease (COPD) exacerbation, acute respiratory...
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The provider documented both constipation and fecal impaction on the same encounter. There is an Excludes1 note for subcategory K59.0-, Constipation, under code K56.41, Fecal impaction, and there i...
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A patient was admitted for breast replacement/reconstructive surgery utilizing a deep inferior epigastric artery perforator (DIEAP) flap. Subsequent to the DIEAP flap procedure, it was noted that t...
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A patient was admitted for a bilateral deep inferior epigastric perforator (DIEP) flap procedure, following a failed expander-to-implant breast reconstruction. The postoperative course was complica...
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A patient with aortic valve stenosis and aortic root aneurysm underwent a tissue composite root replacement via modified Bentall with Konect Resilia™ aortic valve conduit. The aortic root conduit...
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When referencing “Dementia,” there is an index entry that states “in (due to), epilepsy” with the etiology code listed first followed by the manifestation code in brackets. It appears that ...
When the hea...