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A patient, who has Grade III L5/S1 anterior spondylolisthesis with right leg sciatica, presents for surgical treatment consisting of laminectomy, posterior lumbar decompression, non-segmental poste...
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A patient who had previously undergone total proctocolectomy with continent ileostomy (Kock pouch) presents for revision of the K-pouch due to leakage. Upon entering the abdomen, the surgeon noted ...
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A patient presented for biopsy of the rectum. During the procedure, a rectal suction biopsy gun was loaded with specimen capsules and advanced through the anus. Two samples were obtained from the p...
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A patient with mucosal melanoma involving the left maxillary alveolus and sinus is admitted for left maxillectomy with obturator reconstruction. The surgeon proceeded with an inferior and anterior ...
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A male patient presents for surgical treatment of ulcerative colitis refractory to medical therapy. Laparoscopic restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) is performed....
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What is the appropriate diagnosis code assignment for anti-neutrophil cytoplasmic autoantibody (ANCA) vasculitis with nephritic syndrome?
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A patient presents to the hospital for treatment of an exacerbation of cystic fibrosis (CF) and bronchiectasis. Our physicians state that bronchiectasis is common in CF, and that the admission is f...
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A patient presents with a sacral deep tissue injury (DTI), and undergoes surgical debridement. Following excisional debridement, the provider documents “Stage 4 pressure ulcer of the sacrum.” S...
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A five-year-old female with profound developmental delays and epilepsy has chronic static encephalopathy secondary to epilepsy and epileptic encephalopathy. In the Alphabetic Index, under the main ...
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What is the appropriate code assignment for a major neurocognitive disorder without behavioral disturbance when the underlying etiology is unknown, or not further specified? Depending on how the Al...
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