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A 3-week-old male, who was diagnosed with transposition of the great arteries with pulmonary stenosis, presents for right modified Blalock-Taussig shunt procedure to augment pulmonary blood flow. A...
For the modi...
A 55-year-old female was admitted with enlarging right temporal horn and right cavity near the lateral ventricle. She had been previously diagnosed with pilocytic astrocytoma and has a long neurosu...
Assign code ...
A 68-year-old male presents to our facility with symptoms of malaise, fatigue and fever. The patient was diagnosed with systemic inflammatory response syndrome (SIRS). However, he did not have seps...
Assign only ...
When coding encounters for treatment of conditions due to war, such as combat fatigue or post-traumatic stress disorder (PTSD), can we also assign a code from category Y36, Operations of war, to sh...
Yes, it is a...
Previous Coding Clinic advice has supported the assignment of a more specific fracture code in ICD-9-CM and ICD-10-CM based on findings in imaging reports when a physician has documented a...
It is approp...
When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up...
When the pro...
A 55-year-old woman presents to the hospital with a five-day history of abdominal pain, fever and chills. An exploratory laparotomy was performed which revealed a perforated appendix. The entire ap...
An ileocecec...
A 69-year-old patient, who was diagnosed with volvulus of the right colon, underwent right colectomy. Would separate codes be assigned for the resection of the cecum with appendix and excision of t...
Although the...
A patient, status post right hemi-craniectomy, underwent a right hemi-cranioplasty to repair the cranial defect. In the process, two small dural rents were noted and repaired primarily. The cranial...
In this case...
Our facility is unclear regarding the coding of coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA). We are specifically debating whether the LIMA is considered a f...
Based on the...