Enter a search term and preview Coding Clinic content here! ?
Type
The patient is an 82-year-old man, who fell down while cross country skiing. He presented to the Emergency Department with confusion and CT scan showed right frontal intracranial hemorrhage. At tha...
Assign code ...
A patient is seen by a physician for surgical treatment of a fracture. The same patient is seen by a different physician of the same group who continues to provide ongoing active treatment. Are bot...
Yes, both en...
A patient with a healed fracture, who is status post fracture treatment four months ago, is seen by a new provider for the first time for a follow-up visit. Is the visit to the new provider assigne...
For the purp...
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...
Assign code ...
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...