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A patient with advanced untreatable right maxillary cancer presented to the emergency department (ED) with recurrent oral bleeding. The patient refused treatment and requested physician-assisted su...
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A patient who presented due to low back pain was diagnosed with dextroconvex scoliosis at levels C7-T6 and levoconvex scoliosis at levels T11-L1. When referencing scoliosis in the Index, there are ...
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What is the correct diagnosis code for scintillating scotoma? The Index entry under Scotoma, scintillating leads to code H53.19, Other subjective visual disturbances. However, “scintillating scot...
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A patient presents with possible recurrent E. coli urinary tract infection, bacteremia and ongoing left hip/groin pain. A pubic symphysis aspirate demonstrated E. coli, likely the same E. coli in t...
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This same patient underwent an aspiration fluid biopsy of the pubic symphysis joint. During the procedure, a guide needle was passed percutaneously under CT guidance into the pubic symphysis joint....
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A six-year-old with gross motor function classification system (GMFCS) 5 spastic quadriplegic cerebral palsy (CP), who has had progressive subluxation of both hips, presents for surgical interventi...
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A patient presents due to spontaneous rupture of the left eye globe, which required emergency surgery. The patient underwent an enucleation with subsequent implant of the left eye. There is no ment...
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A patient was admitted for treatment of a malleolus fracture of the right ankle. The provider documented “Alcohol abuse - monitor for withdrawal symptoms.” The patient also had a history of anx...
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Should combination codes be assigned from categories F10-F19, Mental and behavioral disorders due to psychoactive substance use, any time a patient with a substance abuse or dependence diagnosis al...
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A patient with a history of traumatic brain injury, status post bilateral craniectomies is admitted for skull reconstruction due to bilateral frontoparietal cranial defects. Cranioplasty was perfor...
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