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A patient presented for hysteroscopic removal of their intrauterine device (IUD). On examination in the office, the IUD strings could not be visualized in the vagina or passing through the cervix; ...
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A patient presents to surgery one week post complete mastectomy, for re-excision of positive muscle margins. The patient was thought to have residual tumor invading the skeletal muscle involving th...
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A patient with a history of breast reconstruction now has a chronic wound of the left breast with impending implant exposure. Per the provider, the patient presented to surgery for left breast impl...
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After a patient had an initial pelvic examination under anesthesia, attention was turned to laparoscopic access and a supraumbilical incision was made. Trocars were introduced and examination revea...
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The patient, whom had a previous L4-S1 fusion and an auto-fusion of T12-L1, has now developed spinal stenosis of L1-L4 and presented for decompression. After a posterior midline incision was made t...
Based on the...
How should dehydration with hypernatremia and dehydration with hyponatremia be coded?
Codes E87.0 and E87.1 seem to capture hypernatremia and hyponatremia respectively but not dehydration. Th...
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What is the appropriate body part character when a diagnostic lumbar tap is performed to test for meningitis? When you go to the drainage table (Table 009), there are a couple of options that seem ...
The body par...
How should an aspiration via a lumbar drain port be reported? What body part character should we use for the lumbar drain port?
...The body par...
The patient had an abdominal aortic aneurysm (AAA), and underwent endovascular repair. A stent graft was introduced via a transfemoral catheter approach and deployed at the target vessel. How shoul...
Endovascular...
The patient has a history of abdominal aortic aneurysm (AAA) that was previously repaired using an endovascular graft system. He had developed a type 1 endoleak and was admitted to the hospital for...
In this case...