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In the guideline for hypertension with heart disease, category I50, Heart failure, is included in the list of heart conditions that are classified as hypertensive heart disease, but it is not inclu...
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A patient presented with weakness of the right arm due to an old cerebrovascular accident (CVA). The provider documented, “h/o CVA with mild residual right arm weakness.” How would weakness of ...
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Can code Z51.5, Encounter for palliative care, be listed as the principal diagnosis or first-listed diagnosis when the reason for the encounter is to receive palliative care?
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Please clarify whether the chapter specific guidelines for Chapter 12 addressing an evolving pressure ulcer apply to home health reporting. The guideline states that if a patient is admitted with a...
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The patient was admitted for aspiration of the left ankle to rule out infection. The needle was inserted into the ankle joint but no fluid was found for aspiration. What is the procedure code assig...
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A patient presented for diagnostic lumbar puncture due to subarachnoid hemorrhage. The needle was advanced into the lumbar subarachnoid space. Despite attempts, no cerebrospinal fluid could be obta...
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...A 12-year-old patient presents to the emergency department (ED) after a car accident. She was a passenger in a car that was hit from the side by a sport utility vehicle (SUV), and the patient susta...
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The above patient returns three days later for a wound check with the pediatrician. The pediatrician only inspected the wounds. The wounds were found to be healing nicely, and no other intervention...
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The same patient now presents to the pediatrician’s office for suture removal. The pediatrician checks the wounds and removes sutures from both the scalp and cheek. Should code Z48.02, Encounter ...
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