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A 48-year-old female patient was seen by her primary care physician for her annual exam, which included laboratory work. There were no abnormal findings during the visit; however, three days later,...
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A 68-year-old male was seen by his primary care physician with complaints of needing to stand in creative positions in order to successfully urinate, then immediately feeling the need to urinate ag...
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A 57-year-old male patient complained of leaking out after he urinates. The provider diagnosed the patient with post-void dribbling/post-micturition dribbling. What is the correct code assignment f...
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A 62-year-old male patient complained of pelvic pain and pressure, along with urinary frequency. After diagnostic workup, the provider documented chronic bladder pain, etiology unknown. What is the...
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A 45-year-old morbidly obese male was seen in the physician’s office following impaired fasting glucose test results, and was diagnosed with prediabetes. The patient was referred to a dietitian f...
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How should a case documented as concussion with loss of consciousness of 45 minutes be coded? There was no documentation of intracranial injury.
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The provider documented that immediately following inpatient surgery his patient reported being able to recall sounds during the procedure. The provider diagnosed the patient with unintended awaren...
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Is there a “hierarchy” for the E codes in category X50, Overexertion and strenuous or repetitive movements, when more than one might apply? For example, if a cumulative trauma resulted from an ...
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The patient was seen in the emergency department (ED) after suffering a back strain from lifting a heavy patient as part of his employment as a caregiver. How should this be coded?
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A 16-year-old female patient was brought to the emergency department (ED). The ED physician documented that she was disoriented and also noted that she had bloodshot eyes and visible signs of marks...
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