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Quarter
A patient was admitted for an emergent exploratory laparotomy. The surgeon performed a resection of the necrotic small bowel with a temporary abdominal closure. Two days postoperatively, the patien...
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A patient presented for an L3-L4 anterior lumbar interbody fusion via lateral retroperitoneal transpsoas approach. The patient was placed in the prone position in anticipation of a single-position ...
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A patient with severe pectus excavatum was taken to the operating room for a bilateral Nuss procedure with thoracic nerve cryoablation. Access was gained to the interspace area for two bar placemen...
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A patient with a possible sphenoid mass presented for endoscopic nasal surgery and was found to have allergic fungal sinusitis with significant skull base erosion. At the conclusion of the procedur...
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A patient with aortic valve stenosis was admitted for a valve-in-valve transcatheter aortic valve replacement (TAVR). When the new valve was deployed it was severely constrained. A balloon was inse...
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A patient experiences respiratory difficulty and subcutaneous emphysema following a tracheostomy and undergoes tracheostomy revision. At surgery, a tracheoscopy reveals a low-lying larynx and deep ...
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What are the appropriate code assignments for asthma in a patient with chronic obstructive pulmonary disease (COPD)? The Alphabetic Index and Tabular List appear to conflict in code assignment. Whe...
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In previous issues of Coding Clinic (Fourth Quarter 2017 and First Quarter 2019), it was advised to report only code J43.9, Emphysema, unspecified, for a patient with both chronic obstruct...
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A 67-year-old patient who presented to the Emergency Department with chest pain was admitted due to bilateral pneumonia, chronic obstructive pulmonary disease (COPD) exacerbation, acute respiratory...
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The provider documented both constipation and fecal impaction on the same encounter. There is an Excludes1 note for subcategory K59.0-, Constipation, under code K56.41, Fecal impaction, and there i...
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