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A patient who is receiving ongoing chemotherapy for lung cancer presents for Neulasta injection to prevent infection. The patient receives the Neulasta via a subcutaneous injection. The advice prov...
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The patient is status post left mastectomy for breast cancer. An ipsilateral pedicle transverse abdominomyocutaneous (TRAM) flap breast reconstruction was performed. The TRAM flap was elevated off ...
For the TRAM...
A patient, who is status post bilateral mastectomy, is admitted for right pedicle latissimus myocutaneous flap and placement of bilateral tissue expanders. On the right side, latissimus was raised ...
For the righ...
According to ICD-10-PCS definitions, in the context of percutaneous lumbar vertebroplasty, is the use of cement considered a device?
...Yes, in the ...
What is the correct ICD-10-CM code for sepsis due to non-Candida Albicans?
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A patient was admitted to our facility with acute on chronic systolic heart failure and found to be in cardiogenic shock with acute renal failure and acidosis. The physician documented that the pat...
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Patient presents for insertion of bilateral ureteral stents via endoscopy through an existing ileal conduit. The flexible cystoscope was inserted into the ureteral conduit, contrast was injected an...
The stents w...
Patients at our facility have breast lesion excisions to a depth that includes skin and subcutaneous tissue and some that require resection to the muscle. Some of the lesions are identified by a lo...
The CP...
A patient was seen at our facility for a pocket repositioning of an InterStim generator. Our coders have a dilemma regarding the correct code assignment for this procedure.
Neither the...
Based on the...
What would the correct code assignment be for the dilation of a sleeve gastrectomy? Some of our coders have assigned CPT code 43245 however; the other coders feel that this code is reported for dil...
Based on the...