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What is the appropriate code assignment for a newborn diagnosed with a sacral dimple?
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The instructional note at category M50, Cervical disc disorders states, “Code to the most superior level of disorder.” Coders at our facility are trying to interpret this instruction for assign...
The intent o...
What is the appropriate diagnosis code assignment for laryngopharyngeal reflux disease?
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A 69-year-old patient with nonresectable hepatocellular carcinoma (HCC), status post radioembolization, presented with two weeks of progressive hyperbilirubinemia. He underwent endoscopic retrograd...
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A patient, who is status post creation of a neobladder due to invasive bladder cancer, presents with gross hematuria and undergoes surgical biopsy. The biopsy of the neobladder is positive for poor...
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A 58-year-old female presented with right superior hypophyseal aneurysm and was taken to interventional radiology for stent assisted coil embolization of the aneurysm. Provider documentation states...
Both the ste...
The patient presented with right hallux metatarsophalangeal (MTP) osteomyelitis, and underwent resection arthroplasty of the MTP joint. During the procedure, imbrication of the medial capsule was a...
If the docum...
A patient with early onset infantile idiopathic thoracic scoliosis is admitted for elongation derotation flexion (EDF) cast change. During the procedure the patient was placed in traction and a der...
The intent o...
A patient presents with urachal mass, and underwent laparoscopic excision of the mass. At surgery, the urachus was dissected off at the level of the umbilicus and then dissected off the anterior re...
The abdomina...
A patient diagnosed with symptomatic rectal prolapse underwent perineal proctectomy. During surgery, part of the rectum was excised. What is the correct code assignment for perineal proctectomy?
For a perine...