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An elderly patient with end-stage Alzheimer’s disease, dementia and functional quadriplegia, who is completely immobile due to bilateral joint contractures of the hip and knees, receives home hea...
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A patient with a known diagnosis of Parkinson’s disease with frequent falls and lack of coordination is referred by the physician for physical therapy for fall prevention. What diagnosis codes sh...
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A patient with low back pain and sciatica with left lower extremity pain radiating to the knee and difficulty walking was seen by an orthopedist and referred to physical therapy (PT). The primary r...
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The patient is admitted for preterm premature rupture of membranes at 33 weeks and 6 days gestation. The pregnancy is a triamniotic trichorionic triplet pregnancy. What is the diagnosis code assign...
Currently, I...
What is the appropriate diagnosis code for preexisting pulmonary hypertension complicating pregnancy?
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A cocaine abuser is diagnosed as overdosing on crack cocaine and is admitted to the hospital. This is clearly a poisoning, but what is the appropriate “intent” for the poisoning code: accidenta...
In ICD-10-CM...
When coding comparative/contrasting secondary diagnoses in the hospital inpatient setting, which guideline applies?
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What ICD-10-CM code should be assigned for diabetic ketoacidosis (DKA), if the type of diabetes isn’t documented or specified by the physician? The ICD-10-CM Official Guidelines state that ...
The index ad...
We have had a discussion on how to assign the 7th character for fetus identification on a third trimester twin preterm delivery. Some coders feel code O60.14X0 should be assigned as the fetus was n...
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A patient presents to the infusion center for rituximab treatment due to anti-myelin-associated glycoprotein (anti-MAG) peripheral neuropathy. What is the appropriate diagnosis code assignment for ...
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