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A patient underwent near total thyroidectomy due to multinodular thyroid gland. During surgery, both the right and left thyroid lobes were removed, except for a small quantity of thyroid tissue. Wh...
A near total...
A 36-year-old male with a chronic non-healing stump of the left upper extremity underwent irrigation and debridement with exchange of intramedullary antibiotic-impregnated spacer of the stump. The ...
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The patient is a 17-year-old male, who had previously undergone anterior cruciate ligament (ACL) reconstruction. He developed a complication of torn ACL graft and underwent further arthroscopic ACL...
While the ro...
After a patient suffered a vertebrobasilar stroke, it was determined that there was a large amount of soft atheroma in the proximal left subclavian artery coming to within 5 to 6 mm of the vertebra...
The correct ...
A patient underwent an open aortic and common iliac artery thrombectomy with infrarenal to bilateral distal common iliac artery bypass due to acute aortic thrombosis from the level of the renal art...
“Open” i...
The health record documentation states that the patient underwent laminectomy C3 through C7, decompression of the spinal cord, placement of posterior instrumentation and spinal fusion, due to cervi...
In this case...
The patient underwent conversion of a non-tunneled dialysis catheter to a tunneled dialysis catheter. The existing catheter was removed. The new catheter was placed in the right internal jugular ve...
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A patient with renal failure requiring hemodialysis presents for a tunneled hemodialysis catheter exchange secondary to poor blood flow. The catheter was loosened from its existing tunnel, and was ...
The catheter...
In the ICD-10-CM Index to Diseases, history of drug dependence has a note to “see Dependence, drug, by type, in remission.” However, history of tobacco/nicotine dependence is indexed to code Z8...
Codes for dr...
The Index entries for history of drug and nicotine dependence appear to be inconsistent. Should history of nicotine dependence be coded as a personal history of nicotine dependence or as nicotine d...
As directed ...