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A 27-year-old female at 39 weeks gestation was admitted for induction of labor, due to transient hypertension and favorable cervix. After artificial rupture of membranes and induction of labor with...
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A non-verbal 65-year-old male, who has cerebral palsy and an intellectual disability, presents to the emergency department with a traumatic head injury after falling and striking his head on the si...
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A 38-year-old patient with an ectopic cornual pregnancy underwent surgery. The patient had laparoscopic removal of the ectopic pregnancy, from the right fallopian tube, which extended into the righ...
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The patient presented for renal transplantation due to end stage renal disease (ESRD), and the provider’s final diagnostic statement listed, “ESRD due to diabetic nephropathy on dialysis, diabe...
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A patient was returned to the operating room after passing blood clots following transurethral resection of a bladder tumor. Upon insertion of a cystoscope, the surgeon noted clots within the bladd...
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The patient was admitted with a subdural hematoma (SDH) and underwent craniotomy for evacuation of the large hematoma. During surgery, a bleeding cortical artery causing the SDH was found, and this...
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What is the ICD-10-CM code assignment for a prenatal encounter during a normal pregnancy in which RhoGAM is given prophylactically?
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A patient presents as an outpatient for hernia repair surgery. The provider notes “Crohn’s disease,” in the past medical history and indicates the patient is taking an immune modulating drug ...
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In the home health setting, should additional diagnoses be reported? For example, would an existing “stable” diagnosis, such as controlled diabetes or gastroesophageal reflux disease (GERD) be ...
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A patient is admitted with a neuroendocrine tumor of the colon with metastatic disease to the liver. What is the appropriate code assignment for a neuroendocrine tumor of the colon with liver metas...
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