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Coding Clinic, Third Quarter 2015, page 6, states that pulsed lavage is used for debridement of bone and tissue and that this type of debridement is coded as nonexcisional. Therefore, the ...
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A 62-year-old male with a long history of left heel spur pain and Achilles tendonitis presents for debridement of bone and tendon using the Tenex ultrasound device. A small incision on the posterol...
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A patient is admitted to the hospital with syncope. The provider’s final diagnostic statement lists “End stage renal disease (ESRD) due to congenital polycystic kidney disease.” The provider ...
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A 51-year-old male with a history of nephrolithiasis presents due to severe right flank pain and nausea and vomiting. A CT scan was performed in the emergency department which showed two stones tog...
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The patient presents to the Emergency Department (ED) and is admitted with a gunshot wound with retained bullet fragments of the right lower leg after being assaulted. The gunshot injury did not fr...
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For inpatient cases, coders are expected to query the physician if there is conflicting information between the medical record final diagnosis and the pathology report. However, if a patient is adm...
The ICD-10-C...
This patient is admitted for replacement of a gastrostomy tube. The tube was malfunctioning (continuously falling out) and was ultimately left out over a period of time. The gastrostomy stoma essen...
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A patient who is status post liver transplant was admitted for exploratory laparotomy due to intraperitoneal bleeding. A redo of the bile duct anastomosis was performed due to questionable leaking....
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A patient with abnormal liver function test and acute pancreatitis suspected of being due to gallstones, underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and panc...
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A patient diagnosed with recurrent airway obstruction secondary to prolapsing epiglottis underwent surgical repair. The provider performed an endoscopic lingual tonsillectomy and tongue base excisi...
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