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A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery ...
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Patient with hallux rigidus presents for correction of the right metatarsophalangeal joint (MPJ) with hemi-implant insertion. Deep incision was made exposing the metatarsal head and base of the pro...
Based on the...
A patient was seen at our facility with a history of status post cardiac pacemaker. Her complaint is focal tenderness in the pocket area overlying the site of the lead suture sleeves. Due to the te...
Although the...
Patient with history of spermatocele and hydrocele repair, presents with pain, swelling, and a large mass in the left hemiscrotum. A 10-12 cm scrotal hematoma and necrotic skin measuring 1cm x 8cm ...
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Patient presents to have whole body SPECT/CT images done at 4 hours and images of the chest done at 24 hours due to a history of neuroendocrine cancer. Would it be appropriate to report 2 units for...
Currently, t...
In a previous issue of Coding Clinic for HCPCS, advice was provided regarding the coding of liver tumor ablation utilizing microwave technique. The advice stated, “ Since, the code descr...
Based on fur...
A patient was seen at our facility and underwent a robot-assisted total abdominal hysterectomy, with a cystoscopy. The cystoscopy was performed with indigo dye to verify that there hadn’t been an...
The cystosco...
A patient with a history of interstitial cystitis, Hunner ulcer type, with recurrent symptoms, underwent a cystoscopy with steroid injection into the Hunner ulcer. What is the correct code assignme...
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A patient sustained an amputation of her nasal tip when a ladder fell on her 1 month ago. The injury involved the nasal tip, nasal columella, through-and-through cartilage, and soft triangle of the...
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A patient presents to have a leadless cardiac pacemaker inserted. This device is inserted percutaneously (steerable catheter) through the femoral vein and implanted into the right ventricle. This i...
Currently, t...