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A 67 year old patient, status post panniculectomy, presents to our facility due to infected seroma of the right lower abdomen. The patient is taken to the operative suite where general anesthesia w...
Since the de...
The patient’s preoperative diagnosis was a far lateral herniated nucleus pulposus of the left L5-S1 area. According to the operative report exploration of the entire length of the nerve root and ...
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The patient presented to the emergency department (ED) with bilateral ankle injuries. The right ankle revealed an open fracture of the lateral and posterior malleoli. The left ankle revealed no obv...
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A patient presents for a biopsy of the sternomanubrial joint via needle. The biopsy of the joint was performed via a 17/18 gauge biopsy system. No fluid was found within the joint. We are reporting...
Since the bi...
Our facility would like clarification regarding the use of the term “subsequent” in the code descriptor of CPT code 49081, Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagn...
No. The use ...
Our facility would like clarification regarding the appropriate reporting of endoscopic submucosal inferior turbinectomy. Some of our coders feel that CPT code 30140 is appropriate since the code d...
The co...
A patient who presented earlier in the day for port removal presents due to retained portion of catheter in the right heart. Local anesthesia was given and the right internal jugular vein was cannu...
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A patient with osteoarthrosis presents for hip pain management. Under fluoroscopic guidance, the site for intra-articular injection was marked. The skin was prepped and draped and local anesthesia ...
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A patient with squamous cell carcinoma in two locations of the left ear was brought to our outpatient facility to undergo an excision of the adjacent lesions. The excision involved skin and subcuta...
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A patient with a diagnosis of chronic obstructive pulmonary disease (COPD) was seen at our facility and deemed a candidate for fast track transtracheal oxygen catheter placement. Our coders assigne...
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