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What code should be assigned for an asymptomatic infant born to a group B Streptococcus (GBS) positive mother, when the provider has ruled out GBS infection in the newborn after the clinical evalua...
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A pregnant woman, who is 18 weeks gestation, presents for evaluation following a motor vehicle accident (MVA). The patient presents without any signs or symptoms but was advised to be checked for t...
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A 3-year-old child presents to the Emergency Department (ED) due to trauma. After work-up, an injury pattern including diffuse bruising, cephalohematoma and Glasgow coma score (GCS) 3T with no move...
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A 94-year-old patient presented after being down on the floor for 8 hours. The patient reported falling down steps after feeling weak. The provider’s final diagnostic statement listed “Rhabdomy...
In this case...
A 17-year-old male with a history of ulcerative colitis, status post colectomy with rectal mucosectomy and ileoanal J-pouch reconstruction, is diagnosed with ileoanal anastomotic stricture. Ano-pro...
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A patient with an anomalous origin of the right coronary artery was discovered to have significant coronary artery disease and presented for coronary artery bypass graft (CABG) with unroofing of th...
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A patient with a history of prosthetic femoral to popliteal bypass presents with occlusion of the bypass graft. An incision is made with dissection down to the subcutaneous tissue through muscle to...
In this case...
A patient presented for reversal of a Roux-en-Y gastric bypass. Trocars were placed, the roux limb was identified and traced up to the gastric pouch and dissected off the omentum on either side of ...
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A patient, who is diagnosed with bilateral ureteral reflux, had surgical repair via Cohen transtrigonal bilateral ureteric reimplantation and ureteral neocystostomy. After opening the bladder, the ...
Do not assig...
The patient presented with fever/chills, weakness and worsening left lower extremity pain. He was diagnosed with sepsis and acute arterial insufficiency of the left lower extremity with plan for su...
It is not ne...