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A patient presented to wound care for debridement of a non-pressure chronic ulcer of the left lateral foot. The ulcer is documented as having visible skin breakdown prior to debridement and visible...
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A 79-year-old patient presents for a follow-up visit for multiple conditions, including personal history of recurrent deep vein thrombosis (DVT) of the lower extremity. The patient was initially an...
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How is a diagnosis of retrolisthesis coded? Retrolisthesis is not indexed in ICD-10-CM; however, it appears to be a form of spondylolisthesis
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A 61-year-old patient was recently admitted for chronic osteomyelitis and abscess of the left distal femur. During that previous admission, she underwent incision and drainage of the abscess and pl...
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What are the appropriate diagnosis codes for a strangulated recurrent incisional hernia with necrotic bowel and perforation? Would multiple codes be assigned to capture the patient’s conditions?...
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A patient who is status post colectomy presents with chills, abdominal pain, and fever. On examination, he was found to have feculent wound drainage and was diagnosed with anastomotic dehiscence of...
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A patient presented with palpitations and presyncopal symptoms, which he experienced while going from a sitting to standing position. The provider diagnosed sinus bradycardia and multiple premature...
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The patient became unresponsive after receiving intravenous Dilaudid. The provider documented “Unresponsiveness due to Dilaudid.” How is this diagnosis coded?
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A 15-year-old male presented with a growing mass on the right side of his head. After diagnostic workup, the provider documented “Craniofacial deformity secondary to leptomeningeal cyst/growing s...
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A patient is admitted for transoral Zenker’s diverticulectomy. During surgery, the scope was positioned, and an endovascular gastrointestinal stapler was passed transorally with the staple load i...
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