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A patient with a longstanding history of left shoulder pain and functional limitations presented for surgical intervention. A left shoulder arthroscopy and rotator cuff repair with bioinductive imp...
No additiona...
A patient with compression of the right lateral femoral cutaneous nerve (LFCN) and femoral nerves presents for surgery that includes decompression of the LFCN and femoral nerves in addition to neur...
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Prior to their surgical procedure a patient was administered a single-shot peripheral nerve block, by the anesthesiologist, to aid in postoperative pain management. The injection site was the right...
When meeting...
This patient was admitted to day surgery for a biopsy of a neck mass. Following the biopsy, the patient continued to complain of neck pain and was admitted to observation for continued monitoring. ...
The reason f...
A patient was seen in the emergency department for complaints of chest pain. Nitroglycerin was given sublingually, however, the chest pain did not resolve. The patient’s cardiac enzymes were slig...
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According to standing orders at a regional hospital, all persons that undergo anesthesia must have an EKG/ECG preoperatively. The apparent code for such tests is 93000. The difficulty is that not a...
There is no ...
This 49-year-old patient was seen in the emergency room with a diagnosis of acute exacerbation of COPD. The physician ordered an EKG. Would this diagnosis support the need for an EKG?
...Yes, code 49...
A patient is scheduled for a preoperative EKG, according to documentation in the health record; he will undergo surgery in two days for a hiatal hernia. Should I list the hiatal hernia as an additi...
A diagnosis ...
Is it appropriate to report code G0168 along with a laceration repair code?
...Yes, code G0...
Our facility performs quite a few ERCPS. Many times the physician will drag a balloon catheter through the bile ducts to remove any stones present. When stones are present it is not difficult to co...
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