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This patient has history of complicated diverticulitis, status post sigmoid colectomy with end colostomy, complicated by recurring pelvic abscesses, secondary to the remaining rectal Hartmann cuff....
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A patient with stage IV lung cancer and brain metastases was noted to have worsening chronic pericardial effusion and was admitted for treatment of the effusion. At the time of discharge, the final...
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A patient presented to the hospital with severe fatigue. Complete blood count (CBC) showed low platelets, red and white blood cells. Further workup included bone marrow biopsy that revealed acute m...
The ICD-10-C...
A patient with uterine adenocarcinoma was admitted for a small bowel obstruction. During the hospitalization, she was restarted on chemotherapy, which caused profuse diarrhea, and the provider docu...
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How is a diagnosis of choledochoduodenal fistula with choledocholithiasis, cholecystitis and obstruction coded in ICD-10-CM?
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The patient was admitted with generalized weakness and thunderclap headache. Diagnostic lumbar puncture was positive for bloody aseptic meningitis and polymerase chain reaction (PCR) of varicella-z...
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A 4-year-old presented to the Emergency Department for pain due to fall onto the left shoulder and arm three weeks ago. The provider diagnosed proximal metaphyseal humeral fracture without displace...
ICD-10-CM do...
Our facility is seeing documentation with terms such as “degenerative scoliosis” or “scoliosis secondary to degeneration” or other similar documentation that links scoliosis to an underlyin...
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A patient with a history of seizure-like episodes on multiple non-epileptic medications presented for encephalographic (EEG) monitoring. The EEG did not demonstrate epileptic seizures. The provider...
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The patient, who is status post bilateral total hip replacement, presented with a fluid collection around the right hip. Infection was ruled-out, but high levels of metal ions were found. As a resu...
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