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The patient presented for renal transplantation due to end stage renal disease (ESRD), and the provider’s final diagnostic statement listed, “ESRD due to diabetic nephropathy on dialysis, diabe...
When the pat...
A patient was returned to the operating room after passing blood clots following transurethral resection of a bladder tumor. Upon insertion of a cystoscope, the surgeon noted clots within the bladd...
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The patient was admitted with a subdural hematoma (SDH) and underwent craniotomy for evacuation of the large hematoma. During surgery, a bleeding cortical artery causing the SDH was found, and this...
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What is the ICD-10-CM code assignment for a prenatal encounter during a normal pregnancy in which RhoGAM is given prophylactically?
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A patient presents as an outpatient for hernia repair surgery. The provider notes “Crohn’s disease,” in the past medical history and indicates the patient is taking an immune modulating drug ...
In the outpa...
In the home health setting, should additional diagnoses be reported? For example, would an existing “stable” diagnosis, such as controlled diabetes or gastroesophageal reflux disease (GERD) be ...
In the home ...
A patient is admitted with a neuroendocrine tumor of the colon with metastatic disease to the liver. What is the appropriate code assignment for a neuroendocrine tumor of the colon with liver metas...
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What is the appropriate code assignment for a diagnosis of “alcoholic neuropathy”? Would it be appropriate to assign codes from subcategory F10.2-, Alcohol dependence, and code G62.1, Alcoholic...
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