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The patient was admitted with wheezing and shortness of breath. The provider’s diagnostic statement listed, “Bacterial pneumonia on top of influenza A, exacerbation of chronic obstructive pulmo...
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Coding Clinic, First Quarter 2017, page 25, advised that for a patient with chronic obstructive pulmonary disease (COPD) with asthma, only code J44.9, Chronic obstructive pulmonary disease...
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How should COPD and emphysema be coded when both are documented and supported in the medical record?
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How should COPD, emphysema, and chronic bronchitis be coded?
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A patient diagnosed with emphysema presented with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How is a final diagnosis of COPD exacerbation with emphysema coded? Both cod...
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The AHA Central Office has received several questions whether sepsis with any acute organ dysfunction is assumed to be linked by the term “with” or if the physician must directly link it with t...
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Please advise which guidelines apply when coding sepsis with organ dysfunction. Should we follow the coding convention “with” and assume a causal relationship? Alternatively, are the chapter sp...
Provider doc...
A 79-year-old male with type 2 diabetes mellitus presented due to acute cellulitis of the left lower leg. The patient was admitted and started on broad-spectrum antibiotics. When assigning the diab...
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Could you please clarify the correct use of the diabetes subentry with “skin complication NEC?” Would the correct application of the entry with skin complication only pertain to provider docume...
The “with...
A 71-year-old male with type 2 diabetes mellitus presented to the Emergency Department with a swollen gangrenous right foot that was diagnosed as gas gangrene. Does the Alphabetic Index subentry fo...
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