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A patient with osteoarthrosis presents for hip pain management. Under fluoroscopic guidance, the site for intra-articular injection was marked. The skin was prepped and draped and local anesthesia ...
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A patient with squamous cell carcinoma in two locations of the left ear was brought to our outpatient facility to undergo an excision of the adjacent lesions. The excision involved skin and subcuta...
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A patient with a diagnosis of chronic obstructive pulmonary disease (COPD) was seen at our facility and deemed a candidate for fast track transtracheal oxygen catheter placement. Our coders assigne...
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A patient who underwent an ankle fusion previously was seen at our facility with areas of localized tenderness of the medial ankle. Work-up revealed a prominent screw head as the cause of the local...
Presently, t...
Can a transfusion code be reported for blood products or derivatives, such as Albumin?
...No. It would...
A 38 year old female with a history of subtotal colectomy and ileorectal anastomosis due to ulcerative colitis presents to our facility for proctoscopy and ileoscopy with biopsy. The patient ...
Currently, t...
A patient presents for an excision of a lesion on the back. The surgeon fails to document the lesion size or the margins in the operative report. The pathology report has the total size of th...
According to...
A patient with a history of a total laryngectomy and tracheoesophageal puncture was seen for a blocked tracheoesophageal fistula and aphonia. Previous attempts in the office to clear the fist...
It would be ...
A patient with cataract of the left eye presents for cataract extraction. It was also noted prior to surgery that the patient had a significant amount of astigmatism due to a pterygium.  ...
The incision...
A patient with pancreatic and biliary stents presents for removal of the stents via esophagogastroduodenoscopy (EGD). The physician uses a videoduodenoscope and removes both the biliary and p...
According to...