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A 45-year-old morbidly obese male was seen in the physician’s office following impaired fasting glucose test results, and was diagnosed with prediabetes. The patient was referred to a dietitian f...
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How should a case documented as concussion with loss of consciousness of 45 minutes be coded? There was no documentation of intracranial injury.
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The provider documented that immediately following inpatient surgery his patient reported being able to recall sounds during the procedure. The provider diagnosed the patient with unintended awaren...
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Is there a “hierarchy” for the E codes in category X50, Overexertion and strenuous or repetitive movements, when more than one might apply? For example, if a cumulative trauma resulted from an ...
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The patient was seen in the emergency department (ED) after suffering a back strain from lifting a heavy patient as part of his employment as a caregiver. How should this be coded?
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A 16-year-old female patient was brought to the emergency department (ED). The ED physician documented that she was disoriented and also noted that she had bloodshot eyes and visible signs of marks...
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A 15-year-old male was brought to the ED by ambulance after passing out. His cousin told the nurse that they played the pass out game by choking each other because they wanted to get high. The prov...
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The patient was admitted for coronary artery bypass graft (CABG) for treatment of severe coronary artery disease. The procedure consisted of aortocoronary bypass graft to the posterior descending b...
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The patient underwent placement of two overlapping drug-eluting stents to treat a long lesion in the left anterior descending coronary artery with another drug-eluting stent placed in the left circ...
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The patient presented with stenosis of her coronary artery bypass graft (CABG). The provider documented that a portion of the saphenous vein graft was stenotic due to further progression of atheros...
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