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Since an ileus does not always involve obstruction, should a diagnosis of postoperative ileus be assigned code K91.3, Postprocedural intestinal obstruction? Previously, postoperative ileus defaulte...
Query the ph...
The patient is admitted with chronic hepatitis C and hepatic encephalopathy. What are the diagnosis code assignments for these conditions?
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A patient presented due to a large umbilical hernia that was easily reduced manually. What is the appropriate root operation for manual reduction of a hernia? What body part value should we report ...
Manual reduc...
How is uncontrolled diabetes mellitus (DM) coded in ICD-10-CM? Is uncontrolled the same as “poorly controlled” or “out of control? Currently, only “out of control” and “poorly controlle...
There is no ...
A patient is readmitted solely for replacement of native bone flap following a decompressive craniectomy for impending brain herniation due to a traumatic skull fracture with traumatic subdural hem...
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What is the correct code assignment for a diagnosis of Alzheimer’s disease without provider documentation of dementia? When referencing the Alphabetic Index, the coding professional is directed t...
Dementia is ...
If a provider documents type 2 myocardial infarction (T2MI) due to demand ischemia, how should it be coded?
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Our cardiologists have stated that if type 2 myocardial infarction (T2MI) is documented, it should be coded to a non-ST elevation myocardial infarction (NSTEMI). We are trying to minimize the numbe...
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Would a type 2 myocardial infarction (T2MI) always be sequenced as the principal diagnosis?
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Per the American College of Cardiology and the American Heart Association, a patient with “stage A heart failure” is at risk to develop the condition, but does not have it yet. Is it appropriat...
No, it is no...