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A 3-week-old male, who was diagnosed with transposition of the great arteries with pulmonary stenosis, presents for right modified Blalock-Taussig shunt procedure to augment pulmonary blood flow. A...
For the modi...
A 55-year-old female was admitted with enlarging right temporal horn and right cavity near the lateral ventricle. She had been previously diagnosed with pilocytic astrocytoma and has a long neurosu...
Assign code ...
A 68-year-old male presents to our facility with symptoms of malaise, fatigue and fever. The patient was diagnosed with systemic inflammatory response syndrome (SIRS). However, he did not have seps...
Assign only ...
When coding encounters for treatment of conditions due to war, such as combat fatigue or post-traumatic stress disorder (PTSD), can we also assign a code from category Y36, Operations of war, to sh...
Yes, it is a...
Previous Coding Clinic advice has supported the assignment of a more specific fracture code in ICD-9-CM and ICD-10-CM based on findings in imaging reports when a physician has documented a...
It is approp...
When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up...
When the pro...
A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery ...
Report CPT c...
Patient with hallux rigidus presents for correction of the right metatarsophalangeal joint (MPJ) with hemi-implant insertion. Deep incision was made exposing the metatarsal head and base of the pro...
Based on the...
A patient was seen at our facility with a history of status post cardiac pacemaker. Her complaint is focal tenderness in the pocket area overlying the site of the lead suture sleeves. Due to the te...
Although the...
Patient with history of spermatocele and hydrocele repair, presents with pain, swelling, and a large mass in the left hemiscrotum. A 10-12 cm scrotal hematoma and necrotic skin measuring 1cm x 8cm ...
Assign CPT c...