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A pregnant patient, 38-week gestation, was admitted in active labor. She had a manually assisted vaginal delivery of a normal infant. The patient suffered a second degree perineal laceration during...
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We were given advice to assign a code for “hepatic failure with hepatic coma” anytime “hepatic encephalopathy” is documented. Is this correct?
...Hepatic ence...
A 60-year-old patient with a loop ileostomy is admitted for takedown of the ileostomy. At surgery, the two open ends of the intestine were excised, and the remaining ends of intestine were reanasto...
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The patient had creation of a Hartmann end colostomy due to perforated diverticulitis and fecal peritonitis. The patient now presents for laparoscopic Hartmann reversal. The splenic flexure was mob...
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The patient had previously undergone colectomy and ileostomy formation due to refractory acute diverticulitis. She now presents for reversal of the ileostomy. The surgeon excised part of the ileost...
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Coders at our facility are requesting clarification of advice published in the Third Quarter 2014 issue of Coding Clinic regarding ileostomy takedown. Coding Clinic instructed cod...
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We have seen the recently issued consensus definitions for sepsis and septic shock. How and when will this affect the coding of sepsis and septic shock for ICD-10-CM? Will the Cooperating Parties b...
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How would viral sepsis be coded in ICD-10-CM? The type of viral infection is unspecified. In ICD-9-CM, “Viral” was a subterm under septicemia, but it is not present as a subterm under sepsis in...
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How would a diagnosis of “sepsis secondary to viral syndrome” be coded? The viral syndrome, in this case, is not further specified.
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What codes should be assigned for a final diagnosis of viral sepsis secondary to acute rhinovirus bronchitis? The sepsis was present on admission.
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