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A patient had a nonoperative removal of a peripherally inserted central catheter (PICC) at bedside. The nurse simply removed the sutures, pulled out the line and applied a dressing. What is the cor...
Facilities a...
A patient with sacral decubitus ulcer and abscess of gluteal ulcer presents for debridement of ulcer and drainage of gluteal abscess. Excisional debridement was done on the first wound down to and ...
The body par...
A patient with a large pressure ulcer of the right lower leg presents for debridement. The patient had a lot of necrotic material which was easily removed with a wet lap. Once the necrotic tissue w...
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A patient presents due to a postoperative lumbar wound infection. The previous lumbar midline incision was reopened and carried all the way down through the lumbar fascial layer. The wound from the...
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Coding Clinic, Third Quarter 2015, page 6, states that pulsed lavage is used for debridement of bone and tissue and that this type of debridement is coded as nonexcisional. Therefore, the ...
Coders can c...
A 62-year-old male with a long history of left heel spur pain and Achilles tendonitis presents for debridement of bone and tendon using the Tenex ultrasound device. A small incision on the posterol...
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A patient is admitted to the hospital with syncope. The provider’s final diagnostic statement lists “End stage renal disease (ESRD) due to congenital polycystic kidney disease.” The provider ...
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A 51-year-old male with a history of nephrolithiasis presents due to severe right flank pain and nausea and vomiting. A CT scan was performed in the emergency department which showed two stones tog...
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The patient presents to the Emergency Department (ED) and is admitted with a gunshot wound with retained bullet fragments of the right lower leg after being assaulted. The gunshot injury did not fr...
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For inpatient cases, coders are expected to query the physician if there is conflicting information between the medical record final diagnosis and the pathology report. However, if a patient is adm...
The ICD-10-C...