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A patient was admitted to our facility with acute on chronic systolic heart failure and found to be in cardiogenic shock with acute renal failure and acidosis. The physician documented that the pat...
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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...
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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...
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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...
Is it appropriate to report CPT code 15002, Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional r...
Based on the...
Is it appropriate to report CPT code 15002, Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional r...
In this scen...
Patient had a previous excisional biopsy of the mid-upper back. This proved to be a poorly differentiated possibly metastatic desmoplastic spindle cell melanoma into the soft tissues of back. The p...
Based on the...