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A patient had a percutaneous endoscopic gastrostomy (PEG) placement. The endoscope was used to guide the placement of the PEG tube, which was inserted percutaneously. What is the appropriate approa...
The tube is ...
The provider documents meconium stained fluid on the labor and delivery record without mention of fetal distress. Delivery complicated by meconium in amniotic fluid is indexed to code O77.0, Labor ...
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The provider documents meconium amniotic fluid and fetal decelerations. What is the correct code assignment for meconium amniotic fluid and fetal decelerations in ICD-10-CM?
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"Hemorrhagic" is no longer a non-essential modifier for pneumonia in the ICD-10-CM Index to Diseases. Is a code reported for hemoptysis when it occurs with pneumonia?
...Sequence the...
A patient is admitted to the hospital and diagnosed with severe sepsis due to healthcare associated pneumonia. The physician documented that her healthcare associated pneumonia was due to her recen...
Yes, it is a...
A 34-year-old patient presented for delivery. The patient had a normal vaginal delivery and the placenta was delivered spontaneously. The patient had second degree perineal lacerations which were r...
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A 25-year-old patient had a normal spontaneous vaginal delivery at 39 weeks gestation and suffered a second degree perineum laceration. The repair involved suturing of the muscle. Would you please ...
Assign the f...
The provider documented that the patient sustained a clitoral laceration during delivery, which was repaired with sutures. We have been informed that the vulva includes the clitoris. Please clarify...
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In ICD-10-CM, under code J70.5, Respiratory conditions due to smoke inhalation, there is no instructional note indicating “use additional code” to describe acute respiratory failure due to smok...
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A patient with right kidney stone is admitted to undergo an extracorporeal shock wave lithotripsy
(ESWL) on the right kidney stone. Shock waves were delivered 120 per minute ungated. The stone a...
For the ESWL...