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Patient with tibial plateau insufficiency fractures presents for treatment. Bilateral knee arthroscopic debridement/shaving of the medial femoral condyle, patella and synovial thickening was perfor...
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A patient with previous history of low-grade superficial urothelial carcinoma underwent a transurethral resection of bladder tumor (TURBT) in March of 2014. Since that time, she has had several sub...
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A patient with dysphagia and a Zenker’s diverticulum was scheduled to undergo a transoral endoscopic Zenker’s diverticulostomy. According to the operative report, utilizing the CO2 laser, the p...
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A patient with a right planovalgus deformity with a posterior tibial tendon tear and Achilles contracture was seen at our facility for treatment. The patient underwent a posterior tibial tendon rec...
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A patient is seen for revision of a reconstructed left breast. The breast implant found to be upside down within the breast pocket was removed. Irrigation of the pocket and extensive capsulotomies ...
A patient with diabetes mellitus type 2 complained of weakness, nausea, vomiting and fever. There was a strong smell of ketones on examination, with levels of 3+ on urinalysis and blood glucose at ...
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How should a type 2 NSTEMI due to demand ischemia be coded?
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What code should be assigned when a patient is readmitted to the hospital with a new type 2 acute myocardial infarction occurring within four weeks of either a previous type 1 or type 2 acute myoca...
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A 75-year-old patient with type 2 diabetes mellitus is admitted for treatment of a nonhealing diabetic ulcer of the right ankle with muscle involvement. There is no evidence of necrosis on visual i...
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A patient is diagnosed with lumbar stenosis at L3-4 and L4-5 with severe neurogenic claudication. How should this diagnosis be coded?
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