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This same patient underwent removal and replacement of the endosponge, which was used to treat the esophagogastric anastomotic leak. Diagnostic endoscopy was performed, and the endosponge was remov...
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An obstetrical patient is admitted to labor and delivery for a planned cesarean section due to breech presentation. The provider documents the gestational weeks as "40 weeks and 2 days." Is it appr...
Yes. When pr...
An obstetrical patient is admitted to labor and delivery for a planned cesarean section due to breech presentation. The provider documents the gestational weeks as “40 weeks and 2 days.” Is it ...
Yes. When pr...
Please clarify “completed weeks of gestation” when assigning codes: O48.0, Post-term pregnancy, O48.1, Prolonged pregnancy, O75.82, Onset (spontaneous) of labor after 37 completed weeks of gest...
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A 24-year-old patient was admitted with shortness of breath and fever due to postpartum sepsis and postpartum urinary tract infection (UTI). The patient had a history of spontaneous vaginal deliver...
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What is the appropriate ICD-10-CM code(s) for a diagnosis of unspecified hyperlipidemia and hypercholesterolemia?
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What is the appropriate ICD-10-CM code(s) for a diagnosis of mixed hyperlipidemia with hypercholesterolemia?
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The provider’s final diagnostic statement lists, “Pressure injury to mucosal membrane of penis from Foley catheter.” There are no ICD-10-CM codes for mucosal membrane pressure injuries and th...
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A patient was admitted for treatment of acute respiratory distress syndrome due to COVID-19. The patient was intubated on day 2 of the admission; later in the stay, the provider identified a mucosa...
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A morbidly obese patient was admitted to the hospital with a deep tissue pressure injury (DTPI) to the bilateral gluteal region, which was revealed during the admission to be a stage IV pressure ul...
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