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A patient with prior history of radical prostatectomy presented with recurrent bladder neck contracture/stenosis. Under general anesthesia the patient was placed in low lithotomy position pressed a...
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A patient with a large papillomatous mass filling the right nasal vestibule, extending into the nasopharynx and adherent to the posterior soft palate presents for a computer image-guided endoscopic...
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On further r...
A patient with history of resection of malignant polyp presents for excision of a T1 vs T2 tumor at the same area. Under general anesthesia a transanal rectal excision with a transanal minimally in...
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What are the appropriate code assignments for asthma in a patient with chronic obstructive pulmonary disease (COPD)? The Alphabetic Index and Tabular List appear to conflict in code assignment. Whe...
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In previous issues of Coding Clinic (Fourth Quarter 2017 and First Quarter 2019), it was advised to report only code J43.9, Emphysema, unspecified, for a patient with both chronic obstruct...
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A 67-year-old patient who presented to the Emergency Department with chest pain was admitted due to bilateral pneumonia, chronic obstructive pulmonary disease (COPD) exacerbation, acute respiratory...
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The provider documented both constipation and fecal impaction on the same encounter. There is an Excludes1 note for subcategory K59.0-, Constipation, under code K56.41, Fecal impaction, and there i...
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A patient was admitted for breast replacement/reconstructive surgery utilizing a deep inferior epigastric artery perforator (DIEAP) flap. Subsequent to the DIEAP flap procedure, it was noted that t...
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A patient was admitted for a bilateral deep inferior epigastric perforator (DIEP) flap procedure, following a failed expander-to-implant breast reconstruction. The postoperative course was complica...
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