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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...
Assign code ...
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...
Assign only ...
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...
Patient presents for insertion of bilateral ureteral stents via endoscopy through an existing ileal conduit. The flexible cystoscope was inserted into the ureteral conduit, contrast was injected an...
The stents w...
Patients at our facility have breast lesion excisions to a depth that includes skin and subcutaneous tissue and some that require resection to the muscle. Some of the lesions are identified by a lo...
The CP...
A patient was seen at our facility for a pocket repositioning of an InterStim generator. Our coders have a dilemma regarding the correct code assignment for this procedure.
Neither the...
Based on the...
What would the correct code assignment be for the dilation of a sleeve gastrectomy? Some of our coders have assigned CPT code 43245 however; the other coders feel that this code is reported for dil...
Based on the...