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A patient was admitted with a comminuted four part fracture of the left proximal humerus with displacement. There is also a tear of the biceps tendon. During surgery, the articular head surface was...
Assign the f...
A two-month-old with intermittent stridor as a result of a vascular ring presents for division of the vascular ring. During surgery, a left posterolateral thoracotomy was done, the ligamentum was i...
The intent o...
A nine-year-old girl with a diagnosis of vascular ring and double aortic arch presents for division of the ring. At surgery, a left thoracotomy was carried out, a small ligamentum arteriosus was id...
The ICD-10-P...
A four-year-old child has history of truncus arteriosus repair. He is currently being seen to replace a previously placed pulmonary artery conduit allograft that has become heavily calcified and to...
The stent pl...
A five-month-old with sagittal synostosis (craniosynostosis of the sagittal suture) presents for cranial vault reconstruction with orbital advancement. The frontal bone was removed, reshaped and th...
Sagittal syn...
A patient with metastatic bone cancer of the left hip is admitted to undergo acetabular reconstruction with hip replacement. At surgery the proximal femur was prepared using sequential reamers and ...
Due to the s...
The patient was diagnosed with a synovial sarcoma stage III chest mass during pregnancy, and treatment was started at that time. The patient is two weeks post-delivery, and is now being admitted fo...
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Does documentation of a positive Coombs test need to be present in order for the diagnosis code for ABO isoimmunization to be assigned on a newborn record?
...No. If the p...
A newborn is diagnosed with congenital hyperbilirubinemia, likely hemolytic. A positive Coombs test is also documented. What is the correct code assignment for the newborn?
...This appears...
The physician documents “suspected sepsis” in a preterm newborn and treats the newborn with antibiotics for two days. The blood cultures are negative and sepsis is ruled out. The mother is with...
There is no ...