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A patient with diabetes mellitus was admitted when she was found to be lethargic. Her blood sugar readings were low. Discharge diagnosis was documented as acute encephalopathy secondary to hypoglyc...
Assign code ...
How is immunocompromised state due to medication or other cause (e.g., AIDS, cancer) coded? The physician documented in the discharge summary that the “patient has an immunocompromised state, on ...
Do not assig...
When the physician documents in his final diagnostic statement “Immunocompromised State” and it is not caused by medication or due to an underlying disease process, should immunocompromised sta...
Yes, assign ...
How would an immunocompromised state be coded when the intent of a medication is to treat the underlying disease and not alter the immune state?
...This situati...
What is the correct code assignment, when a patient is admitted for desensitization to a medication? For example, a patient with chronic respiratory conditions is currently symptomatic and recent s...
There is no ...
The patient presents with extensive hidradenitis suppurativa subcutaneous abscesses in her right and left breasts, axillary region, suprapubic space, and bilateral thighs. She underwent incision an...
The vessel l...
A patient with melena presents for upper GI endoscopy. An endoscopy was introduced through the mouth and advanced to the third part of the duodenum. An area of angiodysplasia was found in the gastr...
The area of ...
The patient is admitted for placement of an inflatable penile implant due to impotence that is the result of a radical prostatectomy. A reservoir was deployed at the pre-pubic area below the fascia...
The parts of...
An ambulatory 15-year-old patient presented with complaints of hip pain secondary to dislocated left hip. She underwent left femoral head resection. In this case, the left femoral head and proximal...
The excision...
A patient with left thumb osteoarthritis at the left carpometacarpal and scaphotrapezoid-trapezial joints is admitted for trapeziectomy with ligament reconstruction and tendon interposition arthrop...
In addition ...