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A patient with a history of colostomy closure and resultant chronic abdominal wall infection with sinus tract, presented for wound exploration and sinus tract excision. An elliptical incision encom...
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A patient presented for hysteroscopic removal of their intrauterine device (IUD). On examination in the office, the IUD strings could not be visualized in the vagina or passing through the cervix; ...
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A patient presents to surgery one week post complete mastectomy, for re-excision of positive muscle margins. The patient was thought to have residual tumor invading the skeletal muscle involving th...
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A patient with a history of breast reconstruction now has a chronic wound of the left breast with impending implant exposure. Per the provider, the patient presented to surgery for left breast impl...
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After a patient had an initial pelvic examination under anesthesia, attention was turned to laparoscopic access and a supraumbilical incision was made. Trocars were introduced and examination revea...
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The patient, whom had a previous L4-S1 fusion and an auto-fusion of T12-L1, has now developed spinal stenosis of L1-L4 and presented for decompression. After a posterior midline incision was made t...
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A patient is seen in an outpatient clinic for cardiac arrhythmia. The patient is sent home with an external electrocardiographic recording device capable of capturing up to 48 hours of ECG data wit...
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How should 24- to 48-hour outpatient ECG monitoring using external (wearable) device be coded?
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Is the harvesting of the rectus fascia through a separate incision separately reported with CPT code 20926, Tissue grafts, other (e.g., paratenon, fat, dermis), when performed for a rectus...
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How should the administration of testosterone cypionate 200 mg be correctly reported? We were told by our payor that we can only report up to 2 units of HCPCS code J1071, Injection, testosterone cy...
It is approp...