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In the discharge summary the physician describes the patient’s debridement: “The patient underwent a digressive debridement by physical therapy of her sacral decubitus with pulse lavage and wet...
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The patient presents for surgical treatment of a necrotizing soft tissue infection of the left buttock. The provider documented the following in the operative note: “Using a sharp scalpel, I firs...
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If a physician documents “debridement of bone, fascia or muscle,” without specifying “excisional debridement,” can that be reported as excisional debridement? In order for the surgeon to ge...
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A patient with angina was seen for percutaneous coronary intervention. The procedure was aborted after several unsuccessful attempts to cross an occlusion at the right coronary artery. The coronary...
Per the ICD-...
A patient with critical limb ischemia was seen for catheter-based treatment of a lesion in the left superficial femoral artery (SFA). During the procedure, an angled glidewire encountered significa...
Based on the...
A patient with coronary artery disease underwent percutaneous coronary intervention. Angioplasty was performed on the right coronary artery (RCA). However, stent insertion was unsuccessful. Should ...
Yes, the ang...
The patient is a construction worker, who fell 10 feet from scaffolding, striking his head. He was diagnosed with right subdural hematoma, and emergency craniotomy with evacuation of subdural hemat...
The evacuati...
A patient with a chronic subdural hematoma of the right hemisphere underwent drainage via burr hole. The liquefied portion of the hematoma was drained, and a drainage device was left in the subdura...
A burr hole ...
The patient presented with a subdural hematoma, which was successfully treated by placement of a subdural evacuation portal system (SEPS). During the placement of the drainage device, a burr hole w...
The “percu...
The patient presented to the hospital for treatment of subarachnoid hemorrhage and communicating hydrocephalus, and underwent placement of right frontal ventriculostomy catheter. Since the burr hol...
As previousl...