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A 45-year-old patient, who was diagnosed with scleroderma, severe gastroparesis, weight loss, severe malnutrition, and severe malabsorption, was admitted for total parenteral nutrition and placemen...
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A 10-year-old girl was admitted for intravenous immunoglobulin infusion. The patient has pediatric autoimmune neuropsychiatric disease associated with streptococcal infection (PANDAS), attention de...
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What are the correct ICD-10-CM codes and POA indicator for an unstageable pressure ulcer in which an eschar is removed during the patient’s stay to reveal either stage III or stage IV pressure ul...
If a patient...
Coding Clinic, Fourth Quarter 2016, page 149, states “A facility may require that a physician use a particular clinical definition or set of criteria when establishing a diagnosis”. Wo...
No. It is no...
A patient is admitted to the hospital for delivery following premature rupture of the membranes. During the delivery, the patient suffers a laceration (first, second or third degree). Is the princi...
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A 39-year-old pregnant patient is admitted for induction secondary to polyhydramnios and delivers vaginally. During delivery she suffers a second degree tear, which is repaired. Is the principal di...
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The patient is admitted in labor. She has gallstones and anemia on admission and the physician has not documented that these conditions did NOT affect the pregnancy. She delivers vaginally but deve...
Since both c...
The patient had no complications during pregnancy, and is admitted in labor. She delivers a healthy liveborn infant. However, the patient experiences a periurethral laceration during delivery that ...
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A 41-week pregnant patient was admitted in labor. Her pregnancy is complicated by gestational diabetes mellitus and post-term status. The patient delivers and suffers a second degree perineal lacer...
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The patient is admitted for induction of labor due to gestational hypertension and experiences a third degree laceration and a nuchal cord entanglement during delivery. What is the principal diagno...
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