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The patient is admitted with spontaneous rupture of membranes greater than 24 hours. The patient failed to progress in labor with arrested dilation. Pitocin augmentation was administered.
She...
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A patient had a completely normal delivery, except for an obstetric third-degree perineal laceration. Is it correct to separately code each body part (i.e., perineum and anal sphincter) or should t...
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A patient had a spontaneous vaginal delivery and experienced an obstetric fourth-degree perineal laceration. Is it correct to assign a code for each body part separately (i.e., perineum and anal sp...
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A pregnant patient, 13-weeks gestation, presents for anteversion of retroverted incarcerated uterus. During the procedure, the posterior wall of the uterus was pushed and the uterus was corrected b...
The ICD-10-P...
The patient presented at 39-weeks gestation for delivery. Due to maternal exhaustion, the decision was made to proceed with assisted vaginal delivery. First a vacuum was placed and assistance was g...
The vacuum w...
The ICD-10-CM Alphabetic Index entry for 'Diabetes with' includes listings for conditions associated with diabetes, which was not the case in ICD-9-CM. Does the provider need to document a relation...
According to...
A patient, who is a type 2 diabetic, is admitted with a chronically infected ulcer of the left mid-foot. The provider documented, “Diabetic foot ulcer with skin breakdown, positive for Methicilli...
ICD-10-CM as...
A woman, who has had type 1 diabetes for over 40 years, developed chronic osteomyelitis of the right heel and presents to the infectious disease clinic for follow-up. The provider also noted, “Ch...
No, ICD-10-C...
What is the code assignment for duodenal ulcer with hemorrhage due to Coumadin therapy, initial encounter? Is D68.32, Hemorrhagic disorder due to extrinsic circulating anticoagulant, assigned for b...
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