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When coding “arthritis of the knee,” it appears that the index leads to code M19.90, Unspecified osteoarthritis, unspecified site. However, the provider documented “arthritis is of the knee....
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We cannot find index entries for arthritis of a site unless the type of arthritis is documented. How should we report arthritis when the type is not further specified? Is it appropriate to referenc...
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Please explain the intent of the new ICD-10-CM guideline regarding code assignment and clinical criteria that reads as follows: “The assignment of a diagnosis code is based on the provider’s di...
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If an elderly multigravida or primigravida mother has a normal delivery, would a code for “normal delivery” be the principal diagnosis with the elderly supervision code as the secondary diagnos...
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A single liveborn newborn is kept in the hospital an additional two days for evaluation of possible infantile genetic agranulocytosis, which was subsequently ruled out. How should this be coded?&nb...
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A 10-day-old male infant was admitted to the hospital for difficulty breathing and poor feeding. He was diagnosed with coarctation of the transverse aorta and underwent surgery. What is the princip...
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A 16-year-old female presents with acute abdominal pain and irregular menses for six months. Ultrasound imaging showed a hematometra and enlarged uterus. The patient underwent diagnostic laparoscop...
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A ten-month-old was admitted to the hospital due to dyspnea. CT scan of the head, neck and chest showed hairpin turns and twists in the aortic arch, carotid and pulmonary arteries. Cardiac catheter...
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A 70-year-old male patient was admitted with acute stroke. The physician documented an NIHSS score of 30. How should this be coded?
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A 48-year-old female patient was seen by her primary care physician for her annual exam, which included laboratory work. There were no abnormal findings during the visit; however, three days later,...
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