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A 60-year-old female is admitted for treatment of tracheobronchomalacia and underwent endoscopic placement of a tracheobronchial stent. We are unsure whether to assign the root operation Supplement...
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A patient presented for a coil embolization of the left inferior cardiophrenic vein to treat bleeding gastric varices. During the procedure, it was noted that a catheter was advanced into the left ...
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The patient presents for treatment of perirectal cyst and undergoes dilation of the fistula tract to drain the cyst. At surgery, the perirectal cyst was identified, and a needle was used to punctur...
“Drainage...
A 27-year-old female at 39 weeks gestation was admitted for induction of labor, due to transient hypertension and favorable cervix. After artificial rupture of membranes and induction of labor with...
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A non-verbal 65-year-old male, who has cerebral palsy and an intellectual disability, presents to the emergency department with a traumatic head injury after falling and striking his head on the si...
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A 38-year-old patient with an ectopic cornual pregnancy underwent surgery. The patient had laparoscopic removal of the ectopic pregnancy, from the right fallopian tube, which extended into the righ...
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Is malnutrition considered integral to chronic illnesses like cancer? For example, if a provider documents malnutrition in a cancer patient receiving chemotherapy may malnutrition be coded se...
While loss o...
How should malnutrition that progresses in severity be coded? For example, moderate protein calorie malnutrition is documented on admission but progresses to severe protein calorie malnutrition dur...
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There are various clinical criteria for malnutrition and payers may require different criterions for reporting malnutrition. Which clinical criteria should coding professionals use when reporting a...
It is outsid...
There are various clinical criteria for malnutrition and payers may require different criterions for reporting malnutrition. Which clinical criteria should coding professionals use when reporting a...
It is outsid...