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Patient with osteoarthritis and a talar dome lesion, left ankle, presents for arthrotomy with repair of the talar dome lesion. Incision was made and carried down to the capsule exposing the distal ...
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Patient with arthritis in the medial compartment of the left knee, a varus malalignment and chronic pain presents for opening wedge high tibial osteotomy with bone grafting and fixation. Incision w...
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The Food and Drug Administration (FDA) approved the Xen Glaucoma Treatment System in November 2016. The system is used to treat intraocular pressure (IOP) in patients with refractory glaucoma or in...
Yes, HCPCS c...
At our facility we give Methotrexate intramuscular (IM) in the emergency department (ED) to assist with spontaneous abortion. We were looking at either CPT code 96401, Chemotherapy administrati...
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Some confusion exists among coders when assigning a CPT code for the excision of soft tissue of the axilla. Especially in the instance where there are no lymph nodes involved in the excision. Unfor...
The axillary...
How is a CT-guided needle biopsy of a right paravertebral soft tissue mass (also stated as retrocrural soft tissue mass) coded? The mass was presumed to be lymphadenopathy, and in fact turned out t...
The retrocru...
Patient with bladder cancer and a history of cystectomy and ileal conduit presents with stomal stenosis. He is prepped and has the stoma dilated with straight sounds. Then a flexible endoscopy of t...
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Patient with right thumb metacarpophalangeal (MCP) joint instability, carpometacarpal (CMC) osteoarthritis, and wrist scaphotrapeziotrapezoidal (STT) arthritis presents for treatment of the thumb a...
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A patient is seen at our facility for an excisional debridement of severe gouty tophi of the left index and long finger of the proximal interphalangeal and distal interphalangeal joints. Our coders...
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A patient with a history of a hiatal hernia repair and Nissen fundoplication in 2013 was seen at our facility and found to have a recurrent hiatal hernia with dysphagia ultraand reflux, twisting of...
Based on the...