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A patient diagnosed with achalasia underwent laparoscopic esophagomyotomy (Heller type) and Toupet fundoplication. The provider completed myotomy of the esophagus and stomach. The provider sutured ...
The Heller t...
The patient is a 32-year-old female diagnosed with pyloric stenosis and laparoscopic pyloromyotomy was performed. During surgery, the stenosis was confirmed. The surgeon made an anterior incision i...
Pyloric sten...
A patient is admitted for treatment of spinal stenosis of the lumbar region with neurogenic claudication. How is neurogenic claudication due to lumbar spinal stenosis coded?
...Assign only ...
The ICD-10-CM Index for Diseases lists the following: Emaciation (due to malnutrition) E41. The Tabular List of Diseases lists E41 as Nutritional Marasmus. If a physician documents Emaciation...
First, it sh...
Can code E40, Kwashiorkor or code E42, Marasmic kwashiorkor, be assigned to capture a diagnosis of severe malnutrition?
...No, do not a...
An infant was born at 37 weeks and five days gestation via low transverse cesarean section. The provider’s diagnostic statement listed, “Late preterm infant.” The ICD-10-CM does not provide a...
Do not assig...
A patient presents due to acute gastrointestinal bleed (GI). An esophagogastroduodenoscopy (EGD) was performed, which showed gastric ulcers as well as portal hypertension. The physician...
It would be ...
A patient, who has a past medical history of spinal stroke with residual bilateral lower extremity paralysis, now presents with abdominal pain. The physician documents “Spinal stroke of unk...
There is cur...
How is a persistent postoperative fistula coded? When referencing the Alphabetic Index, the coder is instructed as follows:
Fistula
postoperative, persistent T8...
Assign code ...
The patient has a history of bowel perforation and obstruction, and is status post complex abdominal surgery due to intestinal anastomotic leak. She was transferred to the long-term care hospital (...
Assign codes...