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A 75-year-old patient with type 2 diabetes mellitus is admitted for treatment of a nonhealing diabetic ulcer of the right ankle with muscle involvement. There is no evidence of necrosis on visual i...
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A patient is diagnosed with lumbar stenosis at L3-4 and L4-5 with severe neurogenic claudication. How should this diagnosis be coded?
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When coding the diagnosis of breast conditions and the physician documents the location in terms such as positions on a clock, is it appropriate to code to the associated breast quadrant? For examp...
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Coma scale codes R40.2110 - R40.2364 reflect various coma levels for eyes open, best verbal and motor response. Our pediatric coma scores are based on auditory/visual stimuli, agitated, persistent ...
Inclusion te...
The patient had left ventricular outflow tract obstruction due to a subaortic membrane as well as tubular hypoplasia of the area. Following sternotomy and aortotomy, the aortic valve leaflets were ...
In this case...
A patient with a pulmonary arteriovenous fistula presented for embolization of the right middle lobe lesions. Tornado coils were deployed into the right pulmonary artery that fed into a branch of t...
The procedur...
In a patient with severe congenital mitral valve regurgitation, a suture was placed to create an Alfieri stitch bringing together the center A2 segment of the anterior leaflet and the center P2 seg...
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A patient with hypoplastic left heart syndrome who is status post Norwood procedure and bidirectional Glenn procedure now presents for the Fontan completion procedure. The inferior vena cava was di...
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A patient undergoes outpatient surgery. A skin lesion of the cheek is surgically removed and submitted to the pathologist for analysis. The surgeon writes on the pathology order, “skin lesion.”...
The patholog...
A patient presents to the hospital for outpatient x-rays with a diagnosis on the physician’s orders of questionable kidney stone. The abdominal x-ray reveals “bilateral nephrolithiasis with sta...
It is correc...