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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...
There are new ASPEN clinical indicators for preterm and neonate malnutrition. Would it be appropriate to assign codes based solely on the ASPEN clinical indicators for preterm and neonate malnutrit...
No. The assi...
How should severe malnourishment/severely malnourished be coded given that “malnourish” is not found in the Alphabetic Index? Can we assume this is synonymous to severe malnutrition?
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The attending physician states “malnutrition” with unspecified severity in the record. The final impression on the dietitian’s consultation was “Severe Malnutrition.” Could the malnutriti...
No, there ar...
A registered dietician assessed the patient, and documented severe malnutrition. Following dietary assessment, the physician reviews the information and signs off via e-signature. Since the dietary...
It is beyond...