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A patient with a history of bilateral lung transplant presents with aspiration pneumonia due to emesis with a continuous positive airway pressure (CPAP) mask. The Official Guidelines for Coding and...
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A patient with a history of a kidney transplant presents with acute renal failure (ARF) due to dehydration. Is acute renal failure always considered a complication of the kidney transplant?
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A patient was admitted with hypovolemic shock due to volume depletion as a result of persistent nausea and vomiting. There is an Excludes1 note at category E86-, Volume depletion that prevents the ...
When both de...
A patient with pregnancy induced hypertension presents at 39 weeks and 1 day for induction of labor due to pre-eclampsia. She delivered during the admission without any indications of elevated bloo...
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What code is assigned for a 37-week newborn when the provider’s final diagnostic statement listed “Likely group B Streptococcus (GBS) infection due to maternal active GBS infection?” The disc...
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What code should be assigned for an asymptomatic infant born to a group B Streptococcus (GBS) positive mother, when the provider has ruled out GBS infection in the newborn after the clinical evalua...
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A pregnant woman, who is 18 weeks gestation, presents for evaluation following a motor vehicle accident (MVA). The patient presents without any signs or symptoms but was advised to be checked for t...
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A 3-year-old child presents to the Emergency Department (ED) due to trauma. After work-up, an injury pattern including diffuse bruising, cephalohematoma and Glasgow coma score (GCS) 3T with no move...
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A 94-year-old patient presented after being down on the floor for 8 hours. The patient reported falling down steps after feeling weak. The provider’s final diagnostic statement listed “Rhabdomy...
In this case...
A 17-year-old male with a history of ulcerative colitis, status post colectomy with rectal mucosectomy and ileoanal J-pouch reconstruction, is diagnosed with ileoanal anastomotic stricture. Ano-pro...
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