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A newborn delivered at 32 weeks gestation was admitted for prematurity, respiratory distress syndrome and respiratory failure requiring CPAP. The Excludes1 note at category P22, Respiratory distres...
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A 29-year-old female patient with right-sided pain and human chorionic gonadotropin (hCG) level of 94 presents to rule out an ectopic pregnancy. A transabdominal/ transvaginal ultrasound is perform...
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A patient is diagnosed with multiple myeloma/plasma cell leukemia. How is multiple myeloma/plasma cell leukemia coded in ICD-10-CM?
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A patient with cortical, nuclear, and posterior subcapsular cataracts of both eyes is seen for right phacoemulsification clear corneal intraocular lens implant. The patient also has type 2 diabetes...
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A type 2 diabetic patient with nuclear sclerotic cataract and primary open-angle glaucoma of the right eye undergoes phacoemulsification with intraocular lens implant and stent. Should the cataract...
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There appears to be a discrepancy in the Alphabetic Index for aspiration bronchitis. When referencing “bronchitis” with subentry “aspiration,” the Index refers coding professionals to code ...
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How is chronic schizophrenia with acute exacerbation coded? Are two codes assigned? Acute schizophrenia is indexed to code F23, Brief psychotic disorder. There is an Excludes1 note at category F20,...
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A patient, who is status post coronary angioplasty with stent placement in the LAD two days prior, is readmitted for a non-ST elevation myocardial infarction (NSTEMI) due to thrombus in the stent. ...
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A patient was discharged with a PleurX® drainage catheter due to malignant pleural effusion. During a home health visit, the nurse drained the catheter and changed the dressing, as well as instruc...
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The patient is a 71-year-old male admitted for weakness, who became delirious during the stay. The provider documented “Delirium unclear cause. Continue neuro checks, Lexapro and Abilify.” The ...
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