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A patient with severe Dupuytren’s disease in the left hand presented for an open fasciectomy of the small finger including release of the distal interphalangeal joint (DIP), proximal interphalang...
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A CT scan with contrast of the chest, abdomen and pelvis is performed in the Emergency Department. The images are later extrapolated to reconstruct the thoracic and lumbar spine using a bone algori...
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Coding Clinic for HCPCS, Second Quarter 2019 page 12, advised the reporting of CPT 33999, Unlisted procedure, cardiac surgery, for a pacemaker insertion with leads placed in the r...
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A patient presented with a mechanical complication of a trochanteric fixation nail (TFN). The nail was originally placed due to a previous intertrochanteric femoral fracture. An incision was made o...
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An arthroscopic mini rotator cuff repair was performed along with biceps tenotomy, subacromial decompression and labral debridement. If the rotator cuff tear is chronic is it appropriate to report ...
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Prior to performing an open ankle arthrodesis, portals were established and a scope was inserted. Fibrosis and scar tissue were cleaned out with a shaver so that the tibial talar surfaces could be ...
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A patient with a history of gastroschisis with silo repair subsequently developed periumbilical swelling and tenderness which appeared to be a hernia. A decision was made to perform a hernia repair...
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The provider documented both mild cognitive impairment and unspecified degenerative disease of the nervous system on the same encounter. The Excludes1 note at code G31.84, Mild cognitive impairment...
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The provider documented both colitis and diarrhea on the same encounter. At code K52.9, Noninfective gastroenteritis and colitis, unspecified, there is an Excludes1 note that references code R19.7,...
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A patient was admitted with anemia due to chemotherapy. The patient had previously received chemotherapy for primary refractory acute myeloid leukemia now in remission. When a patient with acute my...
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