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A 56-year-old patient with refractory relapsed acute myeloid leukemia (AML) presented to the Emergency Department (ED) due to bleeding gums. Labs were performed in the ED and the patient was found ...
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A patient with a history of constipation presented for high resolution anorectal manometry. The provider diagnosed pelvic floor dyssynergia. In ICD-10-CM, there is no Alphabetic Index entry for thi...
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A patient is admitted with a liver mass and the provider’s final diagnostic statement lists, “Liver mass possibly hepatic cholangiocarcinoma, pending pathology.” How is this diagnostic statem...
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During an outpatient encounter, a 66-year-old male underwent an invasive cardiopulmonary exercise test (iCPET). The test summary states, “Evidence of cardiovascular limitation due to preload insu...
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A patient developed hypoxia due to acute pulmonary edema following a near drowning in the pool at his home. The patient was treated with supplemental oxygen and noninvasive ventilation (NIV). How i...
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A patient with a dichorionic diamniotic twin pregnancy was admitted for a scheduled primary cesarean section. She was also diagnosed with intrahepatic cholestasis of pregnancy. Code O26.62, Liver a...
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A patient with bilateral traumatic above knee amputations underwent placement of a Stage 1 Osseointegrated Prostheses for the Rehabilitation of Amputees (OPRA) device. Following incision, an osteot...
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The same patient presented for Stage 2 OPRA device placement surgery. During the procedure, the previous incision was opened and the healing components were removed from the bone. The abutment scre...
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A 75-year-old patient had previously undergone creation of a tracheostomy that was subsequently taken down. Since that time, the tracheostomy site has remained open with greenish discharge without ...
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A patient with a history of acute subdural hematoma secondary to a motor vehicle accident previously underwent hemicraniectomy followed by cranioplasty using autologous bone flap. On a follow-up ex...
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