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A patient with a previous history of spinal stenosis presented for chronic low back pain. Findings included hypertrophy of the ligamentum flavum at L4-5. Depending on how hypertrophy of ligaments i...
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What is the appropriate ICD-10-CM diagnosis code for left gastrocnemius equinus?
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A patient with left knee osteoarthritis, varus contracture and previous anterior cruciate ligament repair presented for a total knee arthroplasty. During surgery, old staples in the tibia were enco...
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The patient is a 29-year-old who presents for an elective termination of pregnancy at 14 weeks due to septated fetal cystic hygroma and genetic testing consistent with Monosomy XO. Dilation and cur...
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What is the appropriate sequencing of the principal diagnosis when a patient is admitted with von Hippel-Lindau syndrome with a related right cerebellar hemangioblastoma? The cerebellar hemangiobla...
Since the re...
A patient visits the primary care physician for follow-up of hypertension, hypothyroidism, chronic kidney disease and anemia. Since hypothyroidism is an endocrine disorder, some coding professional...
No. The clas...
Is it appropriate for the coding professional to assume a causal relationship between anemia and chemotherapy, blood loss or other deficiencies based on the subterm "due to" without provider docume...
No. The “W...
A 33-year-old patient presents with right pulsatile tinnitus due to dehiscence of the sigmoid sinus. Computed tomography angiography revealed that the sigmoid sinus had grown through the bone to th...
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This same patient underwent surgical treatment of the sigmoid sinus dehiscence. Right cortical mastoidectomy with sigmoid sinus resurfacing with HydroSet™ cement was performed. At surgery, an inc...
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A patient with an ileocolic anastomosis and diverting loop ileostomy was admitted for high output ileostomy with electrolyte abnormalities. During the admission, anti-motility medications were opti...
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