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A patient presents with spontaneous intracranial hypotension due to a cerebrospinal fluid (CSF) fistula at the right T8-T9 level. The symptoms are positional headaches, weakness of the left arm and...
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The same patient with the spontaneous intracranial hypotension is admitted for a right T8-T9 laminectomy for repair of the CSF fistula. After the laminectomy was performed and the nerve roots were ...
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An 80-year-old patient presents for colostomy reversal. Upon workup, residual rectal cancer was found at the staple line of the Hartmann’s pouch. The patient underwent cystoscopy with stent place...
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A patient who is 22 weeks gestation was admitted for a planned induction of labor via buccal administration of an abortifacient for termination of pregnancy due to a lethal fetal anomaly, holoprose...
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For the patient in the above question, what is the correct procedure code for the buccal administration of an abortifacient to induce labor for the termination of the pregnancy?
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An obstetric patient presents at 38 weeks and four days gestation for a scheduled primary cesarean section due to fetal malpresentation and fetal growth restriction (FGR). Currently, in ICD-10-CM, ...
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A 55-year-old patient presents for a biannual physical exam and review of chronic medical conditions. Upon examination, the patient reports chronic pain of the left lower and upper extremities. Pro...
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A patient presents for a routine cardiovascular examination. The provider documents, “Diabetes without complications.” This patient also has stage 3 chronic kidney disease (CKD). When the provi...
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A patient presented for an annual wellness visit. The provider documented, “Diabetes mellitus without complications.” This patient also has dermatitis. When the provider documents DM without co...
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A patient with positive blood cultures for Candida glabrata was diagnosed with candida fungemia and treated with intravenous antifungals. There is not a specific index entry to capture this conditi...
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