Enter a search term and preview Coding Clinic content here! ?
A patient, who is status post heart transplant, is admitted due to elevated donor specific antibodies (DSAs) found on routine labs. The provider was concerned for acute rejection of the donor heart...
Assign code ...
A patient presents with peripheral neuropathy related to multiple sclerosis (MS). Is it appropriate to assign code G35, Multiple sclerosis, followed by code G63, Polyneuropathy in diseases classifi...
Yes. Assign ...
A patient, with type 2 diabetes mellitus, presented for follow up of a previous traumatic laceration, which the patient reported had worsened. The provider documented diabetic ulceration secondary ...
Assign codes...
A 24-year-old pregnant patient was admitted for induction of labor. Her medical history includes subclinical hypothyroidism, which is being treated with levothyroxine. When referencing “hypothyro...
Assign code ...
A patient with guaiac positive stool presents for outpatient esophagogastroduodenoscopy (EGD) and colonoscopy. The EGD revealed a non-bleeding gastric antral erosion. The colonoscopy revealed a pol...
Assign code ...
An obstetric patient presents due to “contractions” at 37 weeks gestation. During the encounter, the provider noted “No vaginal bleeding or rupture of membranes.” The patient was released, ...
Assign code ...
When the provider’s documentation indicates a patient has both depression and anxiety by using terminology such as depression and anxiety or depression with anxiety, are these diagnoses coded sep...
The classifi...
In the outpatient setting, the provider documented gastrointestinal (GI) bleeding likely due to gastric ulcer and diverticulosis. Although the provider confirmed the gastric ulcer and diverticulosi...
In the outpa...
A patient diagnosed with asthma is currently on prescribed inhaled albuterol, “as needed” for control of symptoms. Since the medication is prescribed for long-term treatment of asthma, would it...
Medications ...
A 70-year-old patient with a history of nonalcoholic steatohepatitis (NASH) cirrhosis complicated by hepatic encephalopathy and diabetes presented to the emergency department (ED) secondary to alte...
Assign codes...