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A 79-year-old patient is diagnosed with secondary hypercoagulable state and has a history of paroxysmal atrial fibrillation (AF) on anticoagulant maintenance. Does the provider need to link the sec...
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A 76-year-old male with persistent atrial fibrillation (AF) on anticoagulant therapy presented for follow-up. The provider listed “Hypercoagulable state” in the diagnostic statement. However, h...
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The patient was diagnosed with chronic bilateral subsegmental pulmonary emboli (PE). In the Alphabetic Index under Embolism, pulmonary, there are separate subentries at the same indentation level f...
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What is the appropriate ICD-10-CM code for granulomatosis with polyangiitis, without documented Wegener’s granulomatosis?
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An obese woman, who is 40 weeks gestation, had a normal delivery of a healthy infant. The provider noted “Obesity” in his final diagnostic statement. There is a note in the Tabular List instruc...
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During a laparoscopic salpingo-oophorectomy, the surgeon noted an incarcerated loop of small bowel adherent to a ventral hernia sac. After take down, the bowel was discolored with multiple serosal ...
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The patient presented for repositioning of his intra-aortic balloon pump (IABP) due to distal migration of the catheter. In the cath lab, the balloon catheter was repositioned under fluoroscopic gu...
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A patient with stenosis of the left cervical internal carotid artery (ICA) and left hemispheric embolic stroke underwent left-sided thromboendarterectomy. At surgery, an arteriotomy was started fro...
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A patient was admitted due to mental status decline and required placement of a peritoneal dialysis catheter during the admission because of end-stage renal disease. At surgery, a vertical incision...
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A patient with end-stage renal disease presented for removal of his peritoneal dialysis catheter, because of concern for peritonitis. During the removal procedure, the previous periumbilical scar w...
The catheter...