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Should combination codes be assigned from categories F10-F19, Mental and behavioral disorders due to psychoactive substance use, any time a patient with a substance abuse or dependence diagnosis al...
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A patient with a history of traumatic brain injury, status post bilateral craniectomies is admitted for skull reconstruction due to bilateral frontoparietal cranial defects. Cranioplasty was perfor...
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A patient presents to the Emergency Department (ED) with abdominal pain, chills, and severe low back pain, after not being able to retrieve a tampon used for menstruation. After admission, the work...
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A patient stopped taking his prescribed dose of Amlodipine after running out of the antihypertensive medication several days ago. The provider documented that the patient’s blood pressure was sta...
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My facility has interpreted new HIV coding guideline I.C.1.a.2.i “History of HIV managed by medication” to mean that code B20, HIV disease, should be reported for any HIV positive patient on an...
The intent o...
A 63-year-old male status post open-heart repair of an ascending aortic aneurysm was found to have a large mass in his left atrium that was obstructing blood flow. The patient underwent drainage of...
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A patient presented for aortic root and valve replacement, mitral valve replacement and reconstruction of the aorto-mitral curtain (AMC) with bovine pericardium for treatment of severe aortic valve...
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A patient with a femoral neck fracture underwent an open left total hip arthroplasty. Following removal of the femoral head, trial femoral head and neck metal on polyethylene components were placed...
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A 5-1/2 month-old infant, who was diagnosed with moderate-to-severe common atrioventricular (AV) valve regurgitation, underwent complex common AV valve repair. The patient was also noted to have tr...
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A 3-month-old baby with moderate atrioventricular (AV) valve regurgitation, presented for a common AV valve repair. During surgery, median sternotomy was performed; the common AV valve was entered ...
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