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A patient presents for follow-up after being treated for monkeypox, and the provider documented that the lesions have healed and the patient is no longer infectious. How should this encounter be co...
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A patient underwent an open aortoiliac aneurysm repair. During the procedure, the aortoiliac bifurcation was dissected free down to the iliac bifurcation points. Both common iliacs were noted to be...
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The patient presented for elective laparoscopic sleeve gastrectomy. The provider documented in the discharge summary, “Clinically severe obesity (BMI 35.67) and metabolic syndrome,” as the reas...
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A patient who was recently hospitalized for jaundice returns with complaints of overall itching and jaundice. The patient is diagnosed with benign recurrent intrahepatic cholestasis (BRIC). Liver b...
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A 38-year-old female presents to the Radiology Department for a right breast ultrasound. The reason for the test is documented as “lump or mass in breast.” The final ultrasound impression demon...
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The patient developed a partially obstructing blood clot in the right main bronchus that was successfully removed during bronchoscopy. Would this clot be coded as a pulmonary embolism?
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A patient with a past medical history of skin melanoma, and known metastases to the brain and lung, presented with right lower facial droop, aphasia and dysarthria. The provider’s diagnostic stat...
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A patient with known adenocarcinoma of the lower third of the esophagus was admitted with ataxia and double vision. Work-up revealed new brain hemorrhage and brain metastases as the cause of the pa...
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A patient with known left breast cancer metastatic to the brain presented to the emergency department with altered mental status (AMS). Diagnostic imaging revealed stable metastatic brain cancer wi...
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A patient who is status post right above-the-knee amputation and placement of an osteointegrated implant, returns for corrective surgery. A medial thigh lift was performed due to soft tissue envelo...
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