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A patient with a personal history of rectal cancer and status post abdominoperineal resection presents for a colonoscopy for cancer surveillance. The colonoscopy was performed through the sigmoid s...
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A patient diagnosed with an anterior cruciate ligament (ACL) tear with risk factors for re-tear presents for definitive treatment. The quadriceps tendon was harvested; the femoral aspect measured 9...
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A patient with rectal cancer metastatic to the liver presented for mesenteric arteriography mapping for future Yttrium-90 microsphere radioembolization. Under moderate sedation, selective superior ...
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What are the appropriate code assignments for asthma in a patient with chronic obstructive pulmonary disease (COPD)? The Alphabetic Index and Tabular List appear to conflict in code assignment. Whe...
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In previous issues of Coding Clinic (Fourth Quarter 2017 and First Quarter 2019), it was advised to report only code J43.9, Emphysema, unspecified, for a patient with both chronic obstruct...
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A 67-year-old patient who presented to the Emergency Department with chest pain was admitted due to bilateral pneumonia, chronic obstructive pulmonary disease (COPD) exacerbation, acute respiratory...
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The provider documented both constipation and fecal impaction on the same encounter. There is an Excludes1 note for subcategory K59.0-, Constipation, under code K56.41, Fecal impaction, and there i...
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A patient was admitted for breast replacement/reconstructive surgery utilizing a deep inferior epigastric artery perforator (DIEAP) flap. Subsequent to the DIEAP flap procedure, it was noted that t...
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A patient was admitted for a bilateral deep inferior epigastric perforator (DIEP) flap procedure, following a failed expander-to-implant breast reconstruction. The postoperative course was complica...
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A patient with aortic valve stenosis and aortic root aneurysm underwent a tissue composite root replacement via modified Bentall with Konect Resilia™ aortic valve conduit. The aortic root conduit...
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