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Our facility is seeing an increase in documented use of vaping substances other than nicotine. How should vaping be reported when the substances are listed as flavorings, cannabidiol (CBD), tetrahy...
The reportin...
Our providers have been documenting “vaping,” “daily vaping,” or “vaping use” of marijuana without further specification. How is “vaping” of marijuana reported when documented? Woul...
Documentatio...
What is the appropriate ICD-10-CM diagnosis code for diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) in adults?
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A patient presented after falling onto their left hand while walking. The patient was diagnosed with an open comminuted intra-articular distal radius fracture with triangular fibrocartilage complex...
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A patient was diagnosed with suspected neurogenic stunned myocardium (NSM) with stress cardiomyopathy. What are the diagnosis code assignments for NSM and stress cardiomyopathy?
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A patient presented with a right complex ovarian cyst. The patient underwent a robotic-assisted total laparoscopic hysterectomy and bilateral salpingo-oophrectomy (TLH/BSO). The final diagnostic st...
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A patient with obstructive sleep apnea (OSA) underwent a polysomnography to assess the response to positive airway pressure (PAP) therapy and find the optimal PAP therapy modality and pressure. How...
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A pregnant patient was admitted to hospital A after being found unconscious due to an aneurysmal subarachnoid hemorrhage (SAH) with hydrocephalus. An emergency cesarean section was performed with t...
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A patient was admitted to the hospital due to right facial droop and dysarthria. The patient was diagnosed with an acute infarct in the right corona radiata. Is it appropriate to classify a corona ...
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A 58-year-old patient with a history of cervical radiculopathy and prior cervical arthroplasty presented due to continued severe neck pain following surgery. Removal of prior cervical prosthesis wa...
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