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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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When referencing “Dementia,” there is an index entry that states “in (due to), epilepsy” with the etiology code listed first followed by the manifestation code in brackets. It appears that ...
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A patient with chronic congestive heart failure (CHF) presents with a five-month history of shortness of breath and dyspnea on exertion. The patient underwent several tests and a biopsy, which were...
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A patient was seen for outpatient Y90 radioembolization for metastatic liver disease. The patient has a past medical history of pancreatic neuroendocrine tumor (PNET) with metastatic disease to the...
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A patient was admitted to the hospital with acute respiratory failure (ARF) and hypoxia. The patient has a personal history of clitoral cancer and is status post removal of the clitoris and radiati...
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A patient is admitted to undergo removal of posterior segmental spinal implants due to painful and prominent hardware extending from the cervical thoracic junction down to the thoracolumbar junctio...
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