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Author Archives: Anonymous

A 49-year-old female was brought to the emergency department…

A 49-year-old female was brought to the emergency department. She was lethargic, but awake. She is four years post liver transplant. Neurology was consulted who determined the patient was encephalopathic with altered mental status. There was some question whether she had a seizure. An EEG and WADA test were performed. What CPT® and ICD-10-CM codes are reported?

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The patient presents with a recurrent infection of the Barth…

The patient presents with a recurrent infection of the Bartholin’s gland which has previously been treated with antibiotics and I&D. At this visit her gynecologist incises the cyst, draining the material from it and tacks the edges of the cyst open creating an open pouch to prevent recurrence. How is this procedure coded?

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The provider performs an iridotomy using laser on both eyes…

The provider performs an iridotomy using laser on both eyes for chronic angle closure glaucoma that is moderate; procedure includes local anesthesia. What CPT® and ICD-10-CM codes are reported?

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A patient mangled his left hand in machinery requiring amput…

A patient mangled his left hand in machinery requiring amputation at the wrist. The wound has healed and the patient is fitted with an artificial hand. The device has a molded socket, flexible elbow hinges and triceps pad. A total of 30 minutes was spent training the patient to use the prosthesis. What codes are reported for the prosthesis, training and diagnosis?

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What external cause code(s) are reported for a passenger inv…

What external cause code(s) are reported for a passenger involved in an MVA that lost control on the highway and hit a guardrail?

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A 55-year-old female smoker presents with cough, hemoptysis,…

A 55-year-old female smoker presents with cough, hemoptysis, slurred speech and weight loss. Chest X-ray done today demonstrates a large, unresectable right upper lobe mass, and brain scan is suspicious for metastasis. Under fluoroscopic guidance in an outpatient facility, a percutaneous needle biopsy of the right lung lesion is performed for histopathology and tumor markers. A diagnosis of small cell carcinoma is made and chemoradiotherapy is planned. What CPT® and ICD-10-CM codes are reported?

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What ICD-10-CM code is reported for suppurative otitis media…

What ICD-10-CM code is reported for suppurative otitis media in the right ear?

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The patient is seen for an initial replacement of a leaking…

The patient is seen for an initial replacement of a leaking dialysis catheter. What ICD-10-CM code is reported?

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What is the correct ICD-10-CM code for a 30-year-old obese p…

What is the correct ICD-10-CM code for a 30-year-old obese patient with a BMI of 32.5?

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Which procedure visualizes the contents of the mediastinum?

Which procedure visualizes the contents of the mediastinum?

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