ICD-10 CM/PCS Coding-6 – Flashcards
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The patient was admitted with Aids-related Kaposi Sarcoma of the skin
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B20, C46.0
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A patient was admitted with sepsis due to MRSA with septic shock and acute respiratory failure with hypoxia
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A41.02, R65.21, J96.01
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Patient was initially admitted and treated for an amebic abscess of liver. During the stay patient developed a hospital acquired bacterial pneumonia
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A06.4, J15.9, Y95
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A patient is admitted with fever and severe headache. The physician 's diagnostic statement at discharge is Fever and severe headache due to viral meningitis
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A87.9
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Positive HIV test in a patient who is asymptomatic and has a high risk life style for HIV infection
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Z21, Z72.89
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A 32 yr old female patient presents with right arm (dominant) paralysis due to childhood polimyelitis
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B91,G83.21
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A patient is admitted for chemotherapy for treatment of breast cancer with liver metastasis. She had a mastectomy 4 months ago. Chemotherapy is given today.
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Z51.11,C78.7,Z85.3
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A patient with a history of malignant neoplasm of the lung status post lobectomy was experiencing a violent seizure lasting more than several minutes. During the course of the hospitalization the patient has continued to have seizures. Workup revealed metastatic lesions to the brain. The patient's seizures were treated with IV Dilantin
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C79.31, R56.9, Z85.118
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A patient is admitted to the hospital for treatment of dehydration following chemotherapy as treatment for right ovarian cancer.
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E86.0, C56.1
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A patient has malignant melanoma of the skin of the back, nose and scalp. The patient will be scheduled to undergo a radical excision of the melanoma
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C43.59, C43.31.,C43.4
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A patient is admitted with abdominal pain. A CT and MRI of the abdomen reveal a malignant neoplasm to the head of the pancreas with metastatic disease to the peritoneal cavity.
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C25.0, C78.6
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A patient to an OP clinic with a large growth on the left side of the neck. An MRI is performed and demonstrates metastatic disease to the lymph nodes.
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C77.0, C80.1
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A female, 68 yrs old, was admitted with type 2 diabetes mellitus with a diabetic ulcer of the left heel involving the subcutaneous layer of the skin. The patient will be scheduled for wound care with whirlpool treatments.
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Ell.621,L97.421
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A 67 yer old man is admitted with acute dehydration secondary to nausea and vomiting that is due to acute gastroenteritis. He is treated with IV fluids for the dehydration.
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E86.0, K52.9
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A patient was found at home in a hypoglycemic coma. This patient had never been diagnosed as being diabetic
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E15
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A patient is admitted with aplastic anemia secondary to chemotherapy administered for a multiple myeloma initial encounter
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D61.1,T45.1x5A, C90.00
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A male patient is admitted with gastrointestinal hemorrhage resulting in acute blood loss anemia. A bleeding scan fails to reveal the source of the bleed.
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K92.2, D62
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a patient is admitted with severe protein calorie malnutrition
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E43
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A patient is admitted with idiopathic thromboycytopenia and purpura.
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D69.3
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A patient is admitted with sickle cell anemia with crisis
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D57.00
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A patient is admitted with sickle cell pain crisis
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D57.00
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A patient is readmitted for post op anemia due to acute blood loss. Patient is 5 days status post cholecystectomy
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D62
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A patient is admitted with anemia due to end stage renal disease. The patient is treated for anemia
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D63.1, N18.6
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A patient is admitted for treatment for anemia, neutropenia, thrombocytopenia
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D61.818
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A patient is admitted with severe recurrent major depression without psychotic features.
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F33.2
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A patient is admitted with acute alcohol intoxication with a blood alcohol level of 113 mg/100 ml-y code
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F10.129, Y90.5
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A patient admitted with delirium tremens with alcohol dependence
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F10.221
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A patient is admitted with catatonic schizophrenia
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F20.2
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A patient with chronic paranoia due to cocaine dependence with intoxication and drug delirum
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F14.221
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A diagnosed with psychogenic paroxysmal tachycardia
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I47.9, F54
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A patient is admitted with sensorineural deafness of the left ear. The patient was fitted for a hearing aid.
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H90.41
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A patient is a type II diabetic with chronic kidney disease requiring dialysis-z99.2
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E11.22, N18.6, Z99.2
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A patient has intractable status epilepticus
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G40.311
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A patient is diagnosed with Alzheimer's disease and early onset dementia, and frequently wanders away from home
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G30.0,F02.81,Z91.83
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A patient is admitted with poliovirus meningitis
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A80.9,G02
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A patient is admitted for pain control secondary to metastatic carcinoma of the spinal cord.
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G89.3,C79.49,C80.1
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A patient is admitted with a thrombosis of the right middle cerebral artery, with hemipleglia affecting the right dominiant side
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I63.311, I69.351
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A patient is admitted with multiple problems. He has hypertensive Kidney disease, CKD stage III and acute systolic congestive heart failure.
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I12.9,N18.3,I50.21
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A patient is admitted with acute ST inferolateral wall myocardial infarction. Several days later during the same episode of care, the patient sustained a subsequent non ST subendocardial myocardial infarction.
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I21.19, I22.2
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A patient with a diagnosis of coronary artery disease with ischemic chest pain. No history of CABG.
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I25.119
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A patient with atherosclerotic peripheral vascular disease of the left lower leg with intermittent claudication. Past surgical history is negative.
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I70.212
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A patient presents to the outpatient department for a chest x-ray. The physician's order lists the following reasons for the chest x-ray: fever and cough, rule out pneumonia. The radiologist reports that the chest X ray is positive for double pneumonia
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J18.9
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A patient has aspiration pneumonia with pneumonia due to staphylococcus aureus.
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J69.0, J15.211
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A patient with acute respiratory failure with hypercania due to acute asthmatic bronchitis w/ status asthmaticus
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J45.902,J96.02
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A patient is admitted for treatment of influenza and pneumonia.
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J11.00
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A patient is admitted with acute exacerbation chronic obstructive pulmonary disease with a history of tobacco dependence -Z
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J44.1, Z87.891
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A patient is admitted with extrinsic asthma with status asthmaticus with bronchospasm.
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J45.902
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A patient is admitted for infection of the tracheostomy stoma secondary to cellulitis of the neck
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J95.02, L03.221
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A patient is admitted to the hospital for repair of a recurrent incarcerated ventral hernia. The surgery is canceled -Z after the chest X-Ray revealed lower lobe pneumonia. The patient is placed on antibiotics for treatment of the pneumonia.
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K43.0, J18.9,Z53.09
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A patient is admitted with acute gastric ulcer with hemorrhage and perforation
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K25.2
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A patient has diverticulitis of the large bowel with abscess. Patient was treated with IV antibiotics
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K57.20
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A patient is admitted with acute gangrenous cholecystitis with Cholelithiasis.
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K80.00
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A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and hypertension. The patient is alcohol dependent.
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K70.30, I85.11, K76.6
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A patient is admitted for rectal bleeding. The laboratory results reveal chronic blood loss anemia. The CT scan and the Bleeding Scan results of the abdomen revealed that the rectal bleeding is due Crohn's disease of the descending colon
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K50.111, D50.0
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A patient is admitted with acute urinary tract infection due to E coli
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N39.0 B96.20
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A patient admitted with gross hematuria and benign prostatic hypertrophy
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N40.0, R31.0
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A male patient presents to the ED with acute renal failure. He is also being treated for hypertension.
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N17.9 I10
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A patient is admitted with acute hemorrhagic cystitis. the patient was treated with IV antibiotics
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N30.00
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A patient is admitted with chronic kidney disease stage III due to hypertension and type I diabetes
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I12.0, E11.22,N18.3
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A patient has end stage kidney disease, which resulted from malignant hypertension
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I12.0 N18.6
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A woman has vaginal delivery of a full term liveborn infant after 38 wks gestation
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O80 Z37.0 Z3A.38
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A patient is admitted with pregnancy induced hypertension with severe edema and 24 wks gestation
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O14.12 Z3A.24
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A patient is admitted with obstructed labor due to breech presentation. A single liveborn infant was delivered via C-section.
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O32.1xx0 z37.0
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A patient is admitted for gestational diabetes insulin controlled 28 wks gestation
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O24.414 ,Z3A.28
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A patient is seen in ED at 22 wks gestation who is HIV positive-Z21
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O98.712,Z21,Z3A.22
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A patient is admitted who is 39 wks normal delivery single full term newborn, during the same episode of care, patient experiences a 36 hour delayed hemorrhage following the delivery
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O72.2,Z32.39,Z37.0
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A patient had cholecystectomy 3 days ago and is now readmitted with cellulitis at the site of the operative incision
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T81.4XXA,L03.311
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A patient with wound open to the left finger with cellulitis due to a dog bite initial encounter. The patient is given IV antibiotics for treatment of the infection
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L03.012, S63.201A
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A patient is admitted with diabetes Mellitus II, diabetic heel ulcer with necrosis of the muscle.
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Ell.621, L97.403
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A patient is admitted with dermatitis due to prescription topical antibiotic cream used as directed by a physician
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L25.1,T49.0x5A
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A patient is admitted with a pressure ulcer left buttock stage 2
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L89.322
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A patient is admitted with a stage 1 pressure ulcer of the sacrum. During the hospitalization, the ulcer progressed to Stage 2
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L89.152
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A patient has a pathological fracture of the left femur due to metastatic bone cancer. The past medical history is significant for lung cancer
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M84.552, C79.51, z85.118
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A patient is admitted with a back pain. A myelogram demonstrated the reason for the back pain is a herniated lumbar intervertebral disc with radiculopathy.
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M51.16
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A patient is admitted with pyogenic arthritis of the right hip due to Group A Streptococcus. Treatment consisted of IV antibiotics.
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M00.251
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A patient is admitted with a fracture to the L1 vertebrae secondary to postmenopausal senile osteoporosis, initial encounter.
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M80.08XA
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A patient developed a malunion of the medical condyle humerus fracture. The original injury occurred 4 months ago
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S42.462P
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A patient was admitted for removal of internal pins from the left ankle. One month ago the patient sustained a displaced bimalleolar fracture to the left ankle
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S82.842D
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A newborn infant born in the hospital vaginal delivery with a unilateral hard cleft palate and cleft lip
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Z38.00, Q37.1
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A newborn is born in the hospital vaginal delivery. Physicial examination demonstrates molding of the baby's scalp, Which RESOLVED prior to discharge without treatment (Do not code resolved conditions)
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Z38.00
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A newborn infant is TRANSFERRED to Community General Hospital for treatment of an esophageal atresia. (do not Z38 code for transferred newborn)
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Q39.0
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A patient is admitted with cervical spinal bifida with hydrocephalus
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Q05.0
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A newborn infant is born in the hospital, delivered vaginally, and sustained a fracture of the clavicle due to birth trauma
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Z38.00, P13.4
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A full term infant born in hospital vaginal delivery was diagnosed with polycystic kidneys
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Z38.00, Q61.19
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A full term infant born in hospital vaginal delivery to a mother who is addicted to cocaine, however the infant tested negative
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Z38.00, Z03.79
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A preterm infant 34wks gestation is born via C-section and has severe birth asphyxia
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Z38.01,P84,P07.37
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A preterm infant born in the hospital vaginal delivery 36 wks gestation is treated for neonatal jaundice.
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Z38.00, p59.9, P07.39
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a 1 week old infant is admitted to the hospital with a diagnosis of urinary tract infection contracted PRIOR to birth. The urine culture is positive for E. coli
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P39.3, A49
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An infant has hypoglycemia and a mother with diabetes
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P70.1
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A full term newborn vaginal delivery born in the hospital. The birth complicated by cord compression, which affected the newborn
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Z38.00,P02.5
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A patient is admitted with right lower quadrant abdominal pain. The discharge diagnosis is listed as abdominal pain due to gastroenteritis or diverticulosis
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R10.31, K52.9,k57.90
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A patient was admitted with hemoptysis, a CT scan revealed lung mass
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R91.8, R04.2
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A woman has a PAP smear that detected cervical high-risk humanpapillomavirus (HPV) the DNA test was positive
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R87.810
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A patient is admitted with malignant ascites with widespread metastatic peritoneal lesions, primary site sigmoid colon; sigmoid colon resected 6 month ago.
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R18.0, C78.6, Z85.038
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A patient is admitted with fever due to bacteremia
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R78.81,R50.9
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A patient is admitted that has urinary retention secondary to benign prostatic hypertrophy
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N40.1, R33.8
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A Patient is admitted with a nondisplaced fracture of the left medial malleolus, initial encounter. the fracture was treated with a cast
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S82.52XA
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A patient is admitted with an anphylactic reaction due to eating strawberries, initial encounter
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T78.04XA
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A patient is admitted with a gunshot wound to the right upper quadrant of the abdomen, which involves a moderate laceration to the liver, initial encounter
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S36.115A, S31.600A
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A woman experienced third degree burns to her thigh and second degree burn to her right and left foot, initial encounter
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T24.319A, T25.222A, T25.221A
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A patient is seen for cast removal. Six weeks ago, the patient underwent open reduction internal fixation for a displaced fracture left radial styloid process.
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S52.512D
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A patient is admitted with a left wrist laceration, with embedded glass that involved the radical nerve, initial encounter.
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S61.522A,S64.22XA
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A patient is admitted with a non displaced comminuted patella fracture, a displaced left spiral fracture of the shaft of the fibula, and a displaced comminuted fracture of the shaft of the left tibia, initial encounter
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S82.045A, S82.442A, S82.252A
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A patient is admitted with dizziness as a result of taking phenobarbital as prescribed, initial encounter.
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R42,T42.3X5A
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A patient is admitted for control of exacerbation of chronic obstructive lung disease. The patient has stopped taking the prednisone as prescribed due to gaining weight, a known side effect for this drug
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J44.1, T38.0X6A, Z91.14
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A patient is admitted for intentional overdose to valium and acute respiratory failure with hypoxia
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T42.4X2A,J96.01
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A patient is being admitted for chemotherapy for primary lung cancer, left lower lobe
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Z51.11, C34.32
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The patient presents for a screening examination for lung cancer
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Z12.2
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A patient is admitted for observation for a head injury. The patient was struck while playing football. The patient also suffered a minor laceration to the forehead. Head injury was ruled out
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Z04.3, S01.81XA
