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Wiki Subsequent Hospital Visit

Hello, For hospital subsequent visits, I have a doctor that under exam documents "unchanged." I'm pretty sure he can't do that but I'm trying to find a specific reference to that. I know if the ROS is unchanged they can document ROS unchanged since xx/xx/xx (they have to reference the date...
- Hulah
- Thread
- Oct 21, 2020
- Replies: 1
- Forum: E/M
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Wiki Lisfranc Dislocation

Hello, Patient has a Rt foot Lisfranc dislocation, right foot Charcot collapse. the procedure is: Right achilles tendon lengthening. Right Lisfranc open reduction and internal fixation, left medical column fusion and left lateral column fusion. his report indicates ALL the metatarsals were...
- Hulah
- Thread
- May 28, 2019
- Replies: 1
- Forum: Podiatry
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Wiki Drain Placement During Surgery for separate condition

Hello, I have a chart where the patient came in through ER with severe pain. She has peritonitis and cholecystitis. The doctor performed a Lap Chole and Placed a drain into the peritonitis to drain... Is there a separate code for this? He said it's not a 'normal' drain the is sometimes...
- Hulah
- Thread
- Aug 4, 2017
- drain lapchole
- Replies: 0
- Forum: General Surgery
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Wiki Posterior tendon debridement and repair

I'm new to foot and ankle procedures; need help please. DX RT posterior tendinitis Procedure : Right posterior tendon debridement and repair Attention was directed to the medical aspect of the right ankle where a longitudinal incision was made following the tibialis posterior tendon, carried...
- Hulah
- Thread
- Feb 23, 2017
- posterior tendon
- Replies: 1
- Forum: Podiatry
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Wiki Foreign Body not found

Forum, A patient went into the Urgent Care Center for a FB (rice or playdoh) in their right ear. (per father) Upon exam, there was no FB found. The Center coded T16.1XXA FB Right ear. Is that correct if no FB was present? I'm thinking Observation or Encounter for code but i'm not sure. Can...
- Hulah
- Thread
- Jan 24, 2017
- fb ear not found
- Replies: 1
- Forum: Diagnosis Coding
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Wiki GraftJacket, debridement, bone biopsy

Dear Forum I am new to Podiatry Coding and would appreciate help with the following procedure. Patient has Nonhealing pressure decubitus ulcer on the LT and RT heel. Both ulcers are 4x4 cm The doctor did a debridement of both ulcers. the LT foot had exposed bone so he did dibridement down to...
- Hulah
- Thread
- Nov 30, 2016
- Replies: 0
- Forum: Podiatry
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Wiki Hammertoe Correction

I am just learning Podiatry coding and have a question about the following hammertoe repair. The patient has "hammertoe deformity, second digit, proximal interphalangeal joint right foot." And "hammertoe deformity, second digit, distal interphalangeal joint. The doctor performed an...
- Hulah
- Thread
- Nov 18, 2016
- distal interphalangeal hammertoe proximal interphalangeal
- Replies: 0
- Forum: Podiatry
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Wiki Hernia repair with Amyand Hernia - & Appendectomy

Hello, Our physician performed an "incarcerated right inguinal hernia repair;" his report indicates the patient had a rare Amyand hernia which is an inguinal hernia with the presence of an appendix. He said to bill for the hernia repair and appendectomy. I was wondering if anyone else has...
- Hulah
- Thread
- Jun 3, 2016
- amyand hernia inguinal hernia removal repair
- Replies: 1
- Forum: General Surgery