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Home Health ICD-9/ICD-10 Alert
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 12
ICD-9 2012:
Don't Let Case Mix Changes Catch You Off Guard with 2012 ICD-9 Updates
New neoplasm codes don't make the grade. The 2012 ICD-9 updates brought a plethora of chan...
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Coding How-To:
Practice Correct Coding for All Patients or Risk Future Reimbursement
Good coding practices know no payer bounds. Have you ever been told that because Medicaid...
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Coding 101:
Nail Adverse Effects Reporting With E Codes
Hint: List three codes for poisonings. Fact: Reporting E codes isn't always optional in h...
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ICD-10:
Expand External Cause Reporting with ICD-10
When ICD-10 debuts in 2013, you'll have broader bandwidth for describing the external caus...
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Coding Guidelines:
Master Adverse Effects Coding with the Table of Drugs and Chemicals
To code correctly for the adverse effects of a drug prescribed and taken correctly, you mu...
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Reader Question:
Get the Scoop on Hypoglycemia
Question: We have a question regarding the use of 250.80 (Diabetes with other specified m...
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Reader Question:
Look to V57.x Codes for Therapy-Only
Question: Our new patient has the following diagnoses: lumbosacral spondylosis, lumbar sp...
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Reader Question:
Gather Details for Pneumonia Diagnosis
Question: Our patient is diagnosed with "multilobar pneumonia." Which ICD-9 code should I...
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Reader Question:
List 5 Digits with 948.xx Burn Codes
Question: When coding for burns, how many diagnosis codes do I need to report? When shoul...
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You Be the Coder:
Try Your Hand at Coding Drug-Induced Pancytopenia
Question: We have been providing Methotrexate injections for our patient's rheumatoid art...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 11
Coding How-To:
3 Steps Streamline Your M1020 and M1022 Sequencing Challenges
Don't base principal diagnosis on number of visits by discipline. Understanding which diag...
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Clip and Save:
Track Diagnosis Case Mix Points with This Chart
After the 2008 PPS revamp, figuring out the impact of listing a case mix diagnosis in M102...
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ICD-9 2012:
Prepare for New V-Codes, Complication Codes and More
New guidelines warn against coding complications "just because." It's the last hurrah for...
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Check Your Readiness for the 2012 ICD-9 Update
Each year the ICD-9-CM Coordination and Maintenance Committee along with the Cooperating ...
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Education:
Ready to Master Risk Adjustment and Wound Coding? Here's How.
Check out upcoming Eli audioconferences on risk adjustment and diagnosis coding in OASIS...
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Reader Question:
Look to Aftercare for Whipple
Question: Our patient had a Whipple procedure to treat pancreatic cancer located in the h...
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Reader Question:
Choose the Right Surgical Wound Complication Code
Question: Our patient is home after a coronary artery bypass graft (CABG) for coronary at...
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You Be the Coder:
Try Your Hand at This Cancer Coding Scenario
Question: Our patient has ovarian cancer and is receiving chemotherapy at her doctor...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 10
ICD-9 2012:
Welcome New Detail for Late Effects, Glaucoma, and Cardio Codes
Don't forget to update your memory loss coding practices. With 166 new codes coming your ...
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Coding How-To:
Read the Notes to Avoid Mistakes with New Late Effect and Wandering Codes
Hint: Not all behavioral disturbances are aggressive. Now that you've looked over the list...
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Conquering Case Mix:
Case Mix Change: It's Time to Fine-tune Your Hypertension Coding
Use of 401.9 more than doubled in last five years. It's time to prepare for a big change ...
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ICD-9/ICD-10 Crosswalk
Look for Simpler Hypertension Coding in ICD-10 Coding for hypertension in ICD-10 remains ...
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Reader Question:
List Symptom Codes to Provide Greater Aftercare Detail
Question: Is it appropriate to report a code for gait abnormality when we are providing a...
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Reader Question:
Keep Case Mix Dates in Mind
Question: The new ICD-9 codes go into effect Oct. 1, but the payment changes take effect ...
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Reader Question:
Watch for Pancytopenia Update
Question: How should we code pancytopenia in a patient undergoing chemo for acute myeloge...
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Reader Question:
Know Which Infection Guideline Takes Precedence
Question: Reading the chapter notes included in my coding manual, it appears that not all...
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You Be the Coder:
Watch Your Sequencing with Stroke Late Effects
Question: Our patient was admitted to home health for physical therapy and occupational t...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 9
ICD-9 2012:
Prepare for a Slew of New Case Mix Codes
Welcome improved dementia reporting. If you thought the 2012 ICD-9 updates would be minim...
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Tool:
Checklist Helps You Prep Now for 2012 ICD-9 Updates
Don't get caught empty-handed -- order your new coding manuals now. You know ICD-9 c...
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Coding How To:
Clear Up Your Pressure Ulcer Coding Confusion With This Advice
Hint: Always code stage 3 and 4 pressure ulcers. Coding correctly for pressure ulcers can ...
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ICD-9/ICD-10 Crosswalk:
Welcome Laterality and All-Inclusive Stage and Site Pressure Ulcer Codes in ICD-10
More codes don't make pressure ulcer coding more complicated. In ICD-9, to code for a pre...
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ICD-10 Preparation:
Don't Miss these Answers to Your Most Pressing ICD-10 Questions
2011 brings the last major ICD-9 update. If the coming transition to ICD-10 has you brimm...
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Clip and Save:
Manage OASIS-C, Diagnosis Coding Pressure Ulcer Conflicts
Do you know when a grafted pressure ulcer becomes a surgical wound? OASIS-C logic and ICD...
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Reader Question:
Turn to These Resources for Coding Guidance
Question: For those of us who do not have access to the American Hospital Association's C...
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Reader Question:
Keep Your Heart with Pacemaker Coding
Question: We are caring for a patient who has come home from the hospital with a new pace...
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You Be the Coder:
Solve This Pressure Ulcer Puzzle
Question: Our patient has a stage 3 pressure ulcer on his right buttock, a stage 2 pressu...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 8
Coding How-To:
Avoid These V Code Errors and Keep Your Reimbursement Accurate
Watch your sequencing or pay the price. The Centers for Medicare & Medicaid Services ...
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ICD-10:
Watch for Two Kinds of 'Excludes' in ICD-10 Aftercare Codes
New notes clear up blurred exclusion instructions. While many coding conventions will rema...
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Coding 101:
Sequencing Secrets Help You Code Late Effects with Ease
Late effect of CVA turns guidelines upside down. Unsure of when and how to report a late e...
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Look to Sub-terms for Late Effects
Mistake: You won't find what you need to code a late effect if you search under "syndrome...
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Education:
Need to Brush Up On Late Effects and Risk Adjustment? We've Made it Easy
Check out upcoming Eli audioconferences on late effects coding and the impact of risk ad...
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Reader Question:
Cover Hypothyroidism with Graves Disease Code
Question: What is the proper way to code a patient who was diagnosed with and treated wit...
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Reader Question:
Look to Aftercare for Joint Revision
Question: Our patient had aseptic loosening of the tibial component of his knee replaceme...
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Reader Question:
Know When to List Additional Codes
Question: What is the proper interpretation of the "use additional code to identify cereb...
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You Be the Coder:
Test Your V code Expertise
Question: Think you have V codes down pat? Try coding these scenarios from Shirley Kucire...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 7
Coding 101:
Vanquish These 7 Common Errors to Perfect Your Diabetes Coding
Can Type II diabetics have diabetic cataracts? Are you falling prey to diabetes coding mi...
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ICD-10 Transition:
Unravel These ICD-10 Myths to Jump Start Your Transition
Contrary to popular opinion, the ICD-10 diagnosis code set will not be more difficult to...
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Don't Let This ICD-10 Crosswalk Quirk Trip You Up -- Bone Up On Osteoarthrosis Coding
Hint: Specifics like unilateral, bilateral, and post-traumatic will help you nail this di...
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ICD-9 2012:
ICD-9-CM Committee Considers New Diagnoses for Pneumonia, Malnutrition, and More
Get a jump on the 2012 ICD-9 update with these highlights. October 1 might sound far away...
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Education:
Close Your Knowledge Gap On OASIS C, Late Effects And More
Check out upcoming Eli audioconferences on therapy, late effects, and risk adjustment. ...
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OASIS:
Drop M1012 From Your OASIS Worry List
Plus: Watch for OASIS-C-based reports and outcomes to go public this summer. The list of ...
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Reader Questions:
V10.xx: Look to History Codes for Colon Cancer
Question: We have a patient who had a colon resection for cancer over six months ago. Two...
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Reader Questions:
Get the Final Word on Liver Disease Conundrum
Question: I have a question that has puzzled me for some time. What is the correct way to...
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You Be the Coder:
Look to Combination Code for Asthma, COPD
Question: Our new patient was treated by her primary care physician for an acute exacerba...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 6
Conquering Case Mix:
M1024: Watch For Changes in Case Mix Calculation
Does your software need a tune-up? Since Home Health PPS adopted the four equation case m...
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M1024:
Shed Some Light on Risk Adjustment Grey Area
Must you sacrifice risk adjustment to CMS' letter of the law? At one time, there was an O...
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Coding How To:
Safeguard Your Therapy Claims With OASIS Cross-Checks
It's up to you to 'connect the dots' between documentation and coding. Your therapy claim...
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Coding 101:
Master Pneumonia Coding with These Expert Tips
Gather specifics by double-checking documentation. Do you know all the information you ne...
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Breathe Easy When Coding Hospital-Acquired Pneumonia
Wondering which code to list for hospital-acquired pneumonia? There is no specific code f...
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ICD-10:
ICD-10 Replaces 486 for Unspecified Pneumonia With J18.9
You have two years left to prepare for the diagnosis coding shift. When coding for a pati...
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Reader Questions:
403.xx: Base Fifth Digit for Hypertensive Kidney Disease on Stage
Question: How should we code for a patient with renal sclerosis due to hypertension? Mass...
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Reader Questions:
716.16/905.4: Avoid V Code for Arthritis with Fracture History
Question: Our patient has early post traumatic arthritis and early degenerative joint dis...
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You Be the Coder:
Look to Guidelines for Ulcer Coding Answers
Question: Our patient has multiple diabetic ulcers on the toes, diabetic retinopathy and ...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 5
Coding Case Study:
Check the Record for Nonroutine Supply Point Details
The original SOC isn't always the last word in coding. One way you can be sure to ethical...
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Nonroutine Medical Supplies (NRS):
Case-Mix Adjustment Variables and Point Scores
This table, formerly Table 10A of the final PPS rules (CMS-1541-FC), shows how nonroutine...
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ICD-10:
List Seven Digits for Infected Surgical Wounds, Come 2013
Know which seventh digit is generally off-limits for home health. When ICD-9 becomes ICD-1...
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Coding 101:
Review Guidelines for Accurate Sepsis Sequencing
Do you know the key difference between sepsis and septicemia? "I have seen examples where ...
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Tool:
Check Out these Diagnosis Crosswalks To Smooth Your ICD-10 Transition
New code set provides greater specificity and includes 2011 diagnoses. To help ease your ...
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Reader Questions:
Ask for Details to Code Hypertension with Precision
Question: Our patient has chronic kidney disease (CKD) stage III, congestive heart failur...
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Reader Questions:
716.16, 905.4: Opt for 716.16/905.4 Combo Over V Code
Question: A patient has early post traumatic arthritis and early degenerative joint disea...
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Reader Questions:
V10: List V10 When Patient Has Cancer History
Question: We have a patient who had a colon resection for cancer over six months ago. Two...
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Reader Questions:
Unspecified Codes Raise Specific Questions
Question: I'm concerned that our agency is overusing unspecified codes. When is it OK to ...
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You Be the Coder:
Capture Case Mix Points for Amputation Care
Question: We are providing aftercare and dressing changes for a patient following the amp...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 4
Conquering Case Mix:
Keep Diagnoses in Order to Maximize Nonroutine Supply Points
Track these seven categories to get the NRS payment you deserve. Nonroutine Medical Suppl...
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Coding How-To:
250.xx: Keep Diabetic Manifestations in Order
Do you know when it's safe to list diabetes as primary? Just because a diabetic patient p...
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ICD-10:
Don't Wait: Begin Your ICD-10 Transition Now to Stay Ahead of the Game
Four phases set the milestones for your ICD-10 transition. Staying on top of ICD-9 and...
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Reader Questions:
Get Specific with Respiratory Infections
Question: What is the ICD-9 code for lower respiratory infection? Answer: There is no "ca...
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Reader Questions:
787.xx: Get Details for Dysphagia Phases
Question: Our patient has nasopharyngeal carcinoma status post radiation and chemo with s...
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Reader Questions:
Know the Cause of Enuresis to Choose the Right Code
Question: Could you please explain the difference between: 307.6 (Enuresis [primary] [sec...
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You Be the Coder:
Gather Answers to Paint an Accurate Picture of Trauma Patient
Question: Our patient is a 79-year-old man who fell when he was getting out of his car on...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number A
Conquering Case Mix:
Bone Up On Widespread Edits to Keep Your Claims Safe
Drop diabetes as principal for non-start of care episodes when CHF is your focus of care....
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Coding 101:
Find Your Way Around Your ICD-9 Manual with these Tips
Hint: Always verify your alphabetic index findings with the tabular list. If you're new t...
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ICD-10:
Look for Fewer New Codes as You Prepare for ICD-10
Say goodbye to ICD-9 in 2013. If you've been wondering how you can stay up-to-date on the...
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Reader Questions:
780.99, 729.1, 724.2: You'll Need Specifics to Report Chronic Pain
Question: Which diagnosis code should I report for a patient with chronic pain? --New Yor...
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Reader Questions:
787.2x: Keep Tabs on Dysphagia
Question: Our new patient has cancer of the esophagus and is on a gastrostomy tube. Shoul...
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Reader Questions:
707.xx: Mind Your Sequencing with Ulcers
Question: We are providing wound care for a new patient. He has bilateral pressure ulcers...
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You Be the Coder:
Take Heart with this Surgical Aftercare Scenario
Question:Our new patient was admitted for surgical aftercare for a cardiac valve replacem...
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Home Health ICD 9/ICD-10 Alert - 2011; Volume 8, Number 1
Coding How-ToL:
Part 2: Master These Fracture Coding Do's and Don'ts to Keep Your Claims Secure
Pop quiz: When does a condition become a late effect of a fracture? We discussed the firs...
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Coding News:
You'll Still Earn Case Mix Points for Hypertension in 2011
It's safe to list HTN as primary; just make certain your documentation is supportive. Back...
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Coding 101:
401.x, 402.xx, 403.x: Get a Foundation in Hypertension Coding to Safeguard Your Claims
Tip: Physician documentation determines how specific your hypertension coding can be. The...
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Reader Questions:
294.11. 294.8: Read the Fine Print Before Coding Dementia
Question: We have been listing 294.11 and 294.8 when a patient is diagnosed with dementia...
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Reader Questions:
038.9, 599.0: Dig for Urosepsis Details
Question: Can I report 038.9 (Unspecified septicemia) for a patient with a diagnosis of "...
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Reader Questions:
997.31 Makes Its Way to Respiratory Complications Coding
Question: Our new patient is dependent on a ventilator and has developed pneumonia. Which...
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Reader Questions:
Save V Codes for Routine Care
Question: Our new patient has a postoperative infection following an open reduction of a ...
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You Be the Coder:
Code Thoroughly for Burns
Question: Our patient has two burns: a second-degree burn on her right wrist and a first-...
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