messages listlengths 2 2 | code stringlengths 3 6 | category stringclasses 1
value | clinical_note stringlengths 1.2k 2.55k |
|---|---|---|---|
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [Medical Record Number]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presents ... | I82543 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents to the Emergency Department today complaining of shortness of breath that started approximately 3 days ago. The dyspnea is pr... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:30\n**Service:** Cardiology\n\n**Chief Complaint:** Shortness of breath and lower extremity edema.\n\n... | I87093 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Service:** Cardiology
**Chief Complaint:** Shortness of breath and lower extremity edema.
**History of Present Illness:** The patient presented to the Emergency Department on 2024-02-26 with acute onset of sho... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Location:** Primary Care Office\n\n**Chief Complaint:** Shortness of breath and difficulty concentrating.\n\n**History of Present Illness:** T... | I69315 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:30 AM
**Location:** Primary Care Office
**Chief Complaint:** Shortness of breath and difficulty concentrating.
**History of Present Illness:** The patient reports experiencing a sudden onset of shortness of breath approximately 3 weeks ago, which she attributes ... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 39\n**Gender:** Female\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of chest pain... | I5181 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 39
**Gender:** Female
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of chest pain. She reports the pain as a sharp, squeezing sensation in the center of her chest, which began approximately 3 hours prior t... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 86\n**Date:** 2024-10-27\n\n**Chief Complaint:** Acute onset of right leg pain and swelling.\n\n**History of Present Illness:** The patient pre... | I82890 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 86
**Date:** 2024-10-27
**Chief Complaint:** Acute onset of right leg pain and swelling.
**History of Present Illness:** The patient presented to the emergency department today complaining of acute onset of right leg pain and swelling, which began approximat... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Lower extremity edema.\n\n**Hi... | I87392 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Lower extremity edema.
**History of Present Illness:** The patient presents today for evaluation of worsening lower extremity edema, which began appro... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Cardiac Rehab Center\n\n**Chief Complaint:** Shortness of breath and leg pain.\n\n**History of Present Illness:** The patient... | I82413 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehab Center
**Chief Complaint:** Shortness of breath and leg pain.
**History of Present Illness:** The patient presents today with a 3-day history of increasing shortness of breath, especially with exertion, and bilateral leg pain. T... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Patient presents today for evaluation of cognitive symptoms... | I69819 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Patient presents today for evaluation of cognitive symptoms following a recent cerebrovascular event.
**History of Present Illness:** The patient reports onset of cogniti... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** Jane Doe\n**Age:** 63\n**Gender:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Altered mental status.\n\n**History of Present Illness:** The patient initially presented to th... | I69019 | Circulatory System | **Patient:** Jane Doe
**Age:** 63
**Gender:** Female
**Date:** 2024-02-29
**Chief Complaint:** Altered mental status.
**History of Present Illness:** The patient initially presented to the emergency department 3 days ago with sudden onset of severe headache, described as the "worst headache of her life." She was subs... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illne... | I70591 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of chest pain and shortness of breath. The chest pain ... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Left leg pain and discoloration.\n\n**History of Present Illness:** The patient reports... | I70262 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Left leg pain and discoloration.
**History of Present Illness:** The patient reports a 3-day history of increasing pain and discoloration in her left leg. She initially noticed a mild discomfort, which progres... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain and left-sided weakness.\n\n**History of Present Illness:** The patient presented to ... | I69153 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Chest pain and left-sided weakness.
**History of Present Illness:** The patient presented to the Emergency Department earlier today complaining of sudden onset chest pain, described as a crushing sensation, ra... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-10-27\n**Time:** 14:30\n**Location:** Cardiac Unit\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents... | I70201 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-10-27
**Time:** 14:30
**Location:** Cardiac Unit
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents to the hospital with a 3-day history of chest pain, which began as a dull ache in the left side of her chest. The pain... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Lower extremity pain.\n\n**History of Present Illness:** The patient is a 26-year-old male... | I70549 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Lower extremity pain.
**History of Present Illness:** The patient is a 26-year-old male presenting to the Emergency Department with a 3-day history of increasing lower extremity pain, primarily in the left low... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Visit Number:** 12345\n\n**S: Subjective**\n\nThe patient is a 75-year-old female presenting today for a cardiology follow-up. She re... | I70739 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Visit Number:** 12345
**S: Subjective**
The patient is a 75-year-old female presenting today for a cardiology follow-up. She reports a history of peripheral vascular disease (PVD) with a prior bypass graft to the right leg. She notes a gradual onse... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**H&P:**\n\nThe patient presents today for evaluation of shortness of breath and fatigue. He reports experiencing these symptoms for app... | I270 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**H&P:**
The patient presents today for evaluation of shortness of breath and fatigue. He reports experiencing these symptoms for approximately 6 months, progressively worsening over the past 3 months. The dyspnea is primarily exertional, occurring wi... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Primary Care Office\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today w... | I079 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Primary Care Office
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with a 2-week history of exertional chest pain. The pain is described as a pressure-like sensation, located in the central c... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Medical Record Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Acute onset of left leg pain and swelling.\n\n**History of Present I... | I82432 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Acute onset of left leg pain and swelling.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of acute onset of left leg pain and s... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient presents today for evaluation of new-onset memor... | I69111 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**S: Subjective**
The patient presents today for evaluation of new-onset memory deficits. He reports experiencing difficulty remembering recent events, specifically names and dates, and struggles with planning a... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Shortness of breath and leg pain.\n\n**History of Present Illness:... | I83012 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Shortness of breath and leg pain.
**History of Present Illness:** The patient presented to the Emergency Department earlier today complaining of increasing shortness of breath and pain in the... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 08:00\n**H&P:**\n\n**Chief Complaint:** Headache.\n\n**History of Present Illness:** The patient presented to the emergency department 3 days prior... | I606 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 08:00
**H&P:**
**Chief Complaint:** Headache.
**History of Present Illness:** The patient presented to the emergency department 3 days prior with a sudden onset of severe headache, described as the "worst headache of my life." She reports the headache began approxi... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for a cardiology follow-up. She reports a worsening of her shortness of breath over the past two weeks, par... | I5020 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for a cardiology follow-up. She reports a worsening of her shortness of breath over the past two weeks, particularly with exertion. She denies chest pain. The dyspnea is accompanied by some lower extremity edema. She deni... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Age:** 25\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergenc... | I020 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Age:** 25
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of chest pain, which began approximately 3 hours prior to arrival. The pain is described ... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** Jane Doe\n**Age:** 51\n**Sex:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents today complaining of chest pain, which b... | I63429 | Circulatory System | **Patient:** Jane Doe
**Age:** 51
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents today complaining of chest pain, which began approximately 3 days ago. The pain is described as a pressure-like sensation, located in the center of her chest, rad... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Visit Type:** Cardiology\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today with a chi... | I611 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Cardiology
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with a chief complaint of chest pain. She reports the pain as a sharp, stabbing sensation that began approximately 3 days ago. The ... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Acute onset of right upper extremity swelling and pain.\n\n**History of Present Illness:** The patient ... | I82621 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Acute onset of right upper extremity swelling and pain.
**History of Present Illness:** The patient presents today with a 3-day history of acute onset of swelling and pain in her right upper extremity. The swelling began... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Prese... | I825Y1 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents today for evaluation of shortness of breath. She reports the onset of dyspnea approximate... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** Jane Doe\n**DOB:** 1974-03-15\n**Age:** 50\n**Sex:** Female\n**Date of Visit:** 2024-02-29\n**Chief Complaint:** Lower extremity pain and ulceration.\n\n**History of Present Illness:** The patient pres... | I7025 | Circulatory System | **Patient:** Jane Doe
**DOB:** 1974-03-15
**Age:** 50
**Sex:** Female
**Date of Visit:** 2024-02-29
**Chief Complaint:** Lower extremity pain and ulceration.
**History of Present Illness:** The patient presents today with a chief complaint of lower extremity pain and ulceration. The pain is described as a dull ache in... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 18\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the inpatient cardiac unit today complaining of chest pain and shor... | I97640 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 18
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the inpatient cardiac unit today complaining of chest pain and shortness of breath, which began approximately 24 hours after a cardiac catheterization procedure performed on [Date of procedure]. The ... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency D... | I2542 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department earlier today with acute onset of severe, crushing chest pain radiating to her left arm and jaw, occurring approxima... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Rest pain in the right leg.\n\n**History of Present Illness:** The... | I70721 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Rest pain in the right leg.
**History of Present Illness:** The patient is an 80-year-old female presenting to the emergency department with rest pain in her right leg. The pain began approx... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**... | I97131 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presents today with a 3-day history of increasing exertional chest pain and s... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Shortness of breath and lower extremity edema.\n\n**History of Present Ill... | I83891 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Shortness of breath and lower extremity edema.
**History of Present Illness:** The patient reports increasing shortness of breath over the past several weeks, particularly with exertion. He a... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 08:00\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The p... | I462 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 08:00
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of chest pain. The pain began approximately 4 hours prior to... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Lower extremity pain and ulceration.\n\n**History of Present Illness:** The patient presents t... | I70238 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 14:30
**Chief Complaint:** Lower extremity pain and ulceration.
**History of Present Illness:** The patient presents today with a history of progressive lower extremity pain and ulceration, primarily in the right lower leg. The pain began a... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient presents today for evaluation of chest pain. Sh... | I7789 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**S: Subjective**
The patient presents today for evaluation of chest pain. She reports experiencing a sharp, localized chest pain that began approximately two weeks ago. The pain is reproducible with... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illness:*... | I748 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presented to the Emergency Department earlier today complaining of acute onset chest pain and shortness of brea... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Source:** Primary Care Office\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents toda... | I228 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Source:** Primary Care Office
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain that began approximately 3 days ago. The pain is described as a pressure-like sensation... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**MRN:** [Patient MRN]\n**H&P:**\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports e... | I70308 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**MRN:** [Patient MRN]
**H&P:**
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing intermittent chest pain for the past 3 months, which she describes as a "pressure" in her chest, radiating to her left a... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for a follow-up evaluation. He reports experiencing intermittent claudication in his lower ... | I70409 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for a follow-up evaluation. He reports experiencing intermittent claudication in his lower extremities, particularly with exertion. He describes the pain as a cramping sensation in his calves that resolves with rest... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 48\n**Gender:** Female\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The pat... | I280 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 48
**Gender:** Female
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presented to the emergency department today complaining of chest pain that began approximately 2 hours prior to arrival. Th... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the emergency department today co... | I018 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the emergency department today complaining of chest pain, which began approximately 3 days ago. The pain is described as a dull ache, located in the l... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Visit Type:** Cardiology Follow-up\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today with a ch... | I068 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Cardiology Follow-up
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with a chief complaint of chest pain, which began approximately one week ago. The chest pain is described as a pressure-like se... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 10:30 AM\n**H&P:**\n\nThe patient presents today for a follow-up appointment. She reports a persistent headache that began ... | I69012 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:30 AM
**H&P:**
The patient presents today for a follow-up appointment. She reports a persistent headache that began approximately six months ago, which she describes as a "throbbing" sensation located primarily in the frontal region. The ... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** The patient reports feeling lightheaded and di... | I953 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** The patient reports feeling lightheaded and dizzy, particularly when standing.
**History of Present Illness:** The patient states that she has been experiencing these... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents today for evaluation of lower extremity pain and swelling. He reports a history of varicose veins for... | I83202 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**S: Subjective**
The patient presents today for evaluation of lower extremity pain and swelling. He reports a history of varicose veins for approximately 10 years, initially noticed as mild discomfort. The symptoms have progressively worsened over the past 6 ... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Primary Care Office\n\n**Chief Complaint:** Lower extremity pain and ulceration.\n\n**History of Present Illness:** The... | I70648 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Primary Care Office
**Chief Complaint:** Lower extremity pain and ulceration.
**History of Present Illness:** The patient reports a chronic, progressive lower extremity pain and ulceration that has been present for approximately 6 month... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with chest pain that began approximately 6 month... | I238 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with chest pain that began approximately 6 months ago. The pain is described as a pressure-like sensation, located in the center of the chest, radiating to the l... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** John Doe\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a sudden onset of chest p... | I4901 | Circulatory System | **Patient:** John Doe
**Date:** 2024-10-27
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a sudden onset of chest pain approximately 2 hours prior to arrival. The pain is described as sharp and stabbing, localized to the anterior chest, and is no... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-10-27\n**Time:** 14:35\n\n**Chief Complaint:** Pain and ulceration in the right lower leg.\n\n**History of Present Illness:** The pat... | I70238 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:35
**Chief Complaint:** Pain and ulceration in the right lower leg.
**History of Present Illness:** The patient presents with a 2-week history of increasing pain and ulceration in the right lower leg. The pain is described as a deep,... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a chief complaint of ches... | I728 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a chief complaint of chest pain. The pain is described as a sharp, stabbing sensation located in the left upper quadrant. The pain began approximately... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Primary Care Office\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports experiencing ch... | I63239 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Primary Care Office
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing chest pain for the past 3 days. The pain is described as a pressure-like sensation, located in the center of his chest... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** Jane Doe\n**Age:** 69\n**Sex:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Lower extremity pain with exertion.\n\n**History of Present Illness:** The patient presents today for evaluatio... | I70418 | Circulatory System | **Patient:** Jane Doe
**Age:** 69
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Lower extremity pain with exertion.
**History of Present Illness:** The patient presents today for evaluation of exertional lower extremity pain. She reports experiencing pain in her calves and thighs when walking, typically f... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient p... | I864 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of shortness of breath that began approximately 3 days prior. He repo... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**S: Subjective**\n\nThe patient is a 45-year-old male presenting to the inpatient cardiac unit with a chief complaint ... | I83001 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**S: Subjective**
The patient is a 45-year-old male presenting to the inpatient cardiac unit with a chief complaint of worsening leg pain and swelling in the left thigh. He reports the pain started approximately 2 weeks ago and has progre... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Lower extremity swelling and pain.\n\n**History of Present Illness:** The patient presents today compla... | I82529 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Lower extremity swelling and pain.
**History of Present Illness:** The patient presents today complaining of increasing lower extremity swelling, particularly in the bilateral lower legs and ankles, over the past 6 month... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Progress Note**\n\n**Patient:** John Doe\n**MRN:** 1234567\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents to the Emerg... | I82B23 | Circulatory System | **Progress Note**
**Patient:** John Doe
**MRN:** 1234567
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents to the Emergency Department complaining of chest pain that began approximately 3 hours prior to arrival. The patient describes the pain a... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name], MD\n\n**Chief Complaint:** Chest pain and shortness of breat... | I82593 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** [Your Name], MD
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presents today complaining of chest pain and shortness of breath, ... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** The patient presents today for a cardiology follow-up.\n\n**History of Present Illness:** The pati... | I97790 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** The patient presents today for a cardiology follow-up.
**History of Present Illness:** The patient reports experiencing chest pain during a recent cardiac surgery. He describes the pain as a sharp, stabbing sensation that radi... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**Age:** 18\n**Date:** October 26, 2023\n\n**Chief Complaint:** Weakness in the lower extremity.\n\n**History of Present Illness:** The patient presents today with a 3-day ... | I69243 | Circulatory System | **Patient:** [Patient Name]
**Age:** 18
**Date:** October 26, 2023
**Chief Complaint:** Weakness in the lower extremity.
**History of Present Illness:** The patient presents today with a 3-day history of progressive weakness in his left lower extremity. The weakness began as mild and has gradually worsened to the poi... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 54\n**Date:** 2024-10-27\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents with a 3-day history of... | I76 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 54
**Date:** 2024-10-27
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents with a 3-day history of substernal chest pain, described as a crushing sensation, radiating to the left arm. The pain is exacerbated by exertion and ... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Acute onset of left leg pain and swelling.\n\n**History of Present Illness:** The patient presents today with a... | I82452 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Acute onset of left leg pain and swelling.
**History of Present Illness:** The patient presents today with a 3-day history of acute onset of left leg pain and swelling, primarily in the lower left leg. The pain is described ... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Shortness of breath and leg pain with exertion.\n\n**History of Present I... | I70513 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Shortness of breath and leg pain with exertion.
**History of Present Illness:** The patient is an 84-year-old female presenting to the Emergency Department today with a chief complaint of sh... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Visit Type:** Urgent Care\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports onset of chest ... | I2101 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Urgent Care
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports onset of chest pain approximately 2 hours ago. The pain is described as a crushing sensation, located in the center of the chest, radiati... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Patient presents with left leg pain and ulceration.\n\n**History of Present Illness:** The ... | I70343 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:30
**Chief Complaint:** Patient presents with left leg pain and ulceration.
**History of Present Illness:** The patient reports a chronic, progressive left leg pain that began approximately 6 months ago. The pain is described as a du... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**Chief Complaint:** Lower extremity pain.\n\n**History of Present Illnes... | I87021 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Lower extremity pain.
**History of Present Illness:** The patient presents today with a history of lower extremity pain, primarily in the right lower extremity. The pain ... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain and left-sided weakness.\n\n**History of... | I63419 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain and left-sided weakness.
**History of Present Illness:** The patient presents today with a chief complaint of chest pain, which began approximately 3 hours prior ... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents with a history of chronic venous... | I87391 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents with a history of chronic venous hypertension with other complications of the right lower extremity. He reports a gradual onset of swelling and d... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:30 AM\n**ID:** [Patient ID]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today ... | I82A11 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:30 AM
**ID:** [Patient ID]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with acute onset chest pain, approximately 3 days prior to presentation. The pain is described as sharp and located in the right ax... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Clinical Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Left lower extremity pain and swelling.\n\n**Histor... | I87312 | Circulatory System | **Clinical Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Left lower extremity pain and swelling.
**History of Present Illness:** The patient presents today for evaluation of left lower extremity pain and swelling, which began approxi... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 23\n**Date:** October 26, 2023\n\n**S: Subjective**\n\nThe patient presents to the cardiac unit with a chief complaint of left leg pain. He reports... | I70292 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 23
**Date:** October 26, 2023
**S: Subjective**
The patient presents to the cardiac unit with a chief complaint of left leg pain. He reports the pain began approximately 3 days ago and is described as a dull ache, initially occurring with activity and now present at... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**Age:** 73\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency Department today compla... | I71012 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**Age:** 73
**Date:** 2024-02-29
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset, severe chest pain radiating to her back. The pain began approximately 3 hours prior to arrival... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for a follow-up evaluation of a chronic vascular issue. He reports a history of intermittent claudication... | I82701 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for a follow-up evaluation of a chronic vascular issue. He reports a history of intermittent claudication in the right upper extremity, which has progressively worsened over the past six months. He notes that the pain is ... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The... | I82729 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with a 2-week history of increasing chest pain, described as a dull ache radiating to the left arm.... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient is a 83-year-old male presenting to the cardiology c... | I8311 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**S: Subjective**
The patient is a 83-year-old male presenting to the cardiology clinic today for evaluation of lower extremity discomfort. He reports a gradual onset of pain and swelling in his right lowe... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Consultation Note**\n\n**Patient:** Jane Doe\n**Age:** 74\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presented to the emergency... | I639 | Circulatory System | **Consultation Note**
**Patient:** Jane Doe
**Age:** 74
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presented to the emergency department today complaining of acute onset chest pain, which began approximately 2 hours prior to arrival. The pain is d... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient presents today with a chief complaint of significa... | I80291 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**S: Subjective**
The patient presents today with a chief complaint of significant pain and swelling in the right lower extremity, which began approximately two weeks ago. He reports the pain is primarily ... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient re... | I63543 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing chest pain for the past 2 days, which began as a dull ache and has progressed to a more sharp, s... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presents today with worsenin... | I50813 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents today with worsening shortness of breath over the past 3 weeks. He reports that the dyspnea is more pronounced with exertion and has been present at r... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for a follow-up evaluation of a chronic lower extremity issue. She rep... | I70644 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for a follow-up evaluation of a chronic lower extremity issue. She reports a persistent ulceration on the heel and midfoot of her left leg, which has been present for approximately 6 months. The u... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Shortness of breath and leg pain.\n\n**History of Present Illness:** The patient presen... | I82503 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Shortness of breath and leg pain.
**History of Present Illness:** The patient presents to the Emergency Department today complaining of shortness of breath and bilateral leg pain, which began approximately 3 d... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**S**ubjective:\nThe patient reports a history of a recent, acute onset of involuntary moveme... | I029 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**S**ubjective:
The patient reports a history of a recent, acute onset of involuntary movements, primarily affecting the face and upper limbs, that began approximately 2 weeks prior to today. These movements... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presents to the cardiac un... | I5042 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:30
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents to the cardiac unit with a 3-day history of progressive dyspnea, initially occurring with exertion and worsening to rest. He reports or... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Patient presents with a history of weakness and sensory lo... | I69869 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Patient presents with a history of weakness and sensory loss in the left upper extremity.
**History of Present Illness:** The patient reports a gradual onset of weakness in his ... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n\n**S: Subjective**\n\nThe patient presents today for evaluation of chest pain and shortness of breath. She reports experiencing chest pai... | I462 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**S: Subjective**
The patient presents today for evaluation of chest pain and shortness of breath. She reports experiencing chest pain for the past 3 days, which is described as a crushing sensation, radiating to her left arm and jaw. The chest pain is e... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents with a history of chest pa... | I2089 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents with a history of chest pain, which began approximately 2 weeks prior to presentation. The patient describes the chest pain as a pressure-like sen... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency Dep... | I70791 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department complaining of chest pain, which began approximately 2 hours prior to arrival. The patient describes the pain as a ... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n\n**S: Subjective**\n\nThe patient presents today complaining of a 6-month history of left leg pain, primarily in the calf, which is exacerb... | I82532 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** October 26, 2023
**S: Subjective**
The patient presents today complaining of a 6-month history of left leg pain, primarily in the calf, which is exacerbated by activity and relieved by rest. She reports the pain is often described as a deep ache or throbbing sensat... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** John Doe\n**Age:** 72\n**Sex:** Male\n**Date:** 2024-10-27\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a history of coronary arter... | I25702 | Circulatory System | **Patient:** John Doe
**Age:** 72
**Sex:** Male
**Date:** 2024-10-27
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a history of coronary artery bypass graft(s), unspecified, with refractory angina pectoris. He reports experiencing chest pain for the past 3 weeks, which he ... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Visit Number:** 1\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patie... | I5083 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Visit Number:** 1
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient reports experiencing increasing shortness of breath over the past several weeks, which is progressively worsening. He states ... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** Shortness of breath and bilateral leg swelling.\n\n**History of Present Illness:** The patient presents ... | I82433 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Shortness of breath and bilateral leg swelling.
**History of Present Illness:** The patient presents today with a 3-day history of increasing shortness of breath, which began with mild exertional dyspnea and progressed to orth... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 82\n**Date:** 2024-10-27\n\n**S: Subjective**\n\nThe patient presents to the Emergency Department complaining of acute onset of right upper extremity pain a... | I82621 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 82
**Date:** 2024-10-27
**S: Subjective**
The patient presents to the Emergency Department complaining of acute onset of right upper extremity pain and swelling. He reports the pain began approximately 4 hours prior to arrival. He denies any prior similar episodes. ... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Clinical Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 14:30\n**MRN:** [Patient MRN]\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents today ... | I70208 | Circulatory System | **Clinical Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**MRN:** [Patient MRN]
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents today for evaluation of exertional chest pain. She reports the pain began approximately 6 months ago, initially occurring with... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** The patient presents for cardiac rehabilitation following a recent... | I82541 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** The patient presents for cardiac rehabilitation following a recent diagnosis of chronic embolism and thrombosis of the right tibial vein.
**History of Present Illness:** The patient rep... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**MRN:** [MRN Number]\n**Date:** 2024-02-29\n**Time:** 14:35\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The pat... | I70291 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:35
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department earlier today complaining of chest pain, which he described as a "heavy pressur... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Evaluation of cardiac function post-operative.\n\n*... | I97790 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Evaluation of cardiac function post-operative.
**History of Present Illness:** The patient is a 79-year-old female presenting for evaluation of cardiac function followin... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The ... | I7045 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a history of a previous autologous vein bypass graft (AVG) procedure performed on her left leg approxi... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nPatient presents today complaining of weakness in his right arm and leg, which began approximately 3 weeks ago. He reports that t... | I69061 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**S: Subjective**
Patient presents today complaining of weakness in his right arm and leg, which began approximately 3 weeks ago. He reports that the weakness is progressive and has been impacting his ability to perform daily activities. He denies any trauma t... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** Th... | I514 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain. The patient reports that the chest pain began approximately 3 days ago, initial... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 60\n**Date:** 2024-02-29\n\n**Chief Complaint:** Acute onset of left leg pain and swelling.\n\n**History of Present Illness:** The patient... | I825Z9 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 60
**Date:** 2024-02-29
**Chief Complaint:** Acute onset of left leg pain and swelling.
**History of Present Illness:** The patient presents to the emergency department today complaining of acute onset of left leg pain and swelling, approximately 4 hours pri... |
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