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:** [Patient MRN]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Acute onset of right-sided weakness and speech difficulty.\n\n**History of Present Illn... | I63432 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Acute onset of right-sided weakness and speech difficulty.
**History of Present Illness:** The patient presented to the Emergency Department approximately 3 hours ago, complaining of sudden onset of weakness a... |
[
{
"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.\n\n**History of Present Illness:** The patient presented to the Emergency Department... | I2582 | 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 today complaining of chest pain that began approximately 2 hours prior to arrival. The pain is described as a press... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** John Doe\n**DOB:** 01/01/1943\n**MRN:** 1234567\n**Date:** 2024-10-27\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illness:** The patient presents today comp... | I69063 | Circulatory System | **Patient:** John Doe
**DOB:** 01/01/1943
**MRN:** 1234567
**Date:** 2024-10-27
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presents today complaining of chest pain and shortness of breath that began approximately 3 weeks ago. The chest pain is described as a p... |
[
{
"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:** Cardiology\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports onset of acute, ... | I63411 | 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 reports onset of acute, substernal chest pain approximately 3 days prior to presentation. The pain is described as pressure-like and radiates to t... |
[
{
"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:** October 26, 2023\n**Time:** 10:00 AM\n**DOB:** [Patient DOB]\n**MRN:** [Patient MRN]\n\n**S: Subjective**\n\nThe patient is a 37-year-old female prese... | I82A23 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**DOB:** [Patient DOB]
**MRN:** [Patient MRN]
**S: Subjective**
The patient is a 37-year-old female presenting to the cardiology clinic today for evaluation of a new onset of swelling in the bilateral upper extremities. She repor... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** Jane Doe\n**Age:** 56\n**Sex:** Female\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 Depart... | I231 | Circulatory System | **Patient:** Jane Doe
**Age:** 56
**Sex:** Female
**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 that began approximately 3 hours prior to arrival. The chest pain is described as a ... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**HPI:** Mr. Doe is a 52-year-old male presenting for a cardiac rehabilitation program. He r... | I25732 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**HPI:** Mr. Doe is a 52-year-old male presenting for a cardiac rehabilitation program. He reports a history of coronary artery bypass graft (CABG) surgery, with the grafts being non-autologous. He states that he ... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Consultation Note**\n\n**Patient:** John Smith\n**Age:** 74\n**Date:** 2024-02-29\n\n**Chief Complaint:** The patient presents today for evaluation of hematemesis.\n\n**History of Present Illness:** The patient r... | I8501 | Circulatory System | **Consultation Note**
**Patient:** John Smith
**Age:** 74
**Date:** 2024-02-29
**Chief Complaint:** The patient presents today for evaluation of hematemesis.
**History of Present Illness:** The patient reports a history of hematemesis, which began approximately 3 days ago. He describes the hematemesis as "coffee gro... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 18\n**Date:** October 26, 2023\n\n**Chief Complaint:** Chest pain and syncope.\n\n**History of Present Illness:** The patient present... | I6051 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 18
**Date:** October 26, 2023
**Chief Complaint:** Chest pain and syncope.
**History of Present Illness:** The patient presents today complaining of chest pain and syncope, which began approximately 3 weeks prior to today. The chest pain is described as a sh... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**Age:** 32\n**Sex:** Male\n**Date:** 2024-10-27\n\n**Chief Complaint:** Right leg pain and swelling.\n\n**History of Present Illness:** The patient presented to the Emerge... | I8011 | Circulatory System | **Patient:** [Patient Name]
**Age:** 32
**Sex:** Male
**Date:** 2024-10-27
**Chief Complaint:** Right leg pain and swelling.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of acute onset of pain and swelling in his right lower extremity, specifically in the right f... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** Jane Doe\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Attending Physician:** Dr. [Your Name]\n\n**Chief Complaint:** Patient presents with weakness in the left arm.\n\n**History of Present ... | I69832 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-10-27
**Time:** 10:00 AM
**Attending Physician:** Dr. [Your Name]
**Chief Complaint:** Patient presents with weakness in the left arm.
**History of Present Illness:** The patient reports a gradual onset of weakness in her left arm, approximately 3 weeks ago. She describes the weak... |
[
{
"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**Visit Type:** Cardiac Rehabilitation\n\n**Chief Complaint:** Patient presents for follow-up cardiac rehabilitation.\n\n**History of Present Illn... | I82469 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Cardiac Rehabilitation
**Chief Complaint:** Patient presents for follow-up cardiac rehabilitation.
**History of Present Illness:** The patient initially presented to the Emergency Department (ED) on 2024-02-22 with acute onset of severe, un... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** [Patient Name]\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 patient presented to the Emerg... | I82521 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presented to the Emergency Department with acute onset of right lower extremity pain and swelling, beginning approximately 3 days prior to p... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Consultation Note**\n\n**Patient:** Jane Doe\n**Age:** 34\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illness:** The patient reports a sudden... | I69098 | Circulatory System | **Consultation Note**
**Patient:** Jane Doe
**Age:** 34
**Date:** 2024-02-29
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient reports a sudden onset of sharp, stabbing chest pain approximately 3 weeks ago, which she initially attributed to a pulled muscle. The pain... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient is a 69-year-old female presenting today for a cardiology evaluation. She reports a histor... | I75013 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**Date:** October 26, 2023
**Time:** 10:00 AM
**H&P:**
The patient is a 69-year-old female presenting today for a cardiology evaluation. She reports a history of intermittent claudication in her upper extremities for the past 6 months, initially described as aching pain in her ... |
[
{
"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**MRN:** [MRN]\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient reports experiencing chest discomfort f... | I25811 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**MRN:** [MRN]
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient reports experiencing chest discomfort for the past 6 months. The chest pain is described as a pressure-like sensation, localized to the central chest, radiatin... |
[
{
"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**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient is a 48-year-old male who presented to the cardiac unit today with a chief co... | I69920 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**S: Subjective**
The patient is a 48-year-old male who presented to the cardiac unit today with a chief complaint of expressive aphasia. He reports the onset of this aphasia approximately 3 days prior to admission, coinciding with... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 19\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents today for evaluation of chest pain and shortness of breath. She reports a 3-day history o... | I39 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 19
**Date:** 2024-02-29
**S: Subjective**
The patient presents today for evaluation of chest pain and shortness of breath. She reports a 3-day history of pleuritic chest pain that started after a recent viral upper respiratory infection. The pain is exacerbated by d... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** Jane Doe\n**Age:** 28\n**Gender:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents to the Emergency Department ... | I720 | Circulatory System | **Patient:** Jane Doe
**Age:** 28
**Gender:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents to the Emergency Department today complaining of sudden onset chest pain, which began approximately 2 hours prior to arrival. The pain is described as a sharp,... |
[
{
"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**MRN:** [Patient MRN]\n**Date:** 2024-10-27\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Chest pain.\n\n**History ... | I70503 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of chest pain. The patient reports the... |
[
{
"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:** October 26, 2023\n**Time:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Lower extremity pain and swelling.\n\n**His... | I87332 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** October 26, 2023
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Lower extremity pain and swelling.
**History of Present Illness:** The patient presents with a 2-week history of increasing lower extremity edema, primarily in the le... |
[
{
"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**Visit Type:** Follow-up Cardiology\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today complaini... | I222 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Follow-up Cardiology
**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, located in... |
[
{
"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**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** Mr. Doe presents today for a c... | I675 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** Chest pain
**History of Present Illness:** Mr. Doe presents today for a cardiac rehabilitation evaluation. He reports experiencing exertional chest pain for the past 6 months, which began aft... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM 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 leg swelling.\n\n**History of Present Illness:** The patient presents with acute on... | I82403 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** Shortness of breath and leg swelling.
**History of Present Illness:** The patient presents with acute onset of bilateral lower extremity swelling and shortness of breath over the past 3 days. The swelling began 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:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** Follow-up for stroke.\n\n**History of Present Illness:** The patien... | I69344 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** Follow-up for stroke.
**History of Present Illness:** The patient is a 53-year-old male presenting for follow-up after a left-sided cerebral infarction. He reports a sudden onset of wea... |
[
{
"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:** 2024-02-29\n\n**S: Subjective**\n\nThe patient is a 43-year-old male presenting to the vascular surgery clinic for evaluation of dysphagia. He reports ... | I69821 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**S: Subjective**
The patient is a 43-year-old male presenting to the vascular surgery clinic for evaluation of dysphagia. He reports the onset of dysphagia approximately 6 months ago, initially affecting solids and progressing to liquids. He denies any ... |
[
{
"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**Provider:** [Your Name], MD\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** Th... | I27841 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents today with a chief complaint of increasing shortness of breath over the past 3 weeks. She reports that the... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** Jane Doe\n**Age:** 46\n**Gender:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Dysarthria\n\n**History of Present Illness:** The patient presents to the Emergency Department today complaining ... | I69922 | Circulatory System | **Patient:** Jane Doe
**Age:** 46
**Gender:** Female
**Date:** 2024-02-29
**Chief Complaint:** Dysarthria
**History of Present Illness:** The patient presents to the Emergency Department today complaining of difficulty speaking (dysarthria) that began approximately 24 hours prior to presentation. She reports the diff... |
[
{
"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:** 72\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the emergency department today complaining of shortness of breath a... | I2723 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 72
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the emergency department today complaining of shortness of breath and fatigue for the past two weeks. He reports that the dyspnea is progressively worsening and is now present at rest. He denies ches... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical 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 presents today complaining of chest pain. She r... | I300 | 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 complaining of chest pain. She reports that the pain began approximately 3 days ago, initially in the retrosternal area. The pain is described as sharp and pleu... |
[
{
"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**MRN:** [Patient MRN]\n\n**Chief Complaint:** The patient presents today for evaluation of aphasia.\n\n**History of Present Illnes... | I69320 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**MRN:** [Patient MRN]
**Chief Complaint:** The patient presents today for evaluation of aphasia.
**History of Present Illness:** The patient reports a sudden onset of difficulty finding words and expressing thoughts, approximately two weeks ago. He ... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Age:** 59\n**Date:** 2024-10-27\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of acute onset left-sided weakness and speech... | I6320 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Age:** 59
**Date:** 2024-10-27
**S: Subjective**
The patient presented to the Emergency Department today complaining of acute onset left-sided weakness and speech difficulty, which began approximately 3 hours prior to arrival. He reports that the symptoms initially started with ... |
[
{
"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:** October 26, 2023\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest palpitations.\n\n**H... | I4811 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest palpitations.
**History of Present Illness:** The patient reports experiencing palpitations for approximately 6 months. The palpitations a... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** [Patient Name]\n**MRN:** [Medical Record Number]\n**Date:** 2024-10-27\n**Time:** 14:35\n\n**Chief Complaint:** Patient presents with difficulty speaking.\n\n**History of Present Illness:** Th... | I69020 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** 2024-10-27
**Time:** 14:35
**Chief Complaint:** Patient presents with difficulty speaking.
**History of Present Illness:** The patient reports onset of aphasia approximately 3 days ago. She states the difficulty began suddenly and progressively wo... |
[
{
"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:** 19\n**Date:** 2024-02-29\n\n**Chief Complaint:** Acute onset of weakness in the left arm.\n\n**History of Present Illness:** The patient presen... | I69332 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 19
**Date:** 2024-02-29
**Chief Complaint:** Acute onset of weakness in the left arm.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset of left arm weakness approximately 3 hours prior to arri... |
[
{
"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:** 2024-02-29\n**Time:** 14:35\n\n**S: Subjective**\n\nThe patient is a 64-year-old female presenting to the Emergency Department with a chief complaint o... | I70322 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:35
**S: Subjective**
The patient is a 64-year-old female presenting to the Emergency Department with a chief complaint of rest pain in the left lower extremity. She reports the pain started approximately 6 months ago and has progressively wo... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Referring Physician:** Dr. Emily Carter\n\n**Chief Complaint:** Lower extremity pain.\n\n**History of Present Illness:** The patient pr... | I83813 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:30 AM
**Referring Physician:** Dr. Emily Carter
**Chief Complaint:** Lower extremity pain.
**History of Present Illness:** The patient presents today with complaints of bilateral lower extremity pain, which he describes as a dull ache that worsens with prolong... |
[
{
"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:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Em... | I4892 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department earlier today complaining of chest pain. The pain began approximately 4 hours prior to arrival, ... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**Provider:** [Your Name], MD\n\n**Chief Complaint:** Follow-up regarding post-procedural seroma.\n\n**H... | I97648 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Follow-up regarding post-procedural seroma.
**History of Present Illness:** The patient is a 42-year-old male presenting for follow-up regarding a seroma following a recent [Proced... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** Jane Doe\n**Age:** 27\n**Sex:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents to the Emergency Department today co... | I052 | Circulatory System | **Patient:** Jane Doe
**Age:** 27
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents to the Emergency Department today complaining of chest pain. The pain began approximately 3 days ago and is described as a dull, aching pressure in the chest. The... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 10:30 AM\n**Visit Type:** Cardiology Clinic\n\n**Chief Complaint:** The patient reports difficulty finding words and expressing himself clear... | I69020 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:30 AM
**Visit Type:** Cardiology Clinic
**Chief Complaint:** The patient reports difficulty finding words and expressing himself clearly.
**History of Present Illness:** The patient initially presented to the emergency department approximately one week ago... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 88\n**Date:** October 26, 2023\n\n**Chief Complaint:** Patient presents for evaluation of leg pain and swelling.\n\n**History of Present Illness:** ... | I80249 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 88
**Date:** October 26, 2023
**Chief Complaint:** Patient presents for evaluation of leg pain and swelling.
**History of Present Illness:** The patient reports a 3-day history of pain and swelling in her right lower extremity, specifically in the peroneal r... |
[
{
"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\n**Chief Complaint:** Lower extremity pain and ulceration.\n\n**History of Present Illness:** The patient presents today with a histo... | I70441 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Chief Complaint:** Lower extremity pain and ulceration.
**History of Present Illness:** The patient presents today with a history of lower extremity pain and ulceration of the left thigh. She reports that the pain started approximately 6 months... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** Jane Doe\n**DOB:** 01/01/1990\n**Age:** 33\n**Sex:** Female\n**Date of Visit:** 2024-02-29\n\n**Chief Complaint:** Chest pain and left-sided weakness.\n\n**History of Present Illness:** The pa... | I63319 | Circulatory System | **Patient:** Jane Doe
**DOB:** 01/01/1990
**Age:** 33
**Sex:** Female
**Date of Visit:** 2024-02-29
**Chief Complaint:** Chest pain and left-sided weakness.
**History of Present Illness:** The patient reports experiencing chest pain approximately 3 days ago, which she initially attributed to heartburn. The chest pain... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**SOAP Note**\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 cardiology follow-up. He reports a history of intermittent claudication in his ... | I70311 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for a cardiology follow-up. He reports a history of intermittent claudication in his right leg, which began approximately 5 years ago and has progressively worsened. He attributes this to exercise-induced p... |
[
{
"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:** 2024-02-29\n\n**Chief Complaint:** Lower extremity pain with ambulation.\n\n**History of Present Illness:** The patient presents today complaini... | I739 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Chief Complaint:** Lower extremity pain with ambulation.
**History of Present Illness:** The patient presents today complaining of pain in her bilateral lower extremities, specifically her calves, that occurs with walking. She describes the pai... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** [Patient Name]\n**Age:** 42\n**Sex:** Female\n**Date:** 2024-10-27\n\n**Chief Complaint:** Evaluation of lower extremity vascular status.\n\n**History of Present Illness:** The patient presen... | I8390 | Circulatory System | **Patient:** [Patient Name]
**Age:** 42
**Sex:** Female
**Date:** 2024-10-27
**Chief Complaint:** Evaluation of lower extremity vascular status.
**History of Present Illness:** The patient presents for evaluation of varicose veins of the lower extremities. She reports a gradual onset of symptoms over the past 6 month... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Acute onset of left arm pain and swelling.\n\n**History of Pre... | I82622 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Acute onset of left arm pain and swelling.
**History of Present Illness:** The patient presents today with a 3-day history of acute onset of left arm pain and swelling. The ... |
[
{
"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:** 67\n**Gender:** Female\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of i... | I87029 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 67
**Gender:** Female
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of increasing lower extremity swelling and pain, which began approximately two weeks ago. The swelling is primarily in the left lower ext... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**HPI:** The patient is a 41-year-old male presenting with a chief complaint of sudden onset of headache and alte... | I615 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**HPI:** The patient is a 41-year-old male presenting with a chief complaint of sudden onset of headache and altered mental status. He reports the headache began approximately 3 days prior, described as a "thunderclap" headache, the wors... |
[
{
"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:** 19\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a 3-day history o... | I776 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 19
**Date:** 2024-02-29
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a 3-day history of chest pain, described as a sharp, pleuritic pain, localized to the left upper chest. The pain is exacerbated by exertion and... |
[
{
"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**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient presents to the clinic today for evaluation of hypertensi... | I152 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**S: Subjective**
The patient presents to the clinic today for evaluation of hypertension. She reports a history of hypertension dating back to approximately 5 years ago, which she attributes to a recent d... |
[
{
"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:** 2024-02-29\n**Time:** 10:30 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of P... | I823 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presents today with a two-week history of worsening chest pain, described as a dull ache,... |
[
{
"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\n**Chief Complaint:** Patient presents for evaluation of leg pain and ulceration.\n\n**History of Present Illness:** The patient ... | I70735 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Chief Complaint:** Patient presents for evaluation of leg pain and ulceration.
**History of Present Illness:** The patient reports a history of peripheral artery disease (PAD) with a history of bypass graft surgery on the right leg. She reports... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Consultation Note**\n\n**Patient:** John Doe\n**Age:** 53\n**Date:** 2024-02-29\n\n**Chief Complaint:** Acute onset of left-sided weakness and speech difficulty.\n\n**History of Present Illness:** The pat... | I63432 | Circulatory System | **Consultation Note**
**Patient:** John Doe
**Age:** 53
**Date:** 2024-02-29
**Chief Complaint:** Acute onset of left-sided weakness and speech difficulty.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset of left-sided weakness and slurred speech app... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Clinical Note**\n\n**Patient:** [Patient Name]\n**Age:** 49\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a 2-day history of subster... | I6329 | Circulatory System | **Clinical Note**
**Patient:** [Patient Name]
**Age:** 49
**Date:** 2024-02-29
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a 2-day history of substernal chest pain, described as a pressure-like sensation, exacerbated by exertion and relieved by rest. The pain began two ... |
[
{
"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:** [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 ... | I2729 | 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, which began approximately one week prior. The... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\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 complaining... | I169 | 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 complaining of severe chest pain that began approximately 3 hours ago. The pain is described as a crushing sensation, locate... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient repo... | I202 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing chest pain for the past 6 months, which is progressively worsening. The pain is described as a pressure-like sensa... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**DOB:** 01/01/2004\n**MRN:** 1234567\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Attending:** Dr. [Your Name]\n\n**Chief Complaint:** Rest pain in the righ... | I70321 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**DOB:** 01/01/2004
**MRN:** 1234567
**Date:** 2024-10-27
**Time:** 10:00 AM
**Attending:** Dr. [Your Name]
**Chief Complaint:** Rest pain in the right leg.
**History of Present Illness:** The patient reports a 6-month history of rest pain in the right leg, which is exacerbate... |
[
{
"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**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** Left calf pain and swelling.\n\n**History of Present Illness:**... | I80252 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** Left calf pain and swelling.
**History of Present Illness:** The patient reports a 3-day history of left calf pain and swelling, which began approximately three days ago. The pain is de... |
[
{
"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**Date:** 2024-02-29\n**Time:** 10:00 AM\n\n**S: Subjective**\n\nThe patient is a 31-year-old female presenting to cardiac rehabilitation. She reports a sudden onset... | I2693 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**S: Subjective**
The patient is a 31-year-old female presenting to cardiac rehabilitation. She reports a sudden onset of shortness of breath approximately one week ago, which initially occurred with exertion. The shortness of breath h... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Date:** October 26, 2023\n\n**S: Subjective**\n\nThe patient presented today complaining of acute onset of severe abdominal pain, radiating to the back, that began app... | I7401 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** October 26, 2023
**S: Subjective**
The patient presented today complaining of acute onset of severe abdominal pain, radiating to the back, that began approximately 4 hours prior to arrival. He reports the pain is described as "the worst pain of his life." He denies any p... |
[
{
"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:** 14:30\n\n**Chief Complaint:** Hypotension.\n\n**History of Present Illness:** The patient presented... | I952 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Hypotension.
**History of Present Illness:** The patient presented to the inpatient cardiac unit earlier today complaining of lightheadedness and near syncope. He reports a history of taking... |
[
{
"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**MRN:** [MRN]\n**Date:** 2024-02-29\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Lower extremity pain and swelling.\n\n... | I83008 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**MRN:** [MRN]
**Date:** 2024-02-29
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Lower extremity pain and swelling.
**History of Present Illness:** The patient presents to the emergency department today with a chief complaint of lower extr... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\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 reports onset of chest pain approximately 3 days a... | I300 | 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 reports onset of chest pain approximately 3 days ago, which she describes as sharp and pleuritic, located in the retrosternal region. The pain is exacerbated by deep insp... |
[
{
"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:** [Patient MRN]\n**Date:** 2024-10-27\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented... | I889 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:35
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department complaining of chest pain that began approximately 3 hours prior to arrival. The pain is describ... |
[
{
"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:** 08:00\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a his... | I4460 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 08:00
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a history of chest pain, which began approximately 3 days prior to presentation. The pain is described as a pressure-lik... |
[
{
"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:** 10:30 AM\n**MRN:** [MRN Number]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today compl... | I63329 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**MRN:** [MRN Number]
**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 dull ache, located primarily in the anterior... |
[
{
"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:** 2024-02-29\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency ... | I6381 | 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 presented to the Emergency Department earlier today complaining of acute onset chest pain, which she described as a pressure-like sensation, localized to... |
[
{
"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:** Chest pain and shortness of breath.\n\n**History of Present Illness:** The patient pres... | I69013 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of acute onset chest pain, described as sharp and stabbing, localized to ... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Provider:** [Your Name]\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient reports experiencing shortne... | I953 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name]
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient reports experiencing shortness of breath for the past two days, which is progressively worsening. He states the dyspnea is more pronounced with ... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** [Patient Name]\n**Age:** 19\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 complaining of chest... | I132 | Circulatory System | **Patient:** [Patient Name]
**Age:** 19
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presented to the emergency department today complaining of chest pain for the past 24 hours. The pain is described as a pressure-like sensation, located in the center of his chest, ... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 19 years old\n**Date:** October 26, 2023\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today com... | I340 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 19 years old
**Date:** October 26, 2023
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain. The patient reports the chest pain started approximately two weeks ago and has been gradually incre... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Location:** Cardiac Rehabilitation Center\n\n**Chief Complaint:** Shortness of breath and lower extremity swelling.\n\n**History of P... | I82593 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:00 AM
**Location:** Cardiac Rehabilitation Center
**Chief Complaint:** Shortness of breath and lower extremity swelling.
**History of Present Illness:** The patient reports a history of bilateral lower extremity swelling, which began approximately 6 months... |
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