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The patient is a 30-year-old male who comes to the emergency department complaining of joint pain in his shoulder. The patient, who was a state champion wrestler during his college years, reports that his shoulder has dislocated on several occasions since college when he had several traumatic dislocations of the same shoulder. On this occasion, the patient was lifting a heavy box overhead to place on a shelf in his mobile home garage. X-rays were taken to examine the shoulder. The ED physician is unable to reduce the dislocation on the initial attempt. With light intravenous sedation, the physician completes a closed reduction of shoulder dislocation. The physician wrote “chronic recurrent dislocation of right shoulder and traumatic arthritis of the right shoulder” as the final diagnosis on the ED record. (While there is no requirement that ICD 10 PCS procedure codes are coded on outpatients. Code the closed reduction of the shoulder dislocation for coding practice.) ICD-10-CM = 4 ICD-10-PCS = 1
SCIENCE
HEALTH SCIENCE
NURSING

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