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**Date:** October 26, 2023\n**Time:** 10:00 AM\n**DOB:** [Patient DOB]\n\n**Chief Complaint:** Cognitive decline.\n\n**History of Present Illness:** The patient is a 88-year... | I69914 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**DOB:** [Patient DOB]
**Chief Complaint:** Cognitive decline.
**History of Present Illness:** The patient is a 88-year-old female presenting today with a progressive decline in executive function. The patient reports difficulty with planning, ... |
[
{
"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:** 10:00 AM\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patie... | I092 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient is a 73-year-old female presenting to the cardiac unit with a 3-day history of chest pain, described as a dull, ac... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**DOB:** [Patient DOB]\n**MRN:** [MRN]\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Source:** Primary Care\n\n**CC:** Chest pain.\n\n**HPI:** The patient prese... | I311 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**DOB:** [Patient DOB]
**MRN:** [MRN]
**Date:** 2024-10-27
**Time:** 10:00 AM
**Source:** Primary Care
**CC:** Chest pain.
**HPI:** The patient presents today with a 6-month history of progressive chest pain, described as a pressure-like sensation, exacerbated by exertio... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** Jane Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Visit Type:** Cardiac Rehabilitation\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports onset of c... | I69361 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Cardiac Rehabilitation
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports onset of chest pain approximately 3 weeks ago, which began as a dull ache and progressed to a more acute, squeezing pain. The pain i... |
[
{
"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**Provider:** [Your Name], MD\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient p... | I69165 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today with a chief complaint of chest pain. The pain began approximately 3 days ago and is described as a pressure-... |
[
{
"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:** 2024-10-27\n**Time:** 10:00 AM\n**ID:** [Patient ID]\n\n**S: Subjective**\n\nThe patient is a 20-year-old male presenting to the cardiac rehabilitation... | I723 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:00 AM
**ID:** [Patient ID]
**S: Subjective**
The patient is a 20-year-old male presenting to the cardiac rehabilitation center for a follow-up appointment. He reports a 3-month history of intermittent, pulsatile abdominal pain that radiates ... |
[
{
"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**MRN:** [Patient MRN]\n\n**S: Subjective**\n\nThe patient is a 56-year-old male presenting for evaluation of abdomi... | I723 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**MRN:** [Patient MRN]
**S: Subjective**
The patient is a 56-year-old male presenting for evaluation of abdominal pain. He reports a 3-month history of intermittent, dull, left-sided abdominal pain that is exacerbated by exertion and r... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\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 reports a 6-month history of intermittent chest pain, des... | I82703 | 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 reports a 6-month history of intermittent chest pain, described as a dull ache, located primarily in the left upper extremity. The pain is typically triggered by exertion... |
[
{
"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**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 p... | I4589 | Circulatory System | **Progress Note**
**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 3 hours prior to arrival. The pain is d... |
[
{
"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**Age:** 49\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of left-sided weakness and sp... | I6529 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 49
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of left-sided weakness and speech difficulty that began approximately 3 hours prior to arrival. He reports a history of hypertension and hyperlipidemia. He ... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Consultation Note**\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Referring Physician:** Dr. Jane Smith\n\n**Chief Complaint:** Patient presents today with a new onset of left leg pain and swellin... | I744 | Circulatory System | **Consultation Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Referring Physician:** Dr. Jane Smith
**Chief Complaint:** Patient presents today with a new onset of left leg pain and swelling.
**History of Present Illness:** The patient reports a sudden onset of pain and swelling in his left leg approximately 3 ... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Progress Note**\n\n**Patient:** John Doe\n**MRN:** 1234567\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illness:** The patient pres... | I5089 | Circulatory System | **Progress Note**
**Patient:** John Doe
**MRN:** 1234567
**Date:** 2024-10-27
**Time:** 14:30
**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 progressive shortness of breath. The chest pai... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Progress Note**\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Visit Type:** Follow-up\n\n**Chief Complaint:** The patient presents for a follow-up appointment regarding a ... | I82531 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Visit Type:** Follow-up
**Chief Complaint:** The patient presents for a follow-up appointment regarding a persistent leg pain and swelling.
**History of Present Illness:** The patient reports a history of right popliteal ve... |
[
{
"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:** 2024-02-29\n**Time:** 10:30 AM\n**Location:** Primary Care Office\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patie... | I70499 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Location:** Primary Care Office
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents today complaining of chest pain, which he describes as a dull ache, radiating to his left arm. He reports the pa... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** Jane Doe\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Referring Physician:** Dr. Smith\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today complain... | I6930 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-10-27
**Time:** 10:00 AM
**Referring Physician:** Dr. Smith
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain that began approximately 3 weeks ago. The pain is described as a dull ache, located primarily in the le... |
[
{
"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**Date:** 2024-02-29\n**Time:** 10:30 AM\n**H&P:**\n\nThe patient presents today complaining of bilateral arm swelling and pain. The patient reports the swel... | I82A13 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**H&P:**
The patient presents today complaining of bilateral arm swelling and pain. The patient reports the swelling started approximately 3 days ago, and the pain began two days ago. The patient denies any recent trauma or surgery ... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Patient:** Jane Doe\n**DOB:** 01/01/2004\n**Age:** 19\n**Date:** 2023-10-27\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today complaining of chest pain. T... | I2541 | Circulatory System | **Patient:** Jane Doe
**DOB:** 01/01/2004
**Age:** 19
**Date:** 2023-10-27
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain. The pain started approximately 3 months ago and is described as a sharp, stabbing pain, located in the center of her chest. ... |
[
{
"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:** 2024-10-27\n**Time:** 14:35\n\n**Chief Complaint:** Acute onset of left arm swelling and pain.\n\n**History of Present Illness:** The patient presents ... | I82A12 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:35
**Chief Complaint:** Acute onset of left arm swelling and pain.
**History of Present Illness:** The patient presents with a 3-day history of acute onset of left arm swelling and pain. The patient reports the swelling began gradual... |
[
{
"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**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 i... | I061 | 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 initially presented to the Emergency Department on 2024-02-27 with substernal chest pain radiating to the left arm, which he described... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical 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 evaluation of rest pain in the left lower extremity. He reports that the pai... | I70622 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for evaluation of rest pain in the left lower extremity. He reports that the pain started approximately 6 months ago and has been progressively worsening. The pain is described as a dull, aching discomfort,... |
[
{
"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 Outpatient Clinic\n\n**Chief Complaint:** The patient presents today with a complaint of bilateral lower... | I87323 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:30 AM
**Visit Type:** Cardiology Outpatient Clinic
**Chief Complaint:** The patient presents today with a complaint of bilateral lower extremity edema and discomfort, worsening over the past 6 months.
**History of Present Illness:** The patient reports a g... |
[
{
"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:** 24\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents to the Emergency Department complaining of sudden onset of bilateral lower extremity w... | I69065 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 24
**Date:** 2024-02-29
**S: Subjective**
The patient presents to the Emergency Department complaining of sudden onset of bilateral lower extremity weakness and sensory changes. She reports the symptoms began approximately 24 hours prior to arrival. She denies any h... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Location:** Primary Care Office\n\n**HPI:** Mr. Smith presents today with a chief complaint of acute onset of right lower extremity pain and... | I82461 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Primary Care Office
**HPI:** Mr. Smith presents today with a chief complaint of acute onset of right lower extremity pain and swelling. He reports the pain began approximately 3 days ago, worsening over the past 24 hours. He denies any traum... |
[
{
"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:** 14:35\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents to the Emergency Departm... | I25708 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:35
**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 pain is described as a pressure-like ... |
[
{
"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**Age:** 89\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of increasing lower extremity pain, part... | I70599 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Age:** 89
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of increasing lower extremity pain, particularly with ambulation. He reports the pain has been worsening over the past several weeks, becoming more frequent and m... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** Jane Doe\n**Age:** 73\n**Gender:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency Department with acut... | I70698 | Circulatory System | **Patient:** Jane Doe
**Age:** 73
**Gender:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department with acute onset chest pain approximately 3 hours prior to arrival. The patient describes the pain as a pressure-like sensation i... |
[
{
"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**Age:** 32\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents to the Emergency Department complaining of bilateral leg pain and swelling, ons... | I80223 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 32
**Date:** 2024-02-29
**S: Subjective**
The patient presents to the Emergency Department complaining of bilateral leg pain and swelling, onset over the past 3 days. She reports the pain is described as a deep, aching sensation, exacerbated by walking and relieved ... |
[
{
"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:** 08:00\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a 3-day history of chest pa... | I400 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 08:00
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a 3-day history of chest pain, which began as a sharp, pleuritic pain, localized to the precordial region. The pain has evolved to a more co... |
[
{
"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**Location:** Cardiac Rehab Center\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents toda... | I27848 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehab Center
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today for cardiac rehabilitation. He reports experiencing chest pain for the past 3 months, which he describes as a dull, aching sensat... |
[
{
"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:** [Medical Record Number]\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The pati... | I358 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** 2024-02-29
**Time:** 14:35
**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 pain i... |
[
{
"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:** 2024-10-27\n**Time:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Acute onset of neurological deficits.\n\n**Histor... | I63019 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-10-27
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Acute onset of neurological deficits.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset of left-sided weak... |
[
{
"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**Date:** 2024-02-29\n**Time:** 10:00 AM\n\n**S: Subjective**\n\nPatient presents today complaining of sudden onset of chest pain over the past 24 hours. The pain is descr... | I511 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**S: Subjective**
Patient presents today complaining of sudden onset of chest pain over the past 24 hours. The pain is described as sharp and located in the anterior chest, radiating to the left arm. The pain is not associated with exertion ... |
[
{
"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:** 10:00 AM\n**H&P:**\n\n**Chief Complaint:** The patient presents today for evaluation of exertional leg pain.\n\n**History of Present Illness:** The ... | I70319 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
**Chief Complaint:** The patient presents today for evaluation of exertional leg pain.
**History of Present Illness:** The patient reports a 6-month history of intermittent claudication in her lower extremities, primarily affecting her calve... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** Jane Doe\n**Age:** 32\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 complaining ... | I4589 | Circulatory System | **Patient:** Jane Doe
**Age:** 32
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents to the Emergency Department complaining of chest pain for the past 24 hours. The pain is described as a sharp, stabbing sensation, located in the center of the ch... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Visit Type:** Cardiology Clinic\n\n**Chief Complaint:** The patient presents with a 3-day history of right-sided weakness and a... | I69131 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Visit Type:** Cardiology Clinic
**Chief Complaint:** The patient presents with a 3-day history of right-sided weakness and altered mental status, with a recent onset of headache.
**History of Present Illness:** The patient reports a sudden on... |
[
{
"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:** October 26, 2023\n**Time:** 14:30\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patie... | I052 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** October 26, 2023
**Time:** 14:30
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents to the inpatient cardiac unit with a history of progressive shortness of breath over the past several weeks. T... |
[
{
"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:** Shortness of breath.\n\n**History of Present Illness:** The patient presented to the Emer... | I82422 | Circulatory System | **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 sudden onset shortness of breath over the past 24 hours. She reports the onset was gr... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for evaluation of rest pain in the left lower extremity. She reports a gradual onset of pain over ... | I70722 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**H&P:**
The patient presents today for evaluation of rest pain in the left lower extremity. She reports a gradual onset of pain over the past 6 months, initially occurring with exercise and now present at rest. The pain is described as a dull a... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\n\n**Progress Note**\n\n**Patient:** John Doe\n**Age:** 52\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the emergency departme... | I7411 | Circulatory System | **Progress Note**
**Patient:** John Doe
**Age:** 52
**Date:** 2024-02-29
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the emergency department today complaining of sudden onset of severe chest pain, radiating to his back. The pain began approximately 4 hours prior to arri... |
[
{
"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:** October 26, 2023\n**Time:** 10:00 AM\n**Location:** Cardiac Unit\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History o... | I97638 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Location:** Cardiac Unit
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presents with a history of a recent [Procedure Name] performed on [Date of Procedure] for [Rea... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Progress 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 evaluation of chest pain. He reports experiencing a sudden, severe, sharp... | I7773 | Circulatory System | **Progress Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents today for evaluation of chest pain. He reports experiencing a sudden, severe, sharp pain in the epigastrium approximately 3 days ago, which he initially attributed to indigestion. The pain was localized to th... |
[
{
"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**Location:** Cardiac Rehab Center\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presents with a 6-m... | I5083 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Location:** Cardiac Rehab Center
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents with a 6-month history of progressive dyspnea, initially occurring with exertion and now present at rest. He reports a signifi... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents with a... | I421 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents with a 6-month history of exertional chest pain, described as a pressure-like sensation, typically occurring during exercise... |
[
{
"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:** 10:00 AM\n**Provider:** [Your Name], MD\n\n**Chief Complaint:** Leg pain and skin changes.\n\n**His... | I70363 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Provider:** [Your Name], MD
**Chief Complaint:** Leg pain and skin changes.
**History of Present Illness:** The patient presents today with a chief complaint of worsening leg pain and skin changes in both l... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Progress Note**\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient is a 89-year-old male presenting for a routine cardiology follow-up. He reports he was initially... | I8393 | Circulatory System | **Progress Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient is a 89-year-old male presenting for a routine cardiology follow-up. He reports he was initially seen for lower extremity edema and a skin lesion on his left lower leg. He states the edema has been present for approxi... |
[
{
"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:** 57\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain and palpitations.\n\n**History of Present Illness:** The patient reports experiencing epis... | I491 | Circulatory System | **Consultation Note**
**Patient:** Jane Doe
**Age:** 57
**Date:** 2024-02-29
**Chief Complaint:** Chest pain and palpitations.
**History of Present Illness:** The patient reports experiencing episodes of chest pain and palpitations for the past several weeks. The chest pain is described as a sharp, stabbing sensatio... |
[
{
"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**Age:** 20\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents to the cardiac unit with a chief complaint of palpitations and shortness of bre... | I4820 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 20
**Date:** 2024-02-29
**S: Subjective**
The patient presents to the cardiac unit with a chief complaint of palpitations and shortness of breath, which began approximately 3 weeks ago. The palpitations are described as irregular and occur several times a day, lasti... |
[
{
"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**Visit Type:** Cardiac Rehabilitation\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports experiencing ... | I70209 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:00 AM
**Visit Type:** Cardiac Rehabilitation
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing exertional chest pain for the past 6 months, which is described as a pressure-like sensation, localized to the an... |
[
{
"role": "user",
"content": "Provide the ICD-10-CM classification code for the following clinical scenario:\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 t... | I059 | 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 inpatient cardiac unit with a 3-day history of chest pain, described as a pressure-like sensation in the chest, radiating to the l... |
[
{
"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:** October 26, 2023\n**Time:** 10:00 AM\n**DOB:** [Patient DOB]\n**MRN:** [Patient MRN]\n\n**S: Subjective**\n\nThe patient presents today for evalu... | I50811 | 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 presents today for evaluation of shortness of breath and lower extremity edema. She reports a 3-day history of increasing dyspnea, initially occurring wi... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**SOAP Note**\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n\n**S: Subjective**\n\nThe patient presents today for evaluation of chest pain. He reports a persistent, dull ache in ... | I3131 | Circulatory System | **SOAP Note**
**Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:00 AM
**S: Subjective**
The patient presents today for evaluation of chest pain. He reports a persistent, dull ache in the left side of his chest, which started approximately two weeks ago. The pain is described as pressure-like and is exacerbat... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** [Patient Name]\n**MRN:** [Medical Record Number]\n**Date:** October 26, 2023\n**Time:** 14:35\n\n**Chief Complaint:** Left leg pain and swelling.\n\n**History of Present Illness:** The patient prese... | I87009 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** October 26, 2023
**Time:** 14:35
**Chief Complaint:** Left leg pain and swelling.
**History of Present Illness:** The patient presents with a 3-day history of increasing left leg pain and swelling. The pain is described as a dull ache that worsens... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Patient:** Jane Doe\n**Age:** 57\n**Sex:** Female\n**Date:** 2024-02-29\n\n**Chief Complaint:** Left calf pain and swelling.\n\n**History of Present Illness:** The patient presents with acute onset of left c... | I80252 | Circulatory System | **Patient:** Jane Doe
**Age:** 57
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Left calf pain and swelling.
**History of Present Illness:** The patient presents with acute onset of left calf pain and swelling, which began approximately 3 days prior to presentation. The pain is described as a deep ache, e... |
[
{
"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**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Attending Physician:** [Your Name], MD\n\n**S: Subjective**\n\nThe patient is a 35-year-old male presenting t... | I679 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Attending Physician:** [Your Name], MD
**S: Subjective**
The patient is a 35-year-old male presenting to the vascular surgery clinic for evaluation of new-onset, transient neurological symptoms. He reports experiencing brief ep... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Progress Note**\n\n**Patient:** John Doe\n**MRN:** 1234567\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Acute onset of left leg pain.\n\n**History of Present Illness:** The patient prese... | I82451 | Circulatory System | **Progress Note**
**Patient:** John Doe
**MRN:** 1234567
**Date:** 2024-10-27
**Time:** 14:30
**Chief Complaint:** Acute onset of left leg pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of acute onset of severe pain in his left lower extremity, beginning app... |
[
{
"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**Time:** 14:35\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents to the Emergency Departm... | I82599 | 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 presents to the Emergency Department complaining of chest pain that began approximately 3 days prior to presentation. The pain is described as a dull ach... |
[
{
"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:** Lower extremity pain and swelling.\n\n**History of Present Illness:**... | I87313 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [MRN Number]
**Date:** 2024-02-29
**Time:** 14:30
**Chief Complaint:** Lower extremity pain and swelling.
**History of Present Illness:** The patient presents today with a 3-day history of increasing lower extremity pain and swelling, primarily in the bilateral ... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** [Patient Name]\n**Date:** October 26, 2023\n**Time:** 10:00 AM\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient is... | I359 | Circulatory System | **Patient:** [Patient Name]
**Date:** October 26, 2023
**Time:** 10:00 AM
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient is a 21-year-old female presenting with chest pain for the past 3 weeks. The chest pain is described as a sharp, pl... |
[
{
"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**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 p... | I670 | 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 presents to the Emergency Department with acute onset of severe, tearing chest pain, radiating to the back, approximately 3 hours prio... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** John Doe\n**Age:** 53\n**Sex:** Male\n**Date:** 2024-02-29\n\n**Chief Complaint:** Follow-up for known vascular disease.\n\n**History of Present Illness:** The patient is being followed fo... | I70598 | Circulatory System | **Patient:** John Doe
**Age:** 53
**Sex:** Male
**Date:** 2024-02-29
**Chief Complaint:** Follow-up for known vascular disease.
**History of Present Illness:** The patient is being followed for a history of atherosclerosis affecting the extremities, specifically the legs. He initially presented with intermittent clau... |
[
{
"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:** Primary Care Office\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient presents today ... | I82C12 | 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 acute onset chest pain, described as sharp and stabbing, radiating to the left shoulder. The pain began approximately 3 ... |
[
{
"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:** 52\n**Date:** 2024-10-27\n\n**S: Subjective**\n\nThe patient is a 52-year-old male who presented to the cardiac unit with acute onset of left-sided weakness... | I63323 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 52
**Date:** 2024-10-27
**S: Subjective**
The patient is a 52-year-old male who presented to the cardiac unit with acute onset of left-sided weakness and speech disturbance, approximately 3 hours prior to arrival. He reports a history of hypertension, controlled wit... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 21\n**Date:** October 26, 2023\n\n**Chief Complaint:** Right lower extremity pain and ulceration.\n\n**History of Present Illness:** The patient p... | I70269 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 21
**Date:** October 26, 2023
**Chief Complaint:** Right lower extremity pain and ulceration.
**History of Present Illness:** The patient presents with a 3-month history of worsening pain and ulceration in the right lower extremity. The pain is described as ... |
[
{
"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**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 sudden onset of sever... | I71011 | 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 sudden onset of severe, sharp chest pain, described as "tearing," radiating to the back. The pain began approximately 3 days ago, initially in th... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Clinical Note**\n\n**Patient:** Jane Doe\n**Age:** 67\n**Date:** 2024-10-27\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presented to the emergency departmen... | I5031 | Circulatory System | **Clinical Note**
**Patient:** Jane Doe
**Age:** 67
**Date:** 2024-10-27
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presented to the emergency department today complaining of progressive shortness of breath over the past 24 hours. She reports that the dyspnea started mildly... |
[
{
"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:** [MRN]\n**Date:** 2024-10-27\n**Time:** 14:35\n\n**Chief Complaint:** Lower extremity pain and ulceration.\n\n**History of Present Illness:** The pat... | I87019 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [MRN]
**Date:** 2024-10-27
**Time:** 14:35
**Chief Complaint:** Lower extremity pain and ulceration.
**History of Present Illness:** The patient presented to the emergency department today complaining of increasing pain and a non-healing ulcer on the left lower ... |
[
{
"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:** 10:30 AM\n**H&P:**\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient reports experiencing exertional chest pain for ... | I6619 | Circulatory System | **Patient:** Jane Doe
**Date:** 2024-02-29
**Time:** 10:30 AM
**H&P:**
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient reports experiencing exertional chest pain for the past 3 months. The pain is described as a pressure-like sensation, localized to the chest, and is brought on by walking... |
[
{
"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:** Shortness of breath and lower ext... | I82422 | 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:** Shortness of breath and lower extremity swelling.
**History of Present Illness:** The patient presents today with a 3-day history of increasing sh... |
[
{
"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**MRN:** [Medical Record Number]\n**Date:** October 26, 2023\n**Time:** 14:30\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:... | I6619 | Circulatory System | **Progress Note**
**Patient:** [Patient Name]
**MRN:** [Medical Record Number]
**Date:** October 26, 2023
**Time:** 14:30
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department on October 25, 2023, complaining of substernal chest pain that began approximate... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** [Patient Name]\n**Age:** 49\n**Sex:** Female\n**Date:** 2024-10-27\n**Time:** 14:30\n\n**Chief Complaint:** Hypotension\n\n**History of Present Illness:** The patient presents to the emerg... | I953 | Circulatory System | **Patient:** [Patient Name]
**Age:** 49
**Sex:** Female
**Date:** 2024-10-27
**Time:** 14:30
**Chief Complaint:** Hypotension
**History of Present Illness:** The patient presents to the emergency department with a chief complaint of hypotension. The patient reports feeling lightheaded and dizzy for the past 2 hours. ... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Progress Note**\n\n**Patient:** Jane Doe\n**Age:** 66\n**Date:** 2024-02-29\n**Time:** 14:35\n\n**Chief Complaint:** Acute onset of weakness in the left upper extremity.\n\n**History of Present Illnes... | I69834 | Circulatory System | **Progress Note**
**Patient:** Jane Doe
**Age:** 66
**Date:** 2024-02-29
**Time:** 14:35
**Chief Complaint:** Acute onset of weakness in the left upper extremity.
**History of Present Illness:** The patient reports a sudden onset of weakness in her left arm approximately 2 hours prior to arrival. She states the weak... |
[
{
"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:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** Th... | I2781 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presented to the emergency department today complaining of progressive dyspnea over the past 3 weeks. He re... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\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 23-year-old male presenting to the cardiac catheterization lab today for evaluation ... | I483 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:35
**S: Subjective**
The patient is a 23-year-old male presenting to the cardiac catheterization lab today for evaluation of palpitations and shortness of breath. He reports that the palpitations started approximately 3 months ago, initially... |
[
{
"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:** 14:30\n**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient is a 23-year-old ... | I7075 | 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 is a 23-year-old female presenting with chest pain that started approximately 3 weeks ago. The pain is described as a dull, aching sensatio... |
[
{
"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**Age:** 24\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of left leg pain and swelling, whi... | I82549 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 24
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of left leg pain and swelling, which began approximately 3 days ago. The pain is described as a dull ache, initially localized to the medial aspect of the l... |
[
{
"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:** 2024-10-27\n\n**Chief Complaint:** Acute onset of left-sided weakness.\n\n**History of Present Illness:** The patient presented to the Emergency... | I6601 | Circulatory System | **Patient:** Jane Doe
**Age:** 56
**Sex:** Female
**Date:** 2024-10-27
**Chief Complaint:** Acute onset of left-sided weakness.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset left-sided weakness, which began approximately 3 hours prior to arrival. S... |
[
{
"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:** 14:30\n**MRN:** [MRN Number]\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presented to the Emergency Depa... | I67850 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**MRN:** [MRN Number]
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of chest pain, which began approximately one week ago. The pain is described as a dull ache, locat... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Patient:** [Patient Name]\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**Visit Type:** Cardiology\n\n**Chief Complaint:** Patient presents for evaluation of a lower extremity ulcer.\n\n**History of Present Illness:... | I70248 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:00 AM
**Visit Type:** Cardiology
**Chief Complaint:** Patient presents for evaluation of a lower extremity ulcer.
**History of Present Illness:** The patient reports a non-healing ulcer on the dorsum of his left foot, present for approximately 6 months. He... |
[
{
"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:** 87\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presented to the Emergency Department today complaining of acute onset of left-s... | I6930 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 87
**Date:** 2024-02-29
**S: Subjective**
The patient presented to the Emergency Department today complaining of acute onset of left-sided weakness and speech difficulty, which began approximately 3 hours prior to arrival. The patient reports that the weakness is pr... |
[
{
"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:** 14:35\n\n**Chief Complaint:** Chest pain\n\n**History of Present Illness:** The patient present... | I25110 | Circulatory System | **Progress Note**
**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 that began approximately 2 hours prior to arrival. The pain is describe... |
[
{
"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**Date:** 2024-10-27\n**Time:** 10:00 AM\n**DOB:** [Patient DOB]\n\n**S: Subjective**\n\nThe patient presents today for evaluation of a deep vein thrombosis... | I80201 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-10-27
**Time:** 10:00 AM
**DOB:** [Patient DOB]
**S: Subjective**
The patient presents today for evaluation of a deep vein thrombosis (DVT) in the right lower extremity. She reports a gradual onset of pain and swelling in her right calf over the past 3 days. T... |
[
{
"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**Consultation Requested by:** Dr. Smith\n\n**Chief Complaint:** The patient presents with a progressively worsening ulcer on the left ankle, whic... | I70643 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Consultation Requested by:** Dr. Smith
**Chief Complaint:** The patient presents with a progressively worsening ulcer on the left ankle, which he attributes to a history of vascular disease.
**History of Present Illness:** The patient reports a history o... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\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 64-year-old male presenting to the cardiac catheterization lab today for evaluation ... | I82521 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 14:30
**S: Subjective**
The patient is a 64-year-old male presenting to the cardiac catheterization lab today for evaluation of right lower extremity pain and swelling. He reports a history of deep vein thrombosis (DVT) approximately 6 months a... |
[
{
"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:** 83\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents to the emergency department complaining of worsening pain in his left lower extr... | I70649 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 83
**Date:** 2024-02-29
**S: Subjective**
The patient presents to the emergency department complaining of worsening pain in his left lower extremity. He reports the pain started approximately one week ago and has been progressively increasing in severity. He denies ... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** [Patient Name]\n**MRN:** [Medical Record 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 histor... | I82891 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Medical Record 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 that began approximately 3 weeks ago. The pain is described as sharp and pleuritic, occurring primarily w... |
[
{
"role": "user",
"content": "Review this clinical note and provide the ICD-10-CM diagnosis code:\n\n**Patient:** John Doe\n**Date:** 2024-02-29\n**Time:** 10:00 AM\n**Attending Physician:** Dr. Jane Smith\n\n**Chief Complaint:** Chest pain.\n\n**History of Present Illness:** The patient presents today comp... | I25111 | Circulatory System | **Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**Attending Physician:** Dr. Jane Smith
**Chief Complaint:** Chest pain.
**History of Present Illness:** The patient presents today complaining of chest pain. He describes the chest pain as a pressure-like sensation in the center of his chest, which he rat... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**DOB:** [Patient DOB]\n**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n\n**Chief Complaint:** Left leg pain and swelling.\n\n**History of Present Illne... | I80233 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**DOB:** [Patient DOB]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Chief Complaint:** Left leg pain and swelling.
**History of Present Illness:** The patient presents to the Emergency Department today complaining of left leg pain and swelling that began approximate... |
[
{
"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**Attending Physician:** [Your Name]\n\n**Chief Complaint:** Acute onset of neurological deficits.\n\n**History of Present... | I63411 | Circulatory System | **Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Time:** 14:30
**Attending Physician:** [Your Name]
**Chief Complaint:** Acute onset of neurological deficits.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset of right-sided wea... |
[
{
"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**MRN:** [Patient MRN]\n**Date:** 2024-02-29\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** The patient presente... | I6203 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**MRN:** [Patient MRN]
**Date:** 2024-02-29
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** The patient presented today with a 6-month history of worsening headache and recent onset of left-sided weakness.
**History of Present Illness:** The ... |
[
{
"role": "user",
"content": "Determine the correct ICD-10-CM billing code for this clinical encounter:\n\n**Patient:** Jane Doe\n**Age:** 19\n**Date:** 2024-02-29\n\n**Chief Complaint:** Chest pain and shortness of breath.\n\n**History of Present Illness:** The patient presented to the Emergency Department... | I82609 | Circulatory System | **Patient:** Jane Doe
**Age:** 19
**Date:** 2024-02-29
**Chief Complaint:** Chest pain and shortness of breath.
**History of Present Illness:** The patient presented to the Emergency Department today complaining of sudden onset chest pain and shortness of breath, approximately 6 hours prior to arrival. The pain was d... |
[
{
"role": "user",
"content": "Given the following clinical note, predict the ICD-10-CM diagnosis code:\n\n**Patient:** Jane Doe\n**Age:** 18\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 sud... | I6501 | Circulatory System | **Patient:** Jane Doe
**Age:** 18
**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 that began approximately 3 hours prior to arrival. The pain is described as a sharp, stabbing s... |
[
{
"role": "user",
"content": "What is the correct ICD-10-CM code for this clinical encounter?\n\n**Patient:** Jane Doe\n**Age:** 78\n**Sex:** Female\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... | I090 | Circulatory System | **Patient:** Jane Doe
**Age:** 78
**Sex:** Female
**Date:** 2024-02-29
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presented to the emergency department today complaining of chest pain that began approximately 3 days ago. The pain is described as a pressure-like sensation, located in t... |
[
{
"role": "user",
"content": "Assign the appropriate ICD-10-CM diagnosis code for this patient:\n\n**SOAP Note**\n\n**Patient:** [Patient Name]\n**Age:** 18\n**Date:** 2024-02-29\n\n**S: Subjective**\n\nThe patient presents to the vascular surgery clinic today complaining of intermittent claudication in bot... | I75013 | Circulatory System | **SOAP Note**
**Patient:** [Patient Name]
**Age:** 18
**Date:** 2024-02-29
**S: Subjective**
The patient presents to the vascular surgery clinic today complaining of intermittent claudication in both upper extremities, described as a cramping sensation in his forearms and hands that occurs with activity, such as wal... |
[
{
"role": "user",
"content": "Based on the clinical information below, identify the ICD-10-CM code:\n\n**Patient:** John Doe\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n**H&P:**\n\nThe patient presents today for a cardiology follow-up. He reports a chronic, progressive dyspnea on exertion that has worsened o... | I2782 | Circulatory System | **Patient:** John Doe
**Date:** 2024-10-27
**Time:** 10:00 AM
**H&P:**
The patient presents today for a cardiology follow-up. He reports a chronic, progressive dyspnea on exertion that has worsened over the past six months, limiting his ability to walk more than 20 feet without significant shortness of breath. He deni... |
[
{
"role": "user",
"content": "As a medical coder, determine the ICD-10-CM code for this encounter:\n\n**Patient:** John Smith\n**Date:** 2024-02-29\n**Time:** 10:30 AM\n**H&P:**\n\nThe patient presents today for follow-up after an acute myocardial infarction. He reports chest pain that began approximately 3... | I235 | Circulatory System | **Patient:** John Smith
**Date:** 2024-02-29
**Time:** 10:30 AM
**H&P:**
The patient presents today for follow-up after an acute myocardial infarction. He reports chest pain that began approximately 3 weeks ago, which initially resolved with rest but later became more persistent and associated with exertion. The pain ... |
[
{
"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**Attending Physician:** [Your Name]\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** Chest pain\n\n**Histor... | I440 | Circulatory System | **Patient:** [Patient Name]
**Date:** 2024-02-29
**Time:** 10:30 AM
**Attending Physician:** [Your Name]
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** Chest pain
**History of Present Illness:** The patient presents today complaining of chest pain. The patient states the pain started approxi... |
[
{
"role": "user",
"content": "Identify the primary ICD-10-CM diagnosis code from this clinical note:\n\n**SOAP Note**\n\n**Patient:** John Doe\n**Date:** 2024-10-27\n**Time:** 10:00 AM\n\n**S: Subjective**\n\nThe patient presents today for a routine follow-up. He reports a persistent, non-healing ulcer on t... | I70331 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-10-27
**Time:** 10:00 AM
**S: Subjective**
The patient presents today for a routine follow-up. He reports a persistent, non-healing ulcer on the medial aspect of his left thigh, which he states started approximately 6 months ago. He describes the ulcer as being appr... |
[
{
"role": "user",
"content": "What ICD-10-CM code best describes this patient's condition?\n\n**Consultation Note**\n\n**Patient:** [Patient Name]\n**Age:** 89\n**Date:** October 26, 2023\n\n**Chief Complaint:** Shortness of breath.\n\n**History of Present Illness:** The patient presents today with increasi... | I2601 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Age:** 89
**Date:** October 26, 2023
**Chief Complaint:** Shortness of breath.
**History of Present Illness:** The patient presents today with increasing dyspnea over the past 3 days. He reports that the dyspnea has worsened to the point where he is now experiencin... |
[
{
"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**H&P:**\n\nThe patient presents for evaluation of intermittent claudication in the left upper extremity. He repor... | I82712 | Circulatory System | **SOAP Note**
**Patient:** John Doe
**Date:** 2024-02-29
**Time:** 10:00 AM
**H&P:**
The patient presents for evaluation of intermittent claudication in the left upper extremity. He reports a 6-month history of pain with exertion, primarily in the left arm, that resolves with rest. He describes the pain as a cramping... |
[
{
"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**Date:** 2024-02-29\n**Referring Physician:** [Referring Physician Name]\n\n**Chief Complaint:** New-onset left-sided weakness and speech difficul... | I63011 | Circulatory System | **Consultation Note**
**Patient:** [Patient Name]
**Date:** 2024-02-29
**Referring Physician:** [Referring Physician Name]
**Chief Complaint:** New-onset left-sided weakness and speech difficulty.
**History of Present Illness:** The patient presented to the emergency department today complaining of sudden onset left... |
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