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Dx codes for transanal rectal injury repair?

she803

Guru
Messages
117
I'm not sure what dx codes to use for the document below:

History: 31-year-old man status post gunshot wound, status post transanal rectal injury repair

Impression:
1. High right superior pubic ramus fracture with adjacent intramuscular and extraperitoneal hemorrhage.
2. Rectal wall thickening and presacral hemorrhage.
3. Fracture fragments and/or foreign bodies within the right pectineus and right obturator muscles.

Greatly appreciate it!

Thank you,

Salima H., CPC
Radiology Coding Specialist
 
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