[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Person boarding or alighting from bus injured in collision with fixed or stationary object, subsequent encounter

[Assistant] V77.4XXD — Person boarding or alighting from bus injured in collision with fixed or stationary object, subsequent encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Breakdown (mechanical) of insulin pump, initial encounter

[Assistant] T85.614A — Breakdown (mechanical) of insulin pump, initial encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Fracture of unspecified carpal bone, unspecified wrist, initial encounter for open fracture

[Assistant] S62.109B — Fracture of unspecified carpal bone, unspecified wrist, initial encounter for open fracture


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Underdosing of hydantoin derivatives, sequela

[Assistant] T42.0X6S — Underdosing of hydantoin derivatives, sequela


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Burn of third degree of unspecified site of right lower limb, except ankle and foot, subsequent encounter

[Assistant] T24.301D — Burn of third degree of unspecified site of right lower limb, except ankle and foot, subsequent encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Glaucoma secondary to eye inflammation, bilateral, indeterminate stage

[Assistant] H40.43X4 — Glaucoma secondary to eye inflammation, bilateral, indeterminate stage


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris

[Assistant] I25.728 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Underdosing of local antifungal, anti-infective and anti-inflammatory drugs, initial encounter

[Assistant] T49.0X6A — Underdosing of local antifungal, anti-infective and anti-inflammatory drugs, initial encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing

[Assistant] S52.264G — Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Unspecified fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

[Assistant] S82.409R — Unspecified fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Adverse effect of other agents primarily acting on the respiratory system, sequela

[Assistant] T48.995S — Adverse effect of other agents primarily acting on the respiratory system, sequela


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Other specific joint derangements left foot, not elsewhere classified

[Assistant] M24.875 — Other specific joint derangements left foot, not elsewhere classified


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Encounter for supervision of normal first pregnancy, third trimester

[Assistant] Z34.03 — Encounter for supervision of normal first pregnancy, third trimester


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Fall on and from ladder, subsequent encounter

[Assistant] W11.XXXD — Fall on and from ladder, subsequent encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Cicatricial lagophthalmos right eye, unspecified eyelid

[Assistant] H02.213 — Cicatricial lagophthalmos right eye, unspecified eyelid


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter

[Assistant] V91.33XD — Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] NIHSS score 15

[Assistant] R29.715 — NIHSS score 15


[System] You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification.

[User] Chronic embolism and thrombosis of subclavian vein, bilateral

[Assistant] I82.B23 — Chronic embolism and thrombosis of subclavian vein, bilateral