{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.21XH — Displaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.035J — Nondisplaced transverse fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of left little finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.257D — Open bite of left little finger without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertrophy of bone, right radius"}, {"role": "assistant", "content": "M89.333 — Hypertrophy of bone, right radius"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of interphalangeal joint of left index finger, initial encounter"}, {"role": "assistant", "content": "S63.631A — Sprain of interphalangeal joint of left index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal findings on diagnostic imaging of heart and coronary circulation"}, {"role": "assistant", "content": "R93.1 — Abnormal findings on diagnostic imaging of heart and coronary circulation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute recurrent pansinusitis"}, {"role": "assistant", "content": "J01.41 — Acute recurrent pansinusitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right great toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.411G — Displaced fracture of proximal phalanx of right great toe, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.129A — Laceration with foreign body of unspecified toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter"}, {"role": "assistant", "content": "S33.30XA — Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema"}, {"role": "assistant", "content": "E08.311 — Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by caffeine, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T43.612A — Poisoning by caffeine, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of second lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.022S — Unstable burst fracture of second lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of unspecified retina"}, {"role": "assistant", "content": "D31.20 — Benign neoplasm of unspecified retina"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure of other implanted mesh into organ or tissue, initial encounter"}, {"role": "assistant", "content": "T83.728A — Exposure of other implanted mesh into organ or tissue, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.302A — Unspecified injury of left internal jugular vein, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cranial cerebrospinal fluid leak"}, {"role": "assistant", "content": "G96.08 — Other cranial cerebrospinal fluid leak"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of ankle, left ankle, initial encounter"}, {"role": "assistant", "content": "S90.572A — Other superficial bite of ankle, left ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.405D — Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of left ring finger, subsequent encounter"}, {"role": "assistant", "content": "S65.515D — Laceration of blood vessel of left ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, unspecified femur, initial encounter for fracture"}, {"role": "assistant", "content": "M84.453A — Pathological fracture, unspecified femur, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5"}, {"role": "assistant", "content": "O36.5925 — Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to uncontrolled fire, not in building or structure, initial encounter"}, {"role": "assistant", "content": "X01.3XXA — Fall due to uncontrolled fire, not in building or structure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twin pregnancy, monochorionic/monoamniotic, first trimester"}, {"role": "assistant", "content": "O30.011 — Twin pregnancy, monochorionic/monoamniotic, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.234B — Nondisplaced oblique fracture of shaft of right ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of vagina"}, {"role": "assistant", "content": "D28.1 — Benign neoplasm of vagina"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diseases of the nervous system complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O99.352 — Diseases of the nervous system complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of arsenic and its compounds, assault, subsequent encounter"}, {"role": "assistant", "content": "T57.0X3D — Toxic effect of arsenic and its compounds, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localized traumatic opacities, bilateral"}, {"role": "assistant", "content": "H26.113 — Localized traumatic opacities, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of left axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.042D — Burn of unspecified degree of left axilla, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of thallium, intentional self-harm, sequela"}, {"role": "assistant", "content": "T56.812S — Toxic effect of thallium, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal, sequela"}, {"role": "assistant", "content": "V20.31XS — Person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diseases of the skin and subcutaneous tissue complicating the puerperium"}, {"role": "assistant", "content": "O99.73 — Diseases of the skin and subcutaneous tissue complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, sequela"}, {"role": "assistant", "content": "S42.425S — Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela"}, {"role": "assistant", "content": "S66.811S — Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury due to collapse of burning building or structure in uncontrolled fire, initial encounter"}, {"role": "assistant", "content": "X00.2XXA — Injury due to collapse of burning building or structure in uncontrolled fire, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of bursa, left hand"}, {"role": "assistant", "content": "M71.042 — Abscess of bursa, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Effects of abnormal gravitation [G] forces, initial encounter"}, {"role": "assistant", "content": "T75.81XA — Effects of abnormal gravitation [G] forces, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushed between unspecified watercraft and other watercraft or other object due to collision, subsequent encounter"}, {"role": "assistant", "content": "V91.19XD — Crushed between unspecified watercraft and other watercraft or other object due to collision, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.309B — Unspecified fracture of unspecified metacarpal bone, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.092J — Other fracture of head and neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Caught, crushed, jammed or pinched between a moving and stationary object, sequela"}, {"role": "assistant", "content": "W23.2XXS — Caught, crushed, jammed or pinched between a moving and stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to radiofrequency, initial encounter"}, {"role": "assistant", "content": "W90.0XXA — Exposure to radiofrequency, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis"}, {"role": "assistant", "content": "N04.5 — Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.261D — Insect bite (nonvenomous) of right shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.024K — Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified forearm, initial encounter"}, {"role": "assistant", "content": "T22.519A — Corrosion of first degree of unspecified forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of glenoid cavity of scapula, unspecified shoulder, sequela"}, {"role": "assistant", "content": "S42.143S — Displaced fracture of glenoid cavity of scapula, unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of right foot, subsequent encounter"}, {"role": "assistant", "content": "S99.821D — Other specified injuries of right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right middle finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.612P — Displaced fracture of proximal phalanx of right middle finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified palm, sequela"}, {"role": "assistant", "content": "T23.259S — Burn of second degree of unspecified palm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S68.529A — Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of T5/T6 thoracic vertebra, initial encounter"}, {"role": "assistant", "content": "S23.133A — Dislocation of T5/T6 thoracic vertebra, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.365P — Nondisplaced fracture of neck of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of liver, initial encounter"}, {"role": "assistant", "content": "S36.116A — Major laceration of liver, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving explosion of guided missile, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y37.221D — Military operations involving explosion of guided missile, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of second thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.022G — Unstable burst fracture of second thoracic vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of groin with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.476 — Non-pressure chronic ulcer of groin with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified drugs acting on muscles, assault, sequela"}, {"role": "assistant", "content": "T48.203S — Poisoning by unspecified drugs acting on muscles, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inconclusive laboratory evidence of human immunodeficiency virus [HIV]"}, {"role": "assistant", "content": "R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hang-glider collision injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.13XA — Hang-glider collision injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of right thumb with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.101A — Unspecified open wound of right thumb with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hallucinogen abuse with intoxication with delirium"}, {"role": "assistant", "content": "F16.121 — Hallucinogen abuse with intoxication with delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.189K — Other fracture of upper end of unspecified radius, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of unspecified agents primarily acting on the respiratory system, subsequent encounter"}, {"role": "assistant", "content": "T48.906D — Underdosing of unspecified agents primarily acting on the respiratory system, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for supervision of normal pregnancy, unspecified, first trimester"}, {"role": "assistant", "content": "Z34.91 — Encounter for supervision of normal pregnancy, unspecified, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.8X9E — Other fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.014P — Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tobacco cigarettes, undetermined, initial encounter"}, {"role": "assistant", "content": "T65.224A — Toxic effect of tobacco cigarettes, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.116E — Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.424Q — Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of right radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.014D — Anterior dislocation of right radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post-traumatic osteoarthritis, left wrist"}, {"role": "assistant", "content": "M19.132 — Post-traumatic osteoarthritis, left wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Elephantiasis of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.859 — Elephantiasis of unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operation involving other effects of nuclear weapons, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.591A — Military operation involving other effects of nuclear weapons, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of heart without hemopericardium, subsequent encounter"}, {"role": "assistant", "content": "S26.12XD — Laceration of heart without hemopericardium, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.464G — Nondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V15.5XXS — Pedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.048G — Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.90XA — Unspecified fracture of unspecified hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neurogenic bowel, not elsewhere classified"}, {"role": "assistant", "content": "K59.2 — Neurogenic bowel, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels at wrist and hand level of unspecified arm, initial encounter"}, {"role": "assistant", "content": "S65.809A — Unspecified injury of other blood vessels at wrist and hand level of unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified bursopathies, unspecified ankle and foot"}, {"role": "assistant", "content": "M71.879 — Other specified bursopathies, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right upper arm, subsequent encounter"}, {"role": "assistant", "content": "S41.111D — Laceration without foreign body of right upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of left little finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.607K — Fracture of unspecified phalanx of left little finger, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.139K — Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other benign neuroendocrine tumors"}, {"role": "assistant", "content": "D3A.8 — Other benign neuroendocrine tumors"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V48.1XXD — Car passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of right calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.091A — Other physeal fracture of right calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of inhaled anesthetics, initial encounter"}, {"role": "assistant", "content": "T41.0X6A — Underdosing of inhaled anesthetics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.609 — Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V23.29XD — Unspecified rider of other motorcycle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, pelvis, initial encounter for fracture"}, {"role": "assistant", "content": "M84.650A — Pathological fracture in other disease, pelvis, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sepsis following ectopic and molar pregnancy"}, {"role": "assistant", "content": "O08.82 — Sepsis following ectopic and molar pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Premature separation of placenta with disseminated intravascular coagulation, third trimester"}, {"role": "assistant", "content": "O45.023 — Premature separation of placenta with disseminated intravascular coagulation, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified inflammatory spondylopathies, lumbar region"}, {"role": "assistant", "content": "M46.86 — Other specified inflammatory spondylopathies, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural heart failure following other surgery"}, {"role": "assistant", "content": "I97.131 — Postprocedural heart failure following other surgery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T65.5X2D — Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting an electric (assisted) bicycle injured in collision with two- or three-wheeled motor vehicle, subsequent encounter"}, {"role": "assistant", "content": "V22.31XD — Person boarding or alighting an electric (assisted) bicycle injured in collision with two- or three-wheeled motor vehicle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other calcification of muscle, left thigh"}, {"role": "assistant", "content": "M61.452 — Other calcification of muscle, left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of railway train or railway vehicle injured due to other specified railway accident, sequela"}, {"role": "assistant", "content": "V81.89XS — Occupant of railway train or railway vehicle injured due to other specified railway accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other bacterial vaccines, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T50.A92D — Poisoning by other bacterial vaccines, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure-induced deep tissue damage of other site"}, {"role": "assistant", "content": "L89.896 — Pressure-induced deep tissue damage of other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle, nontraffic, subsequent encounter"}, {"role": "assistant", "content": "V88.1XXD — Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle, nontraffic, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Colles' fracture of unspecified radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.539A — Colles' fracture of unspecified radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of spine, lumbosacral region"}, {"role": "assistant", "content": "M42.07 — Juvenile osteochondrosis of spine, lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor opacity of cornea, right eye"}, {"role": "assistant", "content": "H17.811 — Minor opacity of cornea, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intracranial hypotension"}, {"role": "assistant", "content": "G96.819 — Other intracranial hypotension"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.291D — Other specified injury of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body of alimentary tract, part unspecified, subsequent encounter"}, {"role": "assistant", "content": "T18.9XXD — Foreign body of alimentary tract, part unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of neck, initial encounter"}, {"role": "assistant", "content": "S19.9XXA — Unspecified injury of neck, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of thoracic trachea, sequela"}, {"role": "assistant", "content": "S27.52XS — Contusion of thoracic trachea, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of right index finger, subsequent encounter"}, {"role": "assistant", "content": "S68.610D — Complete traumatic transphalangeal amputation of right index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other accident to commercial fixed-wing aircraft injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.39XA — Other accident to commercial fixed-wing aircraft injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Colostomy complication, unspecified"}, {"role": "assistant", "content": "K94.00 — Colostomy complication, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity"}, {"role": "assistant", "content": "L97.918 — Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior, unspecified"}, {"role": "assistant", "content": "D48.9 — Neoplasm of uncertain behavior, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major osseous defect, unspecified site"}, {"role": "assistant", "content": "M89.70 — Major osseous defect, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atresia of vas deferens"}, {"role": "assistant", "content": "Q55.3 — Atresia of vas deferens"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right index finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.210A — Laceration without foreign body of right index finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.355N — Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by electrolytic, caloric and water-balance agents, assault, sequela"}, {"role": "assistant", "content": "T50.3X3S — Poisoning by electrolytic, caloric and water-balance agents, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, unspecified foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.676K — Pathological fracture in other disease, unspecified foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal cerebral leukomalacia"}, {"role": "assistant", "content": "P91.2 — Neonatal cerebral leukomalacia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fused toes, unspecified foot"}, {"role": "assistant", "content": "Q70.20 — Fused toes, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kitchen in mobile home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.020 — Kitchen in mobile home as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by falling object on other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V93.43XD — Struck by falling object on other powered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired clawfoot, right foot"}, {"role": "assistant", "content": "M21.531 — Acquired clawfoot, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving rubber bullets, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.410A — War operations involving rubber bullets, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, pelvis, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.454K — Pathological fracture, pelvis, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subacute osteomyelitis, right shoulder"}, {"role": "assistant", "content": "M86.211 — Subacute osteomyelitis, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4"}, {"role": "assistant", "content": "O31.21X4 — Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myalgic encephalomyelitis/chronic fatigue syndrome"}, {"role": "assistant", "content": "G93.32 — Myalgic encephalomyelitis/chronic fatigue syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.335B — Nondisplaced oblique fracture of shaft of left radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Solitary bone cyst, left ankle and foot"}, {"role": "assistant", "content": "M85.472 — Solitary bone cyst, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.039P — Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antidepressants, undetermined, initial encounter"}, {"role": "assistant", "content": "T43.204A — Poisoning by unspecified antidepressants, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polycystic kidney, unspecified"}, {"role": "assistant", "content": "Q61.3 — Polycystic kidney, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S24.109D — Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter"}, {"role": "assistant", "content": "T83.9XXA — Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tetracyclines, intentional self-harm, sequela"}, {"role": "assistant", "content": "T36.4X2S — Poisoning by tetracyclines, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple left fingers (nail), including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.642D — Corrosion of second degree of multiple left fingers (nail), including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounter"}, {"role": "assistant", "content": "T85.691D — Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of unspecified ear, initial encounter"}, {"role": "assistant", "content": "T33.019A — Superficial frostbite of unspecified ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right pubis, sequela"}, {"role": "assistant", "content": "S32.501S — Unspecified fracture of right pubis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V04.031D — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right forearm, subsequent encounter"}, {"role": "assistant", "content": "T22.211D — Burn of second degree of right forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fetal anemia and thrombocytopenia, unspecified trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8290 — Fetal anemia and thrombocytopenia, unspecified trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Thrombophlebitis migrans"}, {"role": "assistant", "content": "I82.1 — Thrombophlebitis migrans"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by 4-Aminophenol derivatives, assault, subsequent encounter"}, {"role": "assistant", "content": "T39.1X3D — Poisoning by 4-Aminophenol derivatives, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of eyelid"}, {"role": "assistant", "content": "H02.89 — Other specified disorders of eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.234M — Nondisplaced oblique fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salmonella enteritis"}, {"role": "assistant", "content": "A02.0 — Salmonella enteritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.021K — Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of anterior process of left calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.022D — Displaced fracture of anterior process of left calcaneus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fetal anemia and thrombocytopenia, second trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8220 — Fetal anemia and thrombocytopenia, second trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of ulnar artery at wrist and hand level of left arm, subsequent encounter"}, {"role": "assistant", "content": "S65.092D — Other specified injury of ulnar artery at wrist and hand level of left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of taipan venom, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T63.031D — Toxic effect of taipan venom, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of smoke, intentional self-harm, sequela"}, {"role": "assistant", "content": "T59.812S — Toxic effect of smoke, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.033C — Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V58.5XXD — Driver of pick-up truck or van injured in noncollision transport accident in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of one rib, left side, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.32XB — Fracture of one rib, left side, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.235D — Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of thorax, subsequent encounter"}, {"role": "assistant", "content": "T34.2XXD — Frostbite with tissue necrosis of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.390D — Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side"}, {"role": "assistant", "content": "I69.044 — Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other abnormal auditory perceptions, unspecified ear"}, {"role": "assistant", "content": "H93.299 — Other abnormal auditory perceptions, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous plant, assault, sequela"}, {"role": "assistant", "content": "T63.793S — Toxic effect of contact with other venomous plant, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Child sexual abuse, confirmed, initial encounter"}, {"role": "assistant", "content": "T74.22XA — Child sexual abuse, confirmed, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periostitis of unspecified orbit"}, {"role": "assistant", "content": "H05.039 — Periostitis of unspecified orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complication of other artery following a procedure, not elsewhere classified, sequela"}, {"role": "assistant", "content": "T81.718S — Complication of other artery following a procedure, not elsewhere classified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Family history of sudden infant death syndrome"}, {"role": "assistant", "content": "Z84.82 — Family history of sudden infant death syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter"}, {"role": "assistant", "content": "S75.212A — Minor laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.319A — Laceration without foreign body of unspecified finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of superficial vein at shoulder and upper arm level, unspecified arm, sequela"}, {"role": "assistant", "content": "S45.319S — Laceration of superficial vein at shoulder and upper arm level, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of rectum, subsequent encounter"}, {"role": "assistant", "content": "S36.63XD — Laceration of rectum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deep endometriosis of the left pelvic brim"}, {"role": "assistant", "content": "N80.372 — Deep endometriosis of the left pelvic brim"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcification and ossification of muscles associated with burns, left hand"}, {"role": "assistant", "content": "M61.342 — Calcification and ossification of muscles associated with burns, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified buttock, initial encounter"}, {"role": "assistant", "content": "S31.805A — Open bite of unspecified buttock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other neurologic disorders in Lyme disease"}, {"role": "assistant", "content": "A69.22 — Other neurologic disorders in Lyme disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of left lower leg, subsequent encounter"}, {"role": "assistant", "content": "S89.82XD — Other specified injuries of left lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T42.6X1A — Poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of radial nerve at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S54.20XD — Injury of radial nerve at forearm level, unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of central portion of right female breast"}, {"role": "assistant", "content": "C50.111 — Malignant neoplasm of central portion of right female breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of lower back, sequela"}, {"role": "assistant", "content": "T21.14XS — Burn of first degree of lower back, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intrinsic sphincter deficiency (ISD)"}, {"role": "assistant", "content": "N36.42 — Intrinsic sphincter deficiency (ISD)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in nostril, sequela"}, {"role": "assistant", "content": "T17.1XXS — Foreign body in nostril, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other mycotoxin food contaminants, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T64.81XS — Toxic effect of other mycotoxin food contaminants, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.001A — Unspecified fracture of upper end of right ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of cadmium and its compounds, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T56.3X2D — Toxic effect of cadmium and its compounds, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.0AXP — Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.473K — Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with cow, subsequent encounter"}, {"role": "assistant", "content": "W55.29XD — Other contact with cow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other nonvenomous marine animals, initial encounter"}, {"role": "assistant", "content": "W56.89XA — Other contact with other nonvenomous marine animals, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Child sexual exploitation, confirmed, initial encounter"}, {"role": "assistant", "content": "T74.52XA — Child sexual exploitation, confirmed, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.135R — Nondisplaced fracture of neck of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maple-bark-stripper's lung"}, {"role": "assistant", "content": "J67.6 — Maple-bark-stripper's lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified amblyopia, right eye"}, {"role": "assistant", "content": "H53.001 — Unspecified amblyopia, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right thumb (nail), initial encounter"}, {"role": "assistant", "content": "T23.011A — Burn of unspecified degree of right thumb (nail), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of single left finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.622S — Corrosion of second degree of single left finger (nail) except thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of coronoid process of left mandible, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.632G — Fracture of coronoid process of left mandible, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aortic aneurysm of unspecified site, without rupture"}, {"role": "assistant", "content": "I71.9 — Aortic aneurysm of unspecified site, without rupture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torsion of right ovary and ovarian pedicle"}, {"role": "assistant", "content": "N83.511 — Torsion of right ovary and ovarian pedicle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital insufficiency of aortic valve"}, {"role": "assistant", "content": "Q23.1 — Congenital insufficiency of aortic valve"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of right shoulder joint, sequela"}, {"role": "assistant", "content": "S43.001S — Unspecified subluxation of right shoulder joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysphonia"}, {"role": "assistant", "content": "R49.0 — Dysphonia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.021P — Displaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of unspecified finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.639D — Displaced fracture of distal phalanx of unspecified finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.91XD — Unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of left patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.035B — Nondisplaced transverse fracture of left patella, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, undetermined, sequela"}, {"role": "assistant", "content": "T38.6X4S — Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irradiation cystitis with hematuria"}, {"role": "assistant", "content": "N30.41 — Irradiation cystitis with hematuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of right ankle, subsequent encounter"}, {"role": "assistant", "content": "T25.711D — Corrosion of third degree of right ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary pulmonary hypertension"}, {"role": "assistant", "content": "I27.29 — Other secondary pulmonary hypertension"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of C3/C4 cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.140A — Subluxation of C3/C4 cervical vertebrae, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of synovium, right elbow"}, {"role": "assistant", "content": "M67.821 — Other specified disorders of synovium, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by sword or dagger, sequela"}, {"role": "assistant", "content": "X78.2XXS — Intentional self-harm by sword or dagger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mechanical lagophthalmos, bilateral, upper and lower eyelids"}, {"role": "assistant", "content": "H02.22C — Mechanical lagophthalmos, bilateral, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specific arthropathies, not elsewhere classified, unspecified wrist"}, {"role": "assistant", "content": "M12.839 — Other specific arthropathies, not elsewhere classified, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for excessive fetal growth, first trimester, fetus 4"}, {"role": "assistant", "content": "O36.61X4 — Maternal care for excessive fetal growth, first trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified breast, sequela"}, {"role": "assistant", "content": "S21.049S — Puncture wound with foreign body of unspecified breast, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified trochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.109C — Unspecified trochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of superficial vein at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S45.312A — Laceration of superficial vein at shoulder and upper arm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of long bones of unspecified lower limb"}, {"role": "assistant", "content": "D16.20 — Benign neoplasm of long bones of unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary insulin-like growth factor-1 (IGF-1) deficiency"}, {"role": "assistant", "content": "E34.321 — Primary insulin-like growth factor-1 (IGF-1) deficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital complete absence of lower limb, bilateral"}, {"role": "assistant", "content": "Q72.03 — Congenital complete absence of lower limb, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple right fingers (nail), not including thumb, initial encounter"}, {"role": "assistant", "content": "T23.231A — Burn of second degree of multiple right fingers (nail), not including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraoperative complications of nervous system"}, {"role": "assistant", "content": "G97.81 — Other intraoperative complications of nervous system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of oral cavity, subsequent encounter"}, {"role": "assistant", "content": "S00.552D — Superficial foreign body of oral cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.403A — Unspecified injury of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.036G — Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture"}, {"role": "assistant", "content": "M80.851A — Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S90.929A — Unspecified superficial injury of unspecified foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for orthopedic aftercare following surgical amputation"}, {"role": "assistant", "content": "Z47.81 — Encounter for orthopedic aftercare following surgical amputation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Angiodysplasia of stomach and duodenum without bleeding"}, {"role": "assistant", "content": "K31.819 — Angiodysplasia of stomach and duodenum without bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to insulin pump, subsequent encounter"}, {"role": "assistant", "content": "T85.72XD — Infection and inflammatory reaction due to insulin pump, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S60.423D — Blister (nonthermal) of left middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.142K — Salter-Harris Type IV physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity"}, {"role": "assistant", "content": "I70.568 — Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye trauma, bilateral, mild stage"}, {"role": "assistant", "content": "H40.33X1 — Glaucoma secondary to eye trauma, bilateral, mild stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.091B — Other fracture of upper end of right ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified ligament of left wrist, sequela"}, {"role": "assistant", "content": "S63.302S — Traumatic rupture of unspecified ligament of left wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central subluxation of unspecified hip, initial encounter"}, {"role": "assistant", "content": "S73.043A — Central subluxation of unspecified hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, laundry"}, {"role": "assistant", "content": "Y93.E2 — Activity, laundry"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced osteochondral fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.011M — Displaced osteochondral fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter"}, {"role": "assistant", "content": "S06.9X5A — Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.352E — Displaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of otorhinolaryngological drugs and preparations, initial encounter"}, {"role": "assistant", "content": "T49.6X6A — Underdosing of otorhinolaryngological drugs and preparations, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcification and ossification of muscles associated with burns, right shoulder"}, {"role": "assistant", "content": "M61.311 — Calcification and ossification of muscles associated with burns, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to asbestos"}, {"role": "assistant", "content": "Z77.090 — Contact with and (suspected) exposure to asbestos"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of artificial larynx"}, {"role": "assistant", "content": "Z96.3 — Presence of artificial larynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 40-49% of body surface with 0% to 9% third degree burns"}, {"role": "assistant", "content": "T31.40 — Burns involving 40-49% of body surface with 0% to 9% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.9X8A — Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nelson's syndrome"}, {"role": "assistant", "content": "E24.1 — Nelson's syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for fetal problem, unspecified, second trimester, fetus 5"}, {"role": "assistant", "content": "O36.92X5 — Maternal care for fetal problem, unspecified, second trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.352G — Stress fracture, left femur, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified patella, sequela"}, {"role": "assistant", "content": "S83.093S — Other subluxation of unspecified patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from (out of) grocery cart, subsequent encounter"}, {"role": "assistant", "content": "W17.82XD — Fall from (out of) grocery cart, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spastic ectropion of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.149 — Spastic ectropion of unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of first metatarsal bone, left foot, sequela"}, {"role": "assistant", "content": "S92.315S — Nondisplaced fracture of first metatarsal bone, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degeneration of ciliary body, unspecified eye"}, {"role": "assistant", "content": "H21.229 — Degeneration of ciliary body, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of manubrium, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.21XD — Fracture of manubrium, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of unspecified ankle, unspecified stage"}, {"role": "assistant", "content": "L89.509 — Pressure ulcer of unspecified ankle, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of nerve root of cervical spine, sequela"}, {"role": "assistant", "content": "S14.2XXS — Injury of nerve root of cervical spine, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Isolated proteinuria with other morphologic lesion"}, {"role": "assistant", "content": "N06.8 — Isolated proteinuria with other morphologic lesion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip"}, {"role": "assistant", "content": "M16.30 — Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.124D — Laceration of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 20-29% of body surface with 0% to 9% third degree corrosion"}, {"role": "assistant", "content": "T32.20 — Corrosions involving 20-29% of body surface with 0% to 9% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.009B — Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified juvenile rheumatoid arthritis, unspecified hand"}, {"role": "assistant", "content": "M08.049 — Unspecified juvenile rheumatoid arthritis, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pleural plaque with presence of asbestos"}, {"role": "assistant", "content": "J92.0 — Pleural plaque with presence of asbestos"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of proximal interphalangeal joint of left index finger, sequela"}, {"role": "assistant", "content": "S63.281S — Dislocation of proximal interphalangeal joint of left index finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture"}, {"role": "assistant", "content": "O42.12 — Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body granuloma of soft tissue, not elsewhere classified, unspecified forearm"}, {"role": "assistant", "content": "M60.239 — Foreign body granuloma of soft tissue, not elsewhere classified, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.571E — Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified blepharoconjunctivitis, bilateral"}, {"role": "assistant", "content": "H10.503 — Unspecified blepharoconjunctivitis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of continuity of bone, unspecified pelvic region and thigh"}, {"role": "assistant", "content": "M84.859 — Other disorders of continuity of bone, unspecified pelvic region and thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.301A — Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dementia, unspecified severity, with anxiety"}, {"role": "assistant", "content": "F03.94 — Unspecified dementia, unspecified severity, with anxiety"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.256G — Nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of cranial or spinal infusion catheter, sequela"}, {"role": "assistant", "content": "T85.630S — Leakage of cranial or spinal infusion catheter, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatic tricuspid insufficiency"}, {"role": "assistant", "content": "I07.1 — Rheumatic tricuspid insufficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of unspecified drugs primarily affecting the autonomic nervous system, sequela"}, {"role": "assistant", "content": "T44.906S — Underdosing of unspecified drugs primarily affecting the autonomic nervous system, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other topical agents, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T49.8X1S — Poisoning by other topical agents, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right wrist, initial encounter"}, {"role": "assistant", "content": "S61.511A — Laceration without foreign body of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), left shoulder"}, {"role": "assistant", "content": "M62.112 — Other rupture of muscle (nontraumatic), left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified arthritis, right hip"}, {"role": "assistant", "content": "M13.851 — Other specified arthritis, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Surgical instruments, materials and radiological devices (including sutures) associated with adverse incidents"}, {"role": "assistant", "content": "Y78.3 — Surgical instruments, materials and radiological devices (including sutures) associated with adverse incidents"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Histoplasmosis capsulati, unspecified"}, {"role": "assistant", "content": "B39.4 — Histoplasmosis capsulati, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute sphenoidal sinusitis, unspecified"}, {"role": "assistant", "content": "J01.30 — Acute sphenoidal sinusitis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.599K — Other fracture of unspecified lesser toe(s), subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, unspecified femur, sequela"}, {"role": "assistant", "content": "M84.653S — Pathological fracture in other disease, unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified malignant neoplasm of skin of left lower eyelid, including canthus"}, {"role": "assistant", "content": "C44.1992 — Other specified malignant neoplasm of skin of left lower eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in collision between car and heavy transport vehicle, nontraffic, subsequent encounter"}, {"role": "assistant", "content": "V88.4XXD — Person injured in collision between car and heavy transport vehicle, nontraffic, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right index finger, initial encounter"}, {"role": "assistant", "content": "S65.510A — Laceration of blood vessel of right index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of subcondylar process of left mandible, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.622A — Fracture of subcondylar process of left mandible, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced pilon fracture of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.875Q — Nondisplaced pilon fracture of left tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes insipidus"}, {"role": "assistant", "content": "E23.2 — Diabetes insipidus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous marine animals, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.694A — Toxic effect of contact with other venomous marine animals, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, other fetus"}, {"role": "assistant", "content": "O36.8339 — Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Effects of other war theater, subsequent encounter"}, {"role": "assistant", "content": "T75.838D — Effects of other war theater, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.819D — Laceration of other blood vessels at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries"}, {"role": "assistant", "content": "I63.232 — Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified single finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.529S — Corrosion of first degree of unspecified single finger (nail) except thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of unspecified fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.66XA — Nondisplaced fracture of lateral malleolus of unspecified fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gout due to renal impairment, right ankle and foot"}, {"role": "assistant", "content": "M10.371 — Gout due to renal impairment, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Reiter's disease, left hand"}, {"role": "assistant", "content": "M02.342 — Reiter's disease, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary hyperparathyroidism, not elsewhere classified"}, {"role": "assistant", "content": "E21.1 — Secondary hyperparathyroidism, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on foot injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident, sequela"}, {"role": "assistant", "content": "V02.90XS — Pedestrian on foot injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V41.3XXA — Unspecified car occupant injured in collision with pedal cycle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular lymphoma grade IIIa, in remission"}, {"role": "assistant", "content": "C82.3A — Follicular lymphoma grade IIIa, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of special construction vehicle injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V85.6XXD — Passenger of special construction vehicle injured in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left index finger with damage to nail, sequela"}, {"role": "assistant", "content": "S60.122S — Contusion of left index finger with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by mineralocorticoids and their antagonists, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T50.0X1A — Poisoning by mineralocorticoids and their antagonists, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of distal interphalangeal joint of unspecified finger, sequela"}, {"role": "assistant", "content": "S63.299S — Dislocation of distal interphalangeal joint of unspecified finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aqueous misdirection, right eye"}, {"role": "assistant", "content": "H40.831 — Aqueous misdirection, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of right humerus, initial encounter"}, {"role": "assistant", "content": "S43.011A — Anterior subluxation of right humerus, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of ligament, right ankle"}, {"role": "assistant", "content": "M24.271 — Disorder of ligament, right ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela"}, {"role": "assistant", "content": "S74.90XS — Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of unspecified thoracic vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.000B — Wedge compression fracture of unspecified thoracic vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of benzodiazepines, subsequent encounter"}, {"role": "assistant", "content": "T42.4X5D — Adverse effect of benzodiazepines, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cellulitis of unspecified toe"}, {"role": "assistant", "content": "L03.039 — Cellulitis of unspecified toe"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter"}, {"role": "assistant", "content": "S88.929A — Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left foot, sequela"}, {"role": "assistant", "content": "T25.322S — Burn of third degree of left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoarthritis, not elsewhere classified, unspecified elbow"}, {"role": "assistant", "content": "M13.129 — Monoarthritis, not elsewhere classified, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.336P — Nondisplaced oblique fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postimmunization arthropathy, unspecified wrist"}, {"role": "assistant", "content": "M02.239 — Postimmunization arthropathy, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other insomnia not due to a substance or known physiological condition"}, {"role": "assistant", "content": "F51.09 — Other insomnia not due to a substance or known physiological condition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Whooping cough, unspecified species with pneumonia"}, {"role": "assistant", "content": "A37.91 — Whooping cough, unspecified species with pneumonia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of coral snake venom, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.023D — Toxic effect of coral snake venom, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sarcomas of liver"}, {"role": "assistant", "content": "C22.4 — Other sarcomas of liver"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute necrotizing hemorrhagic encephalopathy, unspecified"}, {"role": "assistant", "content": "G04.30 — Acute necrotizing hemorrhagic encephalopathy, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.421A — Laceration of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified abdominal hernia with obstruction, without gangrene"}, {"role": "assistant", "content": "K45.0 — Other specified abdominal hernia with obstruction, without gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of centrally-acting and adrenergic-neuron-blocking agents, subsequent encounter"}, {"role": "assistant", "content": "T44.8X6D — Underdosing of centrally-acting and adrenergic-neuron-blocking agents, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.309Q — Unspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of the lower end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.501C — Unspecified fracture of the lower end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.062Q — Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of unspecified part of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.249D — Minor laceration of unspecified part of pancreas, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trichomonal cystitis and urethritis"}, {"role": "assistant", "content": "A59.03 — Trichomonal cystitis and urethritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being washed overboard from sailboat, sequela"}, {"role": "assistant", "content": "V92.24XS — Drowning and submersion due to being washed overboard from sailboat, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to ignition of plastic jewelry, sequela"}, {"role": "assistant", "content": "X06.0XXS — Exposure to ignition of plastic jewelry, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of other finger, sequela"}, {"role": "assistant", "content": "S64.498S — Injury of digital nerve of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skeletal fluorosis, right thigh"}, {"role": "assistant", "content": "M85.151 — Skeletal fluorosis, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Attention-deficit hyperactivity disorder, predominantly hyperactive type"}, {"role": "assistant", "content": "F90.1 — Attention-deficit hyperactivity disorder, predominantly hyperactive type"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified adrenocortical insufficiency"}, {"role": "assistant", "content": "E27.40 — Unspecified adrenocortical insufficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of facial bones, sequela"}, {"role": "assistant", "content": "S02.92XS — Unspecified fracture of facial bones, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, right radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.533K — Pathological fracture in neoplastic disease, right radius, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left ring finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.225A — Laceration with foreign body of left ring finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of right femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.031B — Displaced midcervical fracture of right femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dysplasia of prostate"}, {"role": "assistant", "content": "N42.30 — Unspecified dysplasia of prostate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.052A — Unstable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of cranial or spinal infusion catheter, subsequent encounter"}, {"role": "assistant", "content": "T85.620D — Displacement of cranial or spinal infusion catheter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.266R — Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified parts of right shoulder girdle, subsequent encounter"}, {"role": "assistant", "content": "S43.304D — Dislocation of unspecified parts of right shoulder girdle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of black widow spider, undetermined, sequela"}, {"role": "assistant", "content": "T63.314S — Toxic effect of venom of black widow spider, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lymphocyte depleted Hodgkin lymphoma, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C81.33 — Lymphocyte depleted Hodgkin lymphoma, intra-abdominal lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Severe combined immunodeficiency [SCID] with reticular dysgenesis"}, {"role": "assistant", "content": "D81.0 — Severe combined immunodeficiency [SCID] with reticular dysgenesis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained portions of placenta and membranes, without hemorrhage"}, {"role": "assistant", "content": "O73.1 — Retained portions of placenta and membranes, without hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other seafood, undetermined, sequela"}, {"role": "assistant", "content": "T61.8X4S — Toxic effect of other seafood, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of internal fixation device of right femur, initial encounter"}, {"role": "assistant", "content": "T84.194A — Other mechanical complication of internal fixation device of right femur, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neuroma of amputation stump, unspecified extremity"}, {"role": "assistant", "content": "T87.30 — Neuroma of amputation stump, unspecified extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of left external ear, unspecified"}, {"role": "assistant", "content": "H61.92 — Disorder of left external ear, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of blood vessel of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S65.409D — Unspecified injury of blood vessel of unspecified thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left cheek and temporomandibular area, sequela"}, {"role": "assistant", "content": "S01.402S — Unspecified open wound of left cheek and temporomandibular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of coracoid process, left shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.135B — Nondisplaced fracture of coracoid process, left shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic and other pulmonary manifestations due to radiation"}, {"role": "assistant", "content": "J70.1 — Chronic and other pulmonary manifestations due to radiation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.092D — Burn of unspecified degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left lesser toe(s), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.592P — Other fracture of left lesser toe(s), subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.232E — Displaced oblique fracture of shaft of left ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Change in bowel habit"}, {"role": "assistant", "content": "R19.4 — Change in bowel habit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obturator subluxation of right hip, subsequent encounter"}, {"role": "assistant", "content": "S73.021D — Obturator subluxation of right hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.201P — Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of right internal jugular vein, sequela"}, {"role": "assistant", "content": "S15.391S — Other specified injury of right internal jugular vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.029K — Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Methemoglobinemia, unspecified"}, {"role": "assistant", "content": "D74.9 — Methemoglobinemia, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sex chromosome abnormality, female phenotype, unspecified"}, {"role": "assistant", "content": "Q97.9 — Sex chromosome abnormality, female phenotype, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified wrist and hand, initial encounter"}, {"role": "assistant", "content": "S67.40XA — Crushing injury of unspecified wrist and hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other agents primarily acting on the respiratory system, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T48.994D — Poisoning by other agents primarily acting on the respiratory system, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skeletal fluorosis, left thigh"}, {"role": "assistant", "content": "M85.152 — Skeletal fluorosis, left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial loss of teeth due to caries, class II"}, {"role": "assistant", "content": "K08.432 — Partial loss of teeth due to caries, class II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of tail of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.292A — Other injury of tail of pancreas, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculosis of other urinary organs"}, {"role": "assistant", "content": "A18.13 — Tuberculosis of other urinary organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute paralytic poliomyelitis, unspecified"}, {"role": "assistant", "content": "A80.30 — Acute paralytic poliomyelitis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S48.912D — Complete traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of left ulna, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S52.622D — Torus fracture of lower end of left ulna, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal obstruction of left nasolacrimal duct"}, {"role": "assistant", "content": "H04.532 — Neonatal obstruction of left nasolacrimal duct"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.322D — Displaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T80.40XD — Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Metabolic disorder following (induced) termination of pregnancy"}, {"role": "assistant", "content": "O04.83 — Metabolic disorder following (induced) termination of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction"}, {"role": "assistant", "content": "K80.67 — Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of left calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.092B — Other physeal fracture of left calcaneus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural seroma of ear and mastoid process following other procedure"}, {"role": "assistant", "content": "H95.54 — Postprocedural seroma of ear and mastoid process following other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Smith's fracture of left radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.542M — Smith's fracture of left radius, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left front wall of thorax, sequela"}, {"role": "assistant", "content": "S20.312S — Abrasion of left front wall of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.409G — Unspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of prosthetic orbit of left eye, initial encounter"}, {"role": "assistant", "content": "T85.321A — Displacement of prosthetic orbit of left eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of right eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.241A — External constriction of right eyelid and periocular area, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other and unspecified postprocedural erectile dysfunction"}, {"role": "assistant", "content": "N52.39 — Other and unspecified postprocedural erectile dysfunction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.255G — Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.569R — Barton's fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of unspecified great toe, sequela"}, {"role": "assistant", "content": "S92.406S — Nondisplaced unspecified fracture of unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of capitate [os magnum] bone, right wrist, sequela"}, {"role": "assistant", "content": "S62.131S — Displaced fracture of capitate [os magnum] bone, right wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, subsequent encounter"}, {"role": "assistant", "content": "S06.351D — Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trichiasis without entropion right lower eyelid"}, {"role": "assistant", "content": "H02.052 — Trichiasis without entropion right lower eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.092M — Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective bursitis, left elbow"}, {"role": "assistant", "content": "M71.122 — Other infective bursitis, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other accident on other flat-bottomed pedestrian conveyance, initial encounter"}, {"role": "assistant", "content": "V00.388A — Other accident on other flat-bottomed pedestrian conveyance, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sudden visual loss, unspecified eye"}, {"role": "assistant", "content": "H53.139 — Sudden visual loss, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter"}, {"role": "assistant", "content": "T83.591A — Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in esophagus causing other injury, initial encounter"}, {"role": "assistant", "content": "T18.198A — Other foreign object in esophagus causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V19.50XS — Pedal cycle passenger injured in collision with unspecified motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosing spondylitis of cervical region"}, {"role": "assistant", "content": "M45.2 — Ankylosing spondylitis of cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of multiple sites of right lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.791S — Corrosion of third degree of multiple sites of right lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinopathy of prematurity, stage 0, unspecified eye"}, {"role": "assistant", "content": "H35.119 — Retinopathy of prematurity, stage 0, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of right wrist"}, {"role": "assistant", "content": "Z89.121 — Acquired absence of right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign carcinoid tumor of the stomach"}, {"role": "assistant", "content": "D3A.092 — Benign carcinoid tumor of the stomach"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of femoral vein at hip and thigh level, unspecified leg, sequela"}, {"role": "assistant", "content": "S75.119S — Minor laceration of femoral vein at hip and thigh level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of fifth metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.356S — Nondisplaced fracture of shaft of fifth metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.420D — Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from burning water-skis, initial encounter"}, {"role": "assistant", "content": "V90.27XA — Drowning and submersion due to falling or jumping from burning water-skis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, right ankle, initial encounter"}, {"role": "assistant", "content": "S90.541A — External constriction, right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of trunk, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T21.30XD — Burn of third degree of trunk, unspecified site, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of left patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.042P — Displaced comminuted fracture of left patella, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, sequela"}, {"role": "assistant", "content": "T47.92XS — Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other fish, subsequent encounter"}, {"role": "assistant", "content": "W56.59XD — Other contact with other fish, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior spinal artery compression syndromes, site unspecified"}, {"role": "assistant", "content": "M47.019 — Anterior spinal artery compression syndromes, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of cystostomy catheter, initial encounter"}, {"role": "assistant", "content": "T83.030A — Leakage of cystostomy catheter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of bus injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V70.7XXD — Person on outside of bus injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of left great toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.422A — Displaced fracture of distal phalanx of left great toe, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Basal cell carcinoma of skin of right lower limb, including hip"}, {"role": "assistant", "content": "C44.712 — Basal cell carcinoma of skin of right lower limb, including hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of thoracic aorta, sequela"}, {"role": "assistant", "content": "S25.09XS — Other specified injury of thoracic aorta, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of right elbow, sequela"}, {"role": "assistant", "content": "T22.121S — Burn of first degree of right elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified site of left lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.502D — Corrosion of first degree of unspecified site of left lower limb, except ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in respiratory tract, part unspecified causing other injury, subsequent encounter"}, {"role": "assistant", "content": "T17.908D — Unspecified foreign body in respiratory tract, part unspecified causing other injury, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of 2-Propanol, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T51.2X1D — Toxic effect of 2-Propanol, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injuries of breast, right breast, initial encounter"}, {"role": "assistant", "content": "S20.101A — Unspecified superficial injuries of breast, right breast, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.501G — Unspecified nondisplaced fracture of sixth cervical vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of right little finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.417S — Strain of extensor muscle, fascia and tendon of right little finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone"}, {"role": "assistant", "content": "L97.904 — Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S44.52XD — Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, right femur"}, {"role": "assistant", "content": "M87.851 — Other osteonecrosis, right femur"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with fixed or stationary object in traffic accident, initial encounter"}, {"role": "assistant", "content": "V67.5XXA — Driver of heavy transport vehicle injured in collision with fixed or stationary object in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lunate [semilunar], right wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.121B — Displaced fracture of lunate [semilunar], right wrist, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S85.802S — Unspecified injury of other blood vessels at lower leg level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.321D — Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of left great toe, sequela"}, {"role": "assistant", "content": "S90.932S — Unspecified superficial injury of left great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of left talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.122B — Displaced fracture of body of left talus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of third metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.302G — Unspecified fracture of third metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Loiasis"}, {"role": "assistant", "content": "B74.3 — Loiasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of bony thorax"}, {"role": "assistant", "content": "Q76.8 — Other congenital malformations of bony thorax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V23.99XD — Unspecified rider of other motorcycle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic compartment syndrome of right lower extremity"}, {"role": "assistant", "content": "M79.A21 — Nontraumatic compartment syndrome of right lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified ear, sequela"}, {"role": "assistant", "content": "S01.359S — Open bite of unspecified ear, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S93.333D — Other subluxation of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of thorax, initial encounter"}, {"role": "assistant", "content": "S29.9XXA — Unspecified injury of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of artificial knee joint, bilateral"}, {"role": "assistant", "content": "Z96.653 — Presence of artificial knee joint, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, right ankle, initial encounter"}, {"role": "assistant", "content": "S91.031A — Puncture wound without foreign body, right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of scrotum and testes, initial encounter"}, {"role": "assistant", "content": "S31.32XA — Laceration with foreign body of scrotum and testes, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.459D — Open bite of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T42.74XD — Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.109G — Unspecified physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic arthropathy, left ankle and foot"}, {"role": "assistant", "content": "M12.572 — Traumatic arthropathy, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.3X2D — Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of plantar artery of right foot, initial encounter"}, {"role": "assistant", "content": "S95.111A — Laceration of plantar artery of right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of nose, subsequent encounter"}, {"role": "assistant", "content": "S00.36XD — Insect bite (nonvenomous) of nose, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles and tendons at ankle and foot level, unspecified foot, initial encounter"}, {"role": "assistant", "content": "S96.809A — Unspecified injury of other specified muscles and tendons at ankle and foot level, unspecified foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.389H — Bent bone of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced simple supracondylar fracture without intercondylar fracture of left humerus, sequela"}, {"role": "assistant", "content": "S42.412S — Displaced simple supracondylar fracture without intercondylar fracture of left humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.199G — Other physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of unspecified fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.66XB — Nondisplaced fracture of lateral malleolus of unspecified fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of proximal interphalangeal joint of left ring finger, subsequent encounter"}, {"role": "assistant", "content": "S63.285D — Dislocation of proximal interphalangeal joint of left ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving direct blast effect of nuclear weapon, civilian, sequela"}, {"role": "assistant", "content": "Y37.511S — Military operations involving direct blast effect of nuclear weapon, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle and tendon at ankle and foot level, right foot, sequela"}, {"role": "assistant", "content": "S96.901S — Unspecified injury of unspecified muscle and tendon at ankle and foot level, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of head, unspecified stage"}, {"role": "assistant", "content": "L89.819 — Pressure ulcer of head, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified inflammatory spondylopathies, thoracic region"}, {"role": "assistant", "content": "M46.84 — Other specified inflammatory spondylopathies, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of sacrum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.10XK — Unspecified fracture of sacrum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified follicular disorders"}, {"role": "assistant", "content": "L73.8 — Other specified follicular disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lower epiphysis (separation) of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.441E — Displaced fracture of lower epiphysis (separation) of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of radial artery at wrist and hand level of left arm, sequela"}, {"role": "assistant", "content": "S65.192S — Other specified injury of radial artery at wrist and hand level of left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of Merkel cell carcinoma"}, {"role": "assistant", "content": "Z85.821 — Personal history of Merkel cell carcinoma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other drugs acting on muscles, assault, initial encounter"}, {"role": "assistant", "content": "T48.293A — Poisoning by other drugs acting on muscles, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lack of expected normal physiological development in childhood"}, {"role": "assistant", "content": "R62.59 — Other lack of expected normal physiological development in childhood"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right forearm, sequela"}, {"role": "assistant", "content": "S51.851S — Open bite of right forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.466F — Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.863Q — Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post-traumatic urethral stricture, male, overlapping sites"}, {"role": "assistant", "content": "N35.016 — Post-traumatic urethral stricture, male, overlapping sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, eyes open, to sound, unspecified time"}, {"role": "assistant", "content": "R40.2130 — Coma scale, eyes open, to sound, unspecified time"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at hip and thigh level, unspecified leg, sequela"}, {"role": "assistant", "content": "S75.819S — Laceration of other blood vessels at hip and thigh level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other appendicitis"}, {"role": "assistant", "content": "K36 — Other appendicitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S46.892D — Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonpurulent mastitis associated with pregnancy, third trimester"}, {"role": "assistant", "content": "O91.213 — Nonpurulent mastitis associated with pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right middle finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.031A — Contusion of right middle finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.2X8A — Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of bladder and urethra"}, {"role": "assistant", "content": "Q64.79 — Other congenital malformations of bladder and urethra"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for palliative care"}, {"role": "assistant", "content": "Z51.5 — Encounter for palliative care"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of the lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.501F — Unspecified fracture of the lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, sequela"}, {"role": "assistant", "content": "T40.992S — Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter"}, {"role": "assistant", "content": "S06.38AA — Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified adhesions of iris, bilateral"}, {"role": "assistant", "content": "H21.503 — Unspecified adhesions of iris, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.323Q — Displaced transverse fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified hormones and synthetic substitutes, sequela"}, {"role": "assistant", "content": "T38.805S — Adverse effect of unspecified hormones and synthetic substitutes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other accident on other flat-bottomed pedestrian conveyance, sequela"}, {"role": "assistant", "content": "V00.388S — Other accident on other flat-bottomed pedestrian conveyance, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions of other specified parts of right eye and adnexa, initial encounter"}, {"role": "assistant", "content": "T26.81XA — Corrosions of other specified parts of right eye and adnexa, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.201A — Burn of second degree of right hand, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.451G — Displaced comminuted fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of endocervix"}, {"role": "assistant", "content": "D06.0 — Carcinoma in situ of endocervix"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema"}, {"role": "assistant", "content": "E08.319 — Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type II occipital condyle fracture, right side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.11CA — Type II occipital condyle fracture, right side, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.863H — Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hookworm diseases"}, {"role": "assistant", "content": "B76.8 — Other hookworm diseases"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V31.7XXA — Person on outside of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other flexor muscle, fascia and tendon at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S56.219A — Strain of other flexor muscle, fascia and tendon at forearm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteomyelitis, shoulder"}, {"role": "assistant", "content": "M86.8X1 — Other osteomyelitis, shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in collision with pick-up truck in traffic accident, initial encounter"}, {"role": "assistant", "content": "V43.63XA — Car passenger injured in collision with pick-up truck in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.361G — Stress fracture, right tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified effects of vibration, sequela"}, {"role": "assistant", "content": "T75.20XS — Unspecified effects of vibration, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T54.3X2A — Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of single right finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.121S — Burn of first degree of single right finger (nail) except thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified blood vessel at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S55.911A — Laceration of unspecified blood vessel at forearm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Staphylococcal arthritis, left hand"}, {"role": "assistant", "content": "M00.042 — Staphylococcal arthritis, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.131A — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounter"}, {"role": "assistant", "content": "V81.7XXD — Occupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Familial chondrocalcinosis, left knee"}, {"role": "assistant", "content": "M11.162 — Familial chondrocalcinosis, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Radial collateral ligament sprain of left elbow, initial encounter"}, {"role": "assistant", "content": "S53.432A — Radial collateral ligament sprain of left elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter"}, {"role": "assistant", "content": "T81.511D — Adhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.442D — Displaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.142D — Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fetal anemia and thrombocytopenia, third trimester, fetus 5"}, {"role": "assistant", "content": "O36.8235 — Fetal anemia and thrombocytopenia, third trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by alligator, sequela"}, {"role": "assistant", "content": "W58.01XS — Bitten by alligator, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of proximal end of tibia, right knee, initial encounter"}, {"role": "assistant", "content": "S83.111A — Anterior subluxation of proximal end of tibia, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving unspecified fire, conflagration and hot substance, military personnel, sequela"}, {"role": "assistant", "content": "Y36.300S — War operations involving unspecified fire, conflagration and hot substance, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of right fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.321D — Salter-Harris Type II physeal fracture of lower end of right fibula, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.829D — Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of right elbow, subsequent encounter"}, {"role": "assistant", "content": "S50.341D — External constriction of right elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postthrombotic syndrome without complications of bilateral lower extremity"}, {"role": "assistant", "content": "I87.003 — Postthrombotic syndrome without complications of bilateral lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure"}, {"role": "assistant", "content": "I97.51 — Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of unspecified shoulder joint, initial encounter"}, {"role": "assistant", "content": "S43.086A — Other dislocation of unspecified shoulder joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of hamate [unciform] bone, unspecified wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.146A — Nondisplaced fracture of body of hamate [unciform] bone, unspecified wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complication of renal artery following a procedure, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T81.711D — Complication of renal artery following a procedure, not elsewhere classified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Connective tissue stenosis of neural canal of upper extremity"}, {"role": "assistant", "content": "M99.47 — Connective tissue stenosis of neural canal of upper extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.109M — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of abdominal wall, sequela"}, {"role": "assistant", "content": "T21.42XS — Corrosion of unspecified degree of abdominal wall, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural hypoparathyroidism"}, {"role": "assistant", "content": "E89.2 — Postprocedural hypoparathyroidism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of right hand, initial encounter"}, {"role": "assistant", "content": "S60.521A — Blister (nonthermal) of right hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lichen sclerosus et atrophicus"}, {"role": "assistant", "content": "L90.0 — Lichen sclerosus et atrophicus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Argentous corneal deposits, unspecified eye"}, {"role": "assistant", "content": "H18.029 — Argentous corneal deposits, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified malignant neoplasm of skin of right upper limb, including shoulder"}, {"role": "assistant", "content": "C44.602 — Unspecified malignant neoplasm of skin of right upper limb, including shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.149D — Puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other maternal infectious and parasitic diseases complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.812 — Other maternal infectious and parasitic diseases complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of chest wall, initial encounter"}, {"role": "assistant", "content": "T21.71XA — Corrosion of third degree of chest wall, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left little finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.337D — Puncture wound without foreign body of left little finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.092E — Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other peroxisomal disorders"}, {"role": "assistant", "content": "E71.548 — Other peroxisomal disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of T9-T10 vertebra, sequela"}, {"role": "assistant", "content": "S22.078S — Other fracture of T9-T10 vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of ulnar artery at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S55.092S — Other specified injury of ulnar artery at forearm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nervous system involvement in Chagas' disease"}, {"role": "assistant", "content": "B57.49 — Other nervous system involvement in Chagas' disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.192A — Other fracture of upper end of left tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other mammals, sequela"}, {"role": "assistant", "content": "W55.89XS — Other contact with other mammals, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neuroma of amputation stump, left upper extremity"}, {"role": "assistant", "content": "T87.32 — Neuroma of amputation stump, left upper extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of trapezoid [smaller multangular], right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.181A — Displaced fracture of trapezoid [smaller multangular], right wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified congenital malformation syndromes, not elsewhere classified"}, {"role": "assistant", "content": "Q87.89 — Other specified congenital malformation syndromes, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.891D — Other injury of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Respiratory disorders in diseases classified elsewhere"}, {"role": "assistant", "content": "J99 — Respiratory disorders in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S71.109A — Unspecified open wound, unspecified thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Liver donor"}, {"role": "assistant", "content": "Z52.6 — Liver donor"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 4 fracture of sacrum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.17XA — Type 4 fracture of sacrum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into swimming pool striking water surface causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.512A — Jumping or diving into swimming pool striking water surface causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of body of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.201A — Unspecified injury of body of pancreas, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular dementia, severe, with other behavioral disturbance"}, {"role": "assistant", "content": "F01.C18 — Vascular dementia, severe, with other behavioral disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of right clavicle, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.024B — Nondisplaced fracture of shaft of right clavicle, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inversion of uterus"}, {"role": "assistant", "content": "N85.5 — Inversion of uterus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ocular torticollis"}, {"role": "assistant", "content": "R29.891 — Ocular torticollis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) damage to fetus from alcohol, fetus 4"}, {"role": "assistant", "content": "O35.4XX4 — Maternal care for (suspected) damage to fetus from alcohol, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), left thigh, sequela"}, {"role": "assistant", "content": "S70.322S — Blister (nonthermal), left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic right heart failure"}, {"role": "assistant", "content": "I50.812 — Chronic right heart failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.002A — Unspecified injury of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.849P — Other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B96.5 — Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fluency disorder following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.023 — Fluency disorder following nontraumatic subarachnoid hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other plastic object entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.B9XS — Other plastic object entering into or through a natural orifice, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by amphetamines, assault, initial encounter"}, {"role": "assistant", "content": "T43.623A — Poisoning by amphetamines, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior process of right talus, sequela"}, {"role": "assistant", "content": "S92.134S — Nondisplaced fracture of posterior process of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of right sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.201D — Unspecified subluxation of right sternoclavicular joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.325J — Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Azoospermia due to systemic disease"}, {"role": "assistant", "content": "N46.025 — Azoospermia due to systemic disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other optic atrophy, left eye"}, {"role": "assistant", "content": "H47.292 — Other optic atrophy, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.492Q — Other fracture of lower end of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body, unspecified knee, sequela"}, {"role": "assistant", "content": "S81.029S — Laceration with foreign body, unspecified knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.182A — Other fracture of upper end of left radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute contact otitis externa, bilateral"}, {"role": "assistant", "content": "H60.533 — Acute contact otitis externa, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of carotid arterial graft (bypass), sequela"}, {"role": "assistant", "content": "T82.331S — Leakage of carotid arterial graft (bypass), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Moderate laceration of left kidney, subsequent encounter"}, {"role": "assistant", "content": "S37.052D — Moderate laceration of left kidney, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}, {"role": "assistant", "content": "S06.305S — Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.023G — Displaced longitudinal fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.852D — Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified breast, sequela"}, {"role": "assistant", "content": "S21.039S — Puncture wound without foreign body of unspecified breast, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ventricular septal defect"}, {"role": "assistant", "content": "Q21.0 — Ventricular septal defect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, left shoulder"}, {"role": "assistant", "content": "M70.912 — Unspecified soft tissue disorder related to use, overuse and pressure, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of special construction vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V85.3XXS — Unspecified occupant of special construction vehicle injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of gingiva and edentulous alveolar ridge"}, {"role": "assistant", "content": "D00.03 — Carcinoma in situ of gingiva and edentulous alveolar ridge"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of ganglionic blocking drugs, sequela"}, {"role": "assistant", "content": "T44.2X5S — Adverse effect of ganglionic blocking drugs, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left shoulder, initial encounter"}, {"role": "assistant", "content": "S41.022A — Laceration with foreign body of left shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of right artificial shoulder joint"}, {"role": "assistant", "content": "Z96.611 — Presence of right artificial shoulder joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of skin of scalp and neck"}, {"role": "assistant", "content": "D04.4 — Carcinoma in situ of skin of scalp and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.131D — Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle and tendon of back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.002D — Unspecified injury of muscle and tendon of back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.106D — Unspecified injury of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.524S — Laceration of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other biomechanical lesions of cervical region"}, {"role": "assistant", "content": "M99.81 — Other biomechanical lesions of cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertensive encephalopathy"}, {"role": "assistant", "content": "I67.4 — Hypertensive encephalopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of ants, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.423D — Toxic effect of venom of ants, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, right ankle and foot, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0710 — Idiopathic chronic gout, right ankle and foot, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "27 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.27 — 27 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental drowning and submersion while in swimming-pool, initial encounter"}, {"role": "assistant", "content": "W67.XXXA — Accidental drowning and submersion while in swimming-pool, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, right foot, sequela"}, {"role": "assistant", "content": "M84.674S — Pathological fracture in other disease, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right elbow, sequela"}, {"role": "assistant", "content": "S50.361S — Insect bite (nonvenomous) of right elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of male genital region, subsequent encounter"}, {"role": "assistant", "content": "T21.36XD — Burn of third degree of male genital region, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation due to foreign body accidentally left in body following other procedure, sequela"}, {"role": "assistant", "content": "T81.538S — Perforation due to foreign body accidentally left in body following other procedure, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic erythema"}, {"role": "assistant", "content": "L53.0 — Toxic erythema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central perforation of tympanic membrane, unspecified ear"}, {"role": "assistant", "content": "H72.00 — Central perforation of tympanic membrane, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deviation in opening and closing of the mandible"}, {"role": "assistant", "content": "M26.53 — Deviation in opening and closing of the mandible"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into unspecified water causing other injury, sequela"}, {"role": "assistant", "content": "W16.42XS — Fall into unspecified water causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.324H — Nondisplaced transverse fracture of shaft of right radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S91.115S — Laceration without foreign body of left lesser toe(s) without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anosognosia"}, {"role": "assistant", "content": "R41.85 — Anosognosia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Embolism and thrombosis of superficial veins of lower extremities, bilateral"}, {"role": "assistant", "content": "I82.813 — Embolism and thrombosis of superficial veins of lower extremities, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with cat, initial encounter"}, {"role": "assistant", "content": "W55.09XA — Other contact with cat, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of chin, subsequent encounter"}, {"role": "assistant", "content": "T20.23XD — Burn of second degree of chin, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of left radius, sequela"}, {"role": "assistant", "content": "S52.562S — Barton's fracture of left radius, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F13.151 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of lacrimogenic gas, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T59.3X2A — Toxic effect of lacrimogenic gas, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of right tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.001P — Unspecified physeal fracture of upper end of right tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.309Q — Unspecified fracture of lower end of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursitis, not elsewhere classified, right hand"}, {"role": "assistant", "content": "M71.541 — Other bursitis, not elsewhere classified, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of ureteric orifice"}, {"role": "assistant", "content": "C67.6 — Malignant neoplasm of ureteric orifice"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis deformans in neoplastic diseases, other site"}, {"role": "assistant", "content": "M90.68 — Osteitis deformans in neoplastic diseases, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other estrogens and progestogens, subsequent encounter"}, {"role": "assistant", "content": "T38.5X6D — Underdosing of other estrogens and progestogens, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of right foot, level unspecified, initial encounter"}, {"role": "assistant", "content": "S98.911A — Complete traumatic amputation of right foot, level unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postdysenteric arthropathy, left knee"}, {"role": "assistant", "content": "M02.162 — Postdysenteric arthropathy, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of abdominal wall, subsequent encounter"}, {"role": "assistant", "content": "T21.42XD — Corrosion of unspecified degree of abdominal wall, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of other finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.608D — Fracture of unspecified phalanx of other finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.862F — Displaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left forearm, initial encounter"}, {"role": "assistant", "content": "S51.822A — Laceration with foreign body of left forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, first trimester, other fetus"}, {"role": "assistant", "content": "O41.1219 — Chorioamnionitis, first trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial loss of ear ossicles, left ear"}, {"role": "assistant", "content": "H74.322 — Partial loss of ear ossicles, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis dependence with psychotic disorder with delusions"}, {"role": "assistant", "content": "F12.250 — Cannabis dependence with psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antimalarials and drugs acting on other blood protozoa, assault, initial encounter"}, {"role": "assistant", "content": "T37.2X3A — Poisoning by antimalarials and drugs acting on other blood protozoa, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving biological weapons, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.6X0A — War operations involving biological weapons, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter"}, {"role": "assistant", "content": "T81.505A — Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic venous hypertension (idiopathic) with ulcer of right lower extremity"}, {"role": "assistant", "content": "I87.311 — Chronic venous hypertension (idiopathic) with ulcer of right lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car occupant (driver) (passenger) injured in other specified transport accidents, subsequent encounter"}, {"role": "assistant", "content": "V49.88XD — Car occupant (driver) (passenger) injured in other specified transport accidents, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.191B — Other fracture of upper end of right tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of bile duct without cholangitis or cholecystitis without obstruction"}, {"role": "assistant", "content": "K80.50 — Calculus of bile duct without cholangitis or cholecystitis without obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic petrositis, left ear"}, {"role": "assistant", "content": "H70.222 — Chronic petrositis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester"}, {"role": "assistant", "content": "O24.112 — Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of right foot, level unspecified, sequela"}, {"role": "assistant", "content": "S98.911S — Complete traumatic amputation of right foot, level unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified Zone I fracture of sacrum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.119D — Unspecified Zone I fracture of sacrum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries"}, {"role": "assistant", "content": "I63.29 — Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by aminoglycosides, assault, sequela"}, {"role": "assistant", "content": "T36.5X3S — Poisoning by aminoglycosides, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V22.41XA — Electric (assisted) bicycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained (old) magnetic foreign body in iris or ciliary body, unspecified eye"}, {"role": "assistant", "content": "H44.629 — Retained (old) magnetic foreign body in iris or ciliary body, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial endometriosis of the left uterosacral ligament"}, {"role": "assistant", "content": "N80.3A2 — Superficial endometriosis of the left uterosacral ligament"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.192D — Burn of first degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis condensans, multiple sites"}, {"role": "assistant", "content": "M85.39 — Osteitis condensans, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of colon"}, {"role": "assistant", "content": "C18.8 — Malignant neoplasm of overlapping sites of colon"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antirheumatics, not elsewhere classified, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T39.4X4D — Poisoning by antirheumatics, not elsewhere classified, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right forearm, sequela"}, {"role": "assistant", "content": "S50.11XS — Contusion of right forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hit or struck by falling object due to accident to fishing boat, subsequent encounter"}, {"role": "assistant", "content": "V91.32XD — Hit or struck by falling object due to accident to fishing boat, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified nonopioid analgesic, antipyretic and antirheumatic, sequela"}, {"role": "assistant", "content": "T39.95XS — Adverse effect of unspecified nonopioid analgesic, antipyretic and antirheumatic, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous leishmaniasis"}, {"role": "assistant", "content": "B55.1 — Cutaneous leishmaniasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of continuity of bone, right radius"}, {"role": "assistant", "content": "M84.833 — Other disorders of continuity of bone, right radius"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other rodent, sequela"}, {"role": "assistant", "content": "W53.89XS — Other contact with other rodent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified dorsopathies, lumbosacral region"}, {"role": "assistant", "content": "M53.87 — Other specified dorsopathies, lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deformity of bilateral orbits due to bone disease"}, {"role": "assistant", "content": "H05.323 — Deformity of bilateral orbits due to bone disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of posterior tibial artery, right leg, initial encounter"}, {"role": "assistant", "content": "S85.171A — Laceration of posterior tibial artery, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital absence of unspecified limb(s)"}, {"role": "assistant", "content": "Q73.0 — Congenital absence of unspecified limb(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.425A — Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.091G — Other fracture of upper end of right ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of other nerves at hip and thigh level, unspecified leg, sequela"}, {"role": "assistant", "content": "S74.8X9S — Injury of other nerves at hip and thigh level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm"}, {"role": "assistant", "content": "M96.631 — Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T47.1X2A — Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failure to thrive in newborn"}, {"role": "assistant", "content": "P92.6 — Failure to thrive in newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T84.318A — Breakdown (mechanical) of other bone devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specific joint derangements of unspecified hand, not elsewhere classified"}, {"role": "assistant", "content": "M24.849 — Other specific joint derangements of unspecified hand, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V66.9XXA — Unspecified occupant of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of special industrial vehicle injured in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V83.1XXD — Passenger of special industrial vehicle injured in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Joint disorder, unspecified"}, {"role": "assistant", "content": "M25.9 — Joint disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of special construction vehicle injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V85.9XXS — Unspecified occupant of special construction vehicle injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of right little finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.436S — Traumatic rupture of volar plate of right little finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S74.12XD — Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.029P — Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of right foot, subsequent encounter"}, {"role": "assistant", "content": "S93.331D — Other subluxation of right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of left breast and nipple"}, {"role": "assistant", "content": "Z90.12 — Acquired absence of left breast and nipple"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.241E — Displaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified fracture of left lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.502S — Displaced unspecified fracture of left lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to other urinary catheter, subsequent encounter"}, {"role": "assistant", "content": "T83.518D — Infection and inflammatory reaction due to other urinary catheter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.571H — Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of bus injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V78.2XXA — Person on outside of bus injured in noncollision transport accident in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other synthetic narcotics, undetermined, sequela"}, {"role": "assistant", "content": "T40.494S — Poisoning by other synthetic narcotics, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of unspecified thumb, sequela"}, {"role": "assistant", "content": "S64.30XS — Injury of digital nerve of unspecified thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Daycare center as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.210 — Daycare center as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "2-part displaced fracture of surgical neck of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.222A — 2-part displaced fracture of surgical neck of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other diseases of the musculoskeletal system and connective tissue"}, {"role": "assistant", "content": "Z87.39 — Personal history of other diseases of the musculoskeletal system and connective tissue"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of third metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.393S — Other fracture of third metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.146K — Nondisplaced intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S68.123D — Partial traumatic metacarpophalangeal amputation of left middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of right thumb, initial encounter"}, {"role": "assistant", "content": "S68.511A — Complete traumatic transphalangeal amputation of right thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hepatitis A with hepatic coma"}, {"role": "assistant", "content": "B15.0 — Hepatitis A with hepatic coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.020G — Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified inorganic substances, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T57.8X1S — Toxic effect of other specified inorganic substances, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.369P — Nondisplaced fracture of neck of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by blunt object, subsequent encounter"}, {"role": "assistant", "content": "X79.XXXD — Intentional self-harm by blunt object, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of posterior column [ilioischial] of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.442K — Displaced fracture of posterior column [ilioischial] of left acetabulum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by oral contraceptives, undetermined, initial encounter"}, {"role": "assistant", "content": "T38.4X4A — Poisoning by oral contraceptives, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for prophylactic surgery, unspecified"}, {"role": "assistant", "content": "Z40.9 — Encounter for prophylactic surgery, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postcoital and contact bleeding"}, {"role": "assistant", "content": "N93.0 — Postcoital and contact bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement (lateral) of globe, bilateral"}, {"role": "assistant", "content": "H05.213 — Displacement (lateral) of globe, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypospadias, balanic"}, {"role": "assistant", "content": "Q54.0 — Hypospadias, balanic"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter"}, {"role": "assistant", "content": "S76.822A — Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other spondylosis with radiculopathy, thoracic region"}, {"role": "assistant", "content": "M47.24 — Other spondylosis with radiculopathy, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with hypoglycemia with coma"}, {"role": "assistant", "content": "E10.641 — Type 1 diabetes mellitus with hypoglycemia with coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exudative age-related macular degeneration, right eye, stage unspecified"}, {"role": "assistant", "content": "H35.3210 — Exudative age-related macular degeneration, right eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other exposure to uncontrolled fire in building or structure, initial encounter"}, {"role": "assistant", "content": "X00.8XXA — Other exposure to uncontrolled fire in building or structure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon of abdomen, sequela"}, {"role": "assistant", "content": "S39.021S — Laceration of muscle, fascia and tendon of abdomen, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Position dependent micturition"}, {"role": "assistant", "content": "R39.192 — Position dependent micturition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.091H — Other fracture of upper end of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right patella, sequela"}, {"role": "assistant", "content": "S83.004S — Unspecified dislocation of right patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.129A — Laceration of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified elbow, sequela"}, {"role": "assistant", "content": "S57.00XS — Crushing injury of unspecified elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.462K — Displaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of right ring finger, initial encounter"}, {"role": "assistant", "content": "S68.124A — Partial traumatic metacarpophalangeal amputation of right ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ganglion, unspecified ankle and foot"}, {"role": "assistant", "content": "M67.479 — Ganglion, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paralytic ileus"}, {"role": "assistant", "content": "K56.0 — Paralytic ileus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T84.83XA — Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of first metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.202B — Unspecified fracture of first metacarpal bone, left hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.454K — Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vogt-Koyanagi syndrome, right eye"}, {"role": "assistant", "content": "H20.821 — Vogt-Koyanagi syndrome, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathy in neoplastic disease"}, {"role": "assistant", "content": "M36.1 — Arthropathy in neoplastic disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.103D — Unspecified injury of flexor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left cheek and temporomandibular area, subsequent encounter"}, {"role": "assistant", "content": "S01.412D — Laceration without foreign body of left cheek and temporomandibular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign prostatic hyperplasia without lower urinary tract symptoms"}, {"role": "assistant", "content": "N40.0 — Benign prostatic hyperplasia without lower urinary tract symptoms"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sleep apnea, unspecified"}, {"role": "assistant", "content": "G47.30 — Sleep apnea, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.431A — Displaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of ambulance or fire engine injured in traffic accident, sequela"}, {"role": "assistant", "content": "V86.31XS — Unspecified occupant of ambulance or fire engine injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.026R — Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of cranial nerves"}, {"role": "assistant", "content": "D43.3 — Neoplasm of uncertain behavior of cranial nerves"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V74.9XXS — Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, left ankle and foot, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0721 — Idiopathic chronic gout, left ankle and foot, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lennox-Gastaut syndrome, intractable, without status epilepticus"}, {"role": "assistant", "content": "G40.814 — Lennox-Gastaut syndrome, intractable, without status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaplastic large cell lymphoma, ALK-negative, breast"}, {"role": "assistant", "content": "C84.7A — Anaplastic large cell lymphoma, ALK-negative, breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from special construction vehicle, initial encounter"}, {"role": "assistant", "content": "V85.4XXA — Person injured while boarding or alighting from special construction vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced pilon fracture of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.872E — Displaced pilon fracture of left tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine use, unspecified with intoxication, uncomplicated"}, {"role": "assistant", "content": "F14.920 — Cocaine use, unspecified with intoxication, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.261K — Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maxillary fracture, left side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.40DG — Maxillary fracture, left side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypercalciuria"}, {"role": "assistant", "content": "R82.994 — Hypercalciuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified blood vessel at wrist and hand level of right arm, subsequent encounter"}, {"role": "assistant", "content": "S65.911D — Laceration of unspecified blood vessel at wrist and hand level of right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthritis due to other bacteria, left hand"}, {"role": "assistant", "content": "M00.842 — Arthritis due to other bacteria, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fatigue fracture of vertebra, occipito-atlanto-axial region, initial encounter for fracture"}, {"role": "assistant", "content": "M48.41XA — Fatigue fracture of vertebra, occipito-atlanto-axial region, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antithrombotic drugs, sequela"}, {"role": "assistant", "content": "T45.525S — Adverse effect of antithrombotic drugs, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left buttock, initial encounter"}, {"role": "assistant", "content": "S31.822A — Laceration with foreign body of left buttock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chromhidrosis"}, {"role": "assistant", "content": "L75.1 — Chromhidrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of aflatoxin, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T64.01XD — Toxic effect of aflatoxin, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple sites of right lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.291A — Burn of second degree of multiple sites of right lower limb, except ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localized gingival recession, unspecified"}, {"role": "assistant", "content": "K06.010 — Localized gingival recession, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.91XB — Unspecified fracture of right femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.135B — Nondisplaced apophyseal fracture of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, pilates"}, {"role": "assistant", "content": "Y93.B4 — Activity, pilates"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in esophagus causing compression of trachea, sequela"}, {"role": "assistant", "content": "T18.110S — Gastric contents in esophagus causing compression of trachea, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of right fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.391P — Other physeal fracture of lower end of right fibula, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to drugs, bilateral, stage unspecified"}, {"role": "assistant", "content": "H40.63X0 — Glaucoma secondary to drugs, bilateral, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.009E — Fracture of unspecified part of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Group home staff-child conflict"}, {"role": "assistant", "content": "Z62.833 — Group home staff-child conflict"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela"}, {"role": "assistant", "content": "V06.938S — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.100D — Subluxation of unspecified thoracic vertebra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V58.1XXA — Passenger in pick-up truck or van injured in noncollision transport accident in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified mononeuropathies of right upper limb"}, {"role": "assistant", "content": "G56.81 — Other specified mononeuropathies of right upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at C8 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.108D — Unspecified injury at C8 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal vaginal hemorrhage"}, {"role": "assistant", "content": "P54.6 — Neonatal vaginal hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of smallpox vaccines, sequela"}, {"role": "assistant", "content": "T50.B15S — Adverse effect of smallpox vaccines, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disease of gallbladder, unspecified"}, {"role": "assistant", "content": "K82.9 — Disease of gallbladder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O9A.119 — Malignant neoplasm complicating pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of second metatarsal bone, right foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.321D — Displaced fracture of second metatarsal bone, right foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous abscess of abdominal wall"}, {"role": "assistant", "content": "L02.211 — Cutaneous abscess of abdominal wall"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral"}, {"role": "assistant", "content": "E09.3523 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified malignant neoplasm of skin of other parts of face"}, {"role": "assistant", "content": "C44.309 — Unspecified malignant neoplasm of skin of other parts of face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.035E — Nondisplaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulnar collateral ligament sprain of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "S53.449D — Ulnar collateral ligament sprain of unspecified elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other atherosclerosis of native arteries of extremities, unspecified extremity"}, {"role": "assistant", "content": "I70.299 — Other atherosclerosis of native arteries of extremities, unspecified extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid bursitis, right knee"}, {"role": "assistant", "content": "M06.261 — Rheumatoid bursitis, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving other means, terrorist injured, sequela"}, {"role": "assistant", "content": "Y38.893S — Terrorism involving other means, terrorist injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous bacterial peritonitis"}, {"role": "assistant", "content": "K65.2 — Spontaneous bacterial peritonitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.426M — Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V62.5XXA — Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.411A — Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse secondary atrophy of choroid, bilateral"}, {"role": "assistant", "content": "H31.123 — Diffuse secondary atrophy of choroid, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.339D — Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior displaced fracture of sternal end of right clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.011A — Anterior displaced fracture of sternal end of right clavicle, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified hand, sequela"}, {"role": "assistant", "content": "S60.229S — Contusion of unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obesity complicating the puerperium"}, {"role": "assistant", "content": "O99.215 — Obesity complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of first metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.251A — Displaced fracture of neck of first metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tetracyclines, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T36.4X2D — Poisoning by tetracyclines, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified lesser toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.106A — Unspecified open wound of unspecified lesser toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incisional hernia with obstruction, without gangrene"}, {"role": "assistant", "content": "K43.0 — Incisional hernia with obstruction, without gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right little finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.316D — Laceration without foreign body of right little finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.591A — Other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.3X2S — Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot"}, {"role": "assistant", "content": "I70.344 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced pilon fracture of left tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.875K — Nondisplaced pilon fracture of left tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.422S — Laceration of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pararenal abdominal aortic aneurysm, ruptured"}, {"role": "assistant", "content": "I71.31 — Pararenal abdominal aortic aneurysm, ruptured"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at wrist and hand level of right arm, sequela"}, {"role": "assistant", "content": "S64.91XS — Injury of unspecified nerve at wrist and hand level of right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of multiple sites of head, face, and neck, subsequent encounter"}, {"role": "assistant", "content": "T20.79XD — Corrosion of third degree of multiple sites of head, face, and neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture"}, {"role": "assistant", "content": "M48.58XA — Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central pterygium of unspecified eye"}, {"role": "assistant", "content": "H11.029 — Central pterygium of unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of left little finger, sequela"}, {"role": "assistant", "content": "S68.617S — Complete traumatic transphalangeal amputation of left little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superior rectus muscle entrapment, right eye"}, {"role": "assistant", "content": "H50.671 — Superior rectus muscle entrapment, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.149D — Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by vascular lesion of cord, fetus 3"}, {"role": "assistant", "content": "O69.5XX3 — Labor and delivery complicated by vascular lesion of cord, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by soccer ball, sequela"}, {"role": "assistant", "content": "W21.02XS — Struck by soccer ball, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of synovium, unspecified shoulder"}, {"role": "assistant", "content": "M66.119 — Rupture of synovium, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S86.311S — Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Family history of tobacco abuse and dependence"}, {"role": "assistant", "content": "Z81.2 — Family history of tobacco abuse and dependence"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic myringitis, left ear"}, {"role": "assistant", "content": "H73.12 — Chronic myringitis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.461Q — Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to fetopelvic disproportion, unspecified"}, {"role": "assistant", "content": "O65.4 — Obstructed labor due to fetopelvic disproportion, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Erosion of implanted vaginal mesh to surrounding organ or tissue, subsequent encounter"}, {"role": "assistant", "content": "T83.711D — Erosion of implanted vaginal mesh to surrounding organ or tissue, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antidepressants, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T43.201A — Poisoning by unspecified antidepressants, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of left tibia, sequela"}, {"role": "assistant", "content": "S82.162S — Torus fracture of upper end of left tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial loss of ear ossicles, unspecified ear"}, {"role": "assistant", "content": "H74.329 — Partial loss of ear ossicles, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other synovitis and tenosynovitis, left shoulder"}, {"role": "assistant", "content": "M65.812 — Other synovitis and tenosynovitis, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of rectum, initial encounter"}, {"role": "assistant", "content": "S36.60XA — Unspecified injury of rectum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, right hip, sequela"}, {"role": "assistant", "content": "S70.211S — Abrasion, right hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Radiculopathy, lumbar region"}, {"role": "assistant", "content": "M54.16 — Radiculopathy, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified symptoms and signs involving general sensations and perceptions"}, {"role": "assistant", "content": "R44.9 — Unspecified symptoms and signs involving general sensations and perceptions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for supervision of normal first pregnancy, unspecified trimester"}, {"role": "assistant", "content": "Z34.00 — Encounter for supervision of normal first pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of left upper back, unspecified stage"}, {"role": "assistant", "content": "L89.129 — Pressure ulcer of left upper back, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.243G — Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in other parts of respiratory tract causing other injury, initial encounter"}, {"role": "assistant", "content": "T17.818A — Gastric contents in other parts of respiratory tract causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of left index finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.422S — Laceration of extensor muscle, fascia and tendon of left index finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Psychomotor deficit following unspecified cerebrovascular disease"}, {"role": "assistant", "content": "I69.913 — Psychomotor deficit following unspecified cerebrovascular disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of right peroneal vein"}, {"role": "assistant", "content": "I80.241 — Phlebitis and thrombophlebitis of right peroneal vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of left renal vein, sequela"}, {"role": "assistant", "content": "S35.495S — Other specified injury of left renal vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior subcapsular polar age-related cataract, left eye"}, {"role": "assistant", "content": "H25.042 — Posterior subcapsular polar age-related cataract, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of adductor muscle, fascia and tendon of left thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.202D — Unspecified injury of adductor muscle, fascia and tendon of left thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced osteochondral fracture of unspecified patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.016B — Nondisplaced osteochondral fracture of unspecified patella, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.144E — Nondisplaced intertrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bicondylar fracture of right tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.144A — Nondisplaced bicondylar fracture of right tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.321K — Displaced transverse fracture of shaft of right radius, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of synovium and tendon, unspecified wrist"}, {"role": "assistant", "content": "M67.839 — Other specified disorders of synovium and tendon, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of tarsal joint of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S93.313D — Subluxation of tarsal joint of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from skateboard, subsequent encounter"}, {"role": "assistant", "content": "V00.131D — Fall from skateboard, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute duodenal ulcer with perforation"}, {"role": "assistant", "content": "K26.1 — Acute duodenal ulcer with perforation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of right calcaneus, sequela"}, {"role": "assistant", "content": "S99.091S — Other physeal fracture of right calcaneus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, sequela"}, {"role": "assistant", "content": "S32.434S — Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of right radial collateral ligament, subsequent encounter"}, {"role": "assistant", "content": "S53.21XD — Traumatic rupture of right radial collateral ligament, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete lesion of sacral spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S34.132D — Incomplete lesion of sacral spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of 2-Propanol, assault, initial encounter"}, {"role": "assistant", "content": "T51.2X3A — Toxic effect of 2-Propanol, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound, unspecified ankle, sequela"}, {"role": "assistant", "content": "S91.009S — Unspecified open wound, unspecified ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of other specified intrathoracic organs, subsequent encounter"}, {"role": "assistant", "content": "S27.892D — Contusion of other specified intrathoracic organs, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other pulmonary hemorrhages originating in the perinatal period"}, {"role": "assistant", "content": "P26.8 — Other pulmonary hemorrhages originating in the perinatal period"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Melanocytic nevi of unspecified part of face"}, {"role": "assistant", "content": "D22.30 — Melanocytic nevi of unspecified part of face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lipid storage disorders"}, {"role": "assistant", "content": "E75.5 — Other lipid storage disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at knee level, left lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.022D — Partial traumatic amputation at knee level, left lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.551D — Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye"}, {"role": "assistant", "content": "E13.3599 — Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other tear of medial meniscus, current injury, left knee, subsequent encounter"}, {"role": "assistant", "content": "S83.242D — Other tear of medial meniscus, current injury, left knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.175D — Nondisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic mastoiditis, bilateral"}, {"role": "assistant", "content": "H70.13 — Chronic mastoiditis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.254M — Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle rider (driver) (passenger) injured in other specified transport accidents, initial encounter"}, {"role": "assistant", "content": "V29.881A — Electric (assisted) bicycle rider (driver) (passenger) injured in other specified transport accidents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of other finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.638G — Displaced fracture of distal phalanx of other finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior dislocation of left sternoclavicular joint, initial encounter"}, {"role": "assistant", "content": "S43.225A — Posterior dislocation of left sternoclavicular joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cysts of right upper eyelid"}, {"role": "assistant", "content": "H02.821 — Cysts of right upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of left iliac vein"}, {"role": "assistant", "content": "I82.522 — Chronic embolism and thrombosis of left iliac vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometrial intraepithelial neoplasia [EIN]"}, {"role": "assistant", "content": "N85.02 — Endometrial intraepithelial neoplasia [EIN]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.461G — Displaced segmental fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Broken internal left hip prosthesis, sequela"}, {"role": "assistant", "content": "T84.011S — Broken internal left hip prosthesis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of portal vein, sequela"}, {"role": "assistant", "content": "S35.318S — Other specified injury of portal vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous fish, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.592A — Toxic effect of contact with other venomous fish, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign carcinoid tumor of the small intestine, unspecified portion"}, {"role": "assistant", "content": "D3A.019 — Benign carcinoid tumor of the small intestine, unspecified portion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V76.9XXD — Unspecified occupant of bus injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of unspecified foot at ankle level, sequela"}, {"role": "assistant", "content": "S98.019S — Complete traumatic amputation of unspecified foot at ankle level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.203S — Unspecified open wound of left middle finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flexion deformity, left finger joints"}, {"role": "assistant", "content": "M21.242 — Flexion deformity, left finger joints"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctival edema, left eye"}, {"role": "assistant", "content": "H11.422 — Conjunctival edema, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified ptosis of left eyelid"}, {"role": "assistant", "content": "H02.402 — Unspecified ptosis of left eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other psychodysleptics [hallucinogens], undetermined, initial encounter"}, {"role": "assistant", "content": "T40.994A — Poisoning by other psychodysleptics [hallucinogens], undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of phalanx of unspecified toe, sequela"}, {"role": "assistant", "content": "S99.249S — Salter-Harris Type IV physeal fracture of phalanx of unspecified toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other vulvodynia"}, {"role": "assistant", "content": "N94.818 — Other vulvodynia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of other parts of alimentary tract, sequela"}, {"role": "assistant", "content": "T28.7XXS — Corrosion of other parts of alimentary tract, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of petroleum products, intentional self-harm, sequela"}, {"role": "assistant", "content": "T52.0X2S — Toxic effect of petroleum products, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hairy cell leukemia not having achieved remission"}, {"role": "assistant", "content": "C91.40 — Hairy cell leukemia not having achieved remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S74.90XA — Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.423S — Laceration of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 60-69% of body surface with 40-49% third degree burns"}, {"role": "assistant", "content": "T31.64 — Burns involving 60-69% of body surface with 40-49% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela"}, {"role": "assistant", "content": "S66.822S — Laceration of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified forearm, initial encounter"}, {"role": "assistant", "content": "S59.919A — Unspecified injury of unspecified forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema"}, {"role": "assistant", "content": "H34.8390 — Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}, {"role": "assistant", "content": "S06.5X5D — Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of left eye and adnexa, part unspecified, initial encounter"}, {"role": "assistant", "content": "T26.42XA — Burn of left eye and adnexa, part unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antipsychotics and neuroleptics, assault, sequela"}, {"role": "assistant", "content": "T43.503S — Poisoning by unspecified antipsychotics and neuroleptics, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural cardiogenic shock, subsequent encounter"}, {"role": "assistant", "content": "T81.11XD — Postprocedural cardiogenic shock, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V44.9XXA — Unspecified car occupant injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of right little finger, sequela"}, {"role": "assistant", "content": "S62.626S — Displaced fracture of middle phalanx of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of left patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.045B — Nondisplaced comminuted fracture of left patella, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse large B-cell lymphoma, spleen"}, {"role": "assistant", "content": "C83.37 — Diffuse large B-cell lymphoma, spleen"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of inferior vena cava, subsequent encounter"}, {"role": "assistant", "content": "S35.12XD — Major laceration of inferior vena cava, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T40.901D — Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified elbow, initial encounter"}, {"role": "assistant", "content": "T22.229A — Burn of second degree of unspecified elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inadequate drinking-water supply"}, {"role": "assistant", "content": "Z58.6 — Inadequate drinking-water supply"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of special construction vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V85.6XXA — Passenger of special construction vehicle injured in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Body mass index [BMI] 19.9 or less, adult"}, {"role": "assistant", "content": "Z68.1 — Body mass index [BMI] 19.9 or less, adult"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.036G — Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of left little finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.647K — Nondisplaced fracture of proximal phalanx of left little finger, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Regurgitation and rumination of newborn"}, {"role": "assistant", "content": "P92.1 — Regurgitation and rumination of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other nonionizing radiation, sequela"}, {"role": "assistant", "content": "W90.8XXS — Exposure to other nonionizing radiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.101A — Dislocation of unspecified cervical vertebrae, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of distal interphalangeal joint of other finger, sequela"}, {"role": "assistant", "content": "S63.248S — Subluxation of distal interphalangeal joint of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.409K — Unspecified fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified part of head, subsequent encounter"}, {"role": "assistant", "content": "S00.90XD — Unspecified superficial injury of unspecified part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other stimulant dependence with stimulant-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F15.250 — Other stimulant dependence with stimulant-induced psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving other fires, conflagrations and hot substances, civilian, sequela"}, {"role": "assistant", "content": "Y37.391S — Military operations involving other fires, conflagrations and hot substances, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sjogren syndrome with gastrointestinal involvement"}, {"role": "assistant", "content": "M35.08 — Sjogren syndrome with gastrointestinal involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of left calcaneus, sequela"}, {"role": "assistant", "content": "S99.012S — Salter-Harris Type I physeal fracture of left calcaneus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by beta-adrenoreceptor antagonists, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T44.7X1S — Poisoning by beta-adrenoreceptor antagonists, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.357P — Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left ring finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.325S — Laceration with foreign body of left ring finger with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S80.229D — Blister (nonthermal), unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of T1/T2 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.110S — Subluxation of T1/T2 thoracic vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Combined forms of age-related cataract, bilateral"}, {"role": "assistant", "content": "H25.813 — Combined forms of age-related cataract, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from, out of or through bridge, sequela"}, {"role": "assistant", "content": "W13.1XXS — Fall from, out of or through bridge, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Galeazzi's fracture of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.372C — Galeazzi's fracture of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with other motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V29.691S — Unspecified electric (assisted) bicycle rider injured in collision with other motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, right hip, sequela"}, {"role": "assistant", "content": "S70.241S — External constriction, right hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right ear, initial encounter"}, {"role": "assistant", "content": "S01.311A — Laceration without foreign body of right ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, left shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.122A — Displaced fracture of acromial process, left shoulder, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lunate [semilunar], unspecified wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.126D — Nondisplaced fracture of lunate [semilunar], unspecified wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unintended awareness under general anesthesia during procedure, subsequent encounter"}, {"role": "assistant", "content": "T88.53XD — Unintended awareness under general anesthesia during procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with unspecified venomous animal, undetermined, sequela"}, {"role": "assistant", "content": "T63.94XS — Toxic effect of contact with unspecified venomous animal, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with diabetic chronic kidney disease"}, {"role": "assistant", "content": "E10.22 — Type 1 diabetes mellitus with diabetic chronic kidney disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of unspecified calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.029B — Salter-Harris Type II physeal fracture of unspecified calcaneus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified hormones and synthetic substitutes, undetermined, initial encounter"}, {"role": "assistant", "content": "T38.804A — Poisoning by unspecified hormones and synthetic substitutes, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital partial dislocation of hip, unspecified"}, {"role": "assistant", "content": "Q65.5 — Congenital partial dislocation of hip, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infections of bladder in pregnancy, second trimester"}, {"role": "assistant", "content": "O23.12 — Infections of bladder in pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis deformans in neoplastic diseases, left lower leg"}, {"role": "assistant", "content": "M90.662 — Osteitis deformans in neoplastic diseases, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from unspecified source, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T58.91XA — Toxic effect of carbon monoxide from unspecified source, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.301P — Unspecified fracture of shaft of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.009A — Unspecified fracture of upper end of unspecified ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal coma"}, {"role": "assistant", "content": "P91.5 — Neonatal coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Umbilical hemorrhage of newborn, unspecified"}, {"role": "assistant", "content": "P51.9 — Umbilical hemorrhage of newborn, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.092H — Other fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of local astringents and local detergents, initial encounter"}, {"role": "assistant", "content": "T49.2X6A — Underdosing of local astringents and local detergents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.426E — Nondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reduced mobility"}, {"role": "assistant", "content": "Z74.09 — Other reduced mobility"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by nonvenomous lizards, subsequent encounter"}, {"role": "assistant", "content": "W59.01XD — Bitten by nonvenomous lizards, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.413R — Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.452A — Displaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.111G — Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vasomotor rhinitis"}, {"role": "assistant", "content": "J30.0 — Vasomotor rhinitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg"}, {"role": "assistant", "content": "M96.662 — Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of radiocarpal joint of right wrist, initial encounter"}, {"role": "assistant", "content": "S63.024A — Dislocation of radiocarpal joint of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by analeptics and opioid receptor antagonists, assault, subsequent encounter"}, {"role": "assistant", "content": "T50.7X3D — Poisoning by analeptics and opioid receptor antagonists, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.463H — Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute post-thoracotomy pain"}, {"role": "assistant", "content": "G89.12 — Acute post-thoracotomy pain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, first trimester"}, {"role": "assistant", "content": "O30.831 — Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Delayed hemolytic transfusion reaction, unspecified incompatibility, initial encounter"}, {"role": "assistant", "content": "T80.911A — Delayed hemolytic transfusion reaction, unspecified incompatibility, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by mineralocorticoids and their antagonists, undetermined, initial encounter"}, {"role": "assistant", "content": "T50.0X4A — Poisoning by mineralocorticoids and their antagonists, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of foreign body accidentally left in body following other procedure, sequela"}, {"role": "assistant", "content": "T81.598S — Other complications of foreign body accidentally left in body following other procedure, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Procedure and treatment not carried out because of patient's decision for unspecified reasons"}, {"role": "assistant", "content": "Z53.20 — Procedure and treatment not carried out because of patient's decision for unspecified reasons"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital morphological disturbances of hair, not elsewhere classified"}, {"role": "assistant", "content": "Q84.1 — Congenital morphological disturbances of hair, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of right midfoot, sequela"}, {"role": "assistant", "content": "S98.321S — Partial traumatic amputation of right midfoot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right little finger, initial encounter"}, {"role": "assistant", "content": "S65.516A — Laceration of blood vessel of right little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central dislocation of left hip, initial encounter"}, {"role": "assistant", "content": "S73.045A — Central dislocation of left hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Family history of malignant neoplasm of ovary"}, {"role": "assistant", "content": "Z80.41 — Family history of malignant neoplasm of ovary"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bullous lichen planus"}, {"role": "assistant", "content": "L43.1 — Bullous lichen planus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S84.91XD — Injury of unspecified nerve at lower leg level, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.245J — Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving unspecified explosion and fragments, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.200D — Military operations involving unspecified explosion and fragments, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient synovitis, unspecified hip"}, {"role": "assistant", "content": "M67.359 — Transient synovitis, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by electrolytic, caloric and water-balance agents, assault, initial encounter"}, {"role": "assistant", "content": "T50.3X3A — Poisoning by electrolytic, caloric and water-balance agents, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of first metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.255D — Nondisplaced fracture of neck of first metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced pilon fracture of right tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.871P — Displaced pilon fracture of right tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postdysenteric arthropathy, left wrist"}, {"role": "assistant", "content": "M02.132 — Postdysenteric arthropathy, left wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blindness right eye category 5, normal vision left eye"}, {"role": "assistant", "content": "H54.415A — Blindness right eye category 5, normal vision left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Demyelinating disease of central nervous system, unspecified"}, {"role": "assistant", "content": "G37.9 — Demyelinating disease of central nervous system, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of unspecified cardiac device, sequela"}, {"role": "assistant", "content": "T82.199S — Other mechanical complication of unspecified cardiac device, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of the cecum, unspecified depth"}, {"role": "assistant", "content": "N80.539 — Endometriosis of the cecum, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of back of right hand, subsequent encounter"}, {"role": "assistant", "content": "T23.361D — Burn of third degree of back of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of right ankle, sequela"}, {"role": "assistant", "content": "S97.01XS — Crushing injury of right ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right cheek and temporomandibular area, sequela"}, {"role": "assistant", "content": "S01.451S — Open bite of right cheek and temporomandibular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a car injured in collision with two- or three-wheeled motor vehicle, sequela"}, {"role": "assistant", "content": "V42.4XXS — Person boarding or alighting a car injured in collision with two- or three-wheeled motor vehicle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.119S — Laceration without foreign body of unspecified thumb with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of base of fifth metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.316K — Displaced fracture of base of fifth metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute actinic otitis externa, left ear"}, {"role": "assistant", "content": "H60.512 — Acute actinic otitis externa, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of bronchus, unspecified, initial encounter"}, {"role": "assistant", "content": "S27.499A — Other injury of bronchus, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trisomy 21, nonmosaicism (meiotic nondisjunction)"}, {"role": "assistant", "content": "Q90.0 — Trisomy 21, nonmosaicism (meiotic nondisjunction)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for dental examination and cleaning without abnormal findings"}, {"role": "assistant", "content": "Z01.20 — Encounter for dental examination and cleaning without abnormal findings"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pupillary abnormality, left eye"}, {"role": "assistant", "content": "H21.562 — Pupillary abnormality, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1"}, {"role": "assistant", "content": "O36.0131 — Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of malignant neoplasm of other respiratory and intrathoracic organs"}, {"role": "assistant", "content": "Z85.29 — Personal history of malignant neoplasm of other respiratory and intrathoracic organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.453K — Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculosis of skin and subcutaneous tissue"}, {"role": "assistant", "content": "A18.4 — Tuberculosis of skin and subcutaneous tissue"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.553D — Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of pisiform, unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.166P — Nondisplaced fracture of pisiform, unspecified wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital metatarsus primus varus, right foot"}, {"role": "assistant", "content": "Q66.211 — Congenital metatarsus primus varus, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified part of head, sequela"}, {"role": "assistant", "content": "S00.96XS — Insect bite (nonvenomous) of unspecified part of head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis of left hip with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.652 — Rheumatoid arthritis of left hip with involvement of other organs and systems"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hematospermia"}, {"role": "assistant", "content": "R36.1 — Hematospermia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of spine, thoracic region"}, {"role": "assistant", "content": "M42.04 — Juvenile osteochondrosis of spine, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.022C — Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified inorganic substances, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T57.8X1A — Toxic effect of other specified inorganic substances, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to cerebral venous thrombosis, nonpyogenic"}, {"role": "assistant", "content": "I63.6 — Cerebral infarction due to cerebral venous thrombosis, nonpyogenic"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of right metatarsal, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.191A — Other physeal fracture of right metatarsal, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fatigue fracture of vertebra, thoracolumbar region, sequela of fracture"}, {"role": "assistant", "content": "M48.45XS — Fatigue fracture of vertebra, thoracolumbar region, sequela of fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Onchocerciasis with endophthalmitis"}, {"role": "assistant", "content": "B73.01 — Onchocerciasis with endophthalmitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified part of thorax, initial encounter"}, {"role": "assistant", "content": "S21.95XA — Open bite of unspecified part of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mastoiditis in infectious and parasitic diseases classified elsewhere, right ear"}, {"role": "assistant", "content": "H75.01 — Mastoiditis in infectious and parasitic diseases classified elsewhere, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced other extraarticular fracture of left calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.052B — Displaced other extraarticular fracture of left calcaneus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.263C — Displaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sternal manubrial dissociation, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.23XA — Sternal manubrial dissociation, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified retained (old) intraocular foreign body, magnetic, left eye"}, {"role": "assistant", "content": "H44.602 — Unspecified retained (old) intraocular foreign body, magnetic, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other abnormal cytological findings on specimens from cervix uteri"}, {"role": "assistant", "content": "R87.618 — Other abnormal cytological findings on specimens from cervix uteri"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of lower jaw bone"}, {"role": "assistant", "content": "D16.5 — Benign neoplasm of lower jaw bone"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of midcarpal joint of left wrist, initial encounter"}, {"role": "assistant", "content": "S63.035A — Dislocation of midcarpal joint of left wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Auditory recruitment, right ear"}, {"role": "assistant", "content": "H93.211 — Auditory recruitment, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.191D — Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meningococcal myocarditis"}, {"role": "assistant", "content": "A39.52 — Meningococcal myocarditis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional collision of motor vehicle with other motor vehicle, initial encounter"}, {"role": "assistant", "content": "X82.0XXA — Intentional collision of motor vehicle with other motor vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.129D — Laceration with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left tibial spine, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.115B — Nondisplaced fracture of left tibial spine, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for screening for respiratory tuberculosis"}, {"role": "assistant", "content": "Z11.1 — Encounter for screening for respiratory tuberculosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.334M — Nondisplaced oblique fracture of shaft of right radius, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.341M — Displaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other ingested (parts of) plant(s), intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T62.2X2A — Toxic effect of other ingested (parts of) plant(s), intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.022D — Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.442D — Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving from boat striking water surface causing drowning and submersion, initial encounter"}, {"role": "assistant", "content": "W16.711A — Jumping or diving from boat striking water surface causing drowning and submersion, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified hang-glider accident injuring occupant, sequela"}, {"role": "assistant", "content": "V96.10XS — Unspecified hang-glider accident injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Iliofemoral ligament sprain of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.119D — Iliofemoral ligament sprain of unspecified hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 50-59% of body surface with 50-59% third degree corrosion"}, {"role": "assistant", "content": "T32.55 — Corrosions involving 50-59% of body surface with 50-59% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.099A — Other physeal fracture of upper end of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of cornea and conjunctival sac, left eye, initial encounter"}, {"role": "assistant", "content": "T26.12XA — Burn of cornea and conjunctival sac, left eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Birth injury to peripheral nervous system, unspecified"}, {"role": "assistant", "content": "P14.9 — Birth injury to peripheral nervous system, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of right ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.691P — Other fracture of lower end of right ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of right index finger, initial encounter"}, {"role": "assistant", "content": "S60.450A — Superficial foreign body of right index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spondylopathy in diseases classified elsewhere, multiple sites in spine"}, {"role": "assistant", "content": "M49.89 — Spondylopathy in diseases classified elsewhere, multiple sites in spine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Familial chondrocalcinosis, right knee"}, {"role": "assistant", "content": "M11.161 — Familial chondrocalcinosis, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, right shoulder, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.2111 — Drug-induced chronic gout, right shoulder, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irritant contact dermatitis due to saliva"}, {"role": "assistant", "content": "L24.A1 — Irritant contact dermatitis due to saliva"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, initial encounter"}, {"role": "assistant", "content": "T43.213A — Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.222K — Displaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental kick by another person, subsequent encounter"}, {"role": "assistant", "content": "W50.1XXD — Accidental kick by another person, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.266G — Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute rheumatic endocarditis"}, {"role": "assistant", "content": "I01.1 — Acute rheumatic endocarditis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.353P — Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of nose (septum), subsequent encounter"}, {"role": "assistant", "content": "T20.34XD — Burn of third degree of nose (septum), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosing spondylitis of lumbosacral region"}, {"role": "assistant", "content": "M45.7 — Ankylosing spondylitis of lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of right lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.534S — Nondisplaced fracture of distal phalanx of right lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ocular myiasis"}, {"role": "assistant", "content": "B87.2 — Ocular myiasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right shoulder, initial encounter"}, {"role": "assistant", "content": "T22.051A — Burn of unspecified degree of right shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of unspecified clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.009A — Fracture of unspecified part of unspecified clavicle, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skateboarder colliding with stationary object, sequela"}, {"role": "assistant", "content": "V00.132S — Skateboarder colliding with stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of interphalangeal joint of right great toe, initial encounter"}, {"role": "assistant", "content": "S93.511A — Sprain of interphalangeal joint of right great toe, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Galactorrhea not associated with childbirth"}, {"role": "assistant", "content": "N64.3 — Galactorrhea not associated with childbirth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.591D — Other injury of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to drugs of right ulna"}, {"role": "assistant", "content": "M87.134 — Osteonecrosis due to drugs of right ulna"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.112G — Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of single left finger (nail) except thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.022D — Burn of unspecified degree of single left finger (nail) except thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute hematogenous osteomyelitis, right humerus"}, {"role": "assistant", "content": "M86.021 — Acute hematogenous osteomyelitis, right humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.656D — Sprain of metacarpophalangeal joint of right little finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V22.99XS — Unspecified rider of other motorcycle injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.5X3D — Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pregnancy related peripheral neuritis, second trimester"}, {"role": "assistant", "content": "O26.822 — Pregnancy related peripheral neuritis, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.315P — Displaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced cataract, unspecified eye"}, {"role": "assistant", "content": "H26.30 — Drug-induced cataract, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.353J — Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "11 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.11 — 11 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.441A — Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of sulfur dioxide, assault, subsequent encounter"}, {"role": "assistant", "content": "T59.1X3D — Toxic effect of sulfur dioxide, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to fishing boat overturning, subsequent encounter"}, {"role": "assistant", "content": "V90.02XD — Drowning and submersion due to fishing boat overturning, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified great toe, sequela"}, {"role": "assistant", "content": "S97.119S — Crushing injury of unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic osteomyelitis, right humerus"}, {"role": "assistant", "content": "M86.621 — Other chronic osteomyelitis, right humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.409J — Unspecified fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis of left wrist with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.632 — Rheumatoid arthritis of left wrist with involvement of other organs and systems"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with prime movers, subsequent encounter"}, {"role": "assistant", "content": "W31.3XXD — Contact with prime movers, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis deformans in neoplastic diseases, left shoulder"}, {"role": "assistant", "content": "M90.612 — Osteitis deformans in neoplastic diseases, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Panniculitis affecting regions of neck and back, thoracolumbar region"}, {"role": "assistant", "content": "M54.05 — Panniculitis affecting regions of neck and back, thoracolumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other blood vessels at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.899S — Other specified injury of other blood vessels at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.242H — Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by lysergide [LSD], intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T40.8X2D — Poisoning by lysergide [LSD], intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of medial collateral ligament of right knee, sequela"}, {"role": "assistant", "content": "S83.411S — Sprain of medial collateral ligament of right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other low birth weight newborn, 2000-2499 grams"}, {"role": "assistant", "content": "P07.18 — Other low birth weight newborn, 2000-2499 grams"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, right fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.663D — Pathological fracture in other disease, right fibula, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedure"}, {"role": "assistant", "content": "H59.129 — Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.253N — Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other otosclerosis, bilateral"}, {"role": "assistant", "content": "H80.83 — Other otosclerosis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior wall of unspecified acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.426G — Nondisplaced fracture of posterior wall of unspecified acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid bursitis, right ankle and foot"}, {"role": "assistant", "content": "M06.271 — Rheumatoid bursitis, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for other antenatal screening follow-up"}, {"role": "assistant", "content": "Z36.2 — Encounter for other antenatal screening follow-up"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupational exposure to other air contaminants"}, {"role": "assistant", "content": "Z57.39 — Occupational exposure to other air contaminants"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.839K — Other osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to being trapped in bed linens, undetermined, initial encounter"}, {"role": "assistant", "content": "T71.134A — Asphyxiation due to being trapped in bed linens, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.361G — Nondisplaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to drugs, bilateral, severe stage"}, {"role": "assistant", "content": "H40.63X3 — Glaucoma secondary to drugs, bilateral, severe stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.024K — Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient alteration of awareness"}, {"role": "assistant", "content": "R40.4 — Transient alteration of awareness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Delusional disorders"}, {"role": "assistant", "content": "F22 — Delusional disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of hypoglossal nerve"}, {"role": "assistant", "content": "G52.3 — Disorders of hypoglossal nerve"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonrheumatic tricuspid (valve) insufficiency"}, {"role": "assistant", "content": "I36.1 — Nonrheumatic tricuspid (valve) insufficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.111D — Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.149A — Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by digestants, assault, sequela"}, {"role": "assistant", "content": "T47.5X3S — Poisoning by digestants, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in other parts of respiratory tract causing asphyxiation, initial encounter"}, {"role": "assistant", "content": "T17.800A — Unspecified foreign body in other parts of respiratory tract causing asphyxiation, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of femoral vein, bilateral"}, {"role": "assistant", "content": "I80.13 — Phlebitis and thrombophlebitis of femoral vein, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in traffic accident, initial encounter"}, {"role": "assistant", "content": "V20.91XA — Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving explosion of marine mine, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.020A — Military operations involving explosion of marine mine, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Shock, unspecified"}, {"role": "assistant", "content": "R57.9 — Shock, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of railway train or railway vehicle injured in unspecified railway accident, initial encounter"}, {"role": "assistant", "content": "V81.9XXA — Occupant of railway train or railway vehicle injured in unspecified railway accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coronal craniosynostosis, bilateral"}, {"role": "assistant", "content": "Q75.022 — Coronal craniosynostosis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.149A — Puncture wound with foreign body of unspecified toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by sulfonamides, assault, sequela"}, {"role": "assistant", "content": "T37.0X3S — Poisoning by sulfonamides, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained stone or crystalline fragments"}, {"role": "assistant", "content": "Z18.83 — Retained stone or crystalline fragments"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of torpedo, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.041A — War operations involving explosion of torpedo, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia, unspecified affecting left nondominant side"}, {"role": "assistant", "content": "G81.94 — Hemiplegia, unspecified affecting left nondominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of first thoracic vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.010A — Wedge compression fracture of first thoracic vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antidotes and chelating agents, sequela"}, {"role": "assistant", "content": "T50.6X5S — Adverse effect of antidotes and chelating agents, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of manganese and its compounds, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T57.2X1A — Toxic effect of manganese and its compounds, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for fitting and adjustment of unspecified device"}, {"role": "assistant", "content": "Z46.9 — Encounter for fitting and adjustment of unspecified device"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by oxytocic drugs, intentional self-harm, sequela"}, {"role": "assistant", "content": "T48.0X2S — Poisoning by oxytocic drugs, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.331D — Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of other part of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "S63.8X9S — Sprain of other part of unspecified wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysplasia of vulva, unspecified"}, {"role": "assistant", "content": "N90.3 — Dysplasia of vulva, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B95.62 — Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Apraxia following cerebral infarction"}, {"role": "assistant", "content": "I69.390 — Apraxia following cerebral infarction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced associated transverse-posterior fracture of unspecified acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.466G — Nondisplaced associated transverse-posterior fracture of unspecified acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of left carotid artery, initial encounter"}, {"role": "assistant", "content": "S15.092A — Other specified injury of left carotid artery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of right acromioclavicular joint, greater than 200% displacement, subsequent encounter"}, {"role": "assistant", "content": "S43.131D — Dislocation of right acromioclavicular joint, greater than 200% displacement, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V26.09XS — Other motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of right femur, sequela"}, {"role": "assistant", "content": "S72.091S — Other fracture of head and neck of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to drugs, multiple sites"}, {"role": "assistant", "content": "M87.19 — Osteonecrosis due to drugs, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other respiratory tuberculosis"}, {"role": "assistant", "content": "A15.8 — Other respiratory tuberculosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in other parts of respiratory tract causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.890S — Other foreign object in other parts of respiratory tract causing asphyxiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of stomach, initial encounter"}, {"role": "assistant", "content": "S36.39XA — Other injury of stomach, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other autoimmune hemolytic anemia"}, {"role": "assistant", "content": "D59.19 — Other autoimmune hemolytic anemia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}, {"role": "assistant", "content": "V24.21XS — Unspecified electric (assisted) bicycle rider injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antineoplastic and immunosuppressive drugs, undetermined, sequela"}, {"role": "assistant", "content": "T45.1X4S — Poisoning by antineoplastic and immunosuppressive drugs, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other pulmonary complications of anesthesia during pregnancy, second trimester"}, {"role": "assistant", "content": "O29.092 — Other pulmonary complications of anesthesia during pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.254B — Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of chest wall, sequela"}, {"role": "assistant", "content": "T21.51XS — Corrosion of first degree of chest wall, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.244P — Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial androgen insensitivity syndrome"}, {"role": "assistant", "content": "E34.52 — Partial androgen insensitivity syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Opioid use, unspecified, uncomplicated"}, {"role": "assistant", "content": "F11.90 — Opioid use, unspecified, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into unspecified water causing drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "W16.91XD — Jumping or diving into unspecified water causing drowning and submersion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcific tendinitis, right lower leg"}, {"role": "assistant", "content": "M65.261 — Calcific tendinitis, right lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other tetanus"}, {"role": "assistant", "content": "A35 — Other tetanus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of special industrial vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V83.2XXS — Person on outside of special industrial vehicle injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other synovitis and tenosynovitis, unspecified upper arm"}, {"role": "assistant", "content": "M65.829 — Other synovitis and tenosynovitis, unspecified upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by emetics, assault, initial encounter"}, {"role": "assistant", "content": "T47.7X3A — Poisoning by emetics, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between unspecified watercraft and other watercraft or other object, initial encounter"}, {"role": "assistant", "content": "V91.29XA — Fall due to collision between unspecified watercraft and other watercraft or other object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of ligament, right hand"}, {"role": "assistant", "content": "M24.241 — Disorder of ligament, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of the autonomic nervous system, unspecified"}, {"role": "assistant", "content": "G90.9 — Disorder of the autonomic nervous system, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 90% or more of body surface with 10-19% third degree corrosion"}, {"role": "assistant", "content": "T32.91 — Corrosions involving 90% or more of body surface with 10-19% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital valgus deformities of feet"}, {"role": "assistant", "content": "Q66.6 — Other congenital valgus deformities of feet"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Oligohydramnios, first trimester, fetus 1"}, {"role": "assistant", "content": "O41.01X1 — Oligohydramnios, first trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.599E — Other fractures of lower end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left foot, sequela"}, {"role": "assistant", "content": "M84.575S — Pathological fracture in neoplastic disease, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of dorsal vein of unspecified foot, sequela"}, {"role": "assistant", "content": "S95.209S — Unspecified injury of dorsal vein of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.779D — Corrosion of third degree of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by other fish, sequela"}, {"role": "assistant", "content": "W56.52XS — Struck by other fish, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.64XK — Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.216G — Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.107S — Unspecified injury of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite, left ankle, subsequent encounter"}, {"role": "assistant", "content": "S91.052D — Open bite, left ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of left ulna styloid process, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.612M — Displaced fracture of left ulna styloid process, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystic meniscus, anterior horn of medial meniscus, right knee"}, {"role": "assistant", "content": "M23.011 — Cystic meniscus, anterior horn of medial meniscus, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of head of pancreas, sequela"}, {"role": "assistant", "content": "S36.260S — Major laceration of head of pancreas, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified"}, {"role": "assistant", "content": "H40.40X0 — Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bone donor, autologous"}, {"role": "assistant", "content": "Z52.21 — Bone donor, autologous"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.559B — Other extraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiac arrest due to underlying cardiac condition"}, {"role": "assistant", "content": "I46.2 — Cardiac arrest due to underlying cardiac condition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified conjunctivitis"}, {"role": "assistant", "content": "H10.9 — Unspecified conjunctivitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of right buttock, unspecified stage"}, {"role": "assistant", "content": "L89.319 — Pressure ulcer of right buttock, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified pubis, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.509K — Unspecified fracture of unspecified pubis, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving unspecified explosives, unspecified person injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.109D — Legal intervention involving unspecified explosives, unspecified person injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified mononeuropathies of right lower limb"}, {"role": "assistant", "content": "G57.81 — Other specified mononeuropathies of right lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving indirect blast effect of nuclear weapon, military personnel, sequela"}, {"role": "assistant", "content": "Y36.520S — War operations involving indirect blast effect of nuclear weapon, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other anti-common-cold drugs, sequela"}, {"role": "assistant", "content": "T48.5X6S — Underdosing of other anti-common-cold drugs, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of left lower limb"}, {"role": "assistant", "content": "C76.52 — Malignant neoplasm of left lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left lower leg, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.892E — Other fracture of left lower leg, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of axillary artery, unspecified side, initial encounter"}, {"role": "assistant", "content": "S45.099A — Other specified injury of axillary artery, unspecified side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other synthetic narcotics, assault, sequela"}, {"role": "assistant", "content": "T40.493S — Poisoning by other synthetic narcotics, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of left little finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.657G — Nondisplaced fracture of middle phalanx of left little finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.364N — Nondisplaced segmental fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, first trimester, fetus 2"}, {"role": "assistant", "content": "O41.1212 — Chorioamnionitis, first trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of plantar artery of left foot, initial encounter"}, {"role": "assistant", "content": "S95.192A — Other specified injury of plantar artery of left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occlusion and stenosis of right middle cerebral artery"}, {"role": "assistant", "content": "I66.01 — Occlusion and stenosis of right middle cerebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthus phenomenon, subsequent encounter"}, {"role": "assistant", "content": "T78.41XD — Arthus phenomenon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "T23.479A — Corrosion of unspecified degree of unspecified wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coronary angioplasty status"}, {"role": "assistant", "content": "Z98.61 — Coronary angioplasty status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysphagia, oropharyngeal phase"}, {"role": "assistant", "content": "R13.12 — Dysphagia, oropharyngeal phase"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glucosaminoglycan metabolism disorder, unspecified"}, {"role": "assistant", "content": "E76.9 — Glucosaminoglycan metabolism disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lunate [semilunar], left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.125P — Nondisplaced fracture of lunate [semilunar], left wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified anesthetic, assault, subsequent encounter"}, {"role": "assistant", "content": "T41.43XD — Poisoning by unspecified anesthetic, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant (driver) (passenger) of pick-up truck or van injured in other specified transport accidents, initial encounter"}, {"role": "assistant", "content": "V59.88XA — Occupant (driver) (passenger) of pick-up truck or van injured in other specified transport accidents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of trachea"}, {"role": "assistant", "content": "C33 — Malignant neoplasm of trachea"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of right index finger, subsequent encounter"}, {"role": "assistant", "content": "S68.120D — Partial traumatic metacarpophalangeal amputation of right index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiac murmur, unspecified"}, {"role": "assistant", "content": "R01.1 — Cardiac murmur, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified synovitis and tenosynovitis, multiple sites"}, {"role": "assistant", "content": "M65.99 — Unspecified synovitis and tenosynovitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.243Q — Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ambulatory surgery center as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.530 — Ambulatory surgery center as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic chronic subdural hemorrhage"}, {"role": "assistant", "content": "I62.03 — Nontraumatic chronic subdural hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol use complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O99.312 — Alcohol use complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol abuse with alcohol-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F10.151 — Alcohol abuse with alcohol-induced psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified fracture of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.502B — Displaced unspecified fracture of left lesser toe(s), initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.226R — Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulcer of esophagus without bleeding"}, {"role": "assistant", "content": "K22.10 — Ulcer of esophagus without bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left thigh, sequela"}, {"role": "assistant", "content": "S79.922S — Unspecified injury of left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of right great toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.404G — Nondisplaced unspecified fracture of right great toe, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter"}, {"role": "assistant", "content": "T81.591A — Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right femur, sequela"}, {"role": "assistant", "content": "S72.401S — Unspecified fracture of lower end of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S09.319D — Primary blast injury of unspecified ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of unspecified hip, sequela"}, {"role": "assistant", "content": "S73.006S — Unspecified dislocation of unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by immunoglobulin, intentional self-harm, sequela"}, {"role": "assistant", "content": "T50.Z12S — Poisoning by immunoglobulin, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of left ankle"}, {"role": "assistant", "content": "Z89.442 — Acquired absence of left ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of peroneal nerve at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S84.10XS — Injury of peroneal nerve at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of palmar ligament of left little finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.427S — Traumatic rupture of palmar ligament of left little finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into unspecified water causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.42XA — Fall into unspecified water causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at shoulder and upper arm level, right arm, sequela"}, {"role": "assistant", "content": "S44.91XS — Injury of unspecified nerve at shoulder and upper arm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of left back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.472S — Other superficial bite of left back wall of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of right talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.111D — Displaced fracture of neck of right talus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vertiginous syndromes in diseases classified elsewhere, left ear"}, {"role": "assistant", "content": "H82.2 — Vertiginous syndromes in diseases classified elsewhere, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced gout, unspecified hand"}, {"role": "assistant", "content": "M10.149 — Lead-induced gout, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.153S — Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, left ankle and foot"}, {"role": "assistant", "content": "M70.972 — Unspecified soft tissue disorder related to use, overuse and pressure, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other medical treatment"}, {"role": "assistant", "content": "Z92.89 — Personal history of other medical treatment"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of bone density and structure, right shoulder"}, {"role": "assistant", "content": "M85.811 — Other specified disorders of bone density and structure, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with hot food, subsequent encounter"}, {"role": "assistant", "content": "X10.1XXD — Contact with hot food, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications specific to multiple gestation, third trimester, other fetus"}, {"role": "assistant", "content": "O31.8X39 — Other complications specific to multiple gestation, third trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Felty's syndrome, left hand"}, {"role": "assistant", "content": "M05.042 — Felty's syndrome, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dentofacial anomaly, unspecified"}, {"role": "assistant", "content": "M26.9 — Dentofacial anomaly, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subsequent ST elevation (STEMI) myocardial infarction of inferior wall"}, {"role": "assistant", "content": "I22.1 — Subsequent ST elevation (STEMI) myocardial infarction of inferior wall"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified blood vessel at wrist and hand of left arm, sequela"}, {"role": "assistant", "content": "S65.992S — Other specified injury of unspecified blood vessel at wrist and hand of left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anorectal fistula, simple, recurrent"}, {"role": "assistant", "content": "K60.513 — Anorectal fistula, simple, recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other (healed) physical injury and trauma"}, {"role": "assistant", "content": "Z87.828 — Personal history of other (healed) physical injury and trauma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.421A — Laceration with foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified cheek and temporomandibular area, sequela"}, {"role": "assistant", "content": "S01.409S — Unspecified open wound of unspecified cheek and temporomandibular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional collision of motor vehicle with other motor vehicle, sequela"}, {"role": "assistant", "content": "X82.0XXS — Intentional collision of motor vehicle with other motor vehicle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, left knee, subsequent encounter"}, {"role": "assistant", "content": "S81.032D — Puncture wound without foreign body, left knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of distal end of unspecified ulna, initial encounter"}, {"role": "assistant", "content": "S63.073A — Subluxation of distal end of unspecified ulna, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of head, face, and neck, unspecified site, initial encounter"}, {"role": "assistant", "content": "T20.60XA — Corrosion of second degree of head, face, and neck, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of muscle, fascia and tendon of unspecified hip, initial encounter"}, {"role": "assistant", "content": "S76.099A — Other specified injury of muscle, fascia and tendon of unspecified hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of unspecified metatarsal, sequela"}, {"role": "assistant", "content": "S99.139S — Salter-Harris Type III physeal fracture of unspecified metatarsal, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right finger(s), sequela"}, {"role": "assistant", "content": "M84.444S — Pathological fracture, right finger(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.413P — Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epiphora due to excess lacrimation, unspecified lacrimal gland"}, {"role": "assistant", "content": "H04.219 — Epiphora due to excess lacrimation, unspecified lacrimal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.354P — Nondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of brain, unspecified"}, {"role": "assistant", "content": "D43.2 — Neoplasm of uncertain behavior of brain, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.189M — Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete uterovaginal prolapse"}, {"role": "assistant", "content": "N81.2 — Incomplete uterovaginal prolapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of abdominal wall, lower back and pelvis, initial encounter"}, {"role": "assistant", "content": "T34.3XXA — Frostbite with tissue necrosis of abdominal wall, lower back and pelvis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mild neurocognitive disorder due to known physiological condition without behavioral disturbance"}, {"role": "assistant", "content": "F06.70 — Mild neurocognitive disorder due to known physiological condition without behavioral disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S51.839D — Puncture wound without foreign body of unspecified forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lattice corneal dystrophy, bilateral"}, {"role": "assistant", "content": "H18.543 — Lattice corneal dystrophy, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with other motor vehicles in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V29.191A — Electric (assisted) bicycle passenger injured in collision with other motor vehicles in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lobular carcinoma in situ of unspecified breast"}, {"role": "assistant", "content": "D05.00 — Lobular carcinoma in situ of unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other shigellosis"}, {"role": "assistant", "content": "A03.8 — Other shigellosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified joint disorders, unspecified shoulder"}, {"role": "assistant", "content": "M25.819 — Other specified joint disorders, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter"}, {"role": "assistant", "content": "T85.192D — Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Discharge of firework, subsequent encounter"}, {"role": "assistant", "content": "W39.XXXD — Discharge of firework, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple right fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.241A — Burn of second degree of multiple right fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid bursitis, left ankle and foot"}, {"role": "assistant", "content": "M06.272 — Rheumatoid bursitis, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of scrotum and testes, subsequent encounter"}, {"role": "assistant", "content": "S31.30XD — Unspecified open wound of scrotum and testes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at C5 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.105D — Unspecified injury at C5 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of joints and ligaments of unspecified parts of head, sequela"}, {"role": "assistant", "content": "S03.9XXS — Sprain of joints and ligaments of unspecified parts of head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.152S — Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of unspecified thumb, sequela"}, {"role": "assistant", "content": "S60.359S — Superficial foreign body of unspecified thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "S61.539A — Puncture wound without foreign body of unspecified wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of fiberglass, undetermined, sequela"}, {"role": "assistant", "content": "T65.834S — Toxic effect of fiberglass, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pityriasis rubra pilaris"}, {"role": "assistant", "content": "L44.0 — Pityriasis rubra pilaris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left forearm, initial encounter"}, {"role": "assistant", "content": "S51.802A — Unspecified open wound of left forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of unspecified topical agent, sequela"}, {"role": "assistant", "content": "T49.96XS — Underdosing of unspecified topical agent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of intervertebral disc (pyogenic), cervical region"}, {"role": "assistant", "content": "M46.32 — Infection of intervertebral disc (pyogenic), cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care due to uterine scar from other previous surgery"}, {"role": "assistant", "content": "O34.29 — Maternal care due to uterine scar from other previous surgery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of fentanyl or fentanyl analogs, initial encounter"}, {"role": "assistant", "content": "T40.415A — Adverse effect of fentanyl or fentanyl analogs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.302H — Unspecified fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of eye"}, {"role": "assistant", "content": "Z90.01 — Acquired absence of eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion of mine placed during war operations but exploding after cessation of hostilities, military personnel, sequela"}, {"role": "assistant", "content": "Y36.810S — Explosion of mine placed during war operations but exploding after cessation of hostilities, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.432S — Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of right femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.061B — Displaced articular fracture of head of right femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complete intestinal obstruction"}, {"role": "assistant", "content": "K56.691 — Other complete intestinal obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of other parts of thorax, initial encounter"}, {"role": "assistant", "content": "S23.29XA — Dislocation of other parts of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Allergy to peanuts"}, {"role": "assistant", "content": "Z91.010 — Allergy to peanuts"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aneurysmal bone cyst, left lower leg"}, {"role": "assistant", "content": "M85.562 — Aneurysmal bone cyst, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent and persistent hematuria with C3 glomerulonephritis"}, {"role": "assistant", "content": "N02.A — Recurrent and persistent hematuria with C3 glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries left forearm, subsequent encounter"}, {"role": "assistant", "content": "S59.812D — Other specified injuries left forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Merkel cell carcinoma of unspecified ear and external auricular canal"}, {"role": "assistant", "content": "C4A.20 — Merkel cell carcinoma of unspecified ear and external auricular canal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S86.399S — Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.659G — Pathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), unspecified lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.426A — Blister (nonthermal), unspecified lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of metatarsophalangeal joint of unspecified toe(s), initial encounter"}, {"role": "assistant", "content": "S93.129A — Dislocation of metatarsophalangeal joint of unspecified toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon at neck level, sequela"}, {"role": "assistant", "content": "S16.2XXS — Laceration of muscle, fascia and tendon at neck level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.141K — Displaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, undetermined, sequela"}, {"role": "assistant", "content": "T49.4X4S — Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot"}, {"role": "assistant", "content": "I70.534 — Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right ankle, subsequent encounter"}, {"role": "assistant", "content": "S90.01XD — Contusion of right ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of unspecified humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.463A — Displaced fracture of medial condyle of unspecified humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of left eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S00.252S — Superficial foreign body of left eyelid and periocular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V75.3XXA — Unspecified occupant of bus injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.025R — Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other topical agents, assault, initial encounter"}, {"role": "assistant", "content": "T49.8X3A — Poisoning by other topical agents, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lichen planus"}, {"role": "assistant", "content": "L43.8 — Other lichen planus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified uterine artery, sequela"}, {"role": "assistant", "content": "S35.533S — Injury of unspecified uterine artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to shoulder presentation, fetus 3"}, {"role": "assistant", "content": "O64.4XX3 — Obstructed labor due to shoulder presentation, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other Niemann-Pick disease"}, {"role": "assistant", "content": "E75.248 — Other Niemann-Pick disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of left lower leg, initial encounter"}, {"role": "assistant", "content": "S89.82XA — Other specified injuries of left lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of chlorine gas, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T59.4X1A — Toxic effect of chlorine gas, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.496 — Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.219D — Contusion of unspecified front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of other finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.658K — Nondisplaced fracture of middle phalanx of other finger, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of tympanic membrane, bilateral"}, {"role": "assistant", "content": "H73.893 — Other specified disorders of tympanic membrane, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of phalanx of left toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.222D — Salter-Harris Type II physeal fracture of phalanx of left toe, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified forearm, initial encounter"}, {"role": "assistant", "content": "S50.869A — Insect bite (nonvenomous) of unspecified forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention, means unspecified, suspect injured, initial encounter"}, {"role": "assistant", "content": "Y35.93XA — Legal intervention, means unspecified, suspect injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.266B — Nondisplaced segmental fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of peroneal artery, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.209A — Unspecified injury of peroneal artery, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection following a procedure, deep incisional surgical site, initial encounter"}, {"role": "assistant", "content": "T81.42XA — Infection following a procedure, deep incisional surgical site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other powered watercraft overturning, subsequent encounter"}, {"role": "assistant", "content": "V90.03XD — Drowning and submersion due to other powered watercraft overturning, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequela"}, {"role": "assistant", "content": "S05.20XS — Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lumbago with sciatica, unspecified side"}, {"role": "assistant", "content": "M54.40 — Lumbago with sciatica, unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cochlear otosclerosis, left ear"}, {"role": "assistant", "content": "H80.22 — Cochlear otosclerosis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified back wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.259S — Open bite of unspecified back wall of thorax without penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in conjunctival sac, left eye, sequela"}, {"role": "assistant", "content": "T15.12XS — Foreign body in conjunctival sac, left eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.529D — Corrosion of first degree of unspecified elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of scapula, left shoulder, sequela"}, {"role": "assistant", "content": "S42.115S — Nondisplaced fracture of body of scapula, left shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent"}, {"role": "assistant", "content": "K41.90 — Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other medical devices associated with adverse incidents"}, {"role": "assistant", "content": "Y82.8 — Other medical devices associated with adverse incidents"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lateral dislocation of left patella, sequela"}, {"role": "assistant", "content": "S83.015S — Lateral dislocation of left patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctivochalasis, unspecified eye"}, {"role": "assistant", "content": "H11.829 — Conjunctivochalasis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in pharynx causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.200S — Unspecified foreign body in pharynx causing asphyxiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.829S — Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exceptionally large newborn baby"}, {"role": "assistant", "content": "P08.0 — Exceptionally large newborn baby"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of stomach, unspecified"}, {"role": "assistant", "content": "C16.9 — Malignant neoplasm of stomach, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glider (nonpowered) fire injuring occupant, sequela"}, {"role": "assistant", "content": "V96.24XS — Glider (nonpowered) fire injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.504A — Unspecified injury of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of right fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.444B — Nondisplaced spiral fracture of shaft of right fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.353D — Stress fracture, unspecified femur, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other reptiles, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.194D — Toxic effect of venom of other reptiles, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.355D — Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.190G — Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failed moderate sedation during procedure, subsequent encounter"}, {"role": "assistant", "content": "T88.52XD — Failed moderate sedation during procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Junin hemorrhagic fever"}, {"role": "assistant", "content": "A96.0 — Junin hemorrhagic fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to smoke in uncontrolled fire, not in building or structure, initial encounter"}, {"role": "assistant", "content": "X01.1XXA — Exposure to smoke in uncontrolled fire, not in building or structure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mandibular hypoplasia"}, {"role": "assistant", "content": "M26.04 — Mandibular hypoplasia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving fragments from munitions, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.251A — War operations involving fragments from munitions, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in nasal sinus, subsequent encounter"}, {"role": "assistant", "content": "T17.0XXD — Foreign body in nasal sinus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.30XK — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.812P — Other fracture of left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by rifampicins, undetermined, initial encounter"}, {"role": "assistant", "content": "T36.6X4A — Poisoning by rifampicins, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with steam and hot vapors, undetermined intent, subsequent encounter"}, {"role": "assistant", "content": "Y27.0XXD — Contact with steam and hot vapors, undetermined intent, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced tremor"}, {"role": "assistant", "content": "G25.1 — Drug-induced tremor"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of bone development and growth, left shoulder"}, {"role": "assistant", "content": "M89.212 — Other disorders of bone development and growth, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of trapezium [larger multangular], right wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.174B — Nondisplaced fracture of trapezium [larger multangular], right wrist, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right thumb, initial encounter"}, {"role": "assistant", "content": "S60.361A — Insect bite (nonvenomous) of right thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.431R — Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glomerular disorders in diseases classified elsewhere"}, {"role": "assistant", "content": "N08 — Glomerular disorders in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other periradicular pathology associated with previous endodontic treatment"}, {"role": "assistant", "content": "M27.59 — Other periradicular pathology associated with previous endodontic treatment"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of intraperitoneal dialysis catheter, initial encounter"}, {"role": "assistant", "content": "T85.611A — Breakdown (mechanical) of intraperitoneal dialysis catheter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of left breast"}, {"role": "assistant", "content": "D48.62 — Neoplasm of uncertain behavior of left breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of penis, subsequent encounter"}, {"role": "assistant", "content": "S31.23XD — Puncture wound without foreign body of penis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.34XK — Type III traumatic spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by machine gun discharge, subsequent encounter"}, {"role": "assistant", "content": "X73.2XXD — Intentional self-harm by machine gun discharge, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C85.25 — Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of scalp, initial encounter"}, {"role": "assistant", "content": "S00.00XA — Unspecified superficial injury of scalp, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.421B — Displaced transverse fracture of shaft of right fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of left radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.382A — Bent bone of left radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula of stomach and duodenum"}, {"role": "assistant", "content": "K31.6 — Fistula of stomach and duodenum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of right external jugular vein, subsequent encounter"}, {"role": "assistant", "content": "S15.211D — Minor laceration of right external jugular vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, unspecified hand"}, {"role": "assistant", "content": "M70.949 — Unspecified soft tissue disorder related to use, overuse and pressure, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of vulva"}, {"role": "assistant", "content": "Q52.79 — Other congenital malformations of vulva"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V28.09XS — Other motorcycle driver injured in noncollision transport accident in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of first metatarsal bone, left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.315P — Nondisplaced fracture of first metatarsal bone, left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of right little finger, sequela"}, {"role": "assistant", "content": "S60.456S — Superficial foreign body of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T81.31XD — Disruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of right little finger, initial encounter"}, {"role": "assistant", "content": "S68.126A — Partial traumatic metacarpophalangeal amputation of right little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.123Q — Displaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystic meniscus, other medial meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.039 — Cystic meniscus, other medial meniscus, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure"}, {"role": "assistant", "content": "E36.11 — Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of lower back and pelvis, initial encounter"}, {"role": "assistant", "content": "S30.0XXA — Contusion of lower back and pelvis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.150A — Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other placental disorders, third trimester"}, {"role": "assistant", "content": "O43.893 — Other placental disorders, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S56.221A — Laceration of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric intestinal metaplasia without dysplasia, involving the cardia"}, {"role": "assistant", "content": "K31.A14 — Gastric intestinal metaplasia without dysplasia, involving the cardia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of mandible, unspecified, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.609G — Fracture of mandible, unspecified, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertensive heart disease with heart failure"}, {"role": "assistant", "content": "I11.0 — Hypertensive heart disease with heart failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "T24.319D — Burn of third degree of unspecified thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.53XN — Displaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.244E — Nondisplaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal obstruction of unspecified nasolacrimal duct"}, {"role": "assistant", "content": "H04.539 — Neonatal obstruction of unspecified nasolacrimal duct"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.491B — Other fracture of shaft of right fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V65.5XXS — Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified perinatal digestive system disorders"}, {"role": "assistant", "content": "P78.89 — Other specified perinatal digestive system disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.739D — Corrosion of third degree of unspecified toe(s) (nail), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of third metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.352B — Nondisplaced fracture of shaft of third metacarpal bone, right hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified thigh, sequela"}, {"role": "assistant", "content": "S77.10XS — Crushing injury of unspecified thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of the superior tibiofibular joint and ligament, right knee, sequela"}, {"role": "assistant", "content": "S83.61XS — Sprain of the superior tibiofibular joint and ligament, right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Induration penis plastica"}, {"role": "assistant", "content": "N48.6 — Induration penis plastica"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of foreign body accidentally left in body following injection or immunization, sequela"}, {"role": "assistant", "content": "T81.593S — Other complications of foreign body accidentally left in body following injection or immunization, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye"}, {"role": "assistant", "content": "E10.3412 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right great toe with damage to nail, sequela"}, {"role": "assistant", "content": "S90.211S — Contusion of right great toe with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.615A — Laceration without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of macrolides, sequela"}, {"role": "assistant", "content": "T36.3X5S — Adverse effect of macrolides, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of bus injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V72.2XXA — Person on outside of bus injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.144D — Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of occiput, right side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.11GB — Other fracture of occiput, right side, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of lower back and pelvis, sequela"}, {"role": "assistant", "content": "S30.810S — Abrasion of lower back and pelvis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.144G — Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.223H — Displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of peroneal artery, left leg, sequela"}, {"role": "assistant", "content": "S85.202S — Unspecified injury of peroneal artery, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of car injured in collision with pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V41.2XXA — Person on outside of car injured in collision with pedal cycle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deep endometriosis of unspecified fallopian tube"}, {"role": "assistant", "content": "N80.229 — Deep endometriosis of unspecified fallopian tube"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Separation of muscle (nontraumatic), left upper arm"}, {"role": "assistant", "content": "M62.022 — Separation of muscle (nontraumatic), left upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.016A — Posterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of male genital organ, unspecified"}, {"role": "assistant", "content": "C63.9 — Malignant neoplasm of male genital organ, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of lip(s), subsequent encounter"}, {"role": "assistant", "content": "T20.32XD — Burn of third degree of lip(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving unspecified explosives, law enforcement official injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.101D — Legal intervention involving unspecified explosives, law enforcement official injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bicondylar fracture of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.145C — Nondisplaced bicondylar fracture of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), right foot, initial encounter"}, {"role": "assistant", "content": "S90.821A — Blister (nonthermal), right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V04.99XA — Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.004D — Unspecified dislocation of right radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified site of right lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.201S — Burn of second degree of unspecified site of right lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, unspecified foot"}, {"role": "assistant", "content": "M60.075 — Infective myositis, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T38.812A — Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of proximal end of tibia, left knee, initial encounter"}, {"role": "assistant", "content": "S83.115A — Anterior dislocation of proximal end of tibia, left knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for screening for intestinal infectious diseases"}, {"role": "assistant", "content": "Z11.0 — Encounter for screening for intestinal infectious diseases"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of ulnar artery at wrist and hand level of left arm, initial encounter"}, {"role": "assistant", "content": "S65.002A — Unspecified injury of ulnar artery at wrist and hand level of left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of other part of head, subsequent encounter"}, {"role": "assistant", "content": "T33.09XD — Superficial frostbite of other part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pilar cyst"}, {"role": "assistant", "content": "L72.11 — Pilar cyst"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Penetrating wound without foreign body of right eyeball, initial encounter"}, {"role": "assistant", "content": "S05.61XA — Penetrating wound without foreign body of right eyeball, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to incomplete rotation of fetal head, other fetus"}, {"role": "assistant", "content": "O64.0XX9 — Obstructed labor due to incomplete rotation of fetal head, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury due to collapse of burning building or structure in uncontrolled fire, sequela"}, {"role": "assistant", "content": "X00.2XXS — Injury due to collapse of burning building or structure in uncontrolled fire, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents"}, {"role": "assistant", "content": "Y81.2 — Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified anesthetic, initial encounter"}, {"role": "assistant", "content": "T41.45XA — Adverse effect of unspecified anesthetic, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified blepharitis left eye, unspecified eyelid"}, {"role": "assistant", "content": "H01.006 — Unspecified blepharitis left eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for hydrops fetalis, third trimester, fetus 4"}, {"role": "assistant", "content": "O36.23X4 — Maternal care for hydrops fetalis, third trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance"}, {"role": "assistant", "content": "F19.932 — Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.139A — Salter-Harris Type III physeal fracture of upper end of radius, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in other parts of respiratory tract causing other injury, subsequent encounter"}, {"role": "assistant", "content": "T17.898D — Other foreign object in other parts of respiratory tract causing other injury, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior corneal pigmentations, unspecified eye"}, {"role": "assistant", "content": "H18.059 — Posterior corneal pigmentations, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Autoimmune lymphoproliferative syndrome [ALPS]"}, {"role": "assistant", "content": "D89.82 — Autoimmune lymphoproliferative syndrome [ALPS]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysmenorrhea, unspecified"}, {"role": "assistant", "content": "N94.6 — Dysmenorrhea, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of right patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.041Q — Displaced comminuted fracture of right patella, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.221K — Displaced transverse fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F13.950 — Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine dependence with intoxication delirium"}, {"role": "assistant", "content": "F14.221 — Cocaine dependence with intoxication delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with two- or three wheeled motor vehicle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V02.938A — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with two- or three wheeled motor vehicle, unspecified whether traffic or nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture of left ischium, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.612A — Displaced avulsion fracture of left ischium, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for disproportion due to other fetal deformities, fetus 3"}, {"role": "assistant", "content": "O33.7XX3 — Maternal care for disproportion due to other fetal deformities, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of ophthalmological drugs and preparations, subsequent encounter"}, {"role": "assistant", "content": "T49.5X6D — Underdosing of ophthalmological drugs and preparations, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of unspecified radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.389D — Bent bone of unspecified radius, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of left index finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.122S — Laceration of flexor muscle, fascia and tendon of left index finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary lactase deficiency"}, {"role": "assistant", "content": "E73.1 — Secondary lactase deficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall without foreign body, right flank without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.136A — Puncture wound of abdominal wall without foreign body, right flank without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left upper arm, subsequent encounter"}, {"role": "assistant", "content": "S41.142D — Puncture wound with foreign body of left upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity"}, {"role": "assistant", "content": "I70.798 — Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by falling object in cave-in, subsequent encounter"}, {"role": "assistant", "content": "W20.0XXD — Struck by falling object in cave-in, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of other nerves at shoulder and upper arm level, right arm, initial encounter"}, {"role": "assistant", "content": "S44.8X1A — Injury of other nerves at shoulder and upper arm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monocular exotropia with V pattern, right eye"}, {"role": "assistant", "content": "H50.131 — Monocular exotropia with V pattern, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of heart without hemopericardium, sequela"}, {"role": "assistant", "content": "S26.11XS — Contusion of heart without hemopericardium, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of inferior vena cava"}, {"role": "assistant", "content": "I82.220 — Acute embolism and thrombosis of inferior vena cava"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in collision with other pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V11.5XXD — Pedal cycle passenger injured in collision with other pedal cycle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left thumb without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.022D — Laceration with foreign body of left thumb without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V54.9XXA — Unspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of right ring finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.304A — Unspecified open wound of right ring finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of first metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.251S — Displaced fracture of neck of first metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of the appendix, unspecified depth"}, {"role": "assistant", "content": "N80.549 — Endometriosis of the appendix, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, left knee, sequela"}, {"role": "assistant", "content": "S81.032S — Puncture wound without foreign body, left knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Birth injury to external genitalia"}, {"role": "assistant", "content": "P15.5 — Birth injury to external genitalia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of unspecified ureter, unspecified depth"}, {"role": "assistant", "content": "N80.A69 — Endometriosis of unspecified ureter, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg"}, {"role": "assistant", "content": "I70.312 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree back of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "T23.769D — Corrosion of third degree back of unspecified hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of brain stem"}, {"role": "assistant", "content": "C71.7 — Malignant neoplasm of brain stem"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Colles' fracture of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.539H — Colles' fracture of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.322A — Laceration of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myxedema coma"}, {"role": "assistant", "content": "E03.5 — Myxedema coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right great toe with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.221D — Laceration with foreign body of right great toe with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Connective tissue and disc stenosis of intervertebral foramina of thoracic region"}, {"role": "assistant", "content": "M99.72 — Connective tissue and disc stenosis of intervertebral foramina of thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter"}, {"role": "assistant", "content": "S66.801A — Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of pick-up truck or van injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V57.2XXA — Person on outside of pick-up truck or van injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis of unspecified radius"}, {"role": "assistant", "content": "M87.833 — Other osteonecrosis of unspecified radius"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at knee level, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.021D — Partial traumatic amputation at knee level, right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bee allergy status"}, {"role": "assistant", "content": "Z91.030 — Bee allergy status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.473G — Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tetracyclic antidepressants, assault, sequela"}, {"role": "assistant", "content": "T43.023S — Poisoning by tetracyclic antidepressants, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V64.9XXA — Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of left hip joint"}, {"role": "assistant", "content": "Z89.622 — Acquired absence of left hip joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified part of small intestine, initial encounter"}, {"role": "assistant", "content": "S36.499A — Other injury of unspecified part of small intestine, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye trauma, right eye, indeterminate stage"}, {"role": "assistant", "content": "H40.31X4 — Glaucoma secondary to eye trauma, right eye, indeterminate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinal detachment with retinal dialysis, unspecified eye"}, {"role": "assistant", "content": "H33.049 — Retinal detachment with retinal dialysis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.849B — Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of amniotic sac and membranes, unspecified, third trimester, other fetus"}, {"role": "assistant", "content": "O41.1039 — Infection of amniotic sac and membranes, unspecified, third trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified malignant neoplasm of skin of unspecified parts of face"}, {"role": "assistant", "content": "C44.390 — Other specified malignant neoplasm of skin of unspecified parts of face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meningitis due to Lyme disease"}, {"role": "assistant", "content": "A69.21 — Meningitis due to Lyme disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of pelvis, sequela"}, {"role": "assistant", "content": "S39.093S — Other injury of muscle, fascia and tendon of pelvis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of phenol and phenol homologues, undetermined, initial encounter"}, {"role": "assistant", "content": "T54.0X4A — Toxic effect of phenol and phenol homologues, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.571R — Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other blood vessels of thorax, right side, initial encounter"}, {"role": "assistant", "content": "S25.891A — Other specified injury of other blood vessels of thorax, right side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 10-19% of body surface with 10-19% third degree corrosion"}, {"role": "assistant", "content": "T32.11 — Corrosions involving 10-19% of body surface with 10-19% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of chin, initial encounter"}, {"role": "assistant", "content": "T20.03XA — Burn of unspecified degree of chin, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.102P — Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, assault, initial encounter"}, {"role": "assistant", "content": "T44.3X3A — Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.042C — Displaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cortical age-related cataract, unspecified eye"}, {"role": "assistant", "content": "H25.019 — Cortical age-related cataract, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of other part of genital tract in pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O23.599 — Infection of other part of genital tract in pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infected hydrocele"}, {"role": "assistant", "content": "N43.1 — Infected hydrocele"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for disproportion due to unusually large fetus, fetus 2"}, {"role": "assistant", "content": "O33.5XX2 — Maternal care for disproportion due to unusually large fetus, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rhizomelic chondrodysplasia punctata"}, {"role": "assistant", "content": "E71.540 — Rhizomelic chondrodysplasia punctata"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of cephalosporins and other beta-lactam antibiotics, initial encounter"}, {"role": "assistant", "content": "T36.1X6A — Underdosing of cephalosporins and other beta-lactam antibiotics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.144K — Nondisplaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of prosthetic orbit of left eye, initial encounter"}, {"role": "assistant", "content": "T85.391A — Other mechanical complication of prosthetic orbit of left eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.042M — Displaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Interstitial myositis, left lower leg"}, {"role": "assistant", "content": "M60.162 — Interstitial myositis, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cervical disc degeneration, high cervical region"}, {"role": "assistant", "content": "M50.31 — Other cervical disc degeneration, high cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.001M — Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of scrotum and testes, subsequent encounter"}, {"role": "assistant", "content": "S30.94XD — Unspecified superficial injury of scrotum and testes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a car injured in noncollision transport accident, initial encounter"}, {"role": "assistant", "content": "V48.4XXA — Person boarding or alighting a car injured in noncollision transport accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries left forearm, initial encounter"}, {"role": "assistant", "content": "S59.812A — Other specified injuries left forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other problems related to education and literacy"}, {"role": "assistant", "content": "Z55.8 — Other problems related to education and literacy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other agents primarily acting on the respiratory system, subsequent encounter"}, {"role": "assistant", "content": "T48.995D — Adverse effect of other agents primarily acting on the respiratory system, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right lower leg, initial encounter"}, {"role": "assistant", "content": "S80.11XA — Contusion of right lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of third metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.342S — Nondisplaced fracture of base of third metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications specific to multiple gestation, first trimester, fetus 3"}, {"role": "assistant", "content": "O31.8X13 — Other complications specific to multiple gestation, first trimester, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of right foot, initial encounter"}, {"role": "assistant", "content": "T25.521A — Corrosion of first degree of right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blindness right eye category 4, blindness left eye category 3"}, {"role": "assistant", "content": "H54.0X43 — Blindness right eye category 4, blindness left eye category 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall on or from other playground equipment, sequela"}, {"role": "assistant", "content": "W09.8XXS — Fall on or from other playground equipment, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of superficial vein at shoulder and upper arm level, right arm, sequela"}, {"role": "assistant", "content": "S45.311S — Laceration of superficial vein at shoulder and upper arm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter"}, {"role": "assistant", "content": "S46.092A — Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chlamydial infection of pharynx"}, {"role": "assistant", "content": "A56.4 — Chlamydial infection of pharynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of right ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.111D — Anterior subluxation of right ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified site of left lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.602D — Corrosion of second degree of unspecified site of left lower limb, except ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, left lesser toe(s), sequela"}, {"role": "assistant", "content": "S90.455S — Superficial foreign body, left lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall on same level from slipping, tripping and stumbling with subsequent striking against power tool or machine, initial encounter"}, {"role": "assistant", "content": "W01.111A — Fall on same level from slipping, tripping and stumbling with subsequent striking against power tool or machine, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Merkel cell carcinoma of unspecified eyelid, including canthus"}, {"role": "assistant", "content": "C4A.10 — Merkel cell carcinoma of unspecified eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of antimalarials and drugs acting on other blood protozoa, sequela"}, {"role": "assistant", "content": "T37.2X6S — Underdosing of antimalarials and drugs acting on other blood protozoa, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of distal interphalangeal joint of left little finger, sequela"}, {"role": "assistant", "content": "S63.247S — Subluxation of distal interphalangeal joint of left little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of cannabis, subsequent encounter"}, {"role": "assistant", "content": "T40.715D — Adverse effect of cannabis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of C4/C5 cervical vertebrae, sequela"}, {"role": "assistant", "content": "S13.150S — Subluxation of C4/C5 cervical vertebrae, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.609H — Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, fetus 2"}, {"role": "assistant", "content": "O35.BXX2 — Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V61.1XXD — Passenger in heavy transport vehicle injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.225B — Nondisplaced transverse fracture of shaft of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified ear [any part, except ear drum], initial encounter"}, {"role": "assistant", "content": "T20.319A — Burn of third degree of unspecified ear [any part, except ear drum], initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving nuclear weapons, public safety official injured, subsequent encounter"}, {"role": "assistant", "content": "Y38.5X1D — Terrorism involving nuclear weapons, public safety official injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of rectum, subsequent encounter"}, {"role": "assistant", "content": "S36.69XD — Other injury of rectum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hordeolum externum right eye, unspecified eyelid"}, {"role": "assistant", "content": "H00.013 — Hordeolum externum right eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other spondylosis with radiculopathy, cervicothoracic region"}, {"role": "assistant", "content": "M47.23 — Other spondylosis with radiculopathy, cervicothoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic myeloid leukemia, BCR/ABL-positive, in relapse"}, {"role": "assistant", "content": "C92.12 — Chronic myeloid leukemia, BCR/ABL-positive, in relapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of sea-based artillery shell, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.030D — War operations involving explosion of sea-based artillery shell, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.489G — Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter"}, {"role": "assistant", "content": "T81.529D — Obstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant carcinoid tumor of the large intestine, unspecified portion"}, {"role": "assistant", "content": "C7A.029 — Malignant carcinoid tumor of the large intestine, unspecified portion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of pharynx and cervical esophagus, subsequent encounter"}, {"role": "assistant", "content": "S11.24XD — Puncture wound with foreign body of pharynx and cervical esophagus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye"}, {"role": "assistant", "content": "E08.3492 — Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of snowmobile injured in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.22XD — Person on outside of snowmobile injured in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other anterior subluxation of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.033D — Other anterior subluxation of unspecified hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified external genital organs, male, initial encounter"}, {"role": "assistant", "content": "S30.96XA — Unspecified superficial injury of unspecified external genital organs, male, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of nasopharynx, unspecified"}, {"role": "assistant", "content": "C11.9 — Malignant neoplasm of nasopharynx, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T49.4X1S — Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.132K — Salter-Harris Type III physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.331P — Displaced fracture of neck of second metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctival deposits, bilateral"}, {"role": "assistant", "content": "H11.113 — Conjunctival deposits, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified type of carcinoma in situ of unspecified breast"}, {"role": "assistant", "content": "D05.80 — Other specified type of carcinoma in situ of unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of appendix"}, {"role": "assistant", "content": "D12.1 — Benign neoplasm of appendix"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.065Q — Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left ulna, initial encounter for fracture"}, {"role": "assistant", "content": "M84.332A — Stress fracture, left ulna, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary osteonecrosis, pelvis"}, {"role": "assistant", "content": "M87.350 — Other secondary osteonecrosis, pelvis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Facial weakness"}, {"role": "assistant", "content": "R29.810 — Facial weakness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.109D — Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of left ankle joint, subsequent encounter"}, {"role": "assistant", "content": "S93.05XD — Dislocation of left ankle joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans progressiva, right thigh"}, {"role": "assistant", "content": "M61.151 — Myositis ossificans progressiva, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.378D — Stress fracture, left toe(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for testing for latent tuberculosis infection"}, {"role": "assistant", "content": "Z11.7 — Encounter for testing for latent tuberculosis infection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dehydration"}, {"role": "assistant", "content": "E86.0 — Dehydration"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.462G — Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.009K — Unspecified physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left elbow, initial encounter"}, {"role": "assistant", "content": "S51.032A — Puncture wound without foreign body of left elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified shoulder joint, initial encounter"}, {"role": "assistant", "content": "S43.083A — Other subluxation of unspecified shoulder joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epigastric swelling, mass or lump"}, {"role": "assistant", "content": "R19.06 — Epigastric swelling, mass or lump"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), unspecified great toe, sequela"}, {"role": "assistant", "content": "S90.423S — Blister (nonthermal), unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal skin infection"}, {"role": "assistant", "content": "P39.4 — Neonatal skin infection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with venomous toad, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.823D — Toxic effect of contact with venomous toad, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of lung, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S27.302D — Unspecified injury of lung, bilateral, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute Chagas' disease with heart involvement"}, {"role": "assistant", "content": "B57.0 — Acute Chagas' disease with heart involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of hamate [unciform] bone, unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.143K — Displaced fracture of body of hamate [unciform] bone, unspecified wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S01.109A — Unspecified open wound of unspecified eyelid and periocular area, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh"}, {"role": "assistant", "content": "I70.731 — Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.334N — Nondisplaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.434H — Nondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified part of head, sequela"}, {"role": "assistant", "content": "S01.90XS — Unspecified open wound of unspecified part of head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy in diseases classified elsewhere, unspecified forearm"}, {"role": "assistant", "content": "M90.839 — Osteopathy in diseases classified elsewhere, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypospadias, perineal"}, {"role": "assistant", "content": "Q54.3 — Hypospadias, perineal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute dacryocystitis of unspecified lacrimal passage"}, {"role": "assistant", "content": "H04.329 — Acute dacryocystitis of unspecified lacrimal passage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin"}, {"role": "assistant", "content": "L97.811 — Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, other fetus"}, {"role": "assistant", "content": "O35.03X9 — Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V62.3XXS — Unspecified occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S24.151D — Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spondylopathy in diseases classified elsewhere, lumbosacral region"}, {"role": "assistant", "content": "M49.87 — Spondylopathy in diseases classified elsewhere, lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of tarsometatarsal ligament of unspecified foot, sequela"}, {"role": "assistant", "content": "S93.629S — Sprain of tarsometatarsal ligament of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at C5 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.155S — Other incomplete lesion at C5 level of cervical spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of left radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.572Q — Other intraarticular fracture of lower end of left radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.099A — Other fracture of upper end of unspecified ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic venous hypertension (idiopathic) with inflammation of unspecified lower extremity"}, {"role": "assistant", "content": "I87.329 — Chronic venous hypertension (idiopathic) with inflammation of unspecified lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.011A — Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of third metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.343S — Nondisplaced fracture of base of third metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.191M — Other fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.321G — Stress fracture, right humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.865P — Nondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Onchocerciasis with glaucoma"}, {"role": "assistant", "content": "B73.02 — Onchocerciasis with glaucoma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified body region, unspecified degree"}, {"role": "assistant", "content": "T30.0 — Burn of unspecified body region, unspecified degree"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of left index finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.641A — Nondisplaced fracture of proximal phalanx of left index finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, right arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.354A — Nondisplaced comminuted fracture of shaft of radius, right arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S80.919D — Unspecified superficial injury of unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.029D — Age-related osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon dioxide, assault, initial encounter"}, {"role": "assistant", "content": "T59.7X3A — Toxic effect of carbon dioxide, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.452Q — Displaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushed chest, subsequent encounter"}, {"role": "assistant", "content": "S28.0XXD — Crushed chest, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Magnetic metal bead entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.D1XD — Magnetic metal bead entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified coma"}, {"role": "assistant", "content": "R40.20 — Unspecified coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular anomalies of left upper eyelid"}, {"role": "assistant", "content": "H02.874 — Vascular anomalies of left upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.062P — Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization"}, {"role": "assistant", "content": "H34.8311 — Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis in diseases classified elsewhere, left shoulder"}, {"role": "assistant", "content": "M90.512 — Osteonecrosis in diseases classified elsewhere, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Child forced labor exploitation, suspected, subsequent encounter"}, {"role": "assistant", "content": "T76.62XD — Child forced labor exploitation, suspected, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastroenteritis and colitis due to radiation"}, {"role": "assistant", "content": "K52.0 — Gastroenteritis and colitis due to radiation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure"}, {"role": "assistant", "content": "H59.121 — Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of methadone, sequela"}, {"role": "assistant", "content": "T40.3X6S — Underdosing of methadone, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of oculomotor nerve, right side, sequela"}, {"role": "assistant", "content": "S04.11XS — Injury of oculomotor nerve, right side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of breast, left breast, initial encounter"}, {"role": "assistant", "content": "S20.172A — Other superficial bite of breast, left breast, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypothermia, subsequent encounter"}, {"role": "assistant", "content": "T68.XXXD — Hypothermia, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of right shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.091D — Burn of unspecified degree of multiple sites of right shoulder and upper limb, except wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall on same level from slipping, tripping and stumbling with subsequent striking against sharp glass, sequela"}, {"role": "assistant", "content": "W01.110S — Fall on same level from slipping, tripping and stumbling with subsequent striking against sharp glass, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye inflammation, right eye, mild stage"}, {"role": "assistant", "content": "H40.41X1 — Glaucoma secondary to eye inflammation, right eye, mild stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other herpesviral infection"}, {"role": "assistant", "content": "B00.89 — Other herpesviral infection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture of right ilium, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.314D — Nondisplaced avulsion fracture of right ilium, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V29.31XD — Electric (assisted) bicycle (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Achilles tendinitis, left leg"}, {"role": "assistant", "content": "M76.62 — Achilles tendinitis, left leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified cheek and temporomandibular area, sequela"}, {"role": "assistant", "content": "S01.449S — Puncture wound with foreign body of unspecified cheek and temporomandibular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other specified fetal problems, unspecified trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8990 — Maternal care for other specified fetal problems, unspecified trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other stimulant dependence with withdrawal"}, {"role": "assistant", "content": "F15.23 — Other stimulant dependence with withdrawal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Folds and rupture in Bowman's membrane, unspecified eye"}, {"role": "assistant", "content": "H18.319 — Folds and rupture in Bowman's membrane, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other instability, right hand"}, {"role": "assistant", "content": "M25.341 — Other instability, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.239G — Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.209P — Unspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified agents primarily affecting the gastrointestinal system, subsequent encounter"}, {"role": "assistant", "content": "T47.95XD — Adverse effect of unspecified agents primarily affecting the gastrointestinal system, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of anterior pituitary [adenohypophyseal] hormones, initial encounter"}, {"role": "assistant", "content": "T38.815A — Adverse effect of anterior pituitary [adenohypophyseal] hormones, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S65.512D — Laceration of blood vessel of right middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.454A — Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter"}, {"role": "assistant", "content": "S05.01XA — Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rubella meningitis"}, {"role": "assistant", "content": "B06.02 — Rubella meningitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified interphalangeal joint of right little finger, initial encounter"}, {"role": "assistant", "content": "S63.276A — Dislocation of unspecified interphalangeal joint of right little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right ear, sequela"}, {"role": "assistant", "content": "S00.461S — Insect bite (nonvenomous) of right ear, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicose veins of left lower extremity with ulcer of thigh"}, {"role": "assistant", "content": "I83.021 — Varicose veins of left lower extremity with ulcer of thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of lateral plantar nerve, unspecified leg, sequela"}, {"role": "assistant", "content": "S94.00XS — Injury of lateral plantar nerve, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonexudative age-related macular degeneration, left eye, stage unspecified"}, {"role": "assistant", "content": "H35.3120 — Nonexudative age-related macular degeneration, left eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn involving larynx and trachea with lung, initial encounter"}, {"role": "assistant", "content": "T27.1XXA — Burn involving larynx and trachea with lung, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.291A — Other specified injury of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V43.04XS — Car driver injured in collision with van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cracked nipple associated with the puerperium"}, {"role": "assistant", "content": "O92.12 — Cracked nipple associated with the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.109K — Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hallucinogen use, unspecified, in remission"}, {"role": "assistant", "content": "F16.91 — Hallucinogen use, unspecified, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed"}, {"role": "assistant", "content": "L97.822 — Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified lesser toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.236A — Puncture wound without foreign body of unspecified lesser toe(s) with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with stingray, assault, initial encounter"}, {"role": "assistant", "content": "T63.513A — Toxic effect of contact with stingray, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drusen of optic disc, left eye"}, {"role": "assistant", "content": "H47.322 — Drusen of optic disc, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of ophthalmological drugs and preparations, subsequent encounter"}, {"role": "assistant", "content": "T49.5X5D — Adverse effect of ophthalmological drugs and preparations, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complex regional pain syndrome I of right upper limb"}, {"role": "assistant", "content": "G90.511 — Complex regional pain syndrome I of right upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.034F — Nondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall down embankment (hill), sequela"}, {"role": "assistant", "content": "W17.81XS — Fall down embankment (hill), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of third lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.038S — Other fracture of third lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.212D — Abrasion of left eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by other birds, subsequent encounter"}, {"role": "assistant", "content": "W61.92XD — Struck by other birds, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of right lower leg with unspecified severity"}, {"role": "assistant", "content": "L97.819 — Non-pressure chronic ulcer of other part of right lower leg with unspecified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Forced landing of helicopter injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.02XD — Forced landing of helicopter injuring occupant, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other snake, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.094A — Toxic effect of venom of other snake, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of transverse colon, initial encounter"}, {"role": "assistant", "content": "S36.531A — Laceration of transverse colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.363A — Displaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, hip, unspecified, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.459D — Pathological fracture, hip, unspecified, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Radial collateral ligament sprain of left elbow, sequela"}, {"role": "assistant", "content": "S53.432S — Radial collateral ligament sprain of left elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of unspecified great toe, initial encounter"}, {"role": "assistant", "content": "S90.473A — Other superficial bite of unspecified great toe, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of special construction vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V85.1XXS — Passenger of special construction vehicle injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle"}, {"role": "assistant", "content": "L97.413 — Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by knife, subsequent encounter"}, {"role": "assistant", "content": "X99.1XXD — Assault by knife, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute megakaryoblastic leukemia, in remission"}, {"role": "assistant", "content": "C94.21 — Acute megakaryoblastic leukemia, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.301B — Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of iron and its compounds, subsequent encounter"}, {"role": "assistant", "content": "T45.4X6D — Underdosing of iron and its compounds, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Derangement of unspecified lateral meniscus due to old tear or injury, left knee"}, {"role": "assistant", "content": "M23.201 — Derangement of unspecified lateral meniscus due to old tear or injury, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.114G — Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.099D — Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other corneal degeneration"}, {"role": "assistant", "content": "H18.49 — Other corneal degeneration"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Voyeurism"}, {"role": "assistant", "content": "F65.3 — Voyeurism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of left ankle, stage 1"}, {"role": "assistant", "content": "L89.521 — Pressure ulcer of left ankle, stage 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aphonia"}, {"role": "assistant", "content": "R49.1 — Aphonia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, right elbow, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.1210 — Lead-induced chronic gout, right elbow, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in collision with pedestrian or animal in traffic accident, sequela"}, {"role": "assistant", "content": "V40.6XXS — Car passenger injured in collision with pedestrian or animal in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Body mass index [BMI] 36.0-36.9, adult"}, {"role": "assistant", "content": "Z68.36 — Body mass index [BMI] 36.0-36.9, adult"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, left thigh"}, {"role": "assistant", "content": "M70.952 — Unspecified soft tissue disorder related to use, overuse and pressure, left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol use, unspecified, uncomplicated"}, {"role": "assistant", "content": "F10.90 — Alcohol use, unspecified, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot"}, {"role": "assistant", "content": "M06.079 — Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior dislocation of unspecified sternoclavicular joint, sequela"}, {"role": "assistant", "content": "S43.226S — Posterior dislocation of unspecified sternoclavicular joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other speech and language deficits following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.028 — Other speech and language deficits following nontraumatic subarachnoid hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.265R — Nondisplaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.463J — Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic intestinal amebiasis"}, {"role": "assistant", "content": "A06.1 — Chronic intestinal amebiasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of artificial limb (complete) (partial), unspecified"}, {"role": "assistant", "content": "Z97.10 — Presence of artificial limb (complete) (partial), unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hang-glider explosion injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.15XA — Hang-glider explosion injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of fifth lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.052S — Unstable burst fracture of fifth lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.341C — Displaced spiral fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Direct infection of unspecified hand in infectious and parasitic diseases classified elsewhere"}, {"role": "assistant", "content": "M01.X49 — Direct infection of unspecified hand in infectious and parasitic diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of unspecified radial head, initial encounter"}, {"role": "assistant", "content": "S53.006A — Unspecified dislocation of unspecified radial head, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans progressiva, unspecified toe(s)"}, {"role": "assistant", "content": "M61.179 — Myositis ossificans progressiva, unspecified toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary hyperoxaluria, type 1"}, {"role": "assistant", "content": "E72.530 — Primary hyperoxaluria, type 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subacute osteomyelitis, unspecified radius and ulna"}, {"role": "assistant", "content": "M86.239 — Subacute osteomyelitis, unspecified radius and ulna"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.026B — Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Melena"}, {"role": "assistant", "content": "K92.1 — Melena"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of subcondylar process of right mandible, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.621G — Fracture of subcondylar process of right mandible, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of third metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.352K — Nondisplaced fracture of shaft of third metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from other source, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T58.8X1D — Toxic effect of carbon monoxide from other source, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of lip, subsequent encounter"}, {"role": "assistant", "content": "S01.551D — Open bite of lip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of unspecified front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.379D — Other superficial bite of unspecified front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tin and its compounds, undetermined, initial encounter"}, {"role": "assistant", "content": "T56.6X4A — Toxic effect of tin and its compounds, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other accident to (nonpowered) inflatable craft, sequela"}, {"role": "assistant", "content": "V90.86XS — Drowning and submersion due to other accident to (nonpowered) inflatable craft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of unspecified radial styloid process, sequela"}, {"role": "assistant", "content": "S52.516S — Nondisplaced fracture of unspecified radial styloid process, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-magnetic metal jewelry entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.E4XS — Non-magnetic metal jewelry entering into or through a natural orifice, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced osteochondral fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.013Q — Displaced osteochondral fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of radial nerve at wrist and hand level of unspecified arm, initial encounter"}, {"role": "assistant", "content": "S64.20XA — Injury of radial nerve at wrist and hand level of unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of right kidney, initial encounter"}, {"role": "assistant", "content": "S37.061A — Major laceration of right kidney, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.431N — Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.246E — Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.452B — Displaced comminuted fracture of shaft of left fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cleft lip, unilateral"}, {"role": "assistant", "content": "Q36.9 — Cleft lip, unilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified juvenile rheumatoid arthritis, left shoulder"}, {"role": "assistant", "content": "M08.012 — Unspecified juvenile rheumatoid arthritis, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with grain storage elevator, subsequent encounter"}, {"role": "assistant", "content": "W30.3XXD — Contact with grain storage elevator, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other man-made visible and ultraviolet light, sequela"}, {"role": "assistant", "content": "W89.8XXS — Exposure to other man-made visible and ultraviolet light, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter"}, {"role": "assistant", "content": "T80.39XA — Other ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of sulfur dioxide, intentional self-harm, sequela"}, {"role": "assistant", "content": "T59.1X2S — Toxic effect of sulfur dioxide, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of abdominal wall, left flank with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.607S — Unspecified open wound of abdominal wall, left flank with penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other atresia of aorta"}, {"role": "assistant", "content": "Q25.29 — Other atresia of aorta"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with knife, undetermined intent, sequela"}, {"role": "assistant", "content": "Y28.1XXS — Contact with knife, undetermined intent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}, {"role": "assistant", "content": "S06.384D — Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced osteochondral fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.016C — Nondisplaced osteochondral fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of homologues of benzene, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T52.2X1A — Toxic effect of homologues of benzene, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of tooth (traumatic), sequela"}, {"role": "assistant", "content": "S02.5XXS — Fracture of tooth (traumatic), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified single finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.029S — Burn of unspecified degree of unspecified single finger (nail) except thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of interphalangeal joint of right middle finger, sequela"}, {"role": "assistant", "content": "S63.632S — Sprain of interphalangeal joint of right middle finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by therapeutic gases, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.5X2A — Poisoning by therapeutic gases, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.402M — Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.621A — Torus fracture of lower end of right ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in traffic accident, sequela"}, {"role": "assistant", "content": "V27.91XS — Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.6X9D — Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.632D — Corrosion of second degree of left lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for full-term uncomplicated delivery"}, {"role": "assistant", "content": "O80 — Encounter for full-term uncomplicated delivery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by cardiac-stimulant glycosides and drugs of similar action, undetermined, sequela"}, {"role": "assistant", "content": "T46.0X4S — Poisoning by cardiac-stimulant glycosides and drugs of similar action, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans traumatica, unspecified upper arm"}, {"role": "assistant", "content": "M61.029 — Myositis ossificans traumatica, unspecified upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.442B — Displaced spiral fracture of shaft of left fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.211A — Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.216 — Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental striking against or bumped into by another person, sequela"}, {"role": "assistant", "content": "W51.XXXS — Accidental striking against or bumped into by another person, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of head of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.124P — Nondisplaced fracture of head of right radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctival cysts, right eye"}, {"role": "assistant", "content": "H11.441 — Conjunctival cysts, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Premature separation of placenta with coagulation defect, unspecified, third trimester"}, {"role": "assistant", "content": "O45.003 — Premature separation of placenta with coagulation defect, unspecified, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of sulfur dioxide, undetermined, sequela"}, {"role": "assistant", "content": "T59.1X4S — Toxic effect of sulfur dioxide, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.224Q — Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified ptosis of unspecified eyelid"}, {"role": "assistant", "content": "H02.409 — Unspecified ptosis of unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V16.1XXA — Pedal cycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital kyphosis, cervical region"}, {"role": "assistant", "content": "Q76.412 — Congenital kyphosis, cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of third metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.392G — Other fracture of third metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic total occlusion of coronary artery"}, {"role": "assistant", "content": "I25.82 — Chronic total occlusion of coronary artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of ambulance or fire engine injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.61XD — Passenger of ambulance or fire engine injured in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of ulnar nerve at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S54.02XS — Injury of ulnar nerve at forearm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of left upper arm, initial encounter"}, {"role": "assistant", "content": "S40.872A — Other superficial bite of left upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trigger finger, left middle finger"}, {"role": "assistant", "content": "M65.332 — Trigger finger, left middle finger"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of left back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.442D — External constriction of left back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Decreased fetal movements, third trimester, fetus 4"}, {"role": "assistant", "content": "O36.8134 — Decreased fetal movements, third trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right elbow, initial encounter"}, {"role": "assistant", "content": "S51.041A — Puncture wound with foreign body of right elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by rubber bullet, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.049A — Legal intervention involving injury by rubber bullet, unspecified person injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Maisonneuve's fracture of unspecified leg, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.866D — Nondisplaced Maisonneuve's fracture of unspecified leg, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified site of unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.90XA — Sprain of unspecified site of unspecified knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presbycusis, left ear"}, {"role": "assistant", "content": "H91.12 — Presbycusis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paralytic calcification and ossification of muscle, right hand"}, {"role": "assistant", "content": "M61.241 — Paralytic calcification and ossification of muscle, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O41.1294 — Chorioamnionitis, unspecified trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localized salmonella infection, unspecified"}, {"role": "assistant", "content": "A02.20 — Localized salmonella infection, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by inhaled anesthetics, assault, subsequent encounter"}, {"role": "assistant", "content": "T41.0X3D — Poisoning by inhaled anesthetics, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of unspecified patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.036P — Nondisplaced transverse fracture of unspecified patella, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter"}, {"role": "assistant", "content": "T81.594A — Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.012A — Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S51.831D — Puncture wound without foreign body of right forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atrophy of tongue papillae"}, {"role": "assistant", "content": "K14.4 — Atrophy of tongue papillae"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced apophyseal fracture of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.132G — Displaced apophyseal fracture of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.034G — Nondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of right calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.031G — Salter-Harris Type III physeal fracture of right calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.256R — Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela"}, {"role": "assistant", "content": "T85.110S — Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deep phlebothrombosis in pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O22.30 — Deep phlebothrombosis in pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified agents primarily affecting the cardiovascular system, sequela"}, {"role": "assistant", "content": "T46.905S — Adverse effect of unspecified agents primarily affecting the cardiovascular system, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by paintball gun discharge, subsequent encounter"}, {"role": "assistant", "content": "X95.02XD — Assault by paintball gun discharge, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complications of amputation stump"}, {"role": "assistant", "content": "T87.9 — Unspecified complications of amputation stump"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of coronoid process of left mandible, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.632B — Fracture of coronoid process of left mandible, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of hand of right hand, subsequent encounter"}, {"role": "assistant", "content": "S60.571D — Other superficial bite of hand of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of third metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.343P — Nondisplaced fracture of base of third metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation"}, {"role": "assistant", "content": "K26.9 — Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter"}, {"role": "assistant", "content": "S58.111A — Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified muscles and tendons at ankle and foot level, right foot, sequela"}, {"role": "assistant", "content": "S96.821S — Laceration of other specified muscles and tendons at ankle and foot level, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tarsal tunnel syndrome, left lower limb"}, {"role": "assistant", "content": "G57.52 — Tarsal tunnel syndrome, left lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.113G — Unspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mechanical lagophthalmos left lower eyelid"}, {"role": "assistant", "content": "H02.225 — Mechanical lagophthalmos left lower eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Renal failure following failed attempted termination of pregnancy"}, {"role": "assistant", "content": "O07.32 — Renal failure following failed attempted termination of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of intraperitoneal dialysis catheter, sequela"}, {"role": "assistant", "content": "T85.621S — Displacement of intraperitoneal dialysis catheter, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving explosion of sea-based artillery shell, military personnel, sequela"}, {"role": "assistant", "content": "Y37.030S — Military operations involving explosion of sea-based artillery shell, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body, unspecified foot, initial encounter"}, {"role": "assistant", "content": "S91.319A — Laceration without foreign body, unspecified foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of left tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S82.162P — Torus fracture of upper end of left tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lateral dislocation of proximal end of tibia, left knee, sequela"}, {"role": "assistant", "content": "S83.145S — Lateral dislocation of proximal end of tibia, left knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced longitudinal fracture of left patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.025G — Nondisplaced longitudinal fracture of left patella, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified hypertrophy of vulva"}, {"role": "assistant", "content": "N90.60 — Unspecified hypertrophy of vulva"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation stenosis of neural canal of head region"}, {"role": "assistant", "content": "M99.20 — Subluxation stenosis of neural canal of head region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.133D — Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degeneration of chamber angle, left eye"}, {"role": "assistant", "content": "H21.212 — Degeneration of chamber angle, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute nephritic syndrome with dense deposit disease"}, {"role": "assistant", "content": "N00.6 — Acute nephritic syndrome with dense deposit disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic compartment syndrome of unspecified lower extremity"}, {"role": "assistant", "content": "M79.A29 — Nontraumatic compartment syndrome of unspecified lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T43.222A — Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.261A — Displaced segmental fracture of shaft of right tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs"}, {"role": "assistant", "content": "I70.303 — Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral amyloid angiopathy"}, {"role": "assistant", "content": "I68.0 — Cerebral amyloid angiopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with pedestrian or animal in nontraffic accident, sequela"}, {"role": "assistant", "content": "V20.29XS — Unspecified rider of other motorcycle injured in collision with pedestrian or animal in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.042D — Salter-Harris Type IV physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other isoimmunization, second trimester, fetus 3"}, {"role": "assistant", "content": "O36.1923 — Maternal care for other isoimmunization, second trimester, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T85.328D — Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonvenereal syphilis"}, {"role": "assistant", "content": "A65 — Nonvenereal syphilis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Small cell B-cell lymphoma, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C83.01 — Small cell B-cell lymphoma, lymph nodes of head, face, and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of penis, unspecified"}, {"role": "assistant", "content": "C60.9 — Malignant neoplasm of penis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region"}, {"role": "assistant", "content": "M45.A1 — Non-radiographic axial spondyloarthritis of occipito-atlanto-axial region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.036F — Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of fourth metatarsal bone, left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.345G — Nondisplaced fracture of fourth metatarsal bone, left foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursal cyst, left elbow"}, {"role": "assistant", "content": "M71.322 — Other bursal cyst, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of right lower leg, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.891E — Other fracture of right lower leg, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other psychotropic drugs, assault, subsequent encounter"}, {"role": "assistant", "content": "T43.8X3D — Poisoning by other psychotropic drugs, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified abdominal hernia without obstruction or gangrene"}, {"role": "assistant", "content": "K46.9 — Unspecified abdominal hernia without obstruction or gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiasthmatics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T48.6X2S — Poisoning by antiasthmatics, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failed or difficult intubation for anesthesia during pregnancy, second trimester"}, {"role": "assistant", "content": "O29.62 — Failed or difficult intubation for anesthesia during pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intercostal blood vessels, unspecified side, sequela"}, {"role": "assistant", "content": "S25.509S — Unspecified injury of intercostal blood vessels, unspecified side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular lymphoma grade III, unspecified, extranodal and solid organ sites"}, {"role": "assistant", "content": "C82.29 — Follicular lymphoma grade III, unspecified, extranodal and solid organ sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reactive arthropathies, right knee"}, {"role": "assistant", "content": "M02.861 — Other reactive arthropathies, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of other specified female genital organs"}, {"role": "assistant", "content": "C57.7 — Malignant neoplasm of other specified female genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Air embolism in pregnancy, second trimester"}, {"role": "assistant", "content": "O88.012 — Air embolism in pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.224C — Nondisplaced transverse fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.609E — Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.449A — Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, right arm, sequela"}, {"role": "assistant", "content": "S52.241S — Displaced spiral fracture of shaft of ulna, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myelophthisis"}, {"role": "assistant", "content": "D61.82 — Myelophthisis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unilateral femoral hernia, with obstruction, without gangrene, recurrent"}, {"role": "assistant", "content": "K41.31 — Unilateral femoral hernia, with obstruction, without gangrene, recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.355F — Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, sequela"}, {"role": "assistant", "content": "T60.0X2S — Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.009G — Unspecified fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Commercial fixed-wing aircraft explosion injuring occupant, sequela"}, {"role": "assistant", "content": "V95.35XS — Commercial fixed-wing aircraft explosion injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by cow, subsequent encounter"}, {"role": "assistant", "content": "W55.21XD — Bitten by cow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Opioid dependence with opioid-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F11.250 — Opioid dependence with opioid-induced psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for other specified surgical aftercare"}, {"role": "assistant", "content": "Z48.89 — Encounter for other specified surgical aftercare"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.8X9R — Other fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of axillary or brachial vein, unspecified side, sequela"}, {"role": "assistant", "content": "S45.219S — Laceration of axillary or brachial vein, unspecified side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of heart valve prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T82.09XD — Other mechanical complication of heart valve prosthesis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Absence and aplasia of testis"}, {"role": "assistant", "content": "Q55.0 — Absence and aplasia of testis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Striking against or struck by driver side automobile airbag, subsequent encounter"}, {"role": "assistant", "content": "W22.11XD — Striking against or struck by driver side automobile airbag, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Machinery accident on board merchant ship, sequela"}, {"role": "assistant", "content": "V93.60XS — Machinery accident on board merchant ship, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of halogenated insecticides, intentional self-harm, sequela"}, {"role": "assistant", "content": "T60.1X2S — Toxic effect of halogenated insecticides, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V51.7XXS — Person on outside of pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right ring finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.324A — Laceration with foreign body of right ring finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of C2/C3 cervical vertebrae, sequela"}, {"role": "assistant", "content": "S13.131S — Dislocation of C2/C3 cervical vertebrae, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bucket-handle tear of medial meniscus, current injury, left knee, initial encounter"}, {"role": "assistant", "content": "S83.212A — Bucket-handle tear of medial meniscus, current injury, left knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by knife, subsequent encounter"}, {"role": "assistant", "content": "X78.1XXD — Intentional self-harm by knife, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right thumb without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.051D — Open bite of right thumb without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.024C — Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of right shoulder and upper arm, initial encounter"}, {"role": "assistant", "content": "S47.1XXA — Crushing injury of right shoulder and upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Suberosis"}, {"role": "assistant", "content": "J67.3 — Suberosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified inflammatory spondylopathy, cervicothoracic region"}, {"role": "assistant", "content": "M46.93 — Unspecified inflammatory spondylopathy, cervicothoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of face, sequela"}, {"role": "assistant", "content": "S09.93XS — Unspecified injury of face, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of other nervous system device, implant or graft, sequela"}, {"role": "assistant", "content": "T85.625S — Displacement of other nervous system device, implant or graft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of deep palmar arch of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S65.399A — Other specified injury of deep palmar arch of unspecified hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between merchant ship and other watercraft or other object, initial encounter"}, {"role": "assistant", "content": "V91.20XA — Fall due to collision between merchant ship and other watercraft or other object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified inorganic substances, assault, initial encounter"}, {"role": "assistant", "content": "T57.8X3A — Toxic effect of other specified inorganic substances, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial subluxation of left ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.132A — Medial subluxation of left ulnohumeral joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteochondrosis (juvenile) of carpal lunate [Kienbock], left hand"}, {"role": "assistant", "content": "M92.212 — Osteochondrosis (juvenile) of carpal lunate [Kienbock], left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified"}, {"role": "assistant", "content": "H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other sharp objects, suspect injured, sequela"}, {"role": "assistant", "content": "Y35.493S — Legal intervention involving other sharp objects, suspect injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left radial styloid process, sequela"}, {"role": "assistant", "content": "S52.515S — Nondisplaced fracture of left radial styloid process, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in unspecified nonmotor-vehicle accident, nontraffic, sequela"}, {"role": "assistant", "content": "V89.1XXS — Person injured in unspecified nonmotor-vehicle accident, nontraffic, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of breast associated with pregnancy, third trimester"}, {"role": "assistant", "content": "O91.113 — Abscess of breast associated with pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior dislocation of left hip, sequela"}, {"role": "assistant", "content": "S73.015S — Posterior dislocation of left hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of right ring finger, subsequent encounter"}, {"role": "assistant", "content": "S64.494D — Injury of digital nerve of right ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified rheumatoid arthritis, right elbow"}, {"role": "assistant", "content": "M06.821 — Other specified rheumatoid arthritis, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle driver injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V27.41XD — Electric (assisted) bicycle driver injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of alpha-adrenoreceptor antagonists, initial encounter"}, {"role": "assistant", "content": "T44.6X5A — Adverse effect of alpha-adrenoreceptor antagonists, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn due to localized fire on board unspecified watercraft, initial encounter"}, {"role": "assistant", "content": "V93.09XA — Burn due to localized fire on board unspecified watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathies in other specified diseases classified elsewhere, unspecified wrist"}, {"role": "assistant", "content": "M14.839 — Arthropathies in other specified diseases classified elsewhere, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin"}, {"role": "assistant", "content": "L97.511 — Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crystalline deposits in vitreous body, left eye"}, {"role": "assistant", "content": "H43.22 — Crystalline deposits in vitreous body, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, left shoulder"}, {"role": "assistant", "content": "M24.612 — Ankylosis, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}, {"role": "assistant", "content": "S06.315D — Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other isoimmunization, third trimester, fetus 4"}, {"role": "assistant", "content": "O36.1934 — Maternal care for other isoimmunization, third trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela"}, {"role": "assistant", "content": "S46.111S — Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other extensor muscle, fascia and tendon at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S56.509A — Unspecified injury of other extensor muscle, fascia and tendon at forearm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified benign mammary dysplasia of left breast"}, {"role": "assistant", "content": "N60.92 — Unspecified benign mammary dysplasia of left breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified patella, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.009A — Unspecified fracture of unspecified patella, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.129G — Salter-Harris Type II physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pelvic and perineal pain bilateral"}, {"role": "assistant", "content": "R10.23 — Pelvic and perineal pain bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of first cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.001S — Unspecified nondisplaced fracture of first cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III traumatic spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.24XD — Type III traumatic spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of left ulna, sequela"}, {"role": "assistant", "content": "S52.272S — Monteggia's fracture of left ulna, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epileptic seizures related to external causes, not intractable, without status epilepticus"}, {"role": "assistant", "content": "G40.509 — Epileptic seizures related to external causes, not intractable, without status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side"}, {"role": "assistant", "content": "H90.A22 — Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant (driver) (passenger) of heavy transport vehicle injured in transport accidents with military vehicle, sequela"}, {"role": "assistant", "content": "V69.81XS — Occupant (driver) (passenger) of heavy transport vehicle injured in transport accidents with military vehicle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T62.92XD — Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of single right finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.321A — Burn of third degree of single right finger (nail) except thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified part(s) of left wrist, hand and fingers, sequela"}, {"role": "assistant", "content": "S67.92XS — Crushing injury of unspecified part(s) of left wrist, hand and fingers, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sharp object entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.H9XD — Other sharp object entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of left kidney, subsequent encounter"}, {"role": "assistant", "content": "S37.062D — Major laceration of left kidney, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other specified conditions"}, {"role": "assistant", "content": "Z87.898 — Personal history of other specified conditions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.428A — Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary hypotony of right eye"}, {"role": "assistant", "content": "H44.441 — Primary hypotony of right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of superficial palmar arch of right hand, sequela"}, {"role": "assistant", "content": "S65.211S — Laceration of superficial palmar arch of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.001H — Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lunate [semilunar], left wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.125G — Nondisplaced fracture of lunate [semilunar], left wrist, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epidermal thickening, unspecified"}, {"role": "assistant", "content": "L85.9 — Epidermal thickening, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Overexertion from prolonged static or awkward postures, initial encounter"}, {"role": "assistant", "content": "X50.1XXA — Overexertion from prolonged static or awkward postures, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cholecystitis, unspecified"}, {"role": "assistant", "content": "K81.9 — Cholecystitis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.033H — Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of first metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.254S — Nondisplaced fracture of neck of first metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified congenital malformations of urinary system"}, {"role": "assistant", "content": "Q64.8 — Other specified congenital malformations of urinary system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.192B — Other fracture of upper end of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of portal vein, initial encounter"}, {"role": "assistant", "content": "S35.318A — Other specified injury of portal vein, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for known or suspected placental insufficiency, first trimester, fetus 2"}, {"role": "assistant", "content": "O36.5112 — Maternal care for known or suspected placental insufficiency, first trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Overactivity"}, {"role": "assistant", "content": "R46.3 — Overactivity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic osteomyelitis with draining sinus, left femur"}, {"role": "assistant", "content": "M86.452 — Chronic osteomyelitis with draining sinus, left femur"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ultralight, microlight or powered-glider accident injuring occupant, sequela"}, {"role": "assistant", "content": "V95.19XS — Other ultralight, microlight or powered-glider accident injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.209A — Unspecified injury of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of nasal cavity"}, {"role": "assistant", "content": "C30.0 — Malignant neoplasm of nasal cavity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S81.841D — Puncture wound with foreign body, right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of other specified male genital organs"}, {"role": "assistant", "content": "C63.7 — Malignant neoplasm of other specified male genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to flames in controlled fire, not in building or structure, initial encounter"}, {"role": "assistant", "content": "X03.0XXA — Exposure to flames in controlled fire, not in building or structure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right little finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.151A — Contusion of right little finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of third lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.032B — Unstable burst fracture of third lumbar vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V39.50XS — Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.099K — Other fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bullous disorder, unspecified"}, {"role": "assistant", "content": "L13.9 — Bullous disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to prolonged high air pressure, sequela"}, {"role": "assistant", "content": "W94.0XXS — Exposure to prolonged high air pressure, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of right hip, stage 3"}, {"role": "assistant", "content": "L89.213 — Pressure ulcer of right hip, stage 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.416B — Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.44XB — Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S45.802A — Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Observation and evaluation of newborn for suspected neurological condition ruled out"}, {"role": "assistant", "content": "Z05.2 — Observation and evaluation of newborn for suspected neurological condition ruled out"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of popliteal vein, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.519A — Laceration of popliteal vein, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified bus occupant injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V79.60XA — Unspecified bus occupant injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of proximal interphalangeal joint of other finger, sequela"}, {"role": "assistant", "content": "S63.288S — Dislocation of proximal interphalangeal joint of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified chronic conjunctivitis, right eye"}, {"role": "assistant", "content": "H10.401 — Unspecified chronic conjunctivitis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trench fever"}, {"role": "assistant", "content": "A79.0 — Trench fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculosis of larynx, trachea and bronchus"}, {"role": "assistant", "content": "A15.5 — Tuberculosis of larynx, trachea and bronchus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to merchant ship overturning, subsequent encounter"}, {"role": "assistant", "content": "V90.00XD — Drowning and submersion due to merchant ship overturning, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other primarily systemic and hematological agents, initial encounter"}, {"role": "assistant", "content": "T45.8X6A — Underdosing of other primarily systemic and hematological agents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.211P — Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous plant, assault, initial encounter"}, {"role": "assistant", "content": "T63.793A — Toxic effect of contact with other venomous plant, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of bursa, left hip"}, {"role": "assistant", "content": "M71.052 — Abscess of bursa, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of C5/C6 cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.161A — Dislocation of C5/C6 cervical vertebrae, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body, right hip, sequela"}, {"role": "assistant", "content": "S71.011S — Laceration without foreign body, right hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V19.60XS — Unspecified pedal cyclist injured in collision with unspecified motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter"}, {"role": "assistant", "content": "S34.6XXA — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of heart, unspecified with or without hemopericardium, subsequent encounter"}, {"role": "assistant", "content": "S26.91XD — Contusion of heart, unspecified with or without hemopericardium, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of car injured in collision with pedestrian or animal in nontraffic accident, sequela"}, {"role": "assistant", "content": "V40.2XXS — Person on outside of car injured in collision with pedestrian or animal in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of artificial left leg (complete) (partial)"}, {"role": "assistant", "content": "Z97.14 — Presence of artificial left leg (complete) (partial)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounter"}, {"role": "assistant", "content": "V81.2XXD — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S60.429D — Blister (nonthermal) of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Embolism due to vascular prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T82.818D — Embolism due to vascular prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of nose, sequela"}, {"role": "assistant", "content": "T33.02XS — Superficial frostbite of nose, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of unspecified radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.016D — Anterior dislocation of unspecified radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of tarsometatarsal joint of left foot, subsequent encounter"}, {"role": "assistant", "content": "S93.325D — Dislocation of tarsometatarsal joint of left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Migraine with aura, intractable, with status migrainosus"}, {"role": "assistant", "content": "G43.111 — Migraine with aura, intractable, with status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of chlorine gas, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T59.4X4D — Toxic effect of chlorine gas, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V63.1XXA — Passenger in heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of popliteal vein, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.599D — Other specified injury of popliteal vein, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other multi-suture craniosynostosis"}, {"role": "assistant", "content": "Q75.058 — Other multi-suture craniosynostosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of cuboid bone of unspecified foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.216K — Nondisplaced fracture of cuboid bone of unspecified foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced dome fracture of right acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.484A — Nondisplaced dome fracture of right acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Erosion of graft of urinary organ, initial encounter"}, {"role": "assistant", "content": "T83.24XA — Erosion of graft of urinary organ, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of left lower leg with other specified severity"}, {"role": "assistant", "content": "L97.828 — Non-pressure chronic ulcer of other part of left lower leg with other specified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.009G — Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F13.250 — Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified drugs acting on muscles, undetermined, sequela"}, {"role": "assistant", "content": "T48.204S — Poisoning by unspecified drugs acting on muscles, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S34.104D — Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in collision with pedestrian or animal in traffic accident, sequela"}, {"role": "assistant", "content": "V50.5XXS — Driver of pick-up truck or van injured in collision with pedestrian or animal in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure"}, {"role": "assistant", "content": "G97.48 — Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of proximal tibia, bilateral"}, {"role": "assistant", "content": "M92.513 — Juvenile osteochondrosis of proximal tibia, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.008D — Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of T11/T12 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.163D — Dislocation of T11/T12 thoracic vertebra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving other means, terrorist injured, subsequent encounter"}, {"role": "assistant", "content": "Y38.893D — Terrorism involving other means, terrorist injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypoplasia and dysplasia of spinal cord"}, {"role": "assistant", "content": "Q06.1 — Hypoplasia and dysplasia of spinal cord"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced trimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.853M — Displaced trimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified lump in the right breast, overlapping quadrants"}, {"role": "assistant", "content": "N63.15 — Unspecified lump in the right breast, overlapping quadrants"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accessory nipple"}, {"role": "assistant", "content": "Q83.3 — Accessory nipple"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.152N — Displaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance abuse, in remission"}, {"role": "assistant", "content": "F19.11 — Other psychoactive substance abuse, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C84.45 — Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of inguinal region and lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bimalleolar fracture of right lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.841J — Displaced bimalleolar fracture of right lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.863J — Displaced Maisonneuve's fracture of unspecified leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of skull, subsequent encounter"}, {"role": "assistant", "content": "S07.1XXD — Crushing injury of skull, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified displaced fracture of third cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.200B — Unspecified displaced fracture of third cervical vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of right ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.134D — Medial dislocation of right ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of lip, initial encounter"}, {"role": "assistant", "content": "S00.551A — Superficial foreign body of lip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of right hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.101A — Burn of first degree of right hand, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of left middle finger, sequela"}, {"role": "assistant", "content": "S63.653S — Sprain of metacarpophalangeal joint of left middle finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol abuse with alcohol-induced anxiety disorder"}, {"role": "assistant", "content": "F10.180 — Alcohol abuse with alcohol-induced anxiety disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified ligament of right middle finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.402S — Traumatic rupture of unspecified ligament of right middle finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of left patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.022E — Displaced longitudinal fracture of left patella, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of unspecified talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.113D — Displaced fracture of neck of unspecified talus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of prostate"}, {"role": "assistant", "content": "D07.5 — Carcinoma in situ of prostate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified part of small intestine, sequela"}, {"role": "assistant", "content": "S36.499S — Other injury of unspecified part of small intestine, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.292K — Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter"}, {"role": "assistant", "content": "T81.538D — Perforation due to foreign body accidentally left in body following other procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, sequela"}, {"role": "assistant", "content": "S06.8AAS — Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified Zone III fracture of sacrum, sequela"}, {"role": "assistant", "content": "S32.139S — Unspecified Zone III fracture of sacrum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.24XE — Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.263N — Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T43.4X2S — Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.412D — Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disseminated strongyloidiasis"}, {"role": "assistant", "content": "B78.7 — Disseminated strongyloidiasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial cuneiform of left foot, sequela"}, {"role": "assistant", "content": "S92.245S — Nondisplaced fracture of medial cuneiform of left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of right wrist, subsequent encounter"}, {"role": "assistant", "content": "S60.821D — Blister (nonthermal) of right wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cervical disc disorder at C6-C7 level with myelopathy"}, {"role": "assistant", "content": "M50.023 — Cervical disc disorder at C6-C7 level with myelopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of right hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.501S — Corrosion of first degree of right hand, unspecified site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of left ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.272B — Monteggia's fracture of left ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula of bile duct"}, {"role": "assistant", "content": "K83.3 — Fistula of bile duct"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.214 — Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of unspecified popliteal vein"}, {"role": "assistant", "content": "I80.229 — Phlebitis and thrombophlebitis of unspecified popliteal vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for male factor infertility in female patient"}, {"role": "assistant", "content": "Z31.81 — Encounter for male factor infertility in female patient"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in noncollision transport accident in traffic accident, initial encounter"}, {"role": "assistant", "content": "V58.5XXA — Driver of pick-up truck or van injured in noncollision transport accident in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.412S — Abrasion of left back wall of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of coral snake venom, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.021A — Toxic effect of coral snake venom, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tarsal tunnel syndrome, unspecified lower limb"}, {"role": "assistant", "content": "G57.50 — Tarsal tunnel syndrome, unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alternating exotropia"}, {"role": "assistant", "content": "H50.15 — Alternating exotropia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other frontotemporal neurocognitive disorder"}, {"role": "assistant", "content": "G31.09 — Other frontotemporal neurocognitive disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture"}, {"role": "assistant", "content": "M80.861A — Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple fractures of ribs, right side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.41XK — Multiple fractures of ribs, right side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of left calcaneus, sequela"}, {"role": "assistant", "content": "S99.032S — Salter-Harris Type III physeal fracture of left calcaneus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyhydramnios, second trimester, other fetus"}, {"role": "assistant", "content": "O40.2XX9 — Polyhydramnios, second trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.102G — Unspecified fracture of left talus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of in-situ neoplasm of cervix uteri"}, {"role": "assistant", "content": "Z86.001 — Personal history of in-situ neoplasm of cervix uteri"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of patella, left knee"}, {"role": "assistant", "content": "M22.8X2 — Other disorders of patella, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of left thumb, subsequent encounter"}, {"role": "assistant", "content": "S68.022D — Partial traumatic metacarpophalangeal amputation of left thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute posterior multifocal placoid pigment epitheliopathy, right eye"}, {"role": "assistant", "content": "H30.141 — Acute posterior multifocal placoid pigment epitheliopathy, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving thermal radiation effect of nuclear weapon, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.530A — Military operations involving thermal radiation effect of nuclear weapon, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other muscles, fascia and tendons at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S56.891A — Other injury of other muscles, fascia and tendons at forearm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.125K — Nondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced intertrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.142H — Displaced intertrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other metals, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.891A — Toxic effect of other metals, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, unspecified shoulder, sequela"}, {"role": "assistant", "content": "M84.619S — Pathological fracture in other disease, unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure collapse of lung due to anesthesia during pregnancy, first trimester"}, {"role": "assistant", "content": "O29.021 — Pressure collapse of lung due to anesthesia during pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.536S — Nondisplaced fracture of distal phalanx of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute recurrent maxillary sinusitis"}, {"role": "assistant", "content": "J01.01 — Acute recurrent maxillary sinusitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.691A — Other nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma in diseases classified elsewhere"}, {"role": "assistant", "content": "H42 — Glaucoma in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right index finger, initial encounter"}, {"role": "assistant", "content": "S60.940A — Unspecified superficial injury of right index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, right shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.121B — Displaced fracture of acromial process, right shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.129A — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of right tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.101K — Unspecified physeal fracture of lower end of right tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of intimate partner abuse in childhood"}, {"role": "assistant", "content": "Z62.815 — Personal history of intimate partner abuse in childhood"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.024K — Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.209A — Unspecified physeal fracture of lower end of radius, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral"}, {"role": "assistant", "content": "E11.3493 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid myopathy with rheumatoid arthritis of left wrist"}, {"role": "assistant", "content": "M05.432 — Rheumatoid myopathy with rheumatoid arthritis of left wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.059J — Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium"}, {"role": "assistant", "content": "O13.5 — Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for disproportion due to other fetal deformities, fetus 1"}, {"role": "assistant", "content": "O33.7XX1 — Maternal care for disproportion due to other fetal deformities, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of left peroneal vein"}, {"role": "assistant", "content": "I82.452 — Acute embolism and thrombosis of left peroneal vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.029P — Salter-Harris Type II physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Moderate laceration of unspecified kidney, subsequent encounter"}, {"role": "assistant", "content": "S37.059D — Moderate laceration of unspecified kidney, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyp of other parts of female genital tract"}, {"role": "assistant", "content": "N84.8 — Polyp of other parts of female genital tract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other male with 46, XX karyotype"}, {"role": "assistant", "content": "Q98.3 — Other male with 46, XX karyotype"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of synovium and tendon, unspecified hand"}, {"role": "assistant", "content": "M67.849 — Other specified disorders of synovium and tendon, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of left ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.135D — Medial dislocation of left ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sjogren syndrome with inflammatory arthritis"}, {"role": "assistant", "content": "M35.05 — Sjogren syndrome with inflammatory arthritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater tuberosity of right humerus, sequela"}, {"role": "assistant", "content": "S42.251S — Displaced fracture of greater tuberosity of right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.640A — Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.319A — Torus fracture of lower end of unspecified tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.592P — Other fractures of lower end of left radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Priapism due to disease classified elsewhere"}, {"role": "assistant", "content": "N48.32 — Priapism due to disease classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of phalanx of right toe, sequela"}, {"role": "assistant", "content": "S99.291S — Other physeal fracture of phalanx of right toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for other specified aftercare"}, {"role": "assistant", "content": "Z51.89 — Encounter for other specified aftercare"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of ovary, unspecified, initial encounter"}, {"role": "assistant", "content": "S37.499A — Other injury of ovary, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of right patella, sequela"}, {"role": "assistant", "content": "S83.094S — Other dislocation of right patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic osteomyelitis, unspecified tibia and fibula"}, {"role": "assistant", "content": "M86.669 — Other chronic osteomyelitis, unspecified tibia and fibula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent erosion of cornea, bilateral"}, {"role": "assistant", "content": "H18.833 — Recurrent erosion of cornea, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of right renal vein, sequela"}, {"role": "assistant", "content": "S35.494S — Other specified injury of right renal vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other Hodgkin lymphoma, intrapelvic lymph nodes"}, {"role": "assistant", "content": "C81.76 — Other Hodgkin lymphoma, intrapelvic lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asymptomatic human immunodeficiency virus [HIV] infection status"}, {"role": "assistant", "content": "Z21 — Asymptomatic human immunodeficiency virus [HIV] infection status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of left ankle, sequela"}, {"role": "assistant", "content": "T25.512S — Corrosion of first degree of left ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.55XG — Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of left uterine vein, subsequent encounter"}, {"role": "assistant", "content": "S35.535D — Injury of left uterine vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of left ring finger, initial encounter"}, {"role": "assistant", "content": "S63.205A — Unspecified subluxation of left ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.315S — Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of gingiva and edentulous alveolar ridge"}, {"role": "assistant", "content": "K06.8 — Other specified disorders of gingiva and edentulous alveolar ridge"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraoperative cerebrovascular infarction during cardiac surgery"}, {"role": "assistant", "content": "I97.810 — Intraoperative cerebrovascular infarction during cardiac surgery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of left hand, subsequent encounter"}, {"role": "assistant", "content": "S60.562D — Insect bite (nonvenomous) of left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Erosion of graft of urinary organ, sequela"}, {"role": "assistant", "content": "T83.24XS — Erosion of graft of urinary organ, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other respiratory distress of newborn"}, {"role": "assistant", "content": "P22.8 — Other respiratory distress of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic oophoritis"}, {"role": "assistant", "content": "N70.12 — Chronic oophoritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological dislocation of right elbow, not elsewhere classified"}, {"role": "assistant", "content": "M24.321 — Pathological dislocation of right elbow, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified breast, initial encounter"}, {"role": "assistant", "content": "S21.029A — Laceration with foreign body of unspecified breast, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trichinellosis"}, {"role": "assistant", "content": "B75 — Trichinellosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle, initial encounter"}, {"role": "assistant", "content": "V55.4XXA — Person boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified osteochondropathies, right shoulder"}, {"role": "assistant", "content": "M93.811 — Other specified osteochondropathies, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified mononeuropathies of bilateral lower limbs"}, {"role": "assistant", "content": "G57.83 — Other specified mononeuropathies of bilateral lower limbs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skeletal fluorosis, left shoulder"}, {"role": "assistant", "content": "M85.112 — Skeletal fluorosis, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dry mouth, unspecified"}, {"role": "assistant", "content": "R68.2 — Dry mouth, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with other sharp object(s), not elsewhere classified, initial encounter"}, {"role": "assistant", "content": "W26.8XXA — Contact with other sharp object(s), not elsewhere classified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of the pelvic brim, unspecified side, unspecified depth"}, {"role": "assistant", "content": "N80.389 — Endometriosis of the pelvic brim, unspecified side, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S49.199S — Other physeal fracture of lower end of humerus, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.252Q — Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal jaundice from unspecified hepatocellular damage"}, {"role": "assistant", "content": "P59.20 — Neonatal jaundice from unspecified hepatocellular damage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.236B — Nondisplaced oblique fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified obstruction of Eustachian tube, right ear"}, {"role": "assistant", "content": "H68.101 — Unspecified obstruction of Eustachian tube, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.432G — Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency"}, {"role": "assistant", "content": "D55.0 — Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.506S — Nondisplaced unspecified fracture of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.446A — Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of appetite depressants, subsequent encounter"}, {"role": "assistant", "content": "T50.5X5D — Adverse effect of appetite depressants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Early mucocutaneous congenital syphilis"}, {"role": "assistant", "content": "A50.07 — Early mucocutaneous congenital syphilis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.092J — Other fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left middle finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.323D — Laceration with foreign body of left middle finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blood alcohol level of 100-119 mg/100 ml"}, {"role": "assistant", "content": "Y90.5 — Blood alcohol level of 100-119 mg/100 ml"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified ulnar collateral ligament, sequela"}, {"role": "assistant", "content": "S53.30XS — Traumatic rupture of unspecified ulnar collateral ligament, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.334P — Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified scapular region, initial encounter"}, {"role": "assistant", "content": "T22.669A — Corrosion of second degree of unspecified scapular region, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of glucocorticoids and synthetic analogues, initial encounter"}, {"role": "assistant", "content": "T38.0X6A — Underdosing of glucocorticoids and synthetic analogues, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of left shoulder, sequela"}, {"role": "assistant", "content": "T22.452S — Corrosion of unspecified degree of left shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Longitudinal reduction defect of tibia, bilateral"}, {"role": "assistant", "content": "Q72.53 — Longitudinal reduction defect of tibia, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.035K — Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V41.5XXS — Car driver injured in collision with pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs"}, {"role": "assistant", "content": "I70.563 — Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity"}, {"role": "assistant", "content": "I70.628 — Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of unspecified artificial hip joint"}, {"role": "assistant", "content": "Z96.649 — Presence of unspecified artificial hip joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right index finger, initial encounter"}, {"role": "assistant", "content": "S60.460A — Insect bite (nonvenomous) of right index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.869D — Insect bite (nonvenomous) of unspecified forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other blood vessels at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S85.892S — Other specified injury of other blood vessels at lower leg level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right upper arm, sequela"}, {"role": "assistant", "content": "S40.921S — Unspecified superficial injury of right upper arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of left palm, subsequent encounter"}, {"role": "assistant", "content": "T23.552D — Corrosion of first degree of left palm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of ganglionic blocking drugs, initial encounter"}, {"role": "assistant", "content": "T44.2X5A — Adverse effect of ganglionic blocking drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V46.3XXA — Unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified muscles, fascia and tendons at thigh level, left thigh, sequela"}, {"role": "assistant", "content": "S76.992S — Other specified injury of unspecified muscles, fascia and tendons at thigh level, left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity"}, {"role": "assistant", "content": "I70.269 — Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic hematogenous osteomyelitis, left ankle and foot"}, {"role": "assistant", "content": "M86.572 — Other chronic hematogenous osteomyelitis, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on foot injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V06.10XD — Pedestrian on foot injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postlaminectomy syndrome, not elsewhere classified"}, {"role": "assistant", "content": "M96.1 — Postlaminectomy syndrome, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left hand, sequela"}, {"role": "assistant", "content": "S61.412S — Laceration without foreign body of left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic multifocal osteomyelitis, left femur"}, {"role": "assistant", "content": "M86.352 — Chronic multifocal osteomyelitis, left femur"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaphylactic shock, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T78.2XXD — Anaphylactic shock, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of herbicides and fungicides, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T60.3X1A — Toxic effect of herbicides and fungicides, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Roller skating rink as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.331 — Roller skating rink as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at C5 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.155A — Other incomplete lesion at C5 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic intracerebral hemorrhage in hemisphere, unspecified"}, {"role": "assistant", "content": "I61.2 — Nontraumatic intracerebral hemorrhage in hemisphere, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified great toe with damage to nail, sequela"}, {"role": "assistant", "content": "S91.213S — Laceration without foreign body of unspecified great toe with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from other pedestrian conveyance, sequela"}, {"role": "assistant", "content": "V00.891S — Fall from other pedestrian conveyance, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of implanted testicular prosthesis, initial encounter"}, {"role": "assistant", "content": "T83.411A — Breakdown (mechanical) of implanted testicular prosthesis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of right talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.124P — Nondisplaced fracture of body of right talus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.299G — Other fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.432C — Displaced oblique fracture of shaft of left fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food in larynx causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.320S — Food in larynx causing asphyxiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of lung transplant"}, {"role": "assistant", "content": "T86.818 — Other complications of lung transplant"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation of gallbladder"}, {"role": "assistant", "content": "K82.2 — Perforation of gallbladder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.015D — Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of right shoulder and upper arm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S48.911D — Complete traumatic amputation of right shoulder and upper arm, level unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.351F — Displaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intrapartum hemorrhage, unspecified"}, {"role": "assistant", "content": "O67.9 — Intrapartum hemorrhage, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.822D — Blister (nonthermal) of left upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.012K — Salter-Harris Type I physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.091C — Other fracture of upper end of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of adrenal gland"}, {"role": "assistant", "content": "E27.8 — Other specified disorders of adrenal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trichodermal cyst"}, {"role": "assistant", "content": "L72.12 — Trichodermal cyst"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of radial nerve at forearm level, unspecified arm, sequela"}, {"role": "assistant", "content": "S54.20XS — Injury of radial nerve at forearm level, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of humerus, left arm, sequela"}, {"role": "assistant", "content": "S49.102S — Unspecified physeal fracture of lower end of humerus, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of left femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.102P — Unspecified physeal fracture of lower end of left femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of abdominal wall, left flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.127D — Laceration with foreign body of abdominal wall, left flank without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculous chorioretinitis"}, {"role": "assistant", "content": "A18.53 — Tuberculous chorioretinitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diseases and conditions complicating pregnancy"}, {"role": "assistant", "content": "O99.891 — Other specified diseases and conditions complicating pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of prostate, sequela"}, {"role": "assistant", "content": "S37.828S — Other injury of prostate, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.333A — Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.333Q — Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute bronchiolitis due to other specified organisms"}, {"role": "assistant", "content": "J21.8 — Acute bronchiolitis due to other specified organisms"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, initial encounter"}, {"role": "assistant", "content": "T38.6X6A — Underdosing of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.599F — Other fractures of lower end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteophyte, unspecified ankle"}, {"role": "assistant", "content": "M25.773 — Osteophyte, unspecified ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.301K — Unspecified fracture of lower end of right tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 60-69% of body surface with 40-49% third degree corrosion"}, {"role": "assistant", "content": "T32.64 — Corrosions involving 60-69% of body surface with 40-49% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left tibia, initial encounter for fracture"}, {"role": "assistant", "content": "M84.562A — Pathological fracture in neoplastic disease, left tibia, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of thorax, subsequent encounter"}, {"role": "assistant", "content": "T33.2XXD — Superficial frostbite of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fifth metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.366S — Nondisplaced fracture of neck of fifth metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinopathy of prematurity, stage 5, unspecified eye"}, {"role": "assistant", "content": "H35.169 — Retinopathy of prematurity, stage 5, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary chronic gout, left elbow, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.4221 — Other secondary chronic gout, left elbow, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcium deposit in bursa, left ankle and foot"}, {"role": "assistant", "content": "M71.472 — Calcium deposit in bursa, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of radius, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.365C — Nondisplaced segmental fracture of shaft of radius, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antimycobacterial drugs, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T37.1X2D — Poisoning by antimycobacterial drugs, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tricyclic antidepressants, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T43.011A — Poisoning by tricyclic antidepressants, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.039D — Burn of unspecified degree of unspecified toe(s) (nail), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.342J — Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pauciarticular juvenile rheumatoid arthritis, right knee"}, {"role": "assistant", "content": "M08.461 — Pauciarticular juvenile rheumatoid arthritis, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.366G — Nondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicose veins of unspecified lower extremity with ulcer of unspecified site"}, {"role": "assistant", "content": "I83.009 — Varicose veins of unspecified lower extremity with ulcer of unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of other cardiac electronic device, sequela"}, {"role": "assistant", "content": "T82.128S — Displacement of other cardiac electronic device, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V20.11XD — Electric (assisted) bicycle passenger injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.032G — Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Respiratory failure of newborn"}, {"role": "assistant", "content": "P28.5 — Respiratory failure of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C82.35 — Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for surgical aftercare following surgery on the circulatory system"}, {"role": "assistant", "content": "Z48.812 — Encounter for surgical aftercare following surgery on the circulatory system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter"}, {"role": "assistant", "content": "S96.102D — Unspecified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.592B — Other fracture of left lesser toe(s), initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of unspecified tibial spine, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.113P — Displaced fracture of unspecified tibial spine, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.532D — Displaced fracture of distal phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid bursitis, unspecified elbow"}, {"role": "assistant", "content": "M06.229 — Rheumatoid bursitis, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right ankle, initial encounter"}, {"role": "assistant", "content": "S90.01XA — Contusion of right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bulimia nervosa, moderate"}, {"role": "assistant", "content": "F50.22 — Bulimia nervosa, moderate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.449S — Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.001P — Unspecified fracture of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disorder of vestibular function, left ear"}, {"role": "assistant", "content": "H81.92 — Unspecified disorder of vestibular function, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Longitudinal reduction defect of right fibula"}, {"role": "assistant", "content": "Q72.61 — Longitudinal reduction defect of right fibula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.445B — Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of fourth lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.042S — Unstable burst fracture of fourth lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of left forearm, subsequent encounter"}, {"role": "assistant", "content": "T22.712D — Corrosion of third degree of left forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vitamin A deficiency with corneal xerosis"}, {"role": "assistant", "content": "E50.2 — Vitamin A deficiency with corneal xerosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disorder of globe"}, {"role": "assistant", "content": "H44.9 — Unspecified disorder of globe"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of metacarpophalangeal joint of other finger, initial encounter"}, {"role": "assistant", "content": "S63.268A — Dislocation of metacarpophalangeal joint of other finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of unspecified ankle, stage 1"}, {"role": "assistant", "content": "L89.501 — Pressure ulcer of unspecified ankle, stage 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of benzodiazepines, sequela"}, {"role": "assistant", "content": "T42.4X6S — Underdosing of benzodiazepines, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.432E — Displaced oblique fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bus occupant (driver) (passenger) injured in unspecified nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V79.3XXA — Bus occupant (driver) (passenger) injured in unspecified nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior cyclitis, right eye"}, {"role": "assistant", "content": "H30.21 — Posterior cyclitis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.046A — Nondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels of thorax, left side, subsequent encounter"}, {"role": "assistant", "content": "S25.802D — Unspecified injury of other blood vessels of thorax, left side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other snowboard accident, initial encounter"}, {"role": "assistant", "content": "V00.318A — Other snowboard accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mature B-cell leukemia Burkitt-type, in remission"}, {"role": "assistant", "content": "C91.A1 — Mature B-cell leukemia Burkitt-type, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of rectum, subsequent encounter"}, {"role": "assistant", "content": "S36.62XD — Contusion of rectum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other extensor muscle, fascia and tendon at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S56.591S — Other injury of other extensor muscle, fascia and tendon at forearm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine abuse with unspecified cocaine-induced disorder"}, {"role": "assistant", "content": "F14.19 — Cocaine abuse with unspecified cocaine-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Charcot's joint, left elbow"}, {"role": "assistant", "content": "M14.622 — Charcot's joint, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified site, initial encounter for fracture"}, {"role": "assistant", "content": "M84.30XA — Stress fracture, unspecified site, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for examination of eyes and vision following failed vision screening without abnormal findings"}, {"role": "assistant", "content": "Z01.020 — Encounter for examination of eyes and vision following failed vision screening without abnormal findings"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.061G — Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, sequela"}, {"role": "assistant", "content": "S72.435S — Nondisplaced fracture of medial condyle of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of left back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.462D — Insect bite (nonvenomous) of left back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V31.6XXA — Passenger in three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of other finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.638B — Displaced fracture of distal phalanx of other finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Scotoma involving central area, unspecified eye"}, {"role": "assistant", "content": "H53.419 — Scotoma involving central area, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.345G — Nondisplaced spiral fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle, initial encounter"}, {"role": "assistant", "content": "V12.3XXA — Person boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental malfunction of other larger firearm, initial encounter"}, {"role": "assistant", "content": "W33.19XA — Accidental malfunction of other larger firearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of left foot, sequela"}, {"role": "assistant", "content": "S93.335S — Other dislocation of left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of penicillins, subsequent encounter"}, {"role": "assistant", "content": "T36.0X5D — Adverse effect of penicillins, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Muscle spasm of calf"}, {"role": "assistant", "content": "M62.831 — Muscle spasm of calf"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery"}, {"role": "assistant", "content": "I63.539 — Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol use, unspecified, in remission"}, {"role": "assistant", "content": "F10.91 — Alcohol use, unspecified, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.243P — Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S59.919D — Unspecified injury of unspecified forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.229D — Blister (nonthermal) of unspecified eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic aseptic necrosis of unspecified foot"}, {"role": "assistant", "content": "M87.076 — Idiopathic aseptic necrosis of unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle, fascia and tendon of right hip, subsequent encounter"}, {"role": "assistant", "content": "S76.011D — Strain of muscle, fascia and tendon of right hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Small intestinal fungal overgrowth"}, {"role": "assistant", "content": "K63.822 — Small intestinal fungal overgrowth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.035B — Nondisplaced midcervical fracture of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter"}, {"role": "assistant", "content": "T80.A0XA — Non-ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.114P — Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic metacarpophalangeal amputation of left thumb, initial encounter"}, {"role": "assistant", "content": "S68.012A — Complete traumatic metacarpophalangeal amputation of left thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to compound presentation, fetus 1"}, {"role": "assistant", "content": "O64.5XX1 — Obstructed labor due to compound presentation, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Besnier's prurigo"}, {"role": "assistant", "content": "L20.0 — Besnier's prurigo"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anticoagulant antagonists, vitamin K and other coagulants, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T45.7X1D — Poisoning by anticoagulant antagonists, vitamin K and other coagulants, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lateral dislocation of unspecified patella, subsequent encounter"}, {"role": "assistant", "content": "S83.016D — Lateral dislocation of unspecified patella, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stiffness of right knee, not elsewhere classified"}, {"role": "assistant", "content": "M25.661 — Stiffness of right knee, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to fall off sailboat, initial encounter"}, {"role": "assistant", "content": "V92.04XA — Drowning and submersion due to fall off sailboat, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, right flank with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.656S — Open bite of abdominal wall, right flank with penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.333M — Displaced oblique fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gout due to renal impairment, right shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.3110 — Chronic gout due to renal impairment, right shoulder, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, second trimester, fetus 5"}, {"role": "assistant", "content": "O41.1225 — Chorioamnionitis, second trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of unspecified finger, sequela"}, {"role": "assistant", "content": "S62.649S — Nondisplaced fracture of proximal phalanx of unspecified finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, subsequent encounter"}, {"role": "assistant", "content": "S31.040D — Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture (chip fracture) of right talus, sequela"}, {"role": "assistant", "content": "S92.154S — Nondisplaced avulsion fracture (chip fracture) of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by dental drugs, topically applied, assault, sequela"}, {"role": "assistant", "content": "T49.7X3S — Poisoning by dental drugs, topically applied, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Oligohydramnios, third trimester, fetus 2"}, {"role": "assistant", "content": "O41.03X2 — Oligohydramnios, third trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in larynx causing other injury, initial encounter"}, {"role": "assistant", "content": "T17.308A — Unspecified foreign body in larynx causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Desmoid tumor, intraabdominal"}, {"role": "assistant", "content": "D48.114 — Desmoid tumor, intraabdominal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by pertussis vaccine, including combinations with a pertussis component, assault, sequela"}, {"role": "assistant", "content": "T50.A13S — Poisoning by pertussis vaccine, including combinations with a pertussis component, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse acute infarction of small intestine"}, {"role": "assistant", "content": "K55.022 — Diffuse acute infarction of small intestine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified contusion of spleen, sequela"}, {"role": "assistant", "content": "S36.029S — Unspecified contusion of spleen, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S86.201S — Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of other ligament of right ring finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.494D — Traumatic rupture of other ligament of right ring finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rh isoimmunization of newborn"}, {"role": "assistant", "content": "P55.0 — Rh isoimmunization of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by thrombolytic drug, undetermined, initial encounter"}, {"role": "assistant", "content": "T45.614A — Poisoning by thrombolytic drug, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between canoe or kayak and other watercraft or other object, initial encounter"}, {"role": "assistant", "content": "V91.25XA — Fall due to collision between canoe or kayak and other watercraft or other object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.851G — Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystostomy infection"}, {"role": "assistant", "content": "N99.511 — Cystostomy infection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other non-family member, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.59 — Other non-family member, perpetrator of maltreatment and neglect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypernasality"}, {"role": "assistant", "content": "R49.21 — Hypernasality"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myiasis of other sites"}, {"role": "assistant", "content": "B87.89 — Myiasis of other sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.522D — Pathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter"}, {"role": "assistant", "content": "S06.2X4A — Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.099P — Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela"}, {"role": "assistant", "content": "T85.730S — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S71.139A — Puncture wound without foreign body, unspecified thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.229P — Salter-Harris Type II physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cervicocranial syndrome"}, {"role": "assistant", "content": "M53.0 — Cervicocranial syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left thumb (nail), subsequent encounter"}, {"role": "assistant", "content": "T23.312D — Burn of third degree of left thumb (nail), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of blood vessel of right thumb, subsequent encounter"}, {"role": "assistant", "content": "S65.491D — Other specified injury of blood vessel of right thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of internal fixation device of right femur, sequela"}, {"role": "assistant", "content": "T84.124S — Displacement of internal fixation device of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left vertebral artery, initial encounter"}, {"role": "assistant", "content": "S15.102A — Unspecified injury of left vertebral artery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lobster-claw right hand"}, {"role": "assistant", "content": "Q71.61 — Lobster-claw right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of left ulnar collateral ligament, sequela"}, {"role": "assistant", "content": "S53.32XS — Traumatic rupture of left ulnar collateral ligament, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a three-wheeled motor vehicle injured in collision with railway train or railway vehicle, sequela"}, {"role": "assistant", "content": "V35.4XXS — Person boarding or alighting a three-wheeled motor vehicle injured in collision with railway train or railway vehicle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple sites of unspecified ankle and foot, sequela"}, {"role": "assistant", "content": "T25.299S — Burn of second degree of multiple sites of unspecified ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified thigh, sequela"}, {"role": "assistant", "content": "T24.319S — Burn of third degree of unspecified thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.325R — Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified upper arm, subsequent encounter"}, {"role": "assistant", "content": "T22.739D — Corrosion of third degree of unspecified upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with other motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V29.291S — Unspecified electric (assisted) bicycle rider injured in collision with other motor vehicles in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of pisiform, right wrist, sequela"}, {"role": "assistant", "content": "S62.161S — Displaced fracture of pisiform, right wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.109F — Unspecified fracture of upper end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anemia, unspecified"}, {"role": "assistant", "content": "D64.9 — Anemia, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other toxic encephalopathy"}, {"role": "assistant", "content": "G92.8 — Other toxic encephalopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retracted nipple associated with pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O92.019 — Retracted nipple associated with pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left ilium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.392B — Other fracture of left ilium, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of second metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.340S — Nondisplaced fracture of base of second metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscles, fascia and tendons at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S56.909D — Unspecified injury of unspecified muscles, fascia and tendons at forearm level, unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being thrown overboard by motion of other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V92.13XD — Drowning and submersion due to being thrown overboard by motion of other powered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of right toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.731A — Corrosion of third degree of right toe(s) (nail), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.321A — Displaced transverse fracture of shaft of right radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of ankle, right ankle, sequela"}, {"role": "assistant", "content": "S90.571S — Other superficial bite of ankle, right ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, sequela"}, {"role": "assistant", "content": "V86.36XS — Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other furniture fire due to unspecified burning material, subsequent encounter"}, {"role": "assistant", "content": "X08.20XD — Exposure to other furniture fire due to unspecified burning material, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of right scapular region, sequela"}, {"role": "assistant", "content": "T22.761S — Corrosion of third degree of right scapular region, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.396A — Other injury of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between merchant ship and other watercraft or other object, sequela"}, {"role": "assistant", "content": "V91.20XS — Fall due to collision between merchant ship and other watercraft or other object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.391M — Other fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of right ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.271D — Monteggia's fracture of right ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter"}, {"role": "assistant", "content": "T83.598A — Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of phalanx of right toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.201B — Unspecified physeal fracture of phalanx of right toe, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T58.2X1S — Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in larynx causing asphyxiation, initial encounter"}, {"role": "assistant", "content": "T17.300A — Unspecified foreign body in larynx causing asphyxiation, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S86.192S — Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C85.88 — Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S65.517D — Laceration of blood vessel of left little finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of left innominate or subclavian artery, subsequent encounter"}, {"role": "assistant", "content": "S25.112D — Minor laceration of left innominate or subclavian artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.001G — Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.572D — Other intraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T46.0X1D — Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified cestode infections"}, {"role": "assistant", "content": "B71.8 — Other specified cestode infections"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other reptiles, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.193D — Toxic effect of venom of other reptiles, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.319A — Strain of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contracture, unspecified knee"}, {"role": "assistant", "content": "M24.569 — Contracture, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at C2 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.152A — Other incomplete lesion at C2 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Harada's disease, right eye"}, {"role": "assistant", "content": "H30.811 — Harada's disease, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V04.10XD — Pedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of right cerebrum without loss of consciousness, sequela"}, {"role": "assistant", "content": "S06.310S — Contusion and laceration of right cerebrum without loss of consciousness, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S86.392A — Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of descending [left] colon, initial encounter"}, {"role": "assistant", "content": "S36.512A — Primary blast injury of descending [left] colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disturbances of skin sensation"}, {"role": "assistant", "content": "R20.8 — Other disturbances of skin sensation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of first metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.254A — Nondisplaced fracture of neck of first metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of unspecified optic nerve"}, {"role": "assistant", "content": "C72.30 — Malignant neoplasm of unspecified optic nerve"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid heart disease with rheumatoid arthritis of left shoulder"}, {"role": "assistant", "content": "M05.312 — Rheumatoid heart disease with rheumatoid arthritis of left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deviation of ureter"}, {"role": "assistant", "content": "Q62.61 — Deviation of ureter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous fish, undetermined, sequela"}, {"role": "assistant", "content": "T63.594S — Toxic effect of contact with other venomous fish, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement"}, {"role": "assistant", "content": "M05.711 — Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right index finger, initial encounter"}, {"role": "assistant", "content": "S60.470A — Other superficial bite of right index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteomyelitis, ankle and foot"}, {"role": "assistant", "content": "M86.8X7 — Other osteomyelitis, ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement"}, {"role": "assistant", "content": "M05.7A — Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.132D — Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.202K — Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of mercury and its compounds, intentional self-harm, sequela"}, {"role": "assistant", "content": "T56.1X2S — Toxic effect of mercury and its compounds, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela"}, {"role": "assistant", "content": "S46.229S — Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of scrotum and testis, sequela"}, {"role": "assistant", "content": "S38.231S — Complete traumatic amputation of scrotum and testis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of upper back, initial encounter"}, {"role": "assistant", "content": "T21.23XA — Burn of second degree of upper back, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified blood vessel at abdomen, lower back and pelvis level, initial encounter"}, {"role": "assistant", "content": "S35.91XA — Laceration of unspecified blood vessel at abdomen, lower back and pelvis level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified trochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.109Q — Unspecified trochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.515D — Nondisplaced fracture of proximal phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of glucose transport, unspecified"}, {"role": "assistant", "content": "E74.819 — Disorders of glucose transport, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mumps myocarditis"}, {"role": "assistant", "content": "B26.82 — Mumps myocarditis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.341P — Displaced spiral fracture of shaft of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kitchen in boarding-house as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.040 — Kitchen in boarding-house as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of celiac artery, initial encounter"}, {"role": "assistant", "content": "S35.211A — Minor laceration of celiac artery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of celiac artery, sequela"}, {"role": "assistant", "content": "S35.218S — Other injury of celiac artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of formaldehyde, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T59.2X2D — Toxic effect of formaldehyde, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of unspecified male breast"}, {"role": "assistant", "content": "C50.829 — Malignant neoplasm of overlapping sites of unspecified male breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Swimming-pool of mobile home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.026 — Swimming-pool of mobile home as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified part of small intestine, subsequent encounter"}, {"role": "assistant", "content": "S36.409D — Unspecified injury of unspecified part of small intestine, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V01.02XD — Pedestrian on skateboard injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Luxation of globe, bilateral"}, {"role": "assistant", "content": "H44.823 — Luxation of globe, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III traumatic spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.44XK — Type III traumatic spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "NIHSS score 35"}, {"role": "assistant", "content": "R29.735 — NIHSS score 35"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left great toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.425K — Nondisplaced fracture of distal phalanx of left great toe, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of other special all-terrain or other off-road motor vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V86.99XA — Unspecified occupant of other special all-terrain or other off-road motor vehicle injured in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Portal hypertension"}, {"role": "assistant", "content": "K76.6 — Portal hypertension"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T38.801S — Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.425A — Nondisplaced fracture of lateral condyle of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.432A — Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.402C — Unspecified fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left ulna, sequela"}, {"role": "assistant", "content": "S52.202S — Unspecified fracture of shaft of left ulna, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inadequate housing environmental temperature"}, {"role": "assistant", "content": "Z59.11 — Inadequate housing environmental temperature"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxoplasma tubulo-interstitial nephropathy"}, {"role": "assistant", "content": "B58.83 — Toxoplasma tubulo-interstitial nephropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified transport accidents, sequela"}, {"role": "assistant", "content": "V98.8XXS — Other specified transport accidents, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at level between elbow and wrist, left arm, subsequent encounter"}, {"role": "assistant", "content": "S58.112D — Complete traumatic amputation at level between elbow and wrist, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastrointestinal hemorrhage, unspecified"}, {"role": "assistant", "content": "K92.2 — Gastrointestinal hemorrhage, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective bursitis, right hand"}, {"role": "assistant", "content": "M71.141 — Other infective bursitis, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of brachial artery, unspecified side, initial encounter"}, {"role": "assistant", "content": "S45.199A — Other specified injury of brachial artery, unspecified side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant carcinoid tumor of the ileum"}, {"role": "assistant", "content": "C7A.012 — Malignant carcinoid tumor of the ileum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.243C — Displaced spiral fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter"}, {"role": "assistant", "content": "S66.802D — Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tinea cruris"}, {"role": "assistant", "content": "B35.6 — Tinea cruris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.435Q — Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post-traumatic osteoarthritis, right hand"}, {"role": "assistant", "content": "M19.141 — Post-traumatic osteoarthritis, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinal edema"}, {"role": "assistant", "content": "H35.81 — Retinal edema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified problems related to upbringing"}, {"role": "assistant", "content": "Z62.898 — Other specified problems related to upbringing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myalgia, unspecified site"}, {"role": "assistant", "content": "M79.10 — Myalgia, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.356F — Nondisplaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.319D — Strain of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of bilateral back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.223S — Contusion of bilateral back wall of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lymphoid leukemia not having achieved remission"}, {"role": "assistant", "content": "C91.Z0 — Other lymphoid leukemia not having achieved remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of foreign body accidentally left in body following heart catheterization, initial encounter"}, {"role": "assistant", "content": "T81.595A — Other complications of foreign body accidentally left in body following heart catheterization, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of orbit, unspecified, sequela"}, {"role": "assistant", "content": "S02.85XS — Fracture of orbit, unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aphasia following cerebral infarction"}, {"role": "assistant", "content": "I69.320 — Aphasia following cerebral infarction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.123D — Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right toe(s) (nail), sequela"}, {"role": "assistant", "content": "T25.431S — Corrosion of unspecified degree of right toe(s) (nail), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to infrared radiation, sequela"}, {"role": "assistant", "content": "W90.1XXS — Exposure to infrared radiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus"}, {"role": "assistant", "content": "G40.319 — Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ataxia following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.293 — Ataxia following other nontraumatic intracranial hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter"}, {"role": "assistant", "content": "T81.529A — Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-radiographic axial spondyloarthritis of thoracolumbar region"}, {"role": "assistant", "content": "M45.A5 — Non-radiographic axial spondyloarthritis of thoracolumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at hip and thigh level, left leg, sequela"}, {"role": "assistant", "content": "S74.92XS — Injury of unspecified nerve at hip and thigh level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.115P — Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of radius, unspecified arm, sequela"}, {"role": "assistant", "content": "S59.129S — Salter-Harris Type II physeal fracture of upper end of radius, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist, sequela"}, {"role": "assistant", "content": "S62.115S — Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other (corrected) congenital malformations"}, {"role": "assistant", "content": "Z87.798 — Personal history of other (corrected) congenital malformations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.872K — Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T48.991S — Poisoning by other agents primarily acting on the respiratory system, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of lateral orbital wall, left side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.842A — Fracture of lateral orbital wall, left side, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of coronary vasodilators, initial encounter"}, {"role": "assistant", "content": "T46.3X5A — Adverse effect of coronary vasodilators, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Smith's fracture of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.549B — Smith's fracture of unspecified radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete lesion of unspecified level of lumbar spinal cord, sequela"}, {"role": "assistant", "content": "S34.129S — Incomplete lesion of unspecified level of lumbar spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left index finger, initial encounter"}, {"role": "assistant", "content": "S60.421A — Blister (nonthermal) of left index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.474G — Pathological fracture, right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure-induced deep tissue damage of right buttock"}, {"role": "assistant", "content": "L89.316 — Pressure-induced deep tissue damage of right buttock"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right knee, sequela"}, {"role": "assistant", "content": "T24.021S — Burn of unspecified degree of right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}, {"role": "assistant", "content": "S06.334D — Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to cardiac valve prosthesis, sequela"}, {"role": "assistant", "content": "T82.6XXS — Infection and inflammatory reaction due to cardiac valve prosthesis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified muscles, fascia and tendons at thigh level, left thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.922D — Laceration of unspecified muscles, fascia and tendons at thigh level, left thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of copper and its compounds, undetermined, initial encounter"}, {"role": "assistant", "content": "T56.4X4A — Toxic effect of copper and its compounds, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial loss of teeth due to other specified cause, unspecified class"}, {"role": "assistant", "content": "K08.499 — Partial loss of teeth due to other specified cause, unspecified class"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.302P — Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of femoral artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.099D — Other specified injury of femoral artery, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Relapsing-remitting multiple sclerosis"}, {"role": "assistant", "content": "G35.A — Relapsing-remitting multiple sclerosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central cord syndrome at C1 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.121A — Central cord syndrome at C1 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified axilla, sequela"}, {"role": "assistant", "content": "T22.249S — Burn of second degree of unspecified axilla, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other effects of lightning, sequela"}, {"role": "assistant", "content": "T75.09XS — Other effects of lightning, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular lymphoma grade I, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C82.01 — Follicular lymphoma grade I, lymph nodes of head, face, and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.352N — Displaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.092K — Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.341G — Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.424K — Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified hand with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A395 — Non-pressure chronic ulcer of unspecified hand with muscle involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.106A — Unspecified dislocation of unspecified knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left elbow, initial encounter"}, {"role": "assistant", "content": "S51.002A — Unspecified open wound of left elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified ovarian cyst, right side"}, {"role": "assistant", "content": "N83.201 — Unspecified ovarian cyst, right side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of copper and its compounds, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T56.4X1S — Toxic effect of copper and its compounds, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.341P — Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of central nervous system, unspecified"}, {"role": "assistant", "content": "D43.9 — Neoplasm of uncertain behavior of central nervous system, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of splenic vein, subsequent encounter"}, {"role": "assistant", "content": "S35.321D — Laceration of splenic vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of right shoulder, initial encounter"}, {"role": "assistant", "content": "T22.651A — Corrosion of second degree of right shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.301A — Unspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified acquired deformity of hand, unspecified hand"}, {"role": "assistant", "content": "M21.949 — Unspecified acquired deformity of hand, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, left femur, initial encounter for fracture"}, {"role": "assistant", "content": "M84.652A — Pathological fracture in other disease, left femur, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.325E — Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified trochanteric fracture of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.102A — Unspecified trochanteric fracture of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural urethral stricture, male, unspecified"}, {"role": "assistant", "content": "N99.114 — Postprocedural urethral stricture, male, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified transplanted organ and tissue rejection"}, {"role": "assistant", "content": "T86.91 — Unspecified transplanted organ and tissue rejection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other genitourinary symptomatic late syphilis"}, {"role": "assistant", "content": "A52.76 — Other genitourinary symptomatic late syphilis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of fourth thoracic vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.049D — Unspecified fracture of fourth thoracic vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of peroneal nerve at lower leg level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S84.12XD — Injury of peroneal nerve at lower leg level, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.292D — Other fracture of shaft of left ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bimalleolar fracture of unspecified lower leg, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.846A — Nondisplaced bimalleolar fracture of unspecified lower leg, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with pick-up truck in traffic accident, sequela"}, {"role": "assistant", "content": "V43.53XS — Car driver injured in collision with pick-up truck in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epidural hemorrhage with loss of consciousness status unknown, initial encounter"}, {"role": "assistant", "content": "S06.4XAA — Epidural hemorrhage with loss of consciousness status unknown, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postthrombotic syndrome with ulcer of unspecified lower extremity"}, {"role": "assistant", "content": "I87.019 — Postthrombotic syndrome with ulcer of unspecified lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.419D — Corrosion of unspecified degree of unspecified ear [any part, except ear drum], subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.443D — Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 90% or more of body surface with 80-89% third degree burns"}, {"role": "assistant", "content": "T31.98 — Burns involving 90% or more of body surface with 80-89% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gout due to renal impairment, unspecified hand"}, {"role": "assistant", "content": "M10.349 — Gout due to renal impairment, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of phalanx of right toe, sequela"}, {"role": "assistant", "content": "S99.231S — Salter-Harris Type III physeal fracture of phalanx of right toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic pain due to trauma"}, {"role": "assistant", "content": "G89.21 — Chronic pain due to trauma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left shoulder, initial encounter"}, {"role": "assistant", "content": "S41.042A — Puncture wound with foreign body of left shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antithrombotic drugs, assault, sequela"}, {"role": "assistant", "content": "T45.523S — Poisoning by antithrombotic drugs, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of right wrist, initial encounter"}, {"role": "assistant", "content": "T34.511A — Frostbite with tissue necrosis of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified finger(s), initial encounter for fracture"}, {"role": "assistant", "content": "M84.346A — Stress fracture, unspecified finger(s), initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by periodontal disease in mother"}, {"role": "assistant", "content": "P00.81 — Newborn affected by periodontal disease in mother"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of first metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.245D — Nondisplaced fracture of shaft of first metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left knee, sequela"}, {"role": "assistant", "content": "T24.622S — Corrosion of second degree of left knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.021H — Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T50.2X1D — Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coxa magna, right hip"}, {"role": "assistant", "content": "M91.41 — Coxa magna, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for examination for normal comparison and control in clinical research program"}, {"role": "assistant", "content": "Z00.6 — Encounter for examination for normal comparison and control in clinical research program"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of lower back, sequela"}, {"role": "assistant", "content": "T21.64XS — Corrosion of second degree of lower back, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, initial encounter"}, {"role": "assistant", "content": "V50.4XXA — Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.925 — Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified nutritional deficiencies"}, {"role": "assistant", "content": "E63.8 — Other specified nutritional deficiencies"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving biological weapons, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.6X0A — Military operations involving biological weapons, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, sequela"}, {"role": "assistant", "content": "S46.102S — Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.395D — Other injury of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Late congenital syphilitic meningitis"}, {"role": "assistant", "content": "A50.41 — Late congenital syphilitic meningitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified seafood, undetermined, sequela"}, {"role": "assistant", "content": "T61.94XS — Toxic effect of unspecified seafood, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified knee, initial encounter"}, {"role": "assistant", "content": "T24.129A — Burn of first degree of unspecified knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.609R — Unspecified fracture of lower end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of posterior tibial artery, right leg, sequela"}, {"role": "assistant", "content": "S85.171S — Laceration of posterior tibial artery, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S01.329D — Laceration with foreign body of unspecified ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V54.7XXA — Person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other paralytic syndrome following other cerebrovascular disease affecting unspecified side"}, {"role": "assistant", "content": "I69.869 — Other paralytic syndrome following other cerebrovascular disease affecting unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cellulitis of right orbit"}, {"role": "assistant", "content": "H05.011 — Cellulitis of right orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to face presentation, other fetus"}, {"role": "assistant", "content": "O64.2XX9 — Obstructed labor due to face presentation, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathies in other specified diseases classified elsewhere, right wrist"}, {"role": "assistant", "content": "M14.831 — Arthropathies in other specified diseases classified elsewhere, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of marine mine, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.020D — War operations involving explosion of marine mine, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn involving larynx and trachea with lung, sequela"}, {"role": "assistant", "content": "T27.1XXS — Burn involving larynx and trachea with lung, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to thrombosis of unspecified anterior cerebral artery"}, {"role": "assistant", "content": "I63.329 — Cerebral infarction due to thrombosis of unspecified anterior cerebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hypertrichosis"}, {"role": "assistant", "content": "L68.8 — Other hypertrichosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon disulfide, intentional self-harm, sequela"}, {"role": "assistant", "content": "T65.4X2S — Toxic effect of carbon disulfide, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other abnormal tumor markers"}, {"role": "assistant", "content": "R97.8 — Other abnormal tumor markers"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury due to other accident to merchant ship, initial encounter"}, {"role": "assistant", "content": "V91.80XA — Other injury due to other accident to merchant ship, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postimmunization arthropathy, unspecified shoulder"}, {"role": "assistant", "content": "M02.219 — Postimmunization arthropathy, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body, right ankle, sequela"}, {"role": "assistant", "content": "S91.041S — Puncture wound with foreign body, right ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.301F — Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cleft hard and soft palate with bilateral cleft lip"}, {"role": "assistant", "content": "Q37.4 — Cleft hard and soft palate with bilateral cleft lip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.355H — Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salmonella infection, unspecified"}, {"role": "assistant", "content": "A02.9 — Salmonella infection, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of right little finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.127S — Laceration of flexor muscle, fascia and tendon of right little finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of unspecified ankle and foot, sequela"}, {"role": "assistant", "content": "T25.099S — Burn of unspecified degree of multiple sites of unspecified ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.032G — Salter-Harris Type III physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of cervical dysplasia"}, {"role": "assistant", "content": "Z87.410 — Personal history of cervical dysplasia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Striking against other stationary object, initial encounter"}, {"role": "assistant", "content": "W22.09XA — Striking against other stationary object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of third metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.322A — Displaced fracture of shaft of third metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Greenstick fracture of shaft of left ulna, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S52.212D — Greenstick fracture of shaft of left ulna, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified metal, assault, initial encounter"}, {"role": "assistant", "content": "T56.93XA — Toxic effect of unspecified metal, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driveway of other non-institutional residence as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.093 — Driveway of other non-institutional residence as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, sequela"}, {"role": "assistant", "content": "V05.931S — Pedestrian on standing electric scooter injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of right hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.501A — Corrosion of first degree of right hand, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of trochlear nerve, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S04.20XD — Injury of trochlear nerve, unspecified side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other streptococcal arthritis, unspecified hand"}, {"role": "assistant", "content": "M00.249 — Other streptococcal arthritis, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "T34.40XD — Frostbite with tissue necrosis of unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Familial chondrocalcinosis, left elbow"}, {"role": "assistant", "content": "M11.122 — Familial chondrocalcinosis, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by local astringents and local detergents, undetermined, sequela"}, {"role": "assistant", "content": "T49.2X4S — Poisoning by local astringents and local detergents, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T48.901A — Poisoning by unspecified agents primarily acting on the respiratory system, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being washed overboard from other powered watercraft, sequela"}, {"role": "assistant", "content": "V92.23XS — Drowning and submersion due to being washed overboard from other powered watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of one rib, right side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.31XD — Fracture of one rib, right side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.390S — Other injury of extensor muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of proximal end of tibia, unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.136A — Medial dislocation of proximal end of tibia, unspecified knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.334K — Stress fracture, left radius, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sezary disease, intrapelvic lymph nodes"}, {"role": "assistant", "content": "C84.16 — Sezary disease, intrapelvic lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, left ankle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.472G — Pathological fracture, left ankle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Opioid dependence with unspecified opioid-induced disorder"}, {"role": "assistant", "content": "F11.29 — Opioid dependence with unspecified opioid-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from or off toilet without subsequent striking against object, initial encounter"}, {"role": "assistant", "content": "W18.11XA — Fall from or off toilet without subsequent striking against object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fibrosis due to vascular prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T82.828S — Fibrosis due to vascular prosthetic devices, implants and grafts, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.234E — Nondisplaced oblique fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of prosthetic orbit of right eye, sequela"}, {"role": "assistant", "content": "T85.310S — Breakdown (mechanical) of prosthetic orbit of right eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela"}, {"role": "assistant", "content": "T50.A15S — Adverse effect of pertussis vaccine, including combinations with a pertussis component, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Zoster encephalitis"}, {"role": "assistant", "content": "B02.0 — Zoster encephalitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.444G — Nondisplaced spiral fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypoplasia of testis and scrotum"}, {"role": "assistant", "content": "Q55.1 — Hypoplasia of testis and scrotum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to mold (toxic)"}, {"role": "assistant", "content": "Z77.120 — Contact with and (suspected) exposure to mold (toxic)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.432K — Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinal vasculitis, left eye"}, {"role": "assistant", "content": "H35.062 — Retinal vasculitis, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mild cervical dysplasia"}, {"role": "assistant", "content": "N87.0 — Mild cervical dysplasia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for fitting and adjustment of other external prosthetic devices"}, {"role": "assistant", "content": "Z44.8 — Encounter for fitting and adjustment of other external prosthetic devices"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified congenital malformations of brain"}, {"role": "assistant", "content": "Q04.8 — Other specified congenital malformations of brain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left buttock, sequela"}, {"role": "assistant", "content": "S31.822S — Laceration with foreign body of left buttock, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.069G — Unspecified fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.265R — Nondisplaced segmental fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with other diabetic arthropathy"}, {"role": "assistant", "content": "E08.618 — Diabetes mellitus due to underlying condition with other diabetic arthropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Developmental disorders of jaws"}, {"role": "assistant", "content": "M27.0 — Developmental disorders of jaws"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans progressiva, left forearm"}, {"role": "assistant", "content": "M61.132 — Myositis ossificans progressiva, left forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of orbital floor, right side, sequela"}, {"role": "assistant", "content": "S02.31XS — Fracture of orbital floor, right side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of descending [left] colon, initial encounter"}, {"role": "assistant", "content": "S36.502A — Unspecified injury of descending [left] colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified part of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.299D — Other injury of unspecified part of pancreas, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, sequela"}, {"role": "assistant", "content": "V23.49XS — Other motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of corneal transplant, right eye"}, {"role": "assistant", "content": "T86.8481 — Other complications of corneal transplant, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for vertical scar from previous cesarean delivery"}, {"role": "assistant", "content": "O34.212 — Maternal care for vertical scar from previous cesarean delivery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of peroneal vein, bilateral"}, {"role": "assistant", "content": "I80.243 — Phlebitis and thrombophlebitis of peroneal vein, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of head, face, and neck, initial encounter"}, {"role": "assistant", "content": "T20.19XA — Burn of first degree of multiple sites of head, face, and neck, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "T24.619D — Corrosion of second degree of unspecified thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S81.851D — Open bite, right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], right elbow"}, {"role": "assistant", "content": "M12.021 — Chronic postrheumatic arthropathy [Jaccoud], right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to radon, subsequent encounter"}, {"role": "assistant", "content": "X39.01XD — Exposure to radon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other seborrheic dermatitis"}, {"role": "assistant", "content": "L21.8 — Other seborrheic dermatitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Family history of other diseases of the respiratory system"}, {"role": "assistant", "content": "Z83.6 — Family history of other diseases of the respiratory system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Solitary plasmacytoma in remission"}, {"role": "assistant", "content": "C90.31 — Solitary plasmacytoma in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of second lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.029B — Unspecified fracture of second lumbar vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by macrolides, undetermined, initial encounter"}, {"role": "assistant", "content": "T36.3X4A — Poisoning by macrolides, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.126H — Nondisplaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transmetacarpal amputation of left hand, initial encounter"}, {"role": "assistant", "content": "S68.712A — Complete traumatic transmetacarpal amputation of left hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 1"}, {"role": "assistant", "content": "O35.19X1 — Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.24XQ — Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of trapezoid [smaller multangular], left wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.182A — Displaced fracture of trapezoid [smaller multangular], left wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Symptomatic postprocedural ovarian failure"}, {"role": "assistant", "content": "E89.41 — Symptomatic postprocedural ovarian failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic intracerebral hemorrhage, multiple localized"}, {"role": "assistant", "content": "I61.6 — Nontraumatic intracerebral hemorrhage, multiple localized"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other shellfish poisoning, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T61.782A — Other shellfish poisoning, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), right foot, subsequent encounter"}, {"role": "assistant", "content": "S90.821D — Blister (nonthermal), right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T53.91XD — Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of benzene, intentional self-harm, sequela"}, {"role": "assistant", "content": "T52.1X2S — Toxic effect of benzene, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4"}, {"role": "assistant", "content": "O36.5934 — Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other gliding-type pedestrian conveyance colliding with stationary object, sequela"}, {"role": "assistant", "content": "V00.282S — Pedestrian on other gliding-type pedestrian conveyance colliding with stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of greater saphenous vein at hip and thigh level, left leg, sequela"}, {"role": "assistant", "content": "S75.292S — Other specified injury of greater saphenous vein at hip and thigh level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other viral diseases complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O98.513 — Other viral diseases complicating pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of unspecified radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.006D — Unspecified dislocation of unspecified radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.422D — Laceration with foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, unspecified shoulder, sequela"}, {"role": "assistant", "content": "M84.419S — Pathological fracture, unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiviral drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T37.5X4A — Poisoning by antiviral drugs, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitrogen oxides, undetermined, sequela"}, {"role": "assistant", "content": "T59.0X4S — Toxic effect of nitrogen oxides, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.044P — Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary osteonecrosis, unspecified fibula"}, {"role": "assistant", "content": "M87.366 — Other secondary osteonecrosis, unspecified fibula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified adult maltreatment, confirmed, initial encounter"}, {"role": "assistant", "content": "T74.91XA — Unspecified adult maltreatment, confirmed, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S90.466S — Insect bite (nonvenomous), unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.211D — Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, left ankle, initial encounter for fracture"}, {"role": "assistant", "content": "M84.472A — Pathological fracture, left ankle, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lesser trochanter of right femur, sequela"}, {"role": "assistant", "content": "S72.124S — Nondisplaced fracture of lesser trochanter of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of right calf muscular vein"}, {"role": "assistant", "content": "I82.461 — Acute embolism and thrombosis of right calf muscular vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other soft tissue disorders related to use, overuse and pressure, unspecified shoulder"}, {"role": "assistant", "content": "M70.819 — Other soft tissue disorders related to use, overuse and pressure, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.516D — Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.211K — Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S86.892A — Other injury of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of pituitary gland, unspecified"}, {"role": "assistant", "content": "E23.7 — Disorder of pituitary gland, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of left little finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.257S — Open bite of left little finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified contact dermatitis due to plants, except food"}, {"role": "assistant", "content": "L25.5 — Unspecified contact dermatitis due to plants, except food"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.146E — Nondisplaced intertrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous amphibian, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.831A — Toxic effect of contact with other venomous amphibian, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.506D — Unspecified injury of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left middle finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.213A — Laceration without foreign body of left middle finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of nipple and areola, right female breast"}, {"role": "assistant", "content": "C50.011 — Malignant neoplasm of nipple and areola, right female breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand, initial encounter"}, {"role": "assistant", "content": "T22.391A — Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Scheie's syndrome"}, {"role": "assistant", "content": "E76.03 — Scheie's syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stem cells transplant status"}, {"role": "assistant", "content": "Z94.84 — Stem cells transplant status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving other forms of conventional warfare, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.491A — Military operations involving other forms of conventional warfare, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of other specified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S10.87XD — Other superficial bite of other specified part of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with powered garden and outdoor hand tools and machinery, subsequent encounter"}, {"role": "assistant", "content": "W29.3XXD — Contact with powered garden and outdoor hand tools and machinery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of left fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.312D — Salter-Harris Type I physeal fracture of lower end of left fibula, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of humerus, left arm, sequela"}, {"role": "assistant", "content": "S49.092S — Other physeal fracture of upper end of humerus, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hereditary corneal dystrophies, bilateral"}, {"role": "assistant", "content": "H18.593 — Other hereditary corneal dystrophies, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other shellfish poisoning, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T61.784D — Other shellfish poisoning, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn small for gestational age, less than 500 grams"}, {"role": "assistant", "content": "P05.11 — Newborn small for gestational age, less than 500 grams"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in trachea causing other injury, subsequent encounter"}, {"role": "assistant", "content": "T17.408D — Unspecified foreign body in trachea causing other injury, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.436A — Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.342R — Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in right ear, initial encounter"}, {"role": "assistant", "content": "T16.1XXA — Foreign body in right ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple right fingers (nail), not including thumb, sequela"}, {"role": "assistant", "content": "T23.631S — Corrosion of second degree of multiple right fingers (nail), not including thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of procedure, initial encounter"}, {"role": "assistant", "content": "T81.9XXA — Unspecified complication of procedure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of unspecified patella, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.023K — Displaced longitudinal fracture of unspecified patella, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter"}, {"role": "assistant", "content": "T22.092A — Burn of unspecified degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, left pelvis, sequela"}, {"role": "assistant", "content": "M80.0B2S — Age-related osteoporosis with current pathological fracture, left pelvis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving other fires, conflagrations and hot substances, military personnel, sequela"}, {"role": "assistant", "content": "Y36.390S — War operations involving other fires, conflagrations and hot substances, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Xanthelasma of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.60 — Xanthelasma of unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.405D — Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified internal derangement of left knee"}, {"role": "assistant", "content": "M23.92 — Unspecified internal derangement of left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursitis, not elsewhere classified, left hip"}, {"role": "assistant", "content": "M71.552 — Other bursitis, not elsewhere classified, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.506G — Nondisplaced unspecified fracture of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of carpometacarpal joint of right thumb, initial encounter"}, {"role": "assistant", "content": "S63.041A — Subluxation of carpometacarpal joint of right thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right index finger, sequela"}, {"role": "assistant", "content": "S65.510S — Laceration of blood vessel of right index finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of penis, initial encounter"}, {"role": "assistant", "content": "S30.862A — Insect bite (nonvenomous) of penis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysfunction of the multifidus muscles, lumbar region"}, {"role": "assistant", "content": "M62.85 — Dysfunction of the multifidus muscles, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neurotrophic keratoconjunctivitis, unspecified eye"}, {"role": "assistant", "content": "H16.239 — Neurotrophic keratoconjunctivitis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedure"}, {"role": "assistant", "content": "H59.319 — Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cervical disc displacement, high cervical region"}, {"role": "assistant", "content": "M50.21 — Other cervical disc displacement, high cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.255E — Nondisplaced comminuted fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of tooth (traumatic), initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.5XXA — Fracture of tooth (traumatic), initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Building [any] under construction as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.61 — Building [any] under construction as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Algoneurodystrophy, unspecified forearm"}, {"role": "assistant", "content": "M89.039 — Algoneurodystrophy, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural fever"}, {"role": "assistant", "content": "R50.82 — Postprocedural fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of peripheral nerves of right lower limb, including hip"}, {"role": "assistant", "content": "C47.21 — Malignant neoplasm of peripheral nerves of right lower limb, including hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at unspecified level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.109S — Unspecified injury at unspecified level of thoracic spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.211D — Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minimally displaced Zone I fracture of sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.111G — Minimally displaced Zone I fracture of sacrum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for disproportion due to other fetal deformities, not applicable or unspecified"}, {"role": "assistant", "content": "O33.7XX0 — Maternal care for disproportion due to other fetal deformities, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2361 — Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O36.0195 — Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of trapezoid [smaller multangular], unspecified wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.183G — Displaced fracture of trapezoid [smaller multangular], unspecified wrist, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.032P — Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.412F — Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leptospirosis, unspecified"}, {"role": "assistant", "content": "A27.9 — Leptospirosis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gross hematuria"}, {"role": "assistant", "content": "R31.0 — Gross hematuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified interphalangeal joint of right middle finger, initial encounter"}, {"role": "assistant", "content": "S63.222A — Subluxation of unspecified interphalangeal joint of right middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left thumb, initial encounter"}, {"role": "assistant", "content": "S60.322A — Blister (nonthermal) of left thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified perforation of tympanic membrane, left ear"}, {"role": "assistant", "content": "H72.92 — Unspecified perforation of tympanic membrane, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of thallium, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T56.811D — Toxic effect of thallium, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.551E — Other extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), right thigh"}, {"role": "assistant", "content": "M62.151 — Other rupture of muscle (nontraumatic), right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia with macular hole, unspecified eye"}, {"role": "assistant", "content": "H44.2B9 — Degenerative myopia with macular hole, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arcus senilis, right eye"}, {"role": "assistant", "content": "H18.411 — Arcus senilis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complex tear of medial meniscus, current injury, right knee, initial encounter"}, {"role": "assistant", "content": "S83.231A — Complex tear of medial meniscus, current injury, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by unspecified hot objects, sequela"}, {"role": "assistant", "content": "X77.9XXS — Intentional self-harm by unspecified hot objects, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peritonsillar abscess"}, {"role": "assistant", "content": "J36 — Peritonsillar abscess"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Keratomalacia, right eye"}, {"role": "assistant", "content": "H18.441 — Keratomalacia, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endocrine, nutritional and metabolic diseases complicating childbirth"}, {"role": "assistant", "content": "O99.284 — Endocrine, nutritional and metabolic diseases complicating childbirth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis condensans, left forearm"}, {"role": "assistant", "content": "M85.332 — Osteitis condensans, left forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee"}, {"role": "assistant", "content": "M05.569 — Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other combined immunodeficiencies"}, {"role": "assistant", "content": "D81.89 — Other combined immunodeficiencies"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater tuberosity of right humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.251B — Displaced fracture of greater tuberosity of right humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of second cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.190A — Other displaced fracture of second cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other and unspecified ventral hernia with obstruction, without gangrene"}, {"role": "assistant", "content": "K43.6 — Other and unspecified ventral hernia with obstruction, without gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of left palm, initial encounter"}, {"role": "assistant", "content": "T23.552A — Corrosion of first degree of left palm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, calisthenics"}, {"role": "assistant", "content": "Y93.A2 — Activity, calisthenics"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonrheumatic mitral (valve) prolapse"}, {"role": "assistant", "content": "I34.1 — Nonrheumatic mitral (valve) prolapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hang-glider accident injuring occupant, sequela"}, {"role": "assistant", "content": "V96.19XS — Other hang-glider accident injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, left tibia"}, {"role": "assistant", "content": "M87.862 — Other osteonecrosis, left tibia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S91.126S — Laceration with foreign body of unspecified lesser toe(s) without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye"}, {"role": "assistant", "content": "E09.3412 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for screening for lower gastrointestinal disorder"}, {"role": "assistant", "content": "Z13.811 — Encounter for screening for lower gastrointestinal disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antimycobacterial drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T37.1X4A — Poisoning by antimycobacterial drugs, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, unspecified foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.576K — Pathological fracture in neoplastic disease, unspecified foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified palm, subsequent encounter"}, {"role": "assistant", "content": "T23.159D — Burn of first degree of unspecified palm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of unspecified acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.456K — Nondisplaced transverse fracture of unspecified acetabulum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified blood vessel at hip and thigh level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.909D — Unspecified injury of unspecified blood vessel at hip and thigh level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of zinc and its compounds, intentional self-harm, sequela"}, {"role": "assistant", "content": "T56.5X2S — Toxic effect of zinc and its compounds, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.102K — Unspecified physeal fracture of lower end of left tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.131A — Contusion of right middle finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.034K — Nondisplaced fracture of proximal third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of right radial styloid process, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.511D — Displaced fracture of right radial styloid process, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arteriovenous fistula of pulmonary vessels"}, {"role": "assistant", "content": "I28.0 — Arteriovenous fistula of pulmonary vessels"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, unspecified thigh, sequela"}, {"role": "assistant", "content": "S70.359S — Superficial foreign body, unspecified thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries"}, {"role": "assistant", "content": "I63.513 — Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified radius, sequela"}, {"role": "assistant", "content": "S52.109S — Unspecified fracture of upper end of unspecified radius, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, right toe(s)"}, {"role": "assistant", "content": "M60.076 — Infective myositis, right toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Delayed milestone in childhood"}, {"role": "assistant", "content": "R62.0 — Delayed milestone in childhood"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving gasoline bomb, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.311A — Military operations involving gasoline bomb, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.112D — Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to industrial wiring, appliances and electrical machinery, sequela"}, {"role": "assistant", "content": "W86.1XXS — Exposure to industrial wiring, appliances and electrical machinery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid lung disease with rheumatoid arthritis of left shoulder"}, {"role": "assistant", "content": "M05.112 — Rheumatoid lung disease with rheumatoid arthritis of left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pulmonary coccidioidomycosis, unspecified"}, {"role": "assistant", "content": "B38.2 — Pulmonary coccidioidomycosis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pain in right leg"}, {"role": "assistant", "content": "M79.604 — Pain in right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by barbiturates, undetermined, sequela"}, {"role": "assistant", "content": "T42.3X4S — Poisoning by barbiturates, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of left wrist and hand, sequela"}, {"role": "assistant", "content": "T23.692S — Corrosion of second degree of multiple sites of left wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper and lower end of left fibula, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.832P — Other fracture of upper and lower end of left fibula, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V03.02XD — Pedestrian on skateboard injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.431G — Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by cephalosporins and other beta-lactam antibiotics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T36.1X1A — Poisoning by cephalosporins and other beta-lactam antibiotics, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other gonococcal infection of lower genitourinary tract"}, {"role": "assistant", "content": "A54.09 — Other gonococcal infection of lower genitourinary tract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antihypertensive drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T46.5X4A — Poisoning by other antihypertensive drugs, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right great toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.421B — Displaced fracture of distal phalanx of right great toe, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central retinal vein occlusion, bilateral, stable"}, {"role": "assistant", "content": "H34.8132 — Central retinal vein occlusion, bilateral, stable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bicuspid aortic valve"}, {"role": "assistant", "content": "Q23.81 — Bicuspid aortic valve"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lesser trochanter of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.125P — Nondisplaced fracture of lesser trochanter of left femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of occiput, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.118G — Other fracture of occiput, unspecified side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of left index finger, subsequent encounter"}, {"role": "assistant", "content": "S60.441D — External constriction of left index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified intrathoracic organs, sequela"}, {"role": "assistant", "content": "S27.899S — Unspecified injury of other specified intrathoracic organs, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postural kyphosis, site unspecified"}, {"role": "assistant", "content": "M40.00 — Postural kyphosis, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by hot tap water, initial encounter"}, {"role": "assistant", "content": "X98.1XXA — Assault by hot tap water, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.122N — Displaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.10XD — Contusion of unspecified eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of left elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.422D — Corrosion of unspecified degree of left elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S00.469D — Insect bite (nonvenomous) of unspecified ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter"}, {"role": "assistant", "content": "S06.370A — Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemorrhagic disorder due to extrinsic circulating anticoagulants"}, {"role": "assistant", "content": "D68.32 — Hemorrhagic disorder due to extrinsic circulating anticoagulants"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.256K — Nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of left eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.272A — Other superficial bite of left eyelid and periocular area, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis of peripheral vascular stent, sequela"}, {"role": "assistant", "content": "T82.856S — Stenosis of peripheral vascular stent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.353Q — Displaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, right knee, initial encounter"}, {"role": "assistant", "content": "S80.211A — Abrasion, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other isoimmunization, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.1930 — Maternal care for other isoimmunization, third trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by intravenous anesthetics, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T41.1X2D — Poisoning by intravenous anesthetics, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of tetracyclines, subsequent encounter"}, {"role": "assistant", "content": "T36.4X5D — Adverse effect of tetracyclines, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foster-Kennedy syndrome, bilateral"}, {"role": "assistant", "content": "H47.143 — Foster-Kennedy syndrome, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acoustic neuritis in infectious and parasitic diseases classified elsewhere, bilateral"}, {"role": "assistant", "content": "H94.03 — Acoustic neuritis in infectious and parasitic diseases classified elsewhere, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.272A — Torus fracture of upper end of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture"}, {"role": "assistant", "content": "M80.0B9A — Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.414G — Nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S68.127D — Partial traumatic metacarpophalangeal amputation of left little finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture (chip fracture) of unspecified talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.153P — Displaced avulsion fracture (chip fracture) of unspecified talus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of ascending [right] colon, initial encounter"}, {"role": "assistant", "content": "S36.510A — Primary blast injury of ascending [right] colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of metacarpophalangeal joint of right ring finger, initial encounter"}, {"role": "assistant", "content": "S63.214A — Subluxation of metacarpophalangeal joint of right ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other adverse food reactions, not elsewhere classified, initial encounter"}, {"role": "assistant", "content": "T78.19XA — Other adverse food reactions, not elsewhere classified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E09.3391 — Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol dependence with alcohol-induced persisting amnestic disorder"}, {"role": "assistant", "content": "F10.26 — Alcohol dependence with alcohol-induced persisting amnestic disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, unspecified thigh"}, {"role": "assistant", "content": "M70.959 — Unspecified soft tissue disorder related to use, overuse and pressure, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified fracture of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.492K — Other specified fracture of left acetabulum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.402B — Unspecified fracture of shaft of left fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.433J — Displaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.329P — Stress fracture, unspecified humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by mixed antiepileptics, assault, sequela"}, {"role": "assistant", "content": "T42.5X3S — Poisoning by mixed antiepileptics, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified great toe without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.143D — Puncture wound with foreign body of unspecified great toe without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lower leg, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.899B — Other fracture of unspecified lower leg, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right shoulder, sequela"}, {"role": "assistant", "content": "M80.011S — Age-related osteoporosis with current pathological fracture, right shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.042F — Displaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of halogenated insecticides, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T60.1X1S — Toxic effect of halogenated insecticides, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cochlear otosclerosis, bilateral"}, {"role": "assistant", "content": "H80.23 — Cochlear otosclerosis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of right foot, initial encounter"}, {"role": "assistant", "content": "T25.321A — Burn of third degree of right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by aspirin, assault, initial encounter"}, {"role": "assistant", "content": "T39.013A — Poisoning by aspirin, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Zone II fracture of sacrum, sequela"}, {"role": "assistant", "content": "S32.120S — Nondisplaced Zone II fracture of sacrum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of right kidney, sequela"}, {"role": "assistant", "content": "S37.091S — Other injury of right kidney, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystic meniscus, unspecified medial meniscus, left knee"}, {"role": "assistant", "content": "M23.004 — Cystic meniscus, unspecified medial meniscus, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.426P — Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent atlantoaxial dislocation with myelopathy"}, {"role": "assistant", "content": "M43.3 — Recurrent atlantoaxial dislocation with myelopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of right index finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.650B — Nondisplaced fracture of middle phalanx of right index finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.391S — Other fracture of second metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Smoking (tobacco) complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.333 — Smoking (tobacco) complicating pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.305A — Unspecified injury of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.324N — Nondisplaced transverse fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of third thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.031K — Stable burst fracture of third thoracic vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S90.829D — Blister (nonthermal), unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cervical high risk human papillomavirus (HPV) DNA test positive"}, {"role": "assistant", "content": "R87.810 — Cervical high risk human papillomavirus (HPV) DNA test positive"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.102K — Unspecified physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Albinism with hematologic abnormality, unspecified"}, {"role": "assistant", "content": "E70.339 — Albinism with hematologic abnormality, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced osteochondral fracture of right patella, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.014K — Nondisplaced osteochondral fracture of right patella, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T42.8X2D — Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chondrocalcinosis, unspecified wrist"}, {"role": "assistant", "content": "M11.239 — Other chondrocalcinosis, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V33.2XXS — Person on outside of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of fluorine gas and hydrogen fluoride, assault, initial encounter"}, {"role": "assistant", "content": "T59.5X3A — Toxic effect of fluorine gas and hydrogen fluoride, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified problems related to primary support group"}, {"role": "assistant", "content": "Z63.8 — Other specified problems related to primary support group"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of right tibial spine, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.114G — Nondisplaced fracture of right tibial spine, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hb-SS disease with crisis with other specified complication"}, {"role": "assistant", "content": "D57.09 — Hb-SS disease with crisis with other specified complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of left tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.262K — Displaced segmental fracture of shaft of left tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retrovirus infections, not elsewhere classified"}, {"role": "assistant", "content": "B33.3 — Retrovirus infections, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic migraine with aura, intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.E19 — Chronic migraine with aura, intractable, without status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.513S — Displaced fracture of proximal phalanx of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of right shoulder"}, {"role": "assistant", "content": "Z89.231 — Acquired absence of right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, initial encounter"}, {"role": "assistant", "content": "T50.2X5A — Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from non-moving nonmotorized scooter, subsequent encounter"}, {"role": "assistant", "content": "W05.1XXD — Fall from non-moving nonmotorized scooter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for observation for suspected ingested foreign body ruled out"}, {"role": "assistant", "content": "Z03.821 — Encounter for observation for suspected ingested foreign body ruled out"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sequelae following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.098 — Other sequelae following nontraumatic subarachnoid hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathies in other specified diseases classified elsewhere, unspecified shoulder"}, {"role": "assistant", "content": "M14.819 — Arthropathies in other specified diseases classified elsewhere, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of unspecified site"}, {"role": "assistant", "content": "I70.549 — Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of one left lesser toe, subsequent encounter"}, {"role": "assistant", "content": "S98.142D — Partial traumatic amputation of one left lesser toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right lesser toe(s) with damage to nail, sequela"}, {"role": "assistant", "content": "S91.244S — Puncture wound with foreign body of right lesser toe(s) with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 60-69% of body surface with 30-39% third degree corrosion"}, {"role": "assistant", "content": "T32.63 — Corrosions involving 60-69% of body surface with 30-39% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of heart valve prosthesis, sequela"}, {"role": "assistant", "content": "T82.02XS — Displacement of heart valve prosthesis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified enophthalmos, unspecified eye"}, {"role": "assistant", "content": "H05.409 — Unspecified enophthalmos, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paving stone degeneration of retina, right eye"}, {"role": "assistant", "content": "H35.431 — Paving stone degeneration of retina, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Iliotibial band syndrome, right leg"}, {"role": "assistant", "content": "M76.31 — Iliotibial band syndrome, right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of benzodiazepines, initial encounter"}, {"role": "assistant", "content": "T42.4X5A — Adverse effect of benzodiazepines, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia with foveoschisis, left eye"}, {"role": "assistant", "content": "H44.2D2 — Degenerative myopia with foveoschisis, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified parts of thorax, initial encounter"}, {"role": "assistant", "content": "S20.96XA — Insect bite (nonvenomous) of unspecified parts of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of amputation stump, left lower extremity"}, {"role": "assistant", "content": "T87.44 — Infection of amputation stump, left lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of left humerus, subsequent encounter"}, {"role": "assistant", "content": "S43.015D — Anterior dislocation of left humerus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified fracture of left acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.492G — Other specified fracture of left acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Long term (current) use of systemic steroids"}, {"role": "assistant", "content": "Z79.52 — Long term (current) use of systemic steroids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between other powered watercraft and other watercraft or other object, sequela"}, {"role": "assistant", "content": "V91.23XS — Fall due to collision between other powered watercraft and other watercraft or other object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified pesticide, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T60.94XD — Toxic effect of unspecified pesticide, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with paper-cutter, subsequent encounter"}, {"role": "assistant", "content": "W27.5XXD — Contact with paper-cutter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V02.92XD — Pedestrian on skateboard injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of second metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.324G — Nondisplaced fracture of second metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V51.3XXA — Unspecified occupant of pick-up truck or van injured in collision with pedal cycle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial subluxation of unspecified ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.133D — Medial subluxation of unspecified ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Macular cyst, hole, or pseudohole, left eye"}, {"role": "assistant", "content": "H35.342 — Macular cyst, hole, or pseudohole, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conduct disorder, unspecified"}, {"role": "assistant", "content": "F91.9 — Conduct disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.100A — Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on foot injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V01.90XA — Pedestrian on foot injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other non-diabetic proliferative retinopathy, right eye"}, {"role": "assistant", "content": "H35.21 — Other non-diabetic proliferative retinopathy, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lesser trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.121F — Displaced fracture of lesser trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of bus injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V71.0XXS — Driver of bus injured in collision with pedal cycle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.919G — Unspecified fracture of unspecified toe(s), subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural hepatorenal syndrome"}, {"role": "assistant", "content": "K91.83 — Postprocedural hepatorenal syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.111A — Laceration without foreign body of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of left foot, initial encounter"}, {"role": "assistant", "content": "S90.872A — Other superficial bite of left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.436A — Nondisplaced fracture of medial condyle of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple sites of left wrist and hand, sequela"}, {"role": "assistant", "content": "T23.392S — Burn of third degree of multiple sites of left wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of right radial styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.514C — Nondisplaced fracture of right radial styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left tibial tuberosity, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.155P — Nondisplaced fracture of left tibial tuberosity, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.522D — Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified alcohol, undetermined, sequela"}, {"role": "assistant", "content": "T51.94XS — Toxic effect of unspecified alcohol, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris"}, {"role": "assistant", "content": "I25.790 — Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S56.512D — Strain of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified metatarsal bone(s), right foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.301D — Fracture of unspecified metatarsal bone(s), right foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of aerial bomb, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.210D — War operations involving explosion of aerial bomb, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of unspecified hip and thigh, initial encounter"}, {"role": "assistant", "content": "T34.60XA — Frostbite with tissue necrosis of unspecified hip and thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.539D — Corrosion of first degree of unspecified toe(s) (nail), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hypertrophic osteoarthropathy, unspecified ankle and foot"}, {"role": "assistant", "content": "M89.479 — Other hypertrophic osteoarthropathy, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of right pulmonary blood vessels, initial encounter"}, {"role": "assistant", "content": "S25.411A — Minor laceration of right pulmonary blood vessels, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter"}, {"role": "assistant", "content": "T85.112A — Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of right little finger, initial encounter"}, {"role": "assistant", "content": "S60.446A — External constriction of right little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Right upper quadrant rebound abdominal tenderness"}, {"role": "assistant", "content": "R10.821 — Right upper quadrant rebound abdominal tenderness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left front wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.302A — Unspecified open wound of left front wall of thorax with penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T38.6X2D — Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of tracheostomy stoma"}, {"role": "assistant", "content": "J95.02 — Infection of tracheostomy stoma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture of right ischium, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.611G — Displaced avulsion fracture of right ischium, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T48.902A — Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gonococcal pharyngitis"}, {"role": "assistant", "content": "A54.5 — Gonococcal pharyngitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for transverse and oblique lie, fetus 3"}, {"role": "assistant", "content": "O32.2XX3 — Maternal care for transverse and oblique lie, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of calcaneofibular ligament of right ankle, sequela"}, {"role": "assistant", "content": "S93.411S — Sprain of calcaneofibular ligament of right ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.235D — Nondisplaced oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified multiple fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.039D — Burn of unspecified degree of unspecified multiple fingers (nail), not including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter"}, {"role": "assistant", "content": "S31.021A — Laceration with foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of tarsometatarsal joint of right foot, subsequent encounter"}, {"role": "assistant", "content": "S93.321D — Subluxation of tarsometatarsal joint of right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.346B — Nondisplaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Left testicular pain"}, {"role": "assistant", "content": "N50.812 — Left testicular pain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.414K — Nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to smothering under another person's body (in bed), accidental, initial encounter"}, {"role": "assistant", "content": "T71.141A — Asphyxiation due to smothering under another person's body (in bed), accidental, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.332A — Burn of third degree of left toe(s) (nail), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Excessive and redundant skin and subcutaneous tissue"}, {"role": "assistant", "content": "L98.7 — Excessive and redundant skin and subcutaneous tissue"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in noncollision transport accident in traffic accident, initial encounter"}, {"role": "assistant", "content": "V68.6XXA — Passenger in heavy transport vehicle injured in noncollision transport accident in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C81.94 — Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of L1/L2 lumbar vertebra, subsequent encounter"}, {"role": "assistant", "content": "S33.110D — Subluxation of L1/L2 lumbar vertebra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "T24.019D — Burn of unspecified degree of unspecified thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, third trimester, fetus 1"}, {"role": "assistant", "content": "O41.1231 — Chorioamnionitis, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V31.9XXD — Unspecified occupant of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gas gangrene"}, {"role": "assistant", "content": "A48.0 — Gas gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other benign mammary dysplasias of unspecified breast"}, {"role": "assistant", "content": "N60.89 — Other benign mammary dysplasias of unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign and innocent cardiac murmurs"}, {"role": "assistant", "content": "R01.0 — Benign and innocent cardiac murmurs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right wrist and hand, sequela"}, {"role": "assistant", "content": "S63.004S — Unspecified dislocation of right wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chondrocalcinosis, left knee"}, {"role": "assistant", "content": "M11.262 — Other chondrocalcinosis, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for fetal problem, unspecified, third trimester, fetus 2"}, {"role": "assistant", "content": "O36.93X2 — Maternal care for fetal problem, unspecified, third trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage"}, {"role": "assistant", "content": "L89.40 — Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.612A — Laceration without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.8X1P — Other fracture of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of unspecified part of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.269A — Major laceration of unspecified part of pancreas, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of left tibial tuberosity, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.152D — Displaced fracture of left tibial tuberosity, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.132A — Contusion of left middle finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flail joint, right hip"}, {"role": "assistant", "content": "M25.251 — Flail joint, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diverticulosis of large intestine without perforation or abscess with bleeding"}, {"role": "assistant", "content": "K57.31 — Diverticulosis of large intestine without perforation or abscess with bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by otorhinolaryngological drugs and preparations, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T49.6X1A — Poisoning by otorhinolaryngological drugs and preparations, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, right knee, initial encounter"}, {"role": "assistant", "content": "S81.031A — Puncture wound without foreign body, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with goose, subsequent encounter"}, {"role": "assistant", "content": "W61.59XD — Other contact with goose, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F10.951 — Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), unspecified forearm"}, {"role": "assistant", "content": "M62.139 — Other rupture of muscle (nontraumatic), unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of left thumb, initial encounter"}, {"role": "assistant", "content": "S63.642A — Sprain of metacarpophalangeal joint of left thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteophyte, unspecified hip"}, {"role": "assistant", "content": "M25.759 — Osteophyte, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Falling, jumping or pushed from a high place, undetermined intent, initial encounter"}, {"role": "assistant", "content": "Y30.XXXA — Falling, jumping or pushed from a high place, undetermined intent, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Furuncle of groin"}, {"role": "assistant", "content": "L02.224 — Furuncle of groin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified ilium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.399B — Other fracture of unspecified ilium, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.299A — Other physeal fracture of lower end of radius, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury to barefoot water-skier, subsequent encounter"}, {"role": "assistant", "content": "V94.4XXD — Injury to barefoot water-skier, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete lesion of L4 level of lumbar spinal cord, sequela"}, {"role": "assistant", "content": "S34.114S — Complete lesion of L4 level of lumbar spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.251D — Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact blepharoconjunctivitis, right eye"}, {"role": "assistant", "content": "H10.531 — Contact blepharoconjunctivitis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete loss of teeth, unspecified cause, class IV"}, {"role": "assistant", "content": "K08.104 — Complete loss of teeth, unspecified cause, class IV"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.351G — Displaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital absence of both forearm and hand, unspecified upper limb"}, {"role": "assistant", "content": "Q71.20 — Congenital absence of both forearm and hand, unspecified upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving unspecified weapon of mass destruction [WMD], sequela"}, {"role": "assistant", "content": "Y36.91XS — War operations involving unspecified weapon of mass destruction [WMD], sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction"}, {"role": "assistant", "content": "I23.6 — Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular dementia, moderate, with anxiety"}, {"role": "assistant", "content": "F01.B4 — Vascular dementia, moderate, with anxiety"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of T7-T8 vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.069B — Unspecified fracture of T7-T8 vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Necrosis of amputation stump, left lower extremity"}, {"role": "assistant", "content": "T87.54 — Necrosis of amputation stump, left lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of tarsal ligament of left foot, subsequent encounter"}, {"role": "assistant", "content": "S93.612D — Sprain of tarsal ligament of left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bacterial sepsis of newborn, unspecified"}, {"role": "assistant", "content": "P36.9 — Bacterial sepsis of newborn, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.031K — Salter-Harris Type III physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inhalation of liquid air, subsequent encounter"}, {"role": "assistant", "content": "W93.12XD — Inhalation of liquid air, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of third thoracic vertebra, sequela"}, {"role": "assistant", "content": "S22.031S — Stable burst fracture of third thoracic vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary malignant neoplasm of liver and intrahepatic bile duct"}, {"role": "assistant", "content": "C78.7 — Secondary malignant neoplasm of liver and intrahepatic bile duct"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other juvenile arthritis, right knee"}, {"role": "assistant", "content": "M08.861 — Other juvenile arthritis, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of anthelminthics, subsequent encounter"}, {"role": "assistant", "content": "T37.4X6D — Underdosing of anthelminthics, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture"}, {"role": "assistant", "content": "M80.0B1A — Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of left toe(s), initial encounter"}, {"role": "assistant", "content": "T34.832A — Frostbite with tissue necrosis of left toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of rectum, subsequent encounter"}, {"role": "assistant", "content": "S36.60XD — Unspecified injury of rectum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of left tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.032P — Salter-Harris Type III physeal fracture of upper end of left tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified single finger (nail) except thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.529D — Corrosion of first degree of unspecified single finger (nail) except thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.042R — Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of dune buggy injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.53XS — Driver of dune buggy injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral malleolus of left fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.62XD — Displaced fracture of lateral malleolus of left fibula, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple sites of right ankle and foot, sequela"}, {"role": "assistant", "content": "T25.291S — Burn of second degree of multiple sites of right ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with car, pick-up or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V03.038D — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with car, pick-up or van in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomalies, fetus 1"}, {"role": "assistant", "content": "O35.GXX1 — Maternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomalies, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for fetal problem, unspecified, second trimester, fetus 4"}, {"role": "assistant", "content": "O36.92X4 — Maternal care for fetal problem, unspecified, second trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified ear drum, initial encounter"}, {"role": "assistant", "content": "T28.419A — Burn of unspecified ear drum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital vertical talus deformity, right foot"}, {"role": "assistant", "content": "Q66.81 — Congenital vertical talus deformity, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.214K — Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of femoral artery, left leg, sequela"}, {"role": "assistant", "content": "S75.012S — Minor laceration of femoral artery, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.464N — Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of muscle in diseases classified elsewhere, unspecified ankle and foot"}, {"role": "assistant", "content": "M63.879 — Disorders of muscle in diseases classified elsewhere, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute recurrent sialoadenitis"}, {"role": "assistant", "content": "K11.22 — Acute recurrent sialoadenitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.222R — Displaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for anti-D [Rh] antibodies, first trimester, other fetus"}, {"role": "assistant", "content": "O36.0119 — Maternal care for anti-D [Rh] antibodies, first trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of right ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.281M — Bent bone of right ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other accident to (nonpowered) inflatable craft, initial encounter"}, {"role": "assistant", "content": "V90.86XA — Drowning and submersion due to other accident to (nonpowered) inflatable craft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of trigone of bladder"}, {"role": "assistant", "content": "C67.0 — Malignant neoplasm of trigone of bladder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter"}, {"role": "assistant", "content": "T82.529D — Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adult osteochondrosis of spine, thoracolumbar region"}, {"role": "assistant", "content": "M42.15 — Adult osteochondrosis of spine, thoracolumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of axillary artery, left side, initial encounter"}, {"role": "assistant", "content": "S45.092A — Other specified injury of axillary artery, left side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified seafood, intentional self-harm, sequela"}, {"role": "assistant", "content": "T61.92XS — Toxic effect of unspecified seafood, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ultralight, microlight or powered-glider explosion injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.15XD — Ultralight, microlight or powered-glider explosion injuring occupant, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulcerative (chronic) rectosigmoiditis without complications"}, {"role": "assistant", "content": "K51.30 — Ulcerative (chronic) rectosigmoiditis without complications"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of abdominal wall, initial encounter"}, {"role": "assistant", "content": "T21.02XA — Burn of unspecified degree of abdominal wall, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.405S — Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity"}, {"role": "assistant", "content": "I70.408 — Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital subaortic stenosis"}, {"role": "assistant", "content": "Q24.4 — Congenital subaortic stenosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of multiple sites of right ankle and foot, initial encounter"}, {"role": "assistant", "content": "T25.591A — Corrosion of first degree of multiple sites of right ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bunion of right foot"}, {"role": "assistant", "content": "M21.611 — Bunion of right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.136K — Nondisplaced apophyseal fracture of unspecified femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other calcification of muscle, multiple sites"}, {"role": "assistant", "content": "M61.49 — Other calcification of muscle, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maxillary fracture, left side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.40DA — Maxillary fracture, left side, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other drugs, medicaments and biological substances, subsequent encounter"}, {"role": "assistant", "content": "T50.996D — Underdosing of other drugs, medicaments and biological substances, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of unspecified finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.669B — Nondisplaced fracture of distal phalanx of unspecified finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns of other specified parts of left eye and adnexa, initial encounter"}, {"role": "assistant", "content": "T26.32XA — Burns of other specified parts of left eye and adnexa, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at level between left shoulder and elbow, initial encounter"}, {"role": "assistant", "content": "S48.122A — Partial traumatic amputation at level between left shoulder and elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V13.2XXS — Unspecified pedal cyclist injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, sequela"}, {"role": "assistant", "content": "S32.445S — Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V22.09XD — Other motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 2"}, {"role": "assistant", "content": "O35.04X2 — Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left great toe without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.132A — Puncture wound without foreign body of left great toe without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, left foot"}, {"role": "assistant", "content": "M24.675 — Ankylosis, left foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lower epiphysis (separation) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.441N — Displaced fracture of lower epiphysis (separation) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of military vehicle injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.74XS — Person on outside of military vehicle injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by baseball, initial encounter"}, {"role": "assistant", "content": "W21.03XA — Struck by baseball, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.140S — Puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela"}, {"role": "assistant", "content": "S46.299S — Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Plastic coin entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.B2XS — Plastic coin entering into or through a natural orifice, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of base of skull, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.19XK — Other fracture of base of skull, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral cuneiform of right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.224P — Nondisplaced fracture of lateral cuneiform of right foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations, unspecified, subsequent encounter"}, {"role": "assistant", "content": "Y36.90XD — War operations, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.324G — Displaced fracture of shaft of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of zinc and its compounds, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T56.5X1S — Toxic effect of zinc and its compounds, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela"}, {"role": "assistant", "content": "S94.31XS — Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.346G — Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.031S — Puncture wound without foreign body of right thumb without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.361E — Displaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in collision with sport utility vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V43.61XD — Car passenger injured in collision with sport utility vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving fragments from munitions, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.250A — War operations involving fragments from munitions, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of central portion of unspecified male breast"}, {"role": "assistant", "content": "C50.129 — Malignant neoplasm of central portion of unspecified male breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of bladder, sequela"}, {"role": "assistant", "content": "S37.23XS — Laceration of bladder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of herbicides and fungicides, undetermined, initial encounter"}, {"role": "assistant", "content": "T60.3X4A — Toxic effect of herbicides and fungicides, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.021K — Displaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.399D — Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of anterior process of unspecified calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.023K — Displaced fracture of anterior process of unspecified calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of cornea, right eye"}, {"role": "assistant", "content": "H18.891 — Other specified disorders of cornea, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in pharynx causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.290S — Other foreign object in pharynx causing asphyxiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of ovary, unilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.421D — Contusion of ovary, unilateral, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of centipedes and venomous millipedes, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.411A — Toxic effect of venom of centipedes and venomous millipedes, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of left iliac artery, subsequent encounter"}, {"role": "assistant", "content": "S35.512D — Injury of left iliac artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute pulmonary coccidioidomycosis"}, {"role": "assistant", "content": "B38.0 — Acute pulmonary coccidioidomycosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other North and South American snake, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.061A — Toxic effect of venom of other North and South American snake, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periodic headache syndromes in child or adult, intractable"}, {"role": "assistant", "content": "G43.C1 — Periodic headache syndromes in child or adult, intractable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.455G — Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.114G — Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pain in unspecified foot"}, {"role": "assistant", "content": "M79.673 — Pain in unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of nose (septum), initial encounter"}, {"role": "assistant", "content": "T20.44XA — Corrosion of unspecified degree of nose (septum), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.121D — Salter-Harris Type II physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter"}, {"role": "assistant", "content": "T80.40XA — Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alveolar mandibular hyperplasia"}, {"role": "assistant", "content": "M26.72 — Alveolar mandibular hyperplasia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other hormone antagonists, sequela"}, {"role": "assistant", "content": "T38.995S — Adverse effect of other hormone antagonists, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inferior dislocation of left humerus, initial encounter"}, {"role": "assistant", "content": "S43.035A — Inferior dislocation of left humerus, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.002E — Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified inorganic substances, undetermined, sequela"}, {"role": "assistant", "content": "T57.8X4S — Toxic effect of other specified inorganic substances, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.552P — Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary Merkel cell carcinoma"}, {"role": "assistant", "content": "C7B.1 — Secondary Merkel cell carcinoma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of unspecified great toe, sequela"}, {"role": "assistant", "content": "S98.119S — Complete traumatic amputation of unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.323J — Displaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by ganglionic blocking drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T44.2X4A — Poisoning by ganglionic blocking drugs, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyphagia"}, {"role": "assistant", "content": "R63.2 — Polyphagia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy after poliomyelitis, left upper arm"}, {"role": "assistant", "content": "M89.622 — Osteopathy after poliomyelitis, left upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of femoral vein at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S75.101D — Unspecified injury of femoral vein at hip and thigh level, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of lesser saphenous vein at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S85.402A — Unspecified injury of lesser saphenous vein at lower leg level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of unspecified thigh, sequela"}, {"role": "assistant", "content": "S79.829S — Other specified injuries of unspecified thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right ring finger, sequela"}, {"role": "assistant", "content": "S63.254S — Unspecified dislocation of right ring finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of left hand"}, {"role": "assistant", "content": "Z89.112 — Acquired absence of left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.371D — Other superficial bite of right front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), left thigh, initial encounter"}, {"role": "assistant", "content": "S70.362A — Insect bite (nonvenomous), left thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcification and ossification of muscles associated with burns, left lower leg"}, {"role": "assistant", "content": "M61.362 — Calcification and ossification of muscles associated with burns, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S68.619A — Complete traumatic transphalangeal amputation of unspecified finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.516K — Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by glucocorticoids and synthetic analogues, assault, initial encounter"}, {"role": "assistant", "content": "T38.0X3A — Poisoning by glucocorticoids and synthetic analogues, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified breast, initial encounter"}, {"role": "assistant", "content": "S21.049A — Puncture wound with foreign body of unspecified breast, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.551C — Other extraarticular fracture of lower end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.023D — Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by emollients, demulcents and protectants, undetermined, sequela"}, {"role": "assistant", "content": "T49.3X4S — Poisoning by emollients, demulcents and protectants, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, left flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.147D — Puncture wound of abdominal wall with foreign body, left flank without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.263J — Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.008K — Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.443E — Displaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hb-SS disease with dactylitis"}, {"role": "assistant", "content": "D57.04 — Hb-SS disease with dactylitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.21XC — Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.301A — Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retracted nipple associated with pregnancy, first trimester"}, {"role": "assistant", "content": "O92.011 — Retracted nipple associated with pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paralytic ectropion of right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.153 — Paralytic ectropion of right eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Animal-rider injured in unspecified transport accident, subsequent encounter"}, {"role": "assistant", "content": "V80.919D — Animal-rider injured in unspecified transport accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.109D — Unspecified fracture of unspecified talus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V65.5XXD — Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of metatarsophalangeal joint of left lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.125D — Dislocation of metatarsophalangeal joint of left lesser toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localized swelling, mass and lump, unspecified upper limb"}, {"role": "assistant", "content": "R22.30 — Localized swelling, mass and lump, unspecified upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unilateral primary osteoarthritis of first carpometacarpal joint, unspecified hand"}, {"role": "assistant", "content": "M18.10 — Unilateral primary osteoarthritis of first carpometacarpal joint, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemolytic-uremic syndrome, unspecified"}, {"role": "assistant", "content": "D59.30 — Hemolytic-uremic syndrome, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of other finger, sequela"}, {"role": "assistant", "content": "S63.618S — Unspecified sprain of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low self-esteem"}, {"role": "assistant", "content": "R45.81 — Low self-esteem"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of selective serotonin reuptake inhibitors, subsequent encounter"}, {"role": "assistant", "content": "T43.226D — Underdosing of selective serotonin reuptake inhibitors, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyhydramnios, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O40.9XX1 — Polyhydramnios, unspecified trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vibratory urticaria"}, {"role": "assistant", "content": "L50.4 — Vibratory urticaria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arteritis, unspecified"}, {"role": "assistant", "content": "I77.6 — Arteritis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, left lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.455A — Superficial foreign body, left lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of nephrostomy catheter, subsequent encounter"}, {"role": "assistant", "content": "T83.032D — Leakage of nephrostomy catheter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter"}, {"role": "assistant", "content": "S56.292A — Other injury of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Maisonneuve's fracture of right leg, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.864B — Nondisplaced Maisonneuve's fracture of right leg, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.062K — Unstable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by benzodiazepines, undetermined, initial encounter"}, {"role": "assistant", "content": "T42.4X4A — Poisoning by benzodiazepines, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.25XB — Nondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified arthritis, left elbow"}, {"role": "assistant", "content": "M13.822 — Other specified arthritis, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vestibular neuronitis, left ear"}, {"role": "assistant", "content": "H81.22 — Vestibular neuronitis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.431C — Displaced oblique fracture of shaft of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by tear gas, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.212A — Legal intervention involving injury by tear gas, bystander injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of ovary, unspecified, initial encounter"}, {"role": "assistant", "content": "S37.439A — Laceration of ovary, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple sites of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "T23.299S — Burn of second degree of multiple sites of unspecified wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter"}, {"role": "assistant", "content": "T81.525D — Obstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rat-bite fever, unspecified"}, {"role": "assistant", "content": "A25.9 — Rat-bite fever, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.452M — Displaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracapsular fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.011C — Unspecified intracapsular fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vaginal high risk human papillomavirus (HPV) DNA test positive"}, {"role": "assistant", "content": "R87.811 — Vaginal high risk human papillomavirus (HPV) DNA test positive"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by other fish, subsequent encounter"}, {"role": "assistant", "content": "W56.52XD — Struck by other fish, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, assault, initial encounter"}, {"role": "assistant", "content": "T49.0X3A — Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving firearms pellets, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.421D — War operations involving firearms pellets, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of special construction vehicle injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V85.3XXA — Unspecified occupant of special construction vehicle injured in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.492R — Other fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Extravasation of other vesicant agent, subsequent encounter"}, {"role": "assistant", "content": "T80.818D — Extravasation of other vesicant agent, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fish poisoning, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T61.771A — Other fish poisoning, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter"}, {"role": "assistant", "content": "S58.929A — Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other non-follicular lymphoma, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C83.81 — Other non-follicular lymphoma, lymph nodes of head, face, and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified radius, sequela"}, {"role": "assistant", "content": "S52.323S — Displaced transverse fracture of shaft of unspecified radius, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right ankle, initial encounter"}, {"role": "assistant", "content": "T25.411A — Corrosion of unspecified degree of right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela"}, {"role": "assistant", "content": "S06.81AS — Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of right calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.011A — Displaced fracture of body of right calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food protein-induced enterocolitis syndrome"}, {"role": "assistant", "content": "K52.21 — Food protein-induced enterocolitis syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, left lower leg, subsequent encounter"}, {"role": "assistant", "content": "S81.832D — Puncture wound without foreign body, left lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of aflatoxin, assault, sequela"}, {"role": "assistant", "content": "T64.03XS — Toxic effect of aflatoxin, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bipolar disorder, current episode mixed, mild"}, {"role": "assistant", "content": "F31.61 — Bipolar disorder, current episode mixed, mild"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.022F — Displaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other stimulant use, unspecified with withdrawal"}, {"role": "assistant", "content": "F15.93 — Other stimulant use, unspecified with withdrawal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mixed cellularity Hodgkin lymphoma, in remission"}, {"role": "assistant", "content": "C81.2A — Mixed cellularity Hodgkin lymphoma, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from unspecified burning watercraft, initial encounter"}, {"role": "assistant", "content": "V90.29XA — Drowning and submersion due to falling or jumping from unspecified burning watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of left knee, subsequent encounter"}, {"role": "assistant", "content": "T24.022D — Burn of unspecified degree of left knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for viable fetus in abdominal pregnancy, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O36.70X2 — Maternal care for viable fetus in abdominal pregnancy, unspecified trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.425F — Nondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving chemical weapons and other forms of unconventional warfare, military personnel, sequela"}, {"role": "assistant", "content": "Y37.7X0S — Military operations involving chemical weapons and other forms of unconventional warfare, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}, {"role": "assistant", "content": "S06.9X5D — Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of unspecified radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.003D — Unspecified subluxation of unspecified radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of binocular movement"}, {"role": "assistant", "content": "H51.8 — Other specified disorders of binocular movement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of left upper arm with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A125 — Non-pressure chronic ulcer of left upper arm with muscle involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior dislocation of unspecified radial head, sequela"}, {"role": "assistant", "content": "S53.026S — Posterior dislocation of unspecified radial head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of T3/T4 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.123S — Dislocation of T3/T4 thoracic vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vesicoureteral-reflux, unspecified"}, {"role": "assistant", "content": "N13.70 — Vesicoureteral-reflux, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at left hip joint, initial encounter"}, {"role": "assistant", "content": "S78.022A — Partial traumatic amputation at left hip joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified thumb with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.129D — Laceration with foreign body of unspecified thumb with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.121Q — Displaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.461C — Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left tibial tuberosity, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.155A — Nondisplaced fracture of left tibial tuberosity, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of right ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.281E — Bent bone of right ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cholesteatoma of attic, right ear"}, {"role": "assistant", "content": "H71.01 — Cholesteatoma of attic, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Shock due to anesthesia, initial encounter"}, {"role": "assistant", "content": "T88.2XXA — Shock due to anesthesia, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spastic ectropion of left upper eyelid"}, {"role": "assistant", "content": "H02.144 — Spastic ectropion of left upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dining room in mobile home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.021 — Dining room in mobile home as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side"}, {"role": "assistant", "content": "I69.854 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by pyrazolone derivatives, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T39.2X2D — Poisoning by pyrazolone derivatives, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, sequela"}, {"role": "assistant", "content": "V63.5XXS — Driver of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral cuneiform of unspecified foot, sequela"}, {"role": "assistant", "content": "S92.223S — Displaced fracture of lateral cuneiform of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, left hip, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.2521 — Drug-induced chronic gout, left hip, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Interstitial pulmonary disease, unspecified"}, {"role": "assistant", "content": "J84.9 — Interstitial pulmonary disease, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to anthrax"}, {"role": "assistant", "content": "Z20.810 — Contact with and (suspected) exposure to anthrax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by prolapse of cord, other fetus"}, {"role": "assistant", "content": "O69.0XX9 — Labor and delivery complicated by prolapse of cord, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.126M — Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of gila monster, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.112D — Toxic effect of venom of gila monster, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.401M — Unspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antithrombotic drugs, assault, subsequent encounter"}, {"role": "assistant", "content": "T45.523D — Poisoning by antithrombotic drugs, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulcerative blepharitis right upper eyelid"}, {"role": "assistant", "content": "H01.011 — Ulcerative blepharitis right upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.357A — Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.051E — Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of tarsal joint of left foot, initial encounter"}, {"role": "assistant", "content": "S93.312A — Subluxation of tarsal joint of left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.002R — Unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of native arteries of extremities with gangrene, right leg"}, {"role": "assistant", "content": "I70.261 — Atherosclerosis of native arteries of extremities with gangrene, right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left thumb (nail), sequela"}, {"role": "assistant", "content": "T23.612S — Corrosion of second degree of left thumb (nail), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter"}, {"role": "assistant", "content": "T84.290A — Other mechanical complication of internal fixation device of bones of hand and fingers, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of visual cortex in (due to) neoplasm, unspecified side of brain"}, {"role": "assistant", "content": "H47.639 — Disorders of visual cortex in (due to) neoplasm, unspecified side of brain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Embolism due to other internal prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T85.818A — Embolism due to other internal prosthetic devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disseminated chorioretinal inflammation, left eye"}, {"role": "assistant", "content": "H30.102 — Unspecified disseminated chorioretinal inflammation, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irritant contact dermatitis due to oils and greases"}, {"role": "assistant", "content": "L24.1 — Irritant contact dermatitis due to oils and greases"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to previous trauma, unspecified shoulder"}, {"role": "assistant", "content": "M87.219 — Osteonecrosis due to previous trauma, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.042S — Puncture wound with foreign body of left thumb without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in esophagus causing compression of trachea, initial encounter"}, {"role": "assistant", "content": "T18.100A — Unspecified foreign body in esophagus causing compression of trachea, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.590A — Other injury of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified parts of thorax, initial encounter"}, {"role": "assistant", "content": "S23.9XXA — Sprain of unspecified parts of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by vitamins, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T45.2X2D — Poisoning by vitamins, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.051A — Unspecified fracture of head of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fourth metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.364S — Nondisplaced fracture of neck of fourth metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.028D — Other fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other furniture fire due to burning cigarette, initial encounter"}, {"role": "assistant", "content": "X08.21XA — Exposure to other furniture fire due to burning cigarette, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dysphagia"}, {"role": "assistant", "content": "R13.19 — Other dysphagia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis"}, {"role": "assistant", "content": "N00.5 — Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute gingivitis, non-plaque induced"}, {"role": "assistant", "content": "K05.01 — Acute gingivitis, non-plaque induced"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, right foot, sequela"}, {"role": "assistant", "content": "S91.331S — Puncture wound without foreign body, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of left toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.232A — Burn of second degree of left toe(s) (nail), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.821A — Torus fracture of lower end of right fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of unspecified forearm, level unspecified, sequela"}, {"role": "assistant", "content": "S58.919S — Complete traumatic amputation of unspecified forearm, level unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other articular cartilage disorders, unspecified shoulder"}, {"role": "assistant", "content": "M24.119 — Other articular cartilage disorders, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of cuboid bone of left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.212P — Displaced fracture of cuboid bone of left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S48.922D — Partial traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester"}, {"role": "assistant", "content": "O46.029 — Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance abuse with withdrawal, uncomplicated"}, {"role": "assistant", "content": "F19.130 — Other psychoactive substance abuse with withdrawal, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kaschin-Beck disease, right knee"}, {"role": "assistant", "content": "M12.161 — Kaschin-Beck disease, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of left middle and inner ear, subsequent encounter"}, {"role": "assistant", "content": "S09.392D — Other specified injury of left middle and inner ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inferior subluxation of right humerus, initial encounter"}, {"role": "assistant", "content": "S43.031A — Inferior subluxation of right humerus, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of right Achilles tendon, subsequent encounter"}, {"role": "assistant", "content": "S86.011D — Strain of right Achilles tendon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of right iliac artery, sequela"}, {"role": "assistant", "content": "S35.511S — Injury of right iliac artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V38.1XXS — Passenger in three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other meniscus derangements, unspecified lateral meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.302 — Other meniscus derangements, unspecified lateral meniscus, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other streptococcal arthritis, right hip"}, {"role": "assistant", "content": "M00.251 — Other streptococcal arthritis, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter"}, {"role": "assistant", "content": "S06.321A — Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaphylactic reaction due to other food products, sequela"}, {"role": "assistant", "content": "T78.09XS — Anaphylactic reaction due to other food products, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V45.2XXA — Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.64XF — Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with car, pick-up or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V03.031S — Pedestrian on standing electric scooter injured in collision with car, pick-up or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of sulfonamides, initial encounter"}, {"role": "assistant", "content": "T37.0X6A — Underdosing of sulfonamides, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.415R — Nondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of first cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.01XD — Stable burst fracture of first cervical vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of lip, sequela"}, {"role": "assistant", "content": "S00.551S — Superficial foreign body of lip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere"}, {"role": "assistant", "content": "G13.8 — Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.392B — Other fracture of shaft of left humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified complication of cardiac prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T82.897D — Other specified complication of cardiac prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left hip, subsequent encounter"}, {"role": "assistant", "content": "S77.02XD — Crushing injury of left hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous abscess, unspecified"}, {"role": "assistant", "content": "L02.91 — Cutaneous abscess, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Constitutional short stature"}, {"role": "assistant", "content": "E34.31 — Constitutional short stature"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flexion deformity, right wrist"}, {"role": "assistant", "content": "M21.231 — Flexion deformity, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O9A.212 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, right lower leg, sequela"}, {"role": "assistant", "content": "M80.861S — Other osteoporosis with current pathological fracture, right lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis in diseases classified elsewhere, unspecified ankle and foot"}, {"role": "assistant", "content": "M90.579 — Osteonecrosis in diseases classified elsewhere, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of other right toe(s)"}, {"role": "assistant", "content": "Z89.421 — Acquired absence of other right toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.058K — Other fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of left thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.202S — Unspecified injury of extensor muscle, fascia and tendon of left thumb at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of spinal cord"}, {"role": "assistant", "content": "C72.0 — Malignant neoplasm of spinal cord"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving bayonet, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.412S — Legal intervention involving bayonet, bystander injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of unspecified buttock, unstageable"}, {"role": "assistant", "content": "L89.300 — Pressure ulcer of unspecified buttock, unstageable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter"}, {"role": "assistant", "content": "T83.31XD — Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low lying placenta with hemorrhage, first trimester"}, {"role": "assistant", "content": "O44.51 — Low lying placenta with hemorrhage, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of second metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.340A — Nondisplaced fracture of base of second metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of popliteal vein, left leg, sequela"}, {"role": "assistant", "content": "S85.502S — Unspecified injury of popliteal vein, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of lower end of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.492A — Other displaced fracture of lower end of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.142S — Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of right patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.034Q — Nondisplaced transverse fracture of right patella, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of first thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.012G — Unstable burst fracture of first thoracic vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for mental health services for perpetrator of other abuse"}, {"role": "assistant", "content": "Z69.82 — Encounter for mental health services for perpetrator of other abuse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Steroid responder, right eye"}, {"role": "assistant", "content": "H40.041 — Steroid responder, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of flexor tendons, right ankle and foot"}, {"role": "assistant", "content": "M66.371 — Spontaneous rupture of flexor tendons, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Suicidal ideations"}, {"role": "assistant", "content": "R45.851 — Suicidal ideations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infections of urethra in pregnancy, second trimester"}, {"role": "assistant", "content": "O23.22 — Infections of urethra in pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.045G — Nondisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of head of left radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.122G — Displaced fracture of head of left radius, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified inflammatory spondylopathies, lumbosacral region"}, {"role": "assistant", "content": "M46.87 — Other specified inflammatory spondylopathies, lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of orbital roof, unspecified side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.129B — Fracture of orbital roof, unspecified side, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic osteomyelitis, right ankle and foot"}, {"role": "assistant", "content": "M86.671 — Other chronic osteomyelitis, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple right fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.141A — Burn of first degree of multiple right fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified talus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.109A — Unspecified fracture of unspecified talus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blindness right eye category 4, low vision left eye category 1"}, {"role": "assistant", "content": "H54.1141 — Blindness right eye category 4, low vision left eye category 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of contiguous site of back, buttock and hip, unstageable"}, {"role": "assistant", "content": "L89.45 — Pressure ulcer of contiguous site of back, buttock and hip, unstageable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.109S — Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by maternal use of anticonvulsants"}, {"role": "assistant", "content": "P04.13 — Newborn affected by maternal use of anticonvulsants"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.327P — Displaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of plantar artery of right foot, sequela"}, {"role": "assistant", "content": "S95.111S — Laceration of plantar artery of right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of glucosaminoglycan metabolism"}, {"role": "assistant", "content": "E76.8 — Other disorders of glucosaminoglycan metabolism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.353F — Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diseases of the nervous system complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.353 — Diseases of the nervous system complicating pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V50.3XXA — Unspecified occupant of pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of other finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.658A — Nondisplaced fracture of middle phalanx of other finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.366P — Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S46.992A — Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of tonsillar pillar (anterior) (posterior)"}, {"role": "assistant", "content": "C09.1 — Malignant neoplasm of tonsillar pillar (anterior) (posterior)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inferior dislocation of right humerus, subsequent encounter"}, {"role": "assistant", "content": "S43.034D — Inferior dislocation of right humerus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other unpowered watercraft sinking, subsequent encounter"}, {"role": "assistant", "content": "V90.18XD — Drowning and submersion due to other unpowered watercraft sinking, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subcutaneous panniculitis-like T-cell lymphoma, in remission"}, {"role": "assistant", "content": "C86.31 — Subcutaneous panniculitis-like T-cell lymphoma, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela"}, {"role": "assistant", "content": "T85.732S — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior cerebral artery syndrome"}, {"role": "assistant", "content": "G46.2 — Posterior cerebral artery syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of fluorine gas and hydrogen fluoride, assault, subsequent encounter"}, {"role": "assistant", "content": "T59.5X3D — Toxic effect of fluorine gas and hydrogen fluoride, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maxillary fracture, left side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.40DK — Maxillary fracture, left side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture associated with chest compression and cardiopulmonary resuscitation"}, {"role": "assistant", "content": "M96.A9 — Other fracture associated with chest compression and cardiopulmonary resuscitation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Clicking hip"}, {"role": "assistant", "content": "R29.4 — Clicking hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T50.A12D — Poisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.019P — Unspecified intracapsular fracture of unspecified femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.456K — Nondisplaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.026N — Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of proximal end of tibia, right knee, sequela"}, {"role": "assistant", "content": "S83.134S — Medial dislocation of proximal end of tibia, right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.281F — Bent bone of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irritant contact dermatitis due to metals"}, {"role": "assistant", "content": "L24.81 — Irritant contact dermatitis due to metals"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified entropion of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.009 — Unspecified entropion of unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reactive arthropathies, left hand"}, {"role": "assistant", "content": "M02.842 — Other reactive arthropathies, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.602A — Corrosion of second degree of left hand, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injuries of unspecified back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.409D — Unspecified superficial injuries of unspecified back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}, {"role": "assistant", "content": "S06.314D — Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.326P — Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T58.2X4D — Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other migraine, intractable, with status migrainosus"}, {"role": "assistant", "content": "G43.811 — Other migraine, intractable, with status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of proximal interphalangeal joint of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.233D — Subluxation of proximal interphalangeal joint of left middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skeletal fluorosis, right upper arm"}, {"role": "assistant", "content": "M85.121 — Skeletal fluorosis, right upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S60.049S — Contusion of unspecified ring finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic mucoid otitis media, unspecified ear"}, {"role": "assistant", "content": "H65.30 — Chronic mucoid otitis media, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being washed overboard from unspecified watercraft, initial encounter"}, {"role": "assistant", "content": "V92.29XA — Drowning and submersion due to being washed overboard from unspecified watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S41.049D — Puncture wound with foreign body of unspecified shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiac failure due to anesthesia during pregnancy, third trimester"}, {"role": "assistant", "content": "O29.123 — Cardiac failure due to anesthesia during pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for screening for malignant neoplasm of prostate"}, {"role": "assistant", "content": "Z12.5 — Encounter for screening for malignant neoplasm of prostate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of unspecified external jugular vein, subsequent encounter"}, {"role": "assistant", "content": "S15.219D — Minor laceration of unspecified external jugular vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bimalleolar fracture of unspecified lower leg, sequela"}, {"role": "assistant", "content": "S82.843S — Displaced bimalleolar fracture of unspecified lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyosteoarthritis, unspecified"}, {"role": "assistant", "content": "M15.9 — Polyosteoarthritis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained (old) magnetic foreign body in anterior chamber, left eye"}, {"role": "assistant", "content": "H44.612 — Retained (old) magnetic foreign body in anterior chamber, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of beryllium and its compounds, assault, initial encounter"}, {"role": "assistant", "content": "T56.7X3A — Toxic effect of beryllium and its compounds, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 40-49% of body surface with 0% to 9% third degree corrosion"}, {"role": "assistant", "content": "T32.40 — Corrosions involving 40-49% of body surface with 0% to 9% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Staphylococcal arthritis, unspecified elbow"}, {"role": "assistant", "content": "M00.029 — Staphylococcal arthritis, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of wasps, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.461A — Toxic effect of venom of wasps, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V78.0XXD — Driver of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other furniture fire due to other burning material, subsequent encounter"}, {"role": "assistant", "content": "X08.29XD — Exposure to other furniture fire due to other burning material, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of esophagus in diseases classified elsewhere"}, {"role": "assistant", "content": "K23 — Disorders of esophagus in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified elbow, initial encounter"}, {"role": "assistant", "content": "S51.049A — Puncture wound with foreign body of unspecified elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Granulomatous mastitis, right breast"}, {"role": "assistant", "content": "N61.21 — Granulomatous mastitis, right breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to harmful algae and algae toxins"}, {"role": "assistant", "content": "Z77.121 — Contact with and (suspected) exposure to harmful algae and algae toxins"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic subarachnoid hemorrhage from right posterior communicating artery"}, {"role": "assistant", "content": "I60.31 — Nontraumatic subarachnoid hemorrhage from right posterior communicating artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left shoulder and upper arm, subsequent encounter"}, {"role": "assistant", "content": "S49.92XD — Unspecified injury of left shoulder and upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of cannabis, sequela"}, {"role": "assistant", "content": "T40.715S — Adverse effect of cannabis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.079D — Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of left heel and midfoot with unspecified severity"}, {"role": "assistant", "content": "L97.429 — Non-pressure chronic ulcer of left heel and midfoot with unspecified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of adrenal gland, sequela"}, {"role": "assistant", "content": "S37.813S — Laceration of adrenal gland, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of right ear, initial encounter"}, {"role": "assistant", "content": "S08.111A — Complete traumatic amputation of right ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.019G — Salter-Harris Type I physeal fracture of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of scrotum and testes, subsequent encounter"}, {"role": "assistant", "content": "S31.31XD — Laceration without foreign body of scrotum and testes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rhinosporidiosis"}, {"role": "assistant", "content": "B48.1 — Rhinosporidiosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of right calcaneus, sequela"}, {"role": "assistant", "content": "S99.031S — Salter-Harris Type III physeal fracture of right calcaneus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of unspecified lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.001S — Stable burst fracture of unspecified lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced intertrochanteric fracture of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.143S — Displaced intertrochanteric fracture of unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of continuity of bone, right ulna"}, {"role": "assistant", "content": "M84.831 — Other disorders of continuity of bone, right ulna"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.031J — Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified general anesthetics, undetermined, initial encounter"}, {"role": "assistant", "content": "T41.204A — Poisoning by unspecified general anesthetics, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corneal ulcer with hypopyon, right eye"}, {"role": "assistant", "content": "H16.031 — Corneal ulcer with hypopyon, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushed between merchant ship and other watercraft or other object due to collision, initial encounter"}, {"role": "assistant", "content": "V91.10XA — Crushed between merchant ship and other watercraft or other object due to collision, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.699A — Corrosion of second degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper and lower end of unspecified fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.839C — Other fracture of upper and lower end of unspecified fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of bones of skull and face"}, {"role": "assistant", "content": "C41.0 — Malignant neoplasm of bones of skull and face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partially vaccinated for COVID-19"}, {"role": "assistant", "content": "Z28.311 — Partially vaccinated for COVID-19"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Parasitic cyst of iris, ciliary body or anterior chamber, right eye"}, {"role": "assistant", "content": "H21.331 — Parasitic cyst of iris, ciliary body or anterior chamber, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of right scapular region, sequela"}, {"role": "assistant", "content": "T22.161S — Burn of first degree of right scapular region, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified systolic (congestive) heart failure"}, {"role": "assistant", "content": "I50.20 — Unspecified systolic (congestive) heart failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemochromatosis due to repeated red blood cell transfusions"}, {"role": "assistant", "content": "E83.111 — Hemochromatosis due to repeated red blood cell transfusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified personal risk factors, not elsewhere classified"}, {"role": "assistant", "content": "Z91.89 — Other specified personal risk factors, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to melting of other clothing and apparel, subsequent encounter"}, {"role": "assistant", "content": "X06.3XXD — Exposure to melting of other clothing and apparel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.475G — Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, unspecified finger(s)"}, {"role": "assistant", "content": "M87.849 — Other osteonecrosis, unspecified finger(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injuries of left front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.302D — Unspecified superficial injuries of left front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from ambulance or fire engine, subsequent encounter"}, {"role": "assistant", "content": "V86.41XD — Person injured while boarding or alighting from ambulance or fire engine, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sezary disease, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C84.15 — Sezary disease, lymph nodes of inguinal region and lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by ecstasy, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T43.641S — Poisoning by ecstasy, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of special industrial vehicle injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V83.5XXD — Driver of special industrial vehicle injured in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of abdominal wall, left flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.107D — Unspecified open wound of abdominal wall, left flank without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right back wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.461A — Insect bite (nonvenomous) of right back wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified types of non-Hodgkin lymphoma, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C85.83 — Other specified types of non-Hodgkin lymphoma, intra-abdominal lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other heatstroke and sunstroke, initial encounter"}, {"role": "assistant", "content": "T67.09XA — Other heatstroke and sunstroke, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other viral vaccines, intentional self-harm, sequela"}, {"role": "assistant", "content": "T50.B92S — Poisoning by other viral vaccines, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.215D — Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute suppurative otitis media with spontaneous rupture of ear drum, left ear"}, {"role": "assistant", "content": "H66.012 — Acute suppurative otitis media with spontaneous rupture of ear drum, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.1X3A — Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.144A — Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of accessory nerve, unspecified side, sequela"}, {"role": "assistant", "content": "S04.70XS — Injury of accessory nerve, unspecified side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by other psittacines, initial encounter"}, {"role": "assistant", "content": "W61.22XA — Struck by other psittacines, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.092A — Other fracture of upper end of left ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving baton, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.313D — Legal intervention involving baton, suspect injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sympathetic uveitis, bilateral"}, {"role": "assistant", "content": "H44.133 — Sympathetic uveitis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antineoplastic and immunosuppressive drugs, subsequent encounter"}, {"role": "assistant", "content": "T45.1X5D — Adverse effect of antineoplastic and immunosuppressive drugs, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified lesser toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S90.229A — Contusion of unspecified lesser toe(s) with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antifungal antibiotics, systemically used, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T36.7X4D — Poisoning by antifungal antibiotics, systemically used, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of bursa, right ankle and foot"}, {"role": "assistant", "content": "M71.071 — Abscess of bursa, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of unspecified radial styloid process, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.516P — Nondisplaced fracture of unspecified radial styloid process, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pectus excavatum"}, {"role": "assistant", "content": "Q67.6 — Pectus excavatum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osseous cryptococcosis"}, {"role": "assistant", "content": "B45.3 — Osseous cryptococcosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to being trapped in bed linens, accidental, subsequent encounter"}, {"role": "assistant", "content": "T71.131D — Asphyxiation due to being trapped in bed linens, accidental, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs"}, {"role": "assistant", "content": "I70.413 — Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], left knee"}, {"role": "assistant", "content": "M12.062 — Chronic postrheumatic arthropathy [Jaccoud], left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.91XP — Unspecified fracture of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T84.7XXA — Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with powered lawn mower, sequela"}, {"role": "assistant", "content": "W28.XXXS — Contact with powered lawn mower, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.02XG — Unstable burst fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Granulation of postmastoidectomy cavity, bilateral ears"}, {"role": "assistant", "content": "H95.123 — Granulation of postmastoidectomy cavity, bilateral ears"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.143A — Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of other part of trunk"}, {"role": "assistant", "content": "C43.59 — Malignant melanoma of other part of trunk"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified blood vessel at ankle and foot level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S95.999A — Other specified injury of unspecified blood vessel at ankle and foot level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right ankle, subsequent encounter"}, {"role": "assistant", "content": "T25.211D — Burn of second degree of right ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left breast, sequela"}, {"role": "assistant", "content": "S21.042S — Puncture wound with foreign body of left breast, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified cataract"}, {"role": "assistant", "content": "H26.8 — Other specified cataract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of coronoid process of mandible, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.630G — Fracture of coronoid process of mandible, unspecified side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other nonopioid analgesics and antipyretics, not elsewhere classified, sequela"}, {"role": "assistant", "content": "T39.8X5S — Adverse effect of other nonopioid analgesics and antipyretics, not elsewhere classified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V02.01XS — Pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of left tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.192P — Other physeal fracture of lower end of left tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fourth metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.364B — Nondisplaced fracture of neck of fourth metacarpal bone, right hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture (chip fracture) of right talus, sequela"}, {"role": "assistant", "content": "S92.151S — Displaced avulsion fracture (chip fracture) of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified shoulder joint, sequela"}, {"role": "assistant", "content": "S43.409S — Unspecified sprain of unspecified shoulder joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sickle-cell/Hb-C disease without crisis"}, {"role": "assistant", "content": "D57.20 — Sickle-cell/Hb-C disease without crisis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of right hip, initial encounter"}, {"role": "assistant", "content": "S73.001A — Unspecified subluxation of right hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of interphalangeal joint of unspecified toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.119D — Dislocation of interphalangeal joint of unspecified toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V19.10XD — Pedal cycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of joints and ligaments of unspecified parts of neck, subsequent encounter"}, {"role": "assistant", "content": "S13.9XXD — Sprain of joints and ligaments of unspecified parts of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.409D — Corrosion of unspecified degree of unspecified hand, unspecified site, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.422D — Displaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.592B — Other fractures of lower end of left radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other birth injuries to scalp"}, {"role": "assistant", "content": "P12.89 — Other birth injuries to scalp"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of lesser saphenous vein at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.409A — Unspecified injury of lesser saphenous vein at lower leg level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of animal-drawn vehicle injured by fall from or being thrown from animal-drawn vehicle in noncollision accident, sequela"}, {"role": "assistant", "content": "V80.02XS — Occupant of animal-drawn vehicle injured by fall from or being thrown from animal-drawn vehicle in noncollision accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V65.0XXS — Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified foreign body in respiratory tract, part unspecified causing other injury, sequela"}, {"role": "assistant", "content": "T17.908S — Unspecified foreign body in respiratory tract, part unspecified causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Left flank tenderness"}, {"role": "assistant", "content": "R10.8A2 — Left flank tenderness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.029P — Salter-Harris Type II physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by basketball, subsequent encounter"}, {"role": "assistant", "content": "W21.05XD — Struck by basketball, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, initial encounter"}, {"role": "assistant", "content": "V81.6XXA — Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other myositis, unspecified site"}, {"role": "assistant", "content": "M60.80 — Other myositis, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatic aortic insufficiency"}, {"role": "assistant", "content": "I06.1 — Rheumatic aortic insufficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.033J — Displaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.434Q — Nondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic"}, {"role": "assistant", "content": "M75.122 — Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Miscellaneous otorhinolaryngological devices associated with adverse incidents, not elsewhere classified"}, {"role": "assistant", "content": "Y72.8 — Miscellaneous otorhinolaryngological devices associated with adverse incidents, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of first metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.241S — Displaced fracture of shaft of first metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.226G — Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced apophyseal fracture of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.132P — Displaced apophyseal fracture of left femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of deltoid ligament of right ankle, initial encounter"}, {"role": "assistant", "content": "S93.421A — Sprain of deltoid ligament of right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.000K — Wedge compression fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Basal cell carcinoma of skin of left upper limb, including shoulder"}, {"role": "assistant", "content": "C44.619 — Basal cell carcinoma of skin of left upper limb, including shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.001G — Unspecified physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diverticulum of appendix"}, {"role": "assistant", "content": "K38.2 — Diverticulum of appendix"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S68.129A — Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hallucinogen dependence with other hallucinogen-induced disorder"}, {"role": "assistant", "content": "F16.288 — Hallucinogen dependence with other hallucinogen-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.302D — Unspecified injury of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.029A — Salter-Harris Type II physeal fracture of upper end of unspecified tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of occiput, unspecified side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.118K — Other fracture of occiput, unspecified side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Interstitial myositis, right upper arm"}, {"role": "assistant", "content": "M60.121 — Interstitial myositis, right upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Papyraceous fetus, first trimester, fetus 3"}, {"role": "assistant", "content": "O31.01X3 — Papyraceous fetus, first trimester, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dependent relative needing care at home"}, {"role": "assistant", "content": "Z63.6 — Dependent relative needing care at home"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle driver injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V17.0XXD — Pedal cycle driver injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute lymphoblastic leukemia, in relapse"}, {"role": "assistant", "content": "C91.02 — Acute lymphoblastic leukemia, in relapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of popliteal vein, right leg, subsequent encounter"}, {"role": "assistant", "content": "S85.511D — Laceration of popliteal vein, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.046E — Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of other parts of face"}, {"role": "assistant", "content": "C43.39 — Malignant melanoma of other parts of face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bacterial infections of unspecified site"}, {"role": "assistant", "content": "A49.8 — Other bacterial infections of unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right wrist, hand and finger(s), subsequent encounter"}, {"role": "assistant", "content": "S69.91XD — Unspecified injury of right wrist, hand and finger(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn due to other powered watercraft on fire, subsequent encounter"}, {"role": "assistant", "content": "V91.03XD — Burn due to other powered watercraft on fire, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of left elbow, sequela"}, {"role": "assistant", "content": "T22.422S — Corrosion of unspecified degree of left elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of sea-based artillery shell, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.031D — War operations involving explosion of sea-based artillery shell, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of left thigh, initial encounter"}, {"role": "assistant", "content": "T24.212A — Burn of second degree of left thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.650D — Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corneal transplant infection, right eye"}, {"role": "assistant", "content": "T86.8421 — Corneal transplant infection, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V20.41XD — Electric (assisted) bicycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of left thumb (nail), sequela"}, {"role": "assistant", "content": "T23.712S — Corrosion of third degree of left thumb (nail), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of T7-T8 thoracic vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.068B — Other fracture of T7-T8 thoracic vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 3"}, {"role": "assistant", "content": "O35.14X3 — Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral end of right clavicle, sequela"}, {"role": "assistant", "content": "S42.034S — Nondisplaced fracture of lateral end of right clavicle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, rowing, canoeing, kayaking, rafting and tubing"}, {"role": "assistant", "content": "Y93.16 — Activity, rowing, canoeing, kayaking, rafting and tubing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.503D — Unspecified injury of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epigastric pain"}, {"role": "assistant", "content": "R10.13 — Epigastric pain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pigmentary glaucoma, unspecified eye, indeterminate stage"}, {"role": "assistant", "content": "H40.1394 — Pigmentary glaucoma, unspecified eye, indeterminate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by premature rupture of membranes"}, {"role": "assistant", "content": "P01.1 — Newborn affected by premature rupture of membranes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bipolar disorder, current episode depressed, mild or moderate severity, unspecified"}, {"role": "assistant", "content": "F31.30 — Bipolar disorder, current episode depressed, mild or moderate severity, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle and tendon at ankle and foot level, left foot, initial encounter"}, {"role": "assistant", "content": "S96.902A — Unspecified injury of unspecified muscle and tendon at ankle and foot level, left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter"}, {"role": "assistant", "content": "T82.513D — Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of T9-T10 vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.070G — Wedge compression fracture of T9-T10 vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crohn's disease of small intestine with fistula"}, {"role": "assistant", "content": "K50.013 — Crohn's disease of small intestine with fistula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lichen striatus"}, {"role": "assistant", "content": "L44.2 — Lichen striatus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement"}, {"role": "assistant", "content": "M05.732 — Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance use, unspecified with intoxication with delirium"}, {"role": "assistant", "content": "F19.921 — Other psychoactive substance use, unspecified with intoxication with delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified part(s) of right wrist, hand and fingers, sequela"}, {"role": "assistant", "content": "S67.91XS — Crushing injury of unspecified part(s) of right wrist, hand and fingers, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.131A — Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye"}, {"role": "assistant", "content": "E10.3519 — Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy in diseases classified elsewhere, right thigh"}, {"role": "assistant", "content": "M90.851 — Osteopathy in diseases classified elsewhere, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of right forearm with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A215 — Non-pressure chronic ulcer of right forearm with muscle involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Female genital prolapse, unspecified"}, {"role": "assistant", "content": "N81.9 — Female genital prolapse, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of left toe(s), sequela"}, {"role": "assistant", "content": "S93.105S — Unspecified dislocation of left toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right great toe with damage to nail, sequela"}, {"role": "assistant", "content": "S91.241S — Puncture wound with foreign body of right great toe with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of other nervous system device, implant or graft, initial encounter"}, {"role": "assistant", "content": "T85.635A — Leakage of other nervous system device, implant or graft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other psychostimulants, initial encounter"}, {"role": "assistant", "content": "T43.695A — Adverse effect of other psychostimulants, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified genetic causes of short stature"}, {"role": "assistant", "content": "E34.329 — Unspecified genetic causes of short stature"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.224E — Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by loop [high-ceiling] diuretics, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T50.1X2D — Poisoning by loop [high-ceiling] diuretics, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Choroidal rupture, right eye"}, {"role": "assistant", "content": "H31.321 — Choroidal rupture, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic pulmonary embolism"}, {"role": "assistant", "content": "I27.82 — Chronic pulmonary embolism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to shoulder presentation, fetus 2"}, {"role": "assistant", "content": "O64.4XX2 — Obstructed labor due to shoulder presentation, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related cataract, morgagnian type, right eye"}, {"role": "assistant", "content": "H25.21 — Age-related cataract, morgagnian type, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified spider venom, intentional self-harm, sequela"}, {"role": "assistant", "content": "T63.302S — Toxic effect of unspecified spider venom, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "22 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.22 — 22 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Syphilitic cerebral arteritis"}, {"role": "assistant", "content": "A52.04 — Syphilitic cerebral arteritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of ramus of left mandible, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.642G — Fracture of ramus of left mandible, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fish poisoning, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T61.774D — Other fish poisoning, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of anterior wall of left acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.412G — Displaced fracture of anterior wall of left acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of spine, site unspecified"}, {"role": "assistant", "content": "M42.00 — Juvenile osteochondrosis of spine, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chondrocalcinosis, unspecified elbow"}, {"role": "assistant", "content": "M11.229 — Other chondrocalcinosis, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Allergic contact dermatitis due to metals"}, {"role": "assistant", "content": "L23.0 — Allergic contact dermatitis due to metals"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf"}, {"role": "assistant", "content": "I70.732 — Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lumbago with sciatica, left side"}, {"role": "assistant", "content": "M54.42 — Lumbago with sciatica, left side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being washed overboard from fishing boat, initial encounter"}, {"role": "assistant", "content": "V92.22XA — Drowning and submersion due to being washed overboard from fishing boat, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in esophagus causing other injury, sequela"}, {"role": "assistant", "content": "T18.118S — Gastric contents in esophagus causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of palmar ligament of right middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.422D — Traumatic rupture of palmar ligament of right middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels at abdomen, lower back and pelvis level, initial encounter"}, {"role": "assistant", "content": "S35.8X9A — Unspecified injury of other blood vessels at abdomen, lower back and pelvis level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right hand, sequela"}, {"role": "assistant", "content": "S60.921S — Unspecified superficial injury of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by drowning and submersion, unspecified, subsequent encounter"}, {"role": "assistant", "content": "X92.9XXD — Assault by drowning and submersion, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, left toe(s), sequela"}, {"role": "assistant", "content": "M84.478S — Pathological fracture, left toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Charcot's joint, left hip"}, {"role": "assistant", "content": "M14.652 — Charcot's joint, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at wrist and hand level of right arm, subsequent encounter"}, {"role": "assistant", "content": "S65.811D — Laceration of other blood vessels at wrist and hand level of right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified glider (nonpowered) accident injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V96.20XD — Unspecified glider (nonpowered) accident injuring occupant, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease"}, {"role": "assistant", "content": "I69.912 — Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.033P — Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulnohumeral (joint) sprain of unspecified elbow, sequela"}, {"role": "assistant", "content": "S53.429S — Ulnohumeral (joint) sprain of unspecified elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specific arthropathies, not elsewhere classified, left ankle and foot"}, {"role": "assistant", "content": "M12.872 — Other specific arthropathies, not elsewhere classified, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tularemia, unspecified"}, {"role": "assistant", "content": "A21.9 — Tularemia, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tricyclic antidepressants, assault, subsequent encounter"}, {"role": "assistant", "content": "T43.013D — Poisoning by tricyclic antidepressants, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of left middle finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.633B — Displaced fracture of distal phalanx of left middle finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.121G — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of stomach, subsequent encounter"}, {"role": "assistant", "content": "S36.39XD — Other injury of stomach, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.435F — Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other drugs, medicaments and biological substances, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T50.991A — Poisoning by other drugs, medicaments and biological substances, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.335K — Nondisplaced oblique fracture of shaft of left femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion on board merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V93.50XD — Explosion on board merchant ship, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of C0/C1 cervical vertebrae, subsequent encounter"}, {"role": "assistant", "content": "S13.111D — Dislocation of C0/C1 cervical vertebrae, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of bronchus, unspecified, sequela"}, {"role": "assistant", "content": "S27.439S — Laceration of bronchus, unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent hypersomnia"}, {"role": "assistant", "content": "G47.13 — Recurrent hypersomnia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right palm, sequela"}, {"role": "assistant", "content": "T23.251S — Burn of second degree of right palm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of right foot at ankle level, initial encounter"}, {"role": "assistant", "content": "S98.021A — Partial traumatic amputation of right foot at ankle level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.405A — Unspecified injury of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right humerus, sequela"}, {"role": "assistant", "content": "M84.321S — Stress fracture, right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.445F — Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of liver transplant"}, {"role": "assistant", "content": "T86.49 — Other complications of liver transplant"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified protozoal disease"}, {"role": "assistant", "content": "B64 — Unspecified protozoal disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for abnormality of vulva and perineum, second trimester"}, {"role": "assistant", "content": "O34.72 — Maternal care for abnormality of vulva and perineum, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.301Q — Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side"}, {"role": "assistant", "content": "I69.263 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic hypereosinophilic syndrome [IHES]"}, {"role": "assistant", "content": "D72.110 — Idiopathic hypereosinophilic syndrome [IHES]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.113N — Displaced fracture of greater trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified multiple fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.749A — Corrosion of third degree of unspecified multiple fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.252R — Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary malignant neoplasm of genital organs"}, {"role": "assistant", "content": "C79.82 — Secondary malignant neoplasm of genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ligneous conjunctivitis, unspecified eye"}, {"role": "assistant", "content": "H10.519 — Ligneous conjunctivitis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified upper arm, subsequent encounter"}, {"role": "assistant", "content": "T22.639D — Corrosion of second degree of unspecified upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Body mass index [BMI] 40.0-44.9, adult"}, {"role": "assistant", "content": "Z68.41 — Body mass index [BMI] 40.0-44.9, adult"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pseudopterygium of conjunctiva, unspecified eye"}, {"role": "assistant", "content": "H11.819 — Pseudopterygium of conjunctiva, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.012K — Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T81.719D — Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cervical disc disorder, unspecified, high cervical region"}, {"role": "assistant", "content": "M50.91 — Cervical disc disorder, unspecified, high cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left ring finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.335D — Puncture wound without foreign body of left ring finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in urethra, subsequent encounter"}, {"role": "assistant", "content": "T19.0XXD — Foreign body in urethra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of right great toe, sequela"}, {"role": "assistant", "content": "S92.404S — Nondisplaced unspecified fracture of right great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hydroxyapatite deposition disease, unspecified wrist"}, {"role": "assistant", "content": "M11.039 — Hydroxyapatite deposition disease, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcification and ossification of muscle, unspecified"}, {"role": "assistant", "content": "M61.9 — Calcification and ossification of muscle, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bone marrow donor"}, {"role": "assistant", "content": "Z52.3 — Bone marrow donor"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial subluxation of right ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.131S — Medial subluxation of right ulnohumeral joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of right knee"}, {"role": "assistant", "content": "Z89.521 — Acquired absence of right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.474P — Pathological fracture, right foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced osteochondral fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.016Q — Nondisplaced osteochondral fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by iminostilbenes, assault, sequela"}, {"role": "assistant", "content": "T42.1X3S — Poisoning by iminostilbenes, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.134C — Nondisplaced fracture of neck of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2"}, {"role": "assistant", "content": "O31.11X2 — Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial loss of ear ossicles, right ear"}, {"role": "assistant", "content": "H74.321 — Partial loss of ear ossicles, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in pharynx causing other injury, sequela"}, {"role": "assistant", "content": "T17.218S — Gastric contents in pharynx causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute bronchitis due to rhinovirus"}, {"role": "assistant", "content": "J20.6 — Acute bronchitis due to rhinovirus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.211K — Salter-Harris Type I physeal fracture of upper end of right fibula, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute respiratory distress syndrome"}, {"role": "assistant", "content": "J80 — Acute respiratory distress syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V56.3XXS — Unspecified occupant of pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.445N — Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of unspecified round ligament"}, {"role": "assistant", "content": "C57.20 — Malignant neoplasm of unspecified round ligament"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}, {"role": "assistant", "content": "S06.354D — Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans traumatica, other site"}, {"role": "assistant", "content": "M61.08 — Myositis ossificans traumatica, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of left upper eyelid, including canthus"}, {"role": "assistant", "content": "C43.121 — Malignant melanoma of left upper eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.242F — Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of right ring finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.414A — Traumatic rupture of collateral ligament of right ring finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by softball, sequela"}, {"role": "assistant", "content": "W21.07XS — Struck by softball, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.342F — Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V15.4XXD — Pedal cycle driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle and tendon of unspecified wall of thorax, initial encounter"}, {"role": "assistant", "content": "S29.099A — Other injury of muscle and tendon of unspecified wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malar fracture, left side, sequela"}, {"role": "assistant", "content": "S02.40BS — Malar fracture, left side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sleep apnea"}, {"role": "assistant", "content": "G47.39 — Other sleep apnea"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leishmaniasis, unspecified"}, {"role": "assistant", "content": "B55.9 — Leishmaniasis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S80.249D — External constriction, unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle passenger injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V27.59XD — Other motorcycle passenger injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fear of other medical care"}, {"role": "assistant", "content": "F40.232 — Fear of other medical care"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, right wrist, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2310 — Drug-induced chronic gout, right wrist, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.131S — Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spinal cerebrospinal fluid leak, spontaneous"}, {"role": "assistant", "content": "G96.02 — Spinal cerebrospinal fluid leak, spontaneous"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic ischemic infarction of muscle, right lower leg"}, {"role": "assistant", "content": "M62.261 — Nontraumatic ischemic infarction of muscle, right lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other circadian rhythm sleep disorder"}, {"role": "assistant", "content": "G47.29 — Other circadian rhythm sleep disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of greater trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.116N — Nondisplaced fracture of greater trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by other firearm discharge, initial encounter"}, {"role": "assistant", "content": "X95.8XXA — Assault by other firearm discharge, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left forearm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.92XD — Unspecified fracture of left forearm, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by therapeutic gases, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T41.5X4D — Poisoning by therapeutic gases, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by placental transfusion syndromes"}, {"role": "assistant", "content": "P02.3 — Newborn affected by placental transfusion syndromes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of left ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.105D — Unspecified dislocation of left ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of angle of right mandible, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.651B — Fracture of angle of right mandible, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystic meniscus, posterior horn of lateral meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.059 — Cystic meniscus, posterior horn of lateral meniscus, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right forearm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.91XC — Unspecified fracture of right forearm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced gout, unspecified elbow"}, {"role": "assistant", "content": "M10.229 — Drug-induced gout, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of C0/C1 cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.110A — Subluxation of C0/C1 cervical vertebrae, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Double pterygium of eye, bilateral"}, {"role": "assistant", "content": "H11.033 — Double pterygium of eye, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of left ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.112A — Anterior subluxation of left ulnohumeral joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post-transplant lymphoproliferative disorder (PTLD)"}, {"role": "assistant", "content": "D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease"}, {"role": "assistant", "content": "I12.0 — Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V67.3XXD — Unspecified occupant of heavy transport vehicle injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other metals, undetermined, initial encounter"}, {"role": "assistant", "content": "T56.894A — Toxic effect of other metals, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.453N — Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.109H — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by short cord, fetus 1"}, {"role": "assistant", "content": "O69.3XX1 — Labor and delivery complicated by short cord, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.029A — Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of methanol, intentional self-harm, sequela"}, {"role": "assistant", "content": "T51.1X2S — Toxic effect of methanol, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.126Q — Nondisplaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.602B — Unspecified fracture of lower end of left ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile arthritis, unspecified, unspecified site"}, {"role": "assistant", "content": "M08.90 — Juvenile arthritis, unspecified, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cysts of oral region, not elsewhere classified"}, {"role": "assistant", "content": "K09.8 — Other cysts of oral region, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.255F — Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of liver, subsequent encounter"}, {"role": "assistant", "content": "S36.118D — Other injury of liver, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of right acromioclavicular joint, 100%-200% displacement, subsequent encounter"}, {"role": "assistant", "content": "S43.121D — Dislocation of right acromioclavicular joint, 100%-200% displacement, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.271D — Other superficial bite of right eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with nonvenomous snake, initial encounter"}, {"role": "assistant", "content": "W59.19XA — Other contact with nonvenomous snake, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of left little finger, initial encounter"}, {"role": "assistant", "content": "S68.127A — Partial traumatic metacarpophalangeal amputation of left little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of cranial or spinal infusion catheter, initial encounter"}, {"role": "assistant", "content": "T85.690A — Other mechanical complication of cranial or spinal infusion catheter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in left ear, initial encounter"}, {"role": "assistant", "content": "T16.2XXA — Foreign body in left ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of other specified part of neck, initial encounter"}, {"role": "assistant", "content": "S19.89XA — Other specified injuries of other specified part of neck, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of proximal end of tibia, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.116D — Anterior dislocation of proximal end of tibia, unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus"}, {"role": "assistant", "content": "C44.101 — Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity"}, {"role": "assistant", "content": "I70.368 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of right arm, subsequent encounter"}, {"role": "assistant", "content": "T33.41XD — Superficial frostbite of right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.221G — 2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infectious mononucleosis, unspecified with other complication"}, {"role": "assistant", "content": "B27.99 — Infectious mononucleosis, unspecified with other complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of anterior mediastinum"}, {"role": "assistant", "content": "C38.1 — Malignant neoplasm of anterior mediastinum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of scrotum and testes, sequela"}, {"role": "assistant", "content": "S30.873S — Other superficial bite of scrotum and testes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of paints and dyes, not elsewhere classified, assault, subsequent encounter"}, {"role": "assistant", "content": "T65.6X3D — Toxic effect of paints and dyes, not elsewhere classified, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of unspecified ankle"}, {"role": "assistant", "content": "Z89.449 — Acquired absence of unspecified ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter"}, {"role": "assistant", "content": "T85.118A — Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.131N — Displaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ruvalcaba-Myhre-Smith syndrome"}, {"role": "assistant", "content": "E71.440 — Ruvalcaba-Myhre-Smith syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, right flank with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.656D — Open bite of abdominal wall, right flank with penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of trichloroethylene, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T53.2X1S — Toxic effect of trichloroethylene, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of left index finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.412S — Strain of extensor muscle, fascia and tendon of left index finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of multiple unspecified drugs, medicaments and biological substances, subsequent encounter"}, {"role": "assistant", "content": "T50.915D — Adverse effect of multiple unspecified drugs, medicaments and biological substances, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V02.031D — Pedestrian on standing electric scooter injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V68.6XXD — Passenger in heavy transport vehicle injured in noncollision transport accident in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of one rib, unspecified side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.39XD — Fracture of one rib, unspecified side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute lymphangitis of head [any part, except face]"}, {"role": "assistant", "content": "L03.891 — Acute lymphangitis of head [any part, except face]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other non-ABO incompatibility reaction due to transfusion of blood or blood products, sequela"}, {"role": "assistant", "content": "T80.A9XS — Other non-ABO incompatibility reaction due to transfusion of blood or blood products, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, sequela"}, {"role": "assistant", "content": "T50.912S — Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V02.12XD — Pedestrian on skateboard injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with other specified machinery, initial encounter"}, {"role": "assistant", "content": "W31.89XA — Contact with other specified machinery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Esophagitis, unspecified without bleeding"}, {"role": "assistant", "content": "K20.90 — Esophagitis, unspecified without bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with electric knife, sequela"}, {"role": "assistant", "content": "W29.1XXS — Contact with electric knife, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by methylphenidate, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T43.631D — Poisoning by methylphenidate, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental puncture and laceration of an endocrine system organ or structure during other procedure"}, {"role": "assistant", "content": "E36.12 — Accidental puncture and laceration of an endocrine system organ or structure during other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle"}, {"role": "assistant", "content": "L97.903 — Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.572C — Other intraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.436H — Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.192J — Other fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.432R — Displaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.209G — Unspecified fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of popliteal vein, right leg, initial encounter"}, {"role": "assistant", "content": "S85.511A — Laceration of popliteal vein, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula of gallbladder"}, {"role": "assistant", "content": "K82.3 — Fistula of gallbladder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of left little finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.607G — Fracture of unspecified phalanx of left little finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T44.1X2A — Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S60.949A — Unspecified superficial injury of unspecified finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral tear of medial meniscus, current injury, left knee, initial encounter"}, {"role": "assistant", "content": "S83.222A — Peripheral tear of medial meniscus, current injury, left knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adult neglect or abandonment, suspected, sequela"}, {"role": "assistant", "content": "T76.01XS — Adult neglect or abandonment, suspected, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of left pulmonary blood vessels, sequela"}, {"role": "assistant", "content": "S25.422S — Major laceration of left pulmonary blood vessels, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of trapezium [larger multangular], unspecified wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.173A — Displaced fracture of trapezium [larger multangular], unspecified wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified forearm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S58.929D — Partial traumatic amputation of unspecified forearm, level unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute contact otitis externa, right ear"}, {"role": "assistant", "content": "H60.531 — Acute contact otitis externa, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in bronchus causing other injury, sequela"}, {"role": "assistant", "content": "T17.598S — Other foreign object in bronchus causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into other water striking wall causing other injury, subsequent encounter"}, {"role": "assistant", "content": "W16.832D — Jumping or diving into other water striking wall causing other injury, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Thyrotoxicosis, unspecified without thyrotoxic crisis or storm"}, {"role": "assistant", "content": "E05.90 — Thyrotoxicosis, unspecified without thyrotoxic crisis or storm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.028G — Other fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V45.0XXA — Car driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with two- or three-wheeled motor vehicle, initial encounter"}, {"role": "assistant", "content": "V52.4XXA — Person boarding or alighting a pick-up truck or van injured in collision with two- or three-wheeled motor vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye"}, {"role": "assistant", "content": "E08.3521 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.816 — Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective bursitis, unspecified elbow"}, {"role": "assistant", "content": "M71.129 — Other infective bursitis, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiallergic and antiemetic drugs, assault, sequela"}, {"role": "assistant", "content": "T45.0X3S — Poisoning by antiallergic and antiemetic drugs, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.345R — Nondisplaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Opioid use, unspecified with intoxication with perceptual disturbance"}, {"role": "assistant", "content": "F11.922 — Opioid use, unspecified with intoxication with perceptual disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other pre-existing diabetes mellitus in pregnancy, first trimester"}, {"role": "assistant", "content": "O24.811 — Other pre-existing diabetes mellitus in pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.032D — Salter-Harris Type III physeal fracture of upper end of left tibia, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V25.91XA — Unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S75.219A — Minor laceration of greater saphenous vein at hip and thigh level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral"}, {"role": "assistant", "content": "E09.3393 — Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist"}, {"role": "assistant", "content": "M12.039 — Chronic postrheumatic arthropathy [Jaccoud], unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.359D — Open bite of unspecified finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural cardiogenic shock, initial encounter"}, {"role": "assistant", "content": "T81.11XA — Postprocedural cardiogenic shock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute laryngopharyngitis"}, {"role": "assistant", "content": "J06.0 — Acute laryngopharyngitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified tibial artery, right leg, subsequent encounter"}, {"role": "assistant", "content": "S85.111D — Laceration of unspecified tibial artery, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of occiput, right side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.11GK — Other fracture of occiput, right side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, sequela"}, {"role": "assistant", "content": "S06.382S — Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifida, fetus 3"}, {"role": "assistant", "content": "O35.08X3 — Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifida, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failure in dosage during other surgical and medical care"}, {"role": "assistant", "content": "Y63.8 — Failure in dosage during other surgical and medical care"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.323E — Displaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transportation insecurity"}, {"role": "assistant", "content": "Z59.82 — Transportation insecurity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.389J — Bent bone of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of left middle finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.643P — Nondisplaced fracture of proximal phalanx of left middle finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypostatic pneumonia, unspecified organism"}, {"role": "assistant", "content": "J18.2 — Hypostatic pneumonia, unspecified organism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "S60.859A — Superficial foreign body of unspecified wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, unspecified knee, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1691 — Lead-induced chronic gout, unspecified knee, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.E0XD — Non-magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S86.209A — Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of left hip and thigh, initial encounter"}, {"role": "assistant", "content": "T33.62XA — Superficial frostbite of left hip and thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of right lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.591A — Other fracture of right lesser toe(s), initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for benign tumor of corpus uteri, unspecified trimester"}, {"role": "assistant", "content": "O34.10 — Maternal care for benign tumor of corpus uteri, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of median nerve at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S54.11XA — Injury of median nerve at forearm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified lesser toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.116A — Laceration without foreign body of unspecified lesser toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of right lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.331D — Burn of third degree of right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from (out of) grocery cart, initial encounter"}, {"role": "assistant", "content": "W17.82XA — Fall from (out of) grocery cart, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of abdominal wall, subsequent encounter"}, {"role": "assistant", "content": "S30.841D — External constriction of abdominal wall, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial wall of right acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.474D — Nondisplaced fracture of medial wall of right acetabulum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tricyclic antidepressants, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T43.014D — Poisoning by tricyclic antidepressants, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left middle finger, initial encounter"}, {"role": "assistant", "content": "S60.413A — Abrasion of left middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of unspecified shoulder joint, subsequent encounter"}, {"role": "assistant", "content": "S43.086D — Other dislocation of unspecified shoulder joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.131Q — Displaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of bile duct with chronic cholangitis with obstruction"}, {"role": "assistant", "content": "K80.35 — Calculus of bile duct with chronic cholangitis with obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified tarsal bone(s) of left foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.202K — Fracture of unspecified tarsal bone(s) of left foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.49XD — Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other muscles, fascia and tendons at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S56.822S — Laceration of other muscles, fascia and tendons at forearm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective spondylopathies, thoracic region"}, {"role": "assistant", "content": "M46.54 — Other infective spondylopathies, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of unspecified ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.116A — Anterior dislocation of unspecified ulnohumeral joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gonorrhea complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.212 — Gonorrhea complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O41.8X95 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous animals, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.892A — Toxic effect of contact with other venomous animals, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other acute osteomyelitis, right humerus"}, {"role": "assistant", "content": "M86.121 — Other acute osteomyelitis, right humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other synovitis and tenosynovitis, right upper arm"}, {"role": "assistant", "content": "M65.821 — Other synovitis and tenosynovitis, right upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ossification of muscle, left forearm"}, {"role": "assistant", "content": "M61.532 — Other ossification of muscle, left forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body granuloma of soft tissue, not elsewhere classified, unspecified thigh"}, {"role": "assistant", "content": "M60.259 — Foreign body granuloma of soft tissue, not elsewhere classified, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food in other parts of respiratory tract causing other injury, sequela"}, {"role": "assistant", "content": "T17.828S — Food in other parts of respiratory tract causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis of continent stoma of urinary tract"}, {"role": "assistant", "content": "N99.534 — Stenosis of continent stoma of urinary tract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.009P — Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other blood vessels at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S55.892S — Other specified injury of other blood vessels at forearm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid nodule, right hip"}, {"role": "assistant", "content": "M06.351 — Rheumatoid nodule, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye"}, {"role": "assistant", "content": "E13.3539 — Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of left little finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.428S — Laceration of extensor muscle, fascia and tendon of left little finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal results of pulmonary function studies"}, {"role": "assistant", "content": "R94.2 — Abnormal results of pulmonary function studies"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective (teno)synovitis, right hip"}, {"role": "assistant", "content": "M65.151 — Other infective (teno)synovitis, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of base of first metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.232P — Other displaced fracture of base of first metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental drowning and submersion while in swimming-pool, sequela"}, {"role": "assistant", "content": "W67.XXXS — Accidental drowning and submersion while in swimming-pool, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open-angle glaucoma, mild stage"}, {"role": "assistant", "content": "H40.10X1 — Unspecified open-angle glaucoma, mild stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Episcleritis periodica fugax, unspecified eye"}, {"role": "assistant", "content": "H15.119 — Episcleritis periodica fugax, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.326N — Nondisplaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tinea barbae and tinea capitis"}, {"role": "assistant", "content": "B35.0 — Tinea barbae and tinea capitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.56XB — Nondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.192Q — Other fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity"}, {"role": "assistant", "content": "I70.528 — Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Circumvallate placenta, first trimester"}, {"role": "assistant", "content": "O43.111 — Circumvallate placenta, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chlamydial infection of genitourinary tract, unspecified"}, {"role": "assistant", "content": "A56.2 — Chlamydial infection of genitourinary tract, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.344J — Nondisplaced spiral fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pulsating exophthalmos, bilateral"}, {"role": "assistant", "content": "H05.263 — Pulsating exophthalmos, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of bronchus, bilateral, initial encounter"}, {"role": "assistant", "content": "S27.432A — Laceration of bronchus, bilateral, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tetracyclines, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T36.4X1A — Poisoning by tetracyclines, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of flexor tendons, unspecified forearm"}, {"role": "assistant", "content": "M66.339 — Spontaneous rupture of flexor tendons, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.193A — Other subluxation of unspecified ulnohumeral joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of snowmobile injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V86.32XA — Unspecified occupant of snowmobile injured in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T49.6X2D — Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced gout, unspecified knee"}, {"role": "assistant", "content": "M10.269 — Drug-induced gout, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of strychnine and its salts, intentional self-harm, sequela"}, {"role": "assistant", "content": "T65.1X2S — Toxic effect of strychnine and its salts, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete loss of teeth due to other specified cause, class IV"}, {"role": "assistant", "content": "K08.194 — Complete loss of teeth due to other specified cause, class IV"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from unspecified source, assault, initial encounter"}, {"role": "assistant", "content": "T58.93XA — Toxic effect of carbon monoxide from unspecified source, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg"}, {"role": "assistant", "content": "I70.638 — Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle and tendon of front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S29.021A — Laceration of muscle and tendon of front wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of unspecified toe(s), sequela"}, {"role": "assistant", "content": "T34.839S — Frostbite with tissue necrosis of unspecified toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.109C — Unspecified fracture of upper end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of symphysis of mandible, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.66XG — Fracture of symphysis of mandible, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.474G — Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of left little finger, initial encounter"}, {"role": "assistant", "content": "S60.467A — Insect bite (nonvenomous) of left little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified forearm, sequela"}, {"role": "assistant", "content": "T22.619S — Corrosion of second degree of unspecified forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter"}, {"role": "assistant", "content": "T85.734A — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.102S — Unspecified injury of left quadriceps muscle, fascia and tendon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.009R — Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Smith's fracture of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.542C — Smith's fracture of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of right forearm, sequela"}, {"role": "assistant", "content": "S50.841S — External constriction of right forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right little finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.616G — Displaced fracture of proximal phalanx of right little finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyhydramnios, third trimester, fetus 2"}, {"role": "assistant", "content": "O40.3XX2 — Polyhydramnios, third trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.233R — Displaced oblique fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of unspecified part of left bronchus or lung"}, {"role": "assistant", "content": "C34.92 — Malignant neoplasm of unspecified part of left bronchus or lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of benzene, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T52.1X4D — Toxic effect of benzene, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of other finger, subsequent encounter"}, {"role": "assistant", "content": "S60.468D — Insect bite (nonvenomous) of other finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in small intestine, initial encounter"}, {"role": "assistant", "content": "T18.3XXA — Foreign body in small intestine, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete lesion of sacral spinal cord, sequela"}, {"role": "assistant", "content": "S34.132S — Incomplete lesion of sacral spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of L1/L2 lumbar vertebra, subsequent encounter"}, {"role": "assistant", "content": "S33.111D — Dislocation of L1/L2 lumbar vertebra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of unspecified hand at wrist level, initial encounter"}, {"role": "assistant", "content": "S68.419A — Complete traumatic amputation of unspecified hand at wrist level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified Achilles tendon, subsequent encounter"}, {"role": "assistant", "content": "S86.009D — Unspecified injury of unspecified Achilles tendon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left middle finger, initial encounter"}, {"role": "assistant", "content": "S60.423A — Blister (nonthermal) of left middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Episodic cluster headache, not intractable"}, {"role": "assistant", "content": "G44.019 — Episodic cluster headache, not intractable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified complications due to other genitourinary prosthetic materials, subsequent encounter"}, {"role": "assistant", "content": "T83.79XD — Other specified complications due to other genitourinary prosthetic materials, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure of other prosthetic materials into organ or tissue, sequela"}, {"role": "assistant", "content": "T83.729S — Exposure of other prosthetic materials into organ or tissue, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kaschin-Beck disease, right ankle and foot"}, {"role": "assistant", "content": "M12.171 — Kaschin-Beck disease, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine abuse with cocaine-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of peroneal artery, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.219S — Laceration of peroneal artery, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving explosion of marine weapons, civilian injured, initial encounter"}, {"role": "assistant", "content": "Y38.0X2A — Terrorism involving explosion of marine weapons, civilian injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of breast, unspecified breast, subsequent encounter"}, {"role": "assistant", "content": "S20.169D — Insect bite (nonvenomous) of breast, unspecified breast, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diseases of blood and blood-forming organs"}, {"role": "assistant", "content": "D75.89 — Other specified diseases of blood and blood-forming organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter"}, {"role": "assistant", "content": "S96.192D — Other specified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of left ring finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.635A — Displaced fracture of distal phalanx of left ring finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for aftercare following bone marrow transplant"}, {"role": "assistant", "content": "Z48.290 — Encounter for aftercare following bone marrow transplant"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Term delivery with preterm labor, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O60.23X0 — Term delivery with preterm labor, third trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of left ankle, initial encounter"}, {"role": "assistant", "content": "T25.712A — Corrosion of third degree of left ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of unspecified finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.609B — Fracture of unspecified phalanx of unspecified finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of three-wheeled motor vehicle injured in collision with fixed or stationary object in nontraffic accident, sequela"}, {"role": "assistant", "content": "V37.0XXS — Driver of three-wheeled motor vehicle injured in collision with fixed or stationary object in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other anophthalmos"}, {"role": "assistant", "content": "Q11.1 — Other anophthalmos"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic acute pancreatitis with uninfected necrosis"}, {"role": "assistant", "content": "K85.01 — Idiopathic acute pancreatitis with uninfected necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anuria and oliguria"}, {"role": "assistant", "content": "R34 — Anuria and oliguria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by local anesthetics, assault, sequela"}, {"role": "assistant", "content": "T41.3X3S — Poisoning by local anesthetics, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other Australian snake, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.074D — Toxic effect of venom of other Australian snake, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysarthria following nontraumatic intracerebral hemorrhage"}, {"role": "assistant", "content": "I69.122 — Dysarthria following nontraumatic intracerebral hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T59.892A — Toxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of chest with other specified severity"}, {"role": "assistant", "content": "L98.448 — Non-pressure chronic ulcer of chest with other specified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.102Q — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of short bones of unspecified lower limb"}, {"role": "assistant", "content": "D16.30 — Benign neoplasm of short bones of unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jump from burning building or structure in uncontrolled fire, subsequent encounter"}, {"role": "assistant", "content": "X00.5XXD — Jump from burning building or structure in uncontrolled fire, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other water transport accident involving military watercraft, initial encounter"}, {"role": "assistant", "content": "V94.818A — Other water transport accident involving military watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of humerus, left arm, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.302B — Unspecified fracture of shaft of humerus, left arm, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from crushed sailboat, initial encounter"}, {"role": "assistant", "content": "V90.34XA — Drowning and submersion due to falling or jumping from crushed sailboat, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary chronic gout, right ankle and foot, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.4710 — Other secondary chronic gout, right ankle and foot, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, unspecified shoulder, sequela"}, {"role": "assistant", "content": "S42.123S — Displaced fracture of acromial process, unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic shock, initial encounter"}, {"role": "assistant", "content": "T79.4XXA — Traumatic shock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of fifth metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.353D — Displaced fracture of fifth metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Supervision of pregnancy with insufficient antenatal care, first trimester"}, {"role": "assistant", "content": "O09.31 — Supervision of pregnancy with insufficient antenatal care, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.302S — Unspecified injury of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified bursopathies, right wrist"}, {"role": "assistant", "content": "M71.831 — Other specified bursopathies, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of T3/T4 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.122S — Subluxation of T3/T4 thoracic vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified blood vessel at ankle and foot level, left leg, sequela"}, {"role": "assistant", "content": "S95.902S — Unspecified injury of unspecified blood vessel at ankle and foot level, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V22.21XD — Unspecified electric (assisted) bicycle rider injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of axillary or brachial vein, right side, sequela"}, {"role": "assistant", "content": "S45.201S — Unspecified injury of axillary or brachial vein, right side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cellulitis of unspecified part of limb"}, {"role": "assistant", "content": "L03.119 — Cellulitis of unspecified part of limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, assault, subsequent encounter"}, {"role": "assistant", "content": "T38.6X3D — Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of navicular [scaphoid] of unspecified foot, sequela"}, {"role": "assistant", "content": "S92.253S — Displaced fracture of navicular [scaphoid] of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F19.950 — Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Placentitis, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O41.1492 — Placentitis, unspecified trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of flexor tendons, left hand"}, {"role": "assistant", "content": "M66.342 — Spontaneous rupture of flexor tendons, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified effects of external causes, subsequent encounter"}, {"role": "assistant", "content": "T75.89XD — Other specified effects of external causes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from burning merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V90.20XD — Drowning and submersion due to falling or jumping from burning merchant ship, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S01.141D — Puncture wound with foreign body of right eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of extensor tendons, unspecified shoulder"}, {"role": "assistant", "content": "M66.219 — Spontaneous rupture of extensor tendons, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of bronchus, unspecified, initial encounter"}, {"role": "assistant", "content": "S27.429A — Contusion of bronchus, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified noxious substance eaten as food, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T62.94XD — Toxic effect of unspecified noxious substance eaten as food, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.0B1P — Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of native coronary artery of transplanted heart without angina pectoris"}, {"role": "assistant", "content": "I25.811 — Atherosclerosis of native coronary artery of transplanted heart without angina pectoris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other forms of scoliosis, thoracic region"}, {"role": "assistant", "content": "M41.84 — Other forms of scoliosis, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.453G — Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by rifle pellet, unspecified person injured, sequela"}, {"role": "assistant", "content": "Y35.039S — Legal intervention involving injury by rifle pellet, unspecified person injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.491E — Other fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, right ankle, initial encounter"}, {"role": "assistant", "content": "S90.511A — Abrasion, right ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela"}, {"role": "assistant", "content": "S46.021S — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Premature separation of placenta with coagulation defect, unspecified, unspecified trimester"}, {"role": "assistant", "content": "O45.009 — Premature separation of placenta with coagulation defect, unspecified, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of unspecified tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S82.169D — Torus fracture of upper end of unspecified tibia, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of internal orthopedic prosthetic device, implant and graft, sequela"}, {"role": "assistant", "content": "T84.9XXS — Unspecified complication of internal orthopedic prosthetic device, implant and graft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified noxious substances eaten as food, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T62.8X2D — Toxic effect of other specified noxious substances eaten as food, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified cause of accidental drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "W74.XXXD — Unspecified cause of accidental drowning and submersion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.436E — Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter"}, {"role": "assistant", "content": "S06.5XAA — Traumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital malformation of posterior segment of eye, unspecified"}, {"role": "assistant", "content": "Q14.9 — Congenital malformation of posterior segment of eye, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fat embolism (traumatic), subsequent encounter"}, {"role": "assistant", "content": "T79.1XXD — Fat embolism (traumatic), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of left lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.192A — Burn of first degree of multiple sites of left lower limb, except ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.009N — Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Papilledema associated with decreased ocular pressure"}, {"role": "assistant", "content": "H47.12 — Papilledema associated with decreased ocular pressure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute gastric ulcer without hemorrhage or perforation"}, {"role": "assistant", "content": "K25.3 — Acute gastric ulcer without hemorrhage or perforation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Therapeutic (nonsurgical) and rehabilitative gastroenterology and urology devices associated with adverse incidents"}, {"role": "assistant", "content": "Y73.1 — Therapeutic (nonsurgical) and rehabilitative gastroenterology and urology devices associated with adverse incidents"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Rolando's fracture, unspecified hand, sequela"}, {"role": "assistant", "content": "S62.223S — Displaced Rolando's fracture, unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other neonatal aspiration without respiratory symptoms"}, {"role": "assistant", "content": "P24.80 — Other neonatal aspiration without respiratory symptoms"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by saline and osmotic laxatives, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T47.3X1A — Poisoning by saline and osmotic laxatives, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meckel's diverticulum, malignant"}, {"role": "assistant", "content": "C17.3 — Meckel's diverticulum, malignant"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Severely displaced Zone III fracture of sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.132G — Severely displaced Zone III fracture of sacrum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis due to genitourinary prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T83.85XS — Stenosis due to genitourinary prosthetic devices, implants and grafts, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cloverleaf skull"}, {"role": "assistant", "content": "Q75.051 — Cloverleaf skull"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left lesser toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.125A — Laceration with foreign body of left lesser toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified muscles, fascia and tendons at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S56.991A — Other injury of unspecified muscles, fascia and tendons at forearm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.113A — Displaced fracture of greater trochanter of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic maculopathy, bilateral"}, {"role": "assistant", "content": "H35.383 — Toxic maculopathy, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial physeal arrest, right proximal humerus"}, {"role": "assistant", "content": "M89.123 — Partial physeal arrest, right proximal humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid heart disease with rheumatoid arthritis of right elbow"}, {"role": "assistant", "content": "M05.321 — Rheumatoid heart disease with rheumatoid arthritis of right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.001E — Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V53.0XXD — Driver of pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other spider, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.394D — Toxic effect of venom of other spider, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified noxious substances eaten as food, assault, initial encounter"}, {"role": "assistant", "content": "T62.8X3A — Toxic effect of other specified noxious substances eaten as food, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic perichondritis of left external ear"}, {"role": "assistant", "content": "H61.022 — Chronic perichondritis of left external ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 4"}, {"role": "assistant", "content": "O35.13X4 — Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), left lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.465A — Insect bite (nonvenomous), left lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of uterus before onset of labor, unspecified trimester"}, {"role": "assistant", "content": "O71.00 — Rupture of uterus before onset of labor, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Extreme immaturity of newborn, gestational age less than 23 completed weeks"}, {"role": "assistant", "content": "P07.21 — Extreme immaturity of newborn, gestational age less than 23 completed weeks"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.325P — Nondisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign paroxysmal vertigo, bilateral"}, {"role": "assistant", "content": "H81.13 — Benign paroxysmal vertigo, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spasm of accommodation, right eye"}, {"role": "assistant", "content": "H52.531 — Spasm of accommodation, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance dependence with psychoactive substance-induced sleep disorder"}, {"role": "assistant", "content": "F19.282 — Other psychoactive substance dependence with psychoactive substance-induced sleep disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of right great toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.424K — Nondisplaced fracture of distal phalanx of right great toe, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other psychostimulants, assault, sequela"}, {"role": "assistant", "content": "T43.693S — Poisoning by other psychostimulants, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.525B — Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, fetus 3"}, {"role": "assistant", "content": "O35.03X3 — Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of depth-charge, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.011D — War operations involving explosion of depth-charge, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1"}, {"role": "assistant", "content": "O31.23X1 — Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.423F — Displaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by hunting rifle, sequela"}, {"role": "assistant", "content": "X94.1XXS — Assault by hunting rifle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anthelminthics, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T37.4X1S — Poisoning by anthelminthics, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.623G — Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mastoiditis and related conditions, left ear"}, {"role": "assistant", "content": "H70.892 — Other mastoiditis and related conditions, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of right calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.001P — Unspecified physeal fracture of right calcaneus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite, right foot, sequela"}, {"role": "assistant", "content": "S91.351S — Open bite, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.192A — Other injury of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foster mother, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.421 — Foster mother, perpetrator of maltreatment and neglect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of humerus, left arm, sequela"}, {"role": "assistant", "content": "S49.132S — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of right tibial spine, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.111H — Displaced fracture of right tibial spine, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of glycols, undetermined, sequela"}, {"role": "assistant", "content": "T52.3X4S — Toxic effect of glycols, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of predominantly alpha-adrenoreceptor agonists, sequela"}, {"role": "assistant", "content": "T44.4X5S — Adverse effect of predominantly alpha-adrenoreceptor agonists, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Interstitial myositis, left ankle and foot"}, {"role": "assistant", "content": "M60.172 — Interstitial myositis, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.143H — Displaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, left tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.462P — Pathological fracture, left tibia, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V39.50XA — Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "False labor at or after 37 completed weeks of gestation"}, {"role": "assistant", "content": "O47.1 — False labor at or after 37 completed weeks of gestation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.223S — Laceration with foreign body of left middle finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other female intestinal-genital tract fistulae"}, {"role": "assistant", "content": "N82.4 — Other female intestinal-genital tract fistulae"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transcondylar fracture of unspecified humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.476B — Nondisplaced transcondylar fracture of unspecified humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic hematogenous osteomyelitis, multiple sites"}, {"role": "assistant", "content": "M86.59 — Other chronic hematogenous osteomyelitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.141D — Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of visual pathways in (due to) inflammatory disorders, left side"}, {"role": "assistant", "content": "H47.512 — Disorders of visual pathways in (due to) inflammatory disorders, left side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V52.0XXA — Driver of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of cutaneous sensory nerve at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S54.31XD — Injury of cutaneous sensory nerve at forearm level, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.321D — Stress fracture, right humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications specific to multiple gestation, third trimester, fetus 1"}, {"role": "assistant", "content": "O31.8X31 — Other complications specific to multiple gestation, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.182N — Other fracture of upper end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Effusion, unspecified foot"}, {"role": "assistant", "content": "M25.476 — Effusion, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ABO incompatibility reaction due to transfusion of blood or blood products, subsequent encounter"}, {"role": "assistant", "content": "T80.39XD — Other ABO incompatibility reaction due to transfusion of blood or blood products, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of cervix uteri, unspecified"}, {"role": "assistant", "content": "C53.9 — Malignant neoplasm of cervix uteri, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.245F — Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of third cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.201S — Unspecified nondisplaced fracture of third cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paraphimosis"}, {"role": "assistant", "content": "N47.2 — Paraphimosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of caffeine, sequela"}, {"role": "assistant", "content": "T43.616S — Underdosing of caffeine, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Placenta percreta, third trimester"}, {"role": "assistant", "content": "O43.233 — Placenta percreta, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic parametritis and pelvic cellulitis"}, {"role": "assistant", "content": "N73.1 — Chronic parametritis and pelvic cellulitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for attention to other artificial openings of digestive tract"}, {"role": "assistant", "content": "Z43.4 — Encounter for attention to other artificial openings of digestive tract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1"}, {"role": "assistant", "content": "O41.1021 — Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteitis deformans in neoplastic diseases, left ankle and foot"}, {"role": "assistant", "content": "M90.672 — Osteitis deformans in neoplastic diseases, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of left index finger, subsequent encounter"}, {"role": "assistant", "content": "S68.611D — Complete traumatic transphalangeal amputation of left index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.052B — Unspecified fracture of head of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Basal cell carcinoma of skin of breast"}, {"role": "assistant", "content": "C44.511 — Basal cell carcinoma of skin of breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary osteoarthritis, right elbow"}, {"role": "assistant", "content": "M19.221 — Secondary osteoarthritis, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, other site"}, {"role": "assistant", "content": "M60.08 — Infective myositis, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bucket-handle tear of lateral meniscus, current injury, right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.251D — Bucket-handle tear of lateral meniscus, current injury, right knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of interphalangeal joint of unspecified toe(s), sequela"}, {"role": "assistant", "content": "S93.139S — Subluxation of interphalangeal joint of unspecified toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.321D — Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right foot, sequela"}, {"role": "assistant", "content": "S90.921S — Unspecified superficial injury of right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute dacryoadenitis, left lacrimal gland"}, {"role": "assistant", "content": "H04.012 — Acute dacryoadenitis, left lacrimal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wear of articular bearing surface of internal prosthetic right knee joint, sequela"}, {"role": "assistant", "content": "T84.062S — Wear of articular bearing surface of internal prosthetic right knee joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of chin, subsequent encounter"}, {"role": "assistant", "content": "T20.33XD — Burn of third degree of chin, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.255R — Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle and tendon of unspecified wall of thorax, initial encounter"}, {"role": "assistant", "content": "S29.019A — Strain of muscle and tendon of unspecified wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V06.131S — Pedestrian on standing electric scooter injured in collision with other nonmotor vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Problem related to life management difficulty, unspecified"}, {"role": "assistant", "content": "Z73.9 — Problem related to life management difficulty, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving other fires, conflagrations and hot substances, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.391A — War operations involving other fires, conflagrations and hot substances, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter"}, {"role": "assistant", "content": "T84.069D — Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to internal fixation device of right fibula, subsequent encounter"}, {"role": "assistant", "content": "T84.624D — Infection and inflammatory reaction due to internal fixation device of right fibula, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of right wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.171D — Burn of first degree of right wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of skin of right upper eyelid, including canthus"}, {"role": "assistant", "content": "D04.111 — Carcinoma in situ of skin of right upper eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of lesser saphenous vein at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.419S — Laceration of lesser saphenous vein at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of femoral artery, right leg, initial encounter"}, {"role": "assistant", "content": "S75.001A — Unspecified injury of femoral artery, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being washed overboard from water-skis, sequela"}, {"role": "assistant", "content": "V92.27XS — Drowning and submersion due to being washed overboard from water-skis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified site of unspecified lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.309D — Burn of third degree of unspecified site of unspecified lower limb, except ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving rubber bullets, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.411D — War operations involving rubber bullets, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other echinococcosis"}, {"role": "assistant", "content": "B67.99 — Other echinococcosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of T5/T6 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.132D — Subluxation of T5/T6 thoracic vertebra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right ring finger, sequela"}, {"role": "assistant", "content": "S65.514S — Laceration of blood vessel of right ring finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, sequela"}, {"role": "assistant", "content": "T65.5X2S — Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of urinary electronic stimulator device, subsequent encounter"}, {"role": "assistant", "content": "T83.190D — Other mechanical complication of urinary electronic stimulator device, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T47.92XD — Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.133N — Displaced fracture of neck of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S93.303A — Unspecified subluxation of unspecified foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of facial nerve, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S04.50XD — Injury of facial nerve, unspecified side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes"}, {"role": "assistant", "content": "C83.96 — Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other nonvenomous marine animals, sequela"}, {"role": "assistant", "content": "W56.89XS — Other contact with other nonvenomous marine animals, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], undetermined, initial encounter"}, {"role": "assistant", "content": "T39.394A — Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.036K — Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.604G — Fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels of thorax, right side, subsequent encounter"}, {"role": "assistant", "content": "S25.801D — Unspecified injury of other blood vessels of thorax, right side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.367D — Nondisplaced fracture of neck of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of interphalangeal joint of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S63.123A — Subluxation of interphalangeal joint of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Oligohydramnios, second trimester, other fetus"}, {"role": "assistant", "content": "O41.02X9 — Oligohydramnios, second trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder"}, {"role": "assistant", "content": "F19.280 — Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.115K — Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, left wrist, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1321 — Lead-induced chronic gout, left wrist, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Discitis, unspecified, occipito-atlanto-axial region"}, {"role": "assistant", "content": "M46.41 — Discitis, unspecified, occipito-atlanto-axial region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of right fibula, sequela"}, {"role": "assistant", "content": "S89.291S — Other physeal fracture of upper end of right fibula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of right metatarsal, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.121P — Salter-Harris Type II physeal fracture of right metatarsal, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anticoagulants, undetermined, sequela"}, {"role": "assistant", "content": "T45.514S — Poisoning by anticoagulants, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.662K — Pathological fracture in other disease, left tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "LeFort I fracture, sequela"}, {"role": "assistant", "content": "S02.411S — LeFort I fracture, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.490K — Other displaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intervertebral disc stenosis of neural canal of lower extremity"}, {"role": "assistant", "content": "M99.56 — Intervertebral disc stenosis of neural canal of lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Rolando's fracture, left hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.225A — Nondisplaced Rolando's fracture, left hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.426N — Nondisplaced transverse fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of ligaments of cervical spine, sequela"}, {"role": "assistant", "content": "S13.4XXS — Sprain of ligaments of cervical spine, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right hip, subsequent encounter"}, {"role": "assistant", "content": "S79.911D — Unspecified injury of right hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.039K — Salter-Harris Type III physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of brachial artery, right side, subsequent encounter"}, {"role": "assistant", "content": "S45.101D — Unspecified injury of brachial artery, right side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of lower back, sequela"}, {"role": "assistant", "content": "S39.82XS — Other specified injuries of lower back, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at ankle and foot level, left leg, initial encounter"}, {"role": "assistant", "content": "S95.812A — Laceration of other blood vessels at ankle and foot level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of pleura"}, {"role": "assistant", "content": "N80.B1 — Endometriosis of pleura"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chlamydial infection of anus and rectum"}, {"role": "assistant", "content": "A56.3 — Chlamydial infection of anus and rectum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, right elbow"}, {"role": "assistant", "content": "M24.621 — Ankylosis, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical strabismus"}, {"role": "assistant", "content": "H50.69 — Other mechanical strabismus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other part of colon, initial encounter"}, {"role": "assistant", "content": "S36.538A — Laceration of other part of colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right index finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.610D — Displaced fracture of proximal phalanx of right index finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraoperative complications of digestive system"}, {"role": "assistant", "content": "K91.81 — Other intraoperative complications of digestive system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified carotid artery, sequela"}, {"role": "assistant", "content": "S15.009S — Unspecified injury of unspecified carotid artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S34.123D — Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of phalanx of left toe, sequela"}, {"role": "assistant", "content": "S99.292S — Other physeal fracture of phalanx of left toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by immune checkpoint inhibitors and immunostimulant drugs, assault, sequela"}, {"role": "assistant", "content": "T45.AX3S — Poisoning by immune checkpoint inhibitors and immunostimulant drugs, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left upper arm, initial encounter"}, {"role": "assistant", "content": "S41.122A — Laceration with foreign body of left upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V15.2XXS — Unspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left foot, initial encounter for fracture"}, {"role": "assistant", "content": "M84.375A — Stress fracture, left foot, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of left talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.122P — Displaced fracture of body of left talus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.030G — Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.341K — Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of unspecified finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.639P — Displaced fracture of distal phalanx of unspecified finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hormone receptor negative with human epidermal growth factor receptor 2 negative status"}, {"role": "assistant", "content": "Z17.421 — Hormone receptor negative with human epidermal growth factor receptor 2 negative status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tubulo-interstitial nephritis, not specified as acute or chronic"}, {"role": "assistant", "content": "N12 — Tubulo-interstitial nephritis, not specified as acute or chronic"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of lung"}, {"role": "assistant", "content": "Q33.8 — Other congenital malformations of lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of internal genitourinary organs, sequela"}, {"role": "assistant", "content": "T28.3XXS — Burn of internal genitourinary organs, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 80-89% of body surface with 20-29% third degree burns"}, {"role": "assistant", "content": "T31.82 — Burns involving 80-89% of body surface with 20-29% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.311G — Displaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic ischemic infarction of muscle, left hand"}, {"role": "assistant", "content": "M62.242 — Nontraumatic ischemic infarction of muscle, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by intravenous anesthetics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.1X2A — Poisoning by intravenous anesthetics, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Enophthalmos due to atrophy of orbital tissue, right eye"}, {"role": "assistant", "content": "H05.411 — Enophthalmos due to atrophy of orbital tissue, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Equatorial staphyloma, right eye"}, {"role": "assistant", "content": "H15.811 — Equatorial staphyloma, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Child physical abuse, suspected, initial encounter"}, {"role": "assistant", "content": "T76.12XA — Child physical abuse, suspected, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.366K — Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into swimming pool striking water surface causing other injury, subsequent encounter"}, {"role": "assistant", "content": "W16.012D — Fall into swimming pool striking water surface causing other injury, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural seroma of skin and subcutaneous tissue following a dermatologic procedure"}, {"role": "assistant", "content": "L76.33 — Postprocedural seroma of skin and subcutaneous tissue following a dermatologic procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of second metatarsal bone, left foot, sequela"}, {"role": "assistant", "content": "S92.322S — Displaced fracture of second metatarsal bone, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of right calf with unspecified severity"}, {"role": "assistant", "content": "L97.219 — Non-pressure chronic ulcer of right calf with unspecified severity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T82.7XXS — Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Generalized lipodystrophy"}, {"role": "assistant", "content": "E88.12 — Generalized lipodystrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of unspecified finger(s)"}, {"role": "assistant", "content": "Z89.029 — Acquired absence of unspecified finger(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal lower extremities anomalies, fetus 4"}, {"role": "assistant", "content": "O35.HXX4 — Maternal care for other (suspected) fetal abnormality and damage, fetal lower extremities anomalies, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursitis, not elsewhere classified, right knee"}, {"role": "assistant", "content": "M71.561 — Other bursitis, not elsewhere classified, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with pedestrian or animal in traffic accident, initial encounter"}, {"role": "assistant", "content": "V50.6XXA — Passenger in pick-up truck or van injured in collision with pedestrian or animal in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V66.0XXS — Driver of heavy transport vehicle injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of other site of trunk, subsequent encounter"}, {"role": "assistant", "content": "T21.19XD — Burn of first degree of other site of trunk, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.202K — Unspecified fracture of shaft of left ulna, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Syphilis complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.112 — Syphilis complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S86.229S — Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of ligament, left ankle"}, {"role": "assistant", "content": "M24.272 — Disorder of ligament, left ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.839G — Other osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.361K — Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right middle finger, initial encounter"}, {"role": "assistant", "content": "S60.942A — Unspecified superficial injury of right middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries right forearm, sequela"}, {"role": "assistant", "content": "S59.811S — Other specified injuries right forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, right humerus"}, {"role": "assistant", "content": "M87.821 — Other osteonecrosis, right humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by dynamite, unspecified person injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.119D — Legal intervention involving injury by dynamite, unspecified person injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exhaustion due to exposure, sequela"}, {"role": "assistant", "content": "T73.2XXS — Exhaustion due to exposure, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of left hip, unstageable"}, {"role": "assistant", "content": "L89.220 — Pressure ulcer of left hip, unstageable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.51XH — Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.409S — Unspecified injury of extensor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of one rib, left side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.32XD — Fracture of one rib, left side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.283G — Bent bone of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, other fetus"}, {"role": "assistant", "content": "O35.12X9 — Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into swimming pool striking wall causing drowning and submersion, initial encounter"}, {"role": "assistant", "content": "W16.531A — Jumping or diving into swimming pool striking wall causing drowning and submersion, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of native arteries of right leg with ulceration of other part of foot"}, {"role": "assistant", "content": "I70.235 — Atherosclerosis of native arteries of right leg with ulceration of other part of foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of heart, unspecified with or without hemopericardium, sequela"}, {"role": "assistant", "content": "S26.90XS — Unspecified injury of heart, unspecified with or without hemopericardium, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of 4-Aminophenol derivatives, initial encounter"}, {"role": "assistant", "content": "T39.1X5A — Adverse effect of 4-Aminophenol derivatives, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Patellofemoral disorders, left knee"}, {"role": "assistant", "content": "M22.2X2 — Patellofemoral disorders, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to unspecified man-made visible and ultraviolet light, initial encounter"}, {"role": "assistant", "content": "W89.9XXA — Exposure to unspecified man-made visible and ultraviolet light, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of proximal end of tibia, unspecified knee, sequela"}, {"role": "assistant", "content": "S83.136S — Medial dislocation of proximal end of tibia, unspecified knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.092P — Other fracture of head and neck of left femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of vestibular function, unspecified ear"}, {"role": "assistant", "content": "H81.8X9 — Other disorders of vestibular function, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Typhus fever, unspecified"}, {"role": "assistant", "content": "A75.9 — Typhus fever, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural seroma of a digestive system organ or structure following a digestive system procedure"}, {"role": "assistant", "content": "K91.872 — Postprocedural seroma of a digestive system organ or structure following a digestive system procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.309P — Unspecified fracture of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left palm, subsequent encounter"}, {"role": "assistant", "content": "T23.652D — Corrosion of second degree of left palm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Classic lichen planopilaris"}, {"role": "assistant", "content": "L66.11 — Classic lichen planopilaris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military activity"}, {"role": "assistant", "content": "Y99.1 — Military activity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.375P — Stress fracture, left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psoriatic arthropathy"}, {"role": "assistant", "content": "L40.59 — Other psoriatic arthropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left elbow, sequela"}, {"role": "assistant", "content": "S57.02XS — Crushing injury of left elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T37.92XD — Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.102K — Unspecified physeal fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper and lower end of unspecified fibula, sequela"}, {"role": "assistant", "content": "S82.839S — Other fracture of upper and lower end of unspecified fibula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormality in fetal heart rate and rhythm complicating labor and delivery"}, {"role": "assistant", "content": "O76 — Abnormality in fetal heart rate and rhythm complicating labor and delivery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.902G — Unspecified fracture of left foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of left ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.282P — Bent bone of left ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic atrophic gastritis with bleeding"}, {"role": "assistant", "content": "K29.41 — Chronic atrophic gastritis with bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving from boat striking water surface causing other injury, sequela"}, {"role": "assistant", "content": "W16.712S — Jumping or diving from boat striking water surface causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other marginal perforations of tympanic membrane, bilateral"}, {"role": "assistant", "content": "H72.2X3 — Other marginal perforations of tympanic membrane, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified petrositis, unspecified ear"}, {"role": "assistant", "content": "H70.209 — Unspecified petrositis, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of commissure of lip, unspecified"}, {"role": "assistant", "content": "C00.6 — Malignant neoplasm of commissure of lip, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.344G — Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by opium, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T40.0X4D — Poisoning by opium, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of neck, initial encounter"}, {"role": "assistant", "content": "T34.1XXA — Frostbite with tissue necrosis of neck, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disorder of eyelid"}, {"role": "assistant", "content": "H02.9 — Unspecified disorder of eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malar fracture, left side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.40BG — Malar fracture, left side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.01XD — Electric (assisted) bicycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.243H — Displaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hypertrophic disorders of the skin"}, {"role": "assistant", "content": "L91.8 — Other hypertrophic disorders of the skin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by methylphenidate, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T43.631S — Poisoning by methylphenidate, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Third-stage hemorrhage"}, {"role": "assistant", "content": "O72.0 — Third-stage hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S80.851D — Superficial foreign body, right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of special construction vehicle injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V85.1XXA — Passenger of special construction vehicle injured in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle passenger injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V21.59XD — Other motorcycle passenger injured in collision with pedal cycle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.223F — Displaced transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Reiter's disease, unspecified site"}, {"role": "assistant", "content": "M02.30 — Reiter's disease, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.391E — Other fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Right upper quadrant abdominal rigidity"}, {"role": "assistant", "content": "R19.31 — Right upper quadrant abdominal rigidity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V86.36XA — Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V65.1XXA — Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fetal anemia and thrombocytopenia, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O36.8295 — Fetal anemia and thrombocytopenia, unspecified trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent"}, {"role": "assistant", "content": "K41.30 — Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Human immunodeficiency virus [HIV] disease complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.712 — Human immunodeficiency virus [HIV] disease complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of aerial bomb, civilian, sequela"}, {"role": "assistant", "content": "Y36.211S — War operations involving explosion of aerial bomb, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury due to other accident on board other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V93.83XD — Other injury due to other accident on board other powered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia with other maculopathy, right eye"}, {"role": "assistant", "content": "H44.2E1 — Degenerative myopia with other maculopathy, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anterior pituitary [adenohypophyseal] hormones, undetermined, initial encounter"}, {"role": "assistant", "content": "T38.814A — Poisoning by anterior pituitary [adenohypophyseal] hormones, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "S41.159A — Open bite of unspecified upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.154A — Open bite of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of femoral arterial graft (bypass), sequela"}, {"role": "assistant", "content": "T82.312S — Breakdown (mechanical) of femoral arterial graft (bypass), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of unspecified hip and thigh, initial encounter"}, {"role": "assistant", "content": "T33.60XA — Superficial frostbite of unspecified hip and thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.279G — Monteggia's fracture of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified renal artery, sequela"}, {"role": "assistant", "content": "S35.403S — Unspecified injury of unspecified renal artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]"}, {"role": "assistant", "content": "D81.82 — Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified parts of right shoulder girdle, sequela"}, {"role": "assistant", "content": "S43.301S — Subluxation of unspecified parts of right shoulder girdle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified ear, initial encounter"}, {"role": "assistant", "content": "S00.419A — Abrasion of unspecified ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Synovial hypertrophy, not elsewhere classified, right hand"}, {"role": "assistant", "content": "M67.241 — Synovial hypertrophy, not elsewhere classified, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Antepartum hemorrhage with coagulation defect, unspecified, second trimester"}, {"role": "assistant", "content": "O46.002 — Antepartum hemorrhage with coagulation defect, unspecified, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other spontaneous disruption of capsular ligament of right knee"}, {"role": "assistant", "content": "M23.671 — Other spontaneous disruption of capsular ligament of right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, fetus 3"}, {"role": "assistant", "content": "O35.BXX3 — Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), right foot, sequela"}, {"role": "assistant", "content": "S90.821S — Blister (nonthermal), right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lunate [semilunar], right wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.121G — Displaced fracture of lunate [semilunar], right wrist, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute tracheitis with obstruction"}, {"role": "assistant", "content": "J04.11 — Acute tracheitis with obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atypical atrial flutter"}, {"role": "assistant", "content": "I48.4 — Atypical atrial flutter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cyclotropia, right eye"}, {"role": "assistant", "content": "H50.411 — Cyclotropia, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified interstitial keratitis, bilateral"}, {"role": "assistant", "content": "H16.303 — Unspecified interstitial keratitis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of unspecified site of left orbit"}, {"role": "assistant", "content": "D31.62 — Benign neoplasm of unspecified site of left orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursal cyst, unspecified ankle and foot"}, {"role": "assistant", "content": "M71.379 — Other bursal cyst, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.517D — Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coracoid process, right shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.131B — Displaced fracture of coracoid process, right shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S60.349A — External constriction of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, right wrist, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.1310 — Lead-induced chronic gout, right wrist, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.109K — Unspecified physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with other hot metals, sequela"}, {"role": "assistant", "content": "X18.XXXS — Contact with other hot metals, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, unspecified hip, sequela"}, {"role": "assistant", "content": "S70.219S — Abrasion, unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V25.59XS — Other motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of humerus, right arm, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.334B — Nondisplaced oblique fracture of shaft of humerus, right arm, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, initial encounter"}, {"role": "assistant", "content": "V63.6XXA — Passenger in heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of right radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S52.111K — Torus fracture of upper end of right radius, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of left ring finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.415D — Traumatic rupture of collateral ligament of left ring finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T22.10XA — Burn of first degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right elbow, sequela"}, {"role": "assistant", "content": "T22.021S — Burn of unspecified degree of right elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified multiple fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.439D — Corrosion of unspecified degree of unspecified multiple fingers (nail), not including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic arthropathy, right ankle and foot"}, {"role": "assistant", "content": "M12.571 — Traumatic arthropathy, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right elbow, initial encounter"}, {"role": "assistant", "content": "T22.221A — Burn of second degree of right elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis of right lacrimal canaliculi"}, {"role": "assistant", "content": "H04.541 — Stenosis of right lacrimal canaliculi"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye"}, {"role": "assistant", "content": "E11.3599 — Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of penis, sequela"}, {"role": "assistant", "content": "S31.24XS — Puncture wound with foreign body of penis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye"}, {"role": "assistant", "content": "E11.37X2 — Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of left ankle, initial encounter"}, {"role": "assistant", "content": "T33.812A — Superficial frostbite of left ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of median nerve at upper arm level, right arm, initial encounter"}, {"role": "assistant", "content": "S44.11XA — Injury of median nerve at upper arm level, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter"}, {"role": "assistant", "content": "T84.113D — Breakdown (mechanical) of internal fixation device of bone of left forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.101P — Unspecified fracture of right talus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter"}, {"role": "assistant", "content": "S31.010A — Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right hand, subsequent encounter"}, {"role": "assistant", "content": "S61.421D — Laceration with foreign body of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.399A — Other fracture of shaft of radius, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.043J — Displaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with pick-up truck in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V43.33XA — Unspecified car occupant injured in collision with pick-up truck in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.392B — Other fracture of lower end of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of amniotic fluid and membranes, unspecified, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O41.90X2 — Disorder of amniotic fluid and membranes, unspecified, unspecified trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified external genital organs, female, initial encounter"}, {"role": "assistant", "content": "S31.512A — Laceration without foreign body of unspecified external genital organs, female, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete loss of teeth due to periodontal diseases, class I"}, {"role": "assistant", "content": "K08.121 — Complete loss of teeth due to periodontal diseases, class I"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.111P — Displaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of adrenal gland, initial encounter"}, {"role": "assistant", "content": "S37.812A — Contusion of adrenal gland, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Merkel cell carcinoma of other parts of face"}, {"role": "assistant", "content": "C4A.39 — Merkel cell carcinoma of other parts of face"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of antimalarials and drugs acting on other blood protozoa, subsequent encounter"}, {"role": "assistant", "content": "T37.2X6D — Underdosing of antimalarials and drugs acting on other blood protozoa, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.415P — Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of unspecified fallopian tube"}, {"role": "assistant", "content": "C57.00 — Malignant neoplasm of unspecified fallopian tube"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of symphysis (pubis) in pregnancy, third trimester"}, {"role": "assistant", "content": "O26.713 — Subluxation of symphysis (pubis) in pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of oral contraceptives, initial encounter"}, {"role": "assistant", "content": "T38.4X6A — Underdosing of oral contraceptives, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C84.68 — Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.299D — Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypothermia, sequela"}, {"role": "assistant", "content": "T68.XXXS — Hypothermia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at level between right shoulder and elbow, sequela"}, {"role": "assistant", "content": "S48.121S — Partial traumatic amputation at level between right shoulder and elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Supervision of pregnancy with grand multiparity, first trimester"}, {"role": "assistant", "content": "O09.41 — Supervision of pregnancy with grand multiparity, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from burning fishing boat, subsequent encounter"}, {"role": "assistant", "content": "V90.22XD — Drowning and submersion due to falling or jumping from burning fishing boat, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute contact otitis externa, unspecified ear"}, {"role": "assistant", "content": "H60.539 — Acute contact otitis externa, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of symphysis (pubis) in pregnancy, first trimester"}, {"role": "assistant", "content": "O26.711 — Subluxation of symphysis (pubis) in pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by strike by hockey stick, sequela"}, {"role": "assistant", "content": "Y08.01XS — Assault by strike by hockey stick, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoarthritis, not elsewhere classified, right shoulder"}, {"role": "assistant", "content": "M13.111 — Monoarthritis, not elsewhere classified, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Streptococcal meningitis"}, {"role": "assistant", "content": "G00.2 — Streptococcal meningitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other synovitis and tenosynovitis, left upper arm"}, {"role": "assistant", "content": "M65.822 — Other synovitis and tenosynovitis, left upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of blood vessel of right thumb, sequela"}, {"role": "assistant", "content": "S65.411S — Laceration of blood vessel of right thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela"}, {"role": "assistant", "content": "S06.1X2S — Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left lower leg, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.892A — Other fracture of left lower leg, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified otosclerosis, right ear"}, {"role": "assistant", "content": "H80.91 — Unspecified otosclerosis, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.474D — Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified elbow, initial encounter"}, {"role": "assistant", "content": "S53.409A — Unspecified sprain of unspecified elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S51.841D — Puncture wound with foreign body of right forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary osteonecrosis, right shoulder"}, {"role": "assistant", "content": "M87.311 — Other secondary osteonecrosis, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "von Gierke disease"}, {"role": "assistant", "content": "E74.01 — von Gierke disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of abdominal aorta, sequela"}, {"role": "assistant", "content": "S35.01XS — Minor laceration of abdominal aorta, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of unspecified vascular grafts, initial encounter"}, {"role": "assistant", "content": "T82.329A — Displacement of unspecified vascular grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure-induced deep tissue damage of right hip"}, {"role": "assistant", "content": "L89.216 — Pressure-induced deep tissue damage of right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by oxytocic drugs, undetermined, sequela"}, {"role": "assistant", "content": "T48.0X4S — Poisoning by oxytocic drugs, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Visible peristalsis"}, {"role": "assistant", "content": "R19.2 — Visible peristalsis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of humerus, left arm, sequela"}, {"role": "assistant", "content": "S42.365S — Nondisplaced segmental fracture of shaft of humerus, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right ear [any part, except ear drum], initial encounter"}, {"role": "assistant", "content": "T20.411A — Corrosion of unspecified degree of right ear [any part, except ear drum], initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Right lower quadrant rebound abdominal tenderness"}, {"role": "assistant", "content": "R10.823 — Right lower quadrant rebound abdominal tenderness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.109A — Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of other venous thrombosis and embolism"}, {"role": "assistant", "content": "Z86.718 — Personal history of other venous thrombosis and embolism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic myringitis, bilateral"}, {"role": "assistant", "content": "H73.13 — Chronic myringitis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S01.132S — Puncture wound without foreign body of left eyelid and periocular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, sequela"}, {"role": "assistant", "content": "T50.3X2S — Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left ring finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.345A — Puncture wound with foreign body of left ring finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of left quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.192S — Other specified injury of left quadriceps muscle, fascia and tendon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localized swelling, mass and lump, upper limb, bilateral"}, {"role": "assistant", "content": "R22.33 — Localized swelling, mass and lump, upper limb, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.342G — Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of unspecified tibia, sequela"}, {"role": "assistant", "content": "S89.039S — Salter-Harris Type III physeal fracture of upper end of unspecified tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other mycotoxin food contaminants, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T64.82XA — Toxic effect of other mycotoxin food contaminants, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.526A — Laceration of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post-traumatic anterior urethral stricture"}, {"role": "assistant", "content": "N35.013 — Post-traumatic anterior urethral stricture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior subluxation of right humerus, sequela"}, {"role": "assistant", "content": "S43.021S — Posterior subluxation of right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified shoulder, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.319K — Stress fracture, unspecified shoulder, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of cortex of right adrenal gland"}, {"role": "assistant", "content": "C74.01 — Malignant neoplasm of cortex of right adrenal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving fragments from weapons, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.270A — War operations involving fragments from weapons, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other benign neoplasm of other parts of uterus"}, {"role": "assistant", "content": "D26.7 — Other benign neoplasm of other parts of uterus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic osteomyelitis with draining sinus, other site"}, {"role": "assistant", "content": "M86.48 — Chronic osteomyelitis with draining sinus, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.039D — Burn of unspecified degree of unspecified lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with squirrel, initial encounter"}, {"role": "assistant", "content": "W53.29XA — Other contact with squirrel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of internal fixation device of right humerus, sequela"}, {"role": "assistant", "content": "T84.120S — Displacement of internal fixation device of right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reactive arthropathies, unspecified wrist"}, {"role": "assistant", "content": "M02.839 — Other reactive arthropathies, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary chronic gout, left knee, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.4621 — Other secondary chronic gout, left knee, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Enlargement of left orbit"}, {"role": "assistant", "content": "H05.342 — Enlargement of left orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, unspecified ankle, subsequent encounter"}, {"role": "assistant", "content": "S91.039D — Puncture wound without foreign body, unspecified ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central corneal ulcer, left eye"}, {"role": "assistant", "content": "H16.012 — Central corneal ulcer, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.143P — Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of lower back and pelvis without penetration into retroperitoneum, sequela"}, {"role": "assistant", "content": "S31.050S — Open bite of lower back and pelvis without penetration into retroperitoneum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.092N — Other fracture of head and neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of T11-T12 vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.080B — Wedge compression fracture of T11-T12 vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris"}, {"role": "assistant", "content": "I25.752 — Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.362D — Burn of third degree of left scapular region, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by other gas, air or spring-operated gun, initial encounter"}, {"role": "assistant", "content": "X95.09XA — Assault by other gas, air or spring-operated gun, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other meniscus derangements, posterior horn of lateral meniscus, right knee"}, {"role": "assistant", "content": "M23.351 — Other meniscus derangements, posterior horn of lateral meniscus, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure of implanted urethral bulking agent into urethra, sequela"}, {"role": "assistant", "content": "T83.723S — Exposure of implanted urethral bulking agent into urethra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Antineoplastic chemotherapy induced pancytopenia"}, {"role": "assistant", "content": "D61.810 — Antineoplastic chemotherapy induced pancytopenia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chondrocalcinosis, right hip"}, {"role": "assistant", "content": "M11.251 — Other chondrocalcinosis, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic aseptic necrosis of left foot"}, {"role": "assistant", "content": "M87.075 — Idiopathic aseptic necrosis of left foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.092R — Other fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified external genital organs, female, subsequent encounter"}, {"role": "assistant", "content": "S38.002D — Crushing injury of unspecified external genital organs, female, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.59XD — Other motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of right palm, initial encounter"}, {"role": "assistant", "content": "T23.351A — Burn of third degree of right palm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Galeazzi's fracture of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.371P — Galeazzi's fracture of right radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.252H — Displaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of amniotic fluid and membranes, third trimester, fetus 5"}, {"role": "assistant", "content": "O41.8X35 — Other specified disorders of amniotic fluid and membranes, third trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of back of left hand, subsequent encounter"}, {"role": "assistant", "content": "T23.362D — Burn of third degree of back of left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.041E — Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to internal fixation device of right tibia, initial encounter"}, {"role": "assistant", "content": "T84.622A — Infection and inflammatory reaction due to internal fixation device of right tibia, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burkitt lymphoma, in remission"}, {"role": "assistant", "content": "C83.7A — Burkitt lymphoma, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "32 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.32 — 32 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.302D — Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by methylphenidate, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.632D — Poisoning by methylphenidate, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, right wrist"}, {"role": "assistant", "content": "M24.631 — Ankylosis, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester"}, {"role": "assistant", "content": "O42.913 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of radial artery at wrist and hand level of unspecified arm, initial encounter"}, {"role": "assistant", "content": "S65.199A — Other specified injury of radial artery at wrist and hand level of unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phthiriasis"}, {"role": "assistant", "content": "B85.3 — Phthiriasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left ring finger, sequela"}, {"role": "assistant", "content": "S60.425S — Blister (nonthermal) of left ring finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaplastic large cell lymphoma, ALK-negative, intrathoracic lymph nodes"}, {"role": "assistant", "content": "C84.72 — Anaplastic large cell lymphoma, ALK-negative, intrathoracic lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.123K — Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V04.131S — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contracture of muscle, multiple sites"}, {"role": "assistant", "content": "M62.49 — Contracture of muscle, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.413G — Displaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary scoliosis, cervical region"}, {"role": "assistant", "content": "M41.52 — Other secondary scoliosis, cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Herpesviral gingivostomatitis and pharyngotonsillitis"}, {"role": "assistant", "content": "B00.2 — Herpesviral gingivostomatitis and pharyngotonsillitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, other involving cardiorespiratory exercise"}, {"role": "assistant", "content": "Y93.A9 — Activity, other involving cardiorespiratory exercise"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.692H — Other fracture of lower end of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.436P — Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Separation of muscle (nontraumatic), unspecified site"}, {"role": "assistant", "content": "M62.00 — Separation of muscle (nontraumatic), unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, other fetus"}, {"role": "assistant", "content": "O36.8399 — Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by barbiturates, assault, subsequent encounter"}, {"role": "assistant", "content": "T42.3X3D — Poisoning by barbiturates, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of other part of head, initial encounter"}, {"role": "assistant", "content": "S00.84XA — External constriction of other part of head, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bicondylar fracture of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.143C — Displaced bicondylar fracture of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic cysts of iris, ciliary body or anterior chamber, left eye"}, {"role": "assistant", "content": "H21.302 — Idiopathic cysts of iris, ciliary body or anterior chamber, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.315D — Displaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper and lower end of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.831C — Other fracture of upper and lower end of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pelvic and perineal pain left side"}, {"role": "assistant", "content": "R10.22 — Pelvic and perineal pain left side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left middle finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.333D — Puncture wound without foreign body of left middle finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.421J — Displaced transverse fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.102H — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of aminoglycosides, initial encounter"}, {"role": "assistant", "content": "T36.5X6A — Underdosing of aminoglycosides, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of right toe(s), subsequent encounter"}, {"role": "assistant", "content": "T33.831D — Superficial frostbite of right toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified axilla, sequela"}, {"role": "assistant", "content": "T22.649S — Corrosion of second degree of unspecified axilla, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.190D — Other displaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.332C — Displaced oblique fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of trochlear nerve, left side, initial encounter"}, {"role": "assistant", "content": "S04.22XA — Injury of trochlear nerve, left side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sepsis of newborn due to unspecified staphylococci"}, {"role": "assistant", "content": "P36.30 — Sepsis of newborn due to unspecified staphylococci"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital cystic lung"}, {"role": "assistant", "content": "Q33.0 — Congenital cystic lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.401G — Unspecified fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Algoneurodystrophy, other site"}, {"role": "assistant", "content": "M89.08 — Algoneurodystrophy, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left lower leg, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.92XE — Unspecified fracture of left lower leg, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of skin of lip"}, {"role": "assistant", "content": "D04.0 — Carcinoma in situ of skin of lip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of left middle finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.104S — Unspecified injury of flexor muscle, fascia and tendon of left middle finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mild to moderate pre-eclampsia, unspecified trimester"}, {"role": "assistant", "content": "O14.00 — Mild to moderate pre-eclampsia, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anticoagulants, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T45.511D — Poisoning by anticoagulants, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.232F — Displaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side"}, {"role": "assistant", "content": "I69.952 — Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal genitourinary anomalies, fetus 4"}, {"role": "assistant", "content": "O35.EXX4 — Maternal care for other (suspected) fetal abnormality and damage, fetal genitourinary anomalies, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall due to collision between fishing boat and other watercraft or other object, subsequent encounter"}, {"role": "assistant", "content": "V91.22XD — Fall due to collision between fishing boat and other watercraft or other object, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.912D — Unspecified superficial injury of left shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of immune checkpoint inhibitors and immunostimulant drugs, initial encounter"}, {"role": "assistant", "content": "T45.AX5A — Adverse effect of immune checkpoint inhibitors and immunostimulant drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by heroin, assault, initial encounter"}, {"role": "assistant", "content": "T40.1X3A — Poisoning by heroin, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sarcoma of dendritic cells (accessory cells)"}, {"role": "assistant", "content": "C96.4 — Sarcoma of dendritic cells (accessory cells)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.253F — Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right wrist and hand, initial encounter"}, {"role": "assistant", "content": "S63.004A — Unspecified dislocation of right wrist and hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.363B — Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "36 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.36 — 36 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of scalp, sequela"}, {"role": "assistant", "content": "S00.07XS — Other superficial bite of scalp, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for examination for admission to residential institution"}, {"role": "assistant", "content": "Z02.2 — Encounter for examination for admission to residential institution"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic subacute subdural hemorrhage"}, {"role": "assistant", "content": "I62.02 — Nontraumatic subacute subdural hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of right little finger, initial encounter"}, {"role": "assistant", "content": "S60.426A — Blister (nonthermal) of right little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of the skin and subcutaneous tissue, unspecified"}, {"role": "assistant", "content": "L98.9 — Disorder of the skin and subcutaneous tissue, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of left female breast"}, {"role": "assistant", "content": "C50.812 — Malignant neoplasm of overlapping sites of left female breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right lower leg, initial encounter"}, {"role": "assistant", "content": "S89.91XA — Unspecified injury of right lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other neutropenia"}, {"role": "assistant", "content": "D70.8 — Other neutropenia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, unspecified ankle, initial encounter"}, {"role": "assistant", "content": "S91.039A — Puncture wound without foreign body, unspecified ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of right knee, sequela"}, {"role": "assistant", "content": "T24.721S — Corrosion of third degree of right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of bladder, unspecified depth"}, {"role": "assistant", "content": "N80.A0 — Endometriosis of bladder, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V63.3XXA — Unspecified occupant of heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of right tibial vein"}, {"role": "assistant", "content": "I80.231 — Phlebitis and thrombophlebitis of right tibial vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transitory metabolic disturbance of newborn, unspecified"}, {"role": "assistant", "content": "P74.9 — Transitory metabolic disturbance of newborn, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of left index finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.351A — Open bite of left index finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gammaherpesviral mononucleosis with polyneuropathy"}, {"role": "assistant", "content": "B27.01 — Gammaherpesviral mononucleosis with polyneuropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, right great toe, subsequent encounter"}, {"role": "assistant", "content": "S90.451D — Superficial foreign body, right great toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other organic solvents, assault, sequela"}, {"role": "assistant", "content": "T52.8X3S — Toxic effect of other organic solvents, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of ovary, unspecified, subsequent encounter"}, {"role": "assistant", "content": "S37.499D — Other injury of ovary, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V47.0XXD — Car driver injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteolysis, left hand"}, {"role": "assistant", "content": "M89.542 — Osteolysis, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "T34.829D — Frostbite with tissue necrosis of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving accidental detonation of onboard marine weapons, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.050D — War operations involving accidental detonation of onboard marine weapons, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with hot saucepan or skillet, initial encounter"}, {"role": "assistant", "content": "X15.3XXA — Contact with hot saucepan or skillet, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with cow, initial encounter"}, {"role": "assistant", "content": "W55.29XA — Other contact with cow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side"}, {"role": "assistant", "content": "I69.163 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.244R — Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right upper arm, initial encounter"}, {"role": "assistant", "content": "S41.151A — Open bite of right upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of unspecified quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.119S — Strain of unspecified quadriceps muscle, fascia and tendon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.279D — Burn of second degree of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester"}, {"role": "assistant", "content": "O30.239 — Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inclusion body myositis [IBM]"}, {"role": "assistant", "content": "G72.41 — Inclusion body myositis [IBM]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brain"}, {"role": "assistant", "content": "H47.629 — Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brain"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle passenger injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V29.508A — Other motorcycle passenger injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral vascular angioplasty status"}, {"role": "assistant", "content": "Z98.62 — Peripheral vascular angioplasty status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right ring finger, sequela"}, {"role": "assistant", "content": "S62.604S — Fracture of unspecified phalanx of right ring finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of dichloromethane, assault, subsequent encounter"}, {"role": "assistant", "content": "T53.4X3D — Toxic effect of dichloromethane, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of right axilla, initial encounter"}, {"role": "assistant", "content": "T22.641A — Corrosion of second degree of right axilla, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of humerus, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.335A — Nondisplaced oblique fracture of shaft of humerus, left arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nodular corneal degeneration, right eye"}, {"role": "assistant", "content": "H18.451 — Nodular corneal degeneration, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced other extraarticular fracture of left calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.052P — Displaced other extraarticular fracture of left calcaneus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter"}, {"role": "assistant", "content": "S06.371A — Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcium deposit in bursa, unspecified elbow"}, {"role": "assistant", "content": "M71.429 — Calcium deposit in bursa, unspecified elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of right upper arm, sequela"}, {"role": "assistant", "content": "T22.131S — Burn of first degree of right upper arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with nonvenomous plant thorns and spines and sharp leaves, initial encounter"}, {"role": "assistant", "content": "W60.XXXA — Contact with nonvenomous plant thorns and spines and sharp leaves, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of popliteal vein, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.509S — Unspecified injury of popliteal vein, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of bus injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V72.7XXA — Person on outside of bus injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon of long head of biceps, left arm, sequela"}, {"role": "assistant", "content": "S46.122S — Laceration of muscle, fascia and tendon of long head of biceps, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lymphocytopenia"}, {"role": "assistant", "content": "D72.810 — Lymphocytopenia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by dental drugs, topically applied, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T49.7X2D — Poisoning by dental drugs, topically applied, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.552C — Other extraarticular fracture of lower end of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right buttock, initial encounter"}, {"role": "assistant", "content": "S31.815A — Open bite of right buttock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.031C — Displaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of unspecified acromioclavicular joint, sequela"}, {"role": "assistant", "content": "S43.109S — Unspecified dislocation of unspecified acromioclavicular joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V33.1XXS — Passenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter"}, {"role": "assistant", "content": "S66.821A — Laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.322D — Laceration with foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of macrolides, subsequent encounter"}, {"role": "assistant", "content": "T36.3X6D — Underdosing of macrolides, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by unspecified sharp object, sequela"}, {"role": "assistant", "content": "X99.9XXS — Assault by unspecified sharp object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic dependence, uncomplicated"}, {"role": "assistant", "content": "F13.20 — Sedative, hypnotic or anxiolytic dependence, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.266A — Nondisplaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of larynx"}, {"role": "assistant", "content": "D02.0 — Carcinoma in situ of larynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of ulna, left arm, sequela"}, {"role": "assistant", "content": "S59.012S — Salter-Harris Type I physeal fracture of lower end of ulna, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of streetcar injured in collision with motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V82.0XXS — Occupant of streetcar injured in collision with motor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.613Q — Displaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right toe(s), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.377P — Stress fracture, right toe(s), subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound, right thigh, initial encounter"}, {"role": "assistant", "content": "S71.101A — Unspecified open wound, right thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.022D — Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, hang gliding"}, {"role": "assistant", "content": "Y93.35 — Activity, hang gliding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maxillary fracture, right side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.40CK — Maxillary fracture, right side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.092P — Other fracture of upper end of left ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.145G — Nondisplaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with fixed or stationary object in traffic accident, initial encounter"}, {"role": "assistant", "content": "V47.9XXA — Unspecified car occupant injured in collision with fixed or stationary object in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other otosclerosis, right ear"}, {"role": "assistant", "content": "H80.81 — Other otosclerosis, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T39.391D — Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of third metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.353S — Nondisplaced fracture of shaft of third metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.341G — Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of third metatarsal bone, left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.335P — Nondisplaced fracture of third metatarsal bone, left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, right foot, sequela"}, {"role": "assistant", "content": "S90.841S — External constriction, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other muscles, fascia and tendons at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S56.802S — Unspecified injury of other muscles, fascia and tendons at forearm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.256D — Unspecified dislocation of right little finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.61XE — Displaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of 2-Propanol, undetermined, sequela"}, {"role": "assistant", "content": "T51.2X4S — Toxic effect of 2-Propanol, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of left middle finger, sequela"}, {"role": "assistant", "content": "S68.623S — Partial traumatic transphalangeal amputation of left middle finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of other cardiac and vascular devices and implants, subsequent encounter"}, {"role": "assistant", "content": "T82.538D — Leakage of other cardiac and vascular devices and implants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S90.849D — External constriction, unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blindness right eye category 4, low vision left eye category 2"}, {"role": "assistant", "content": "H54.1142 — Blindness right eye category 4, low vision left eye category 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.032E — Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.441G — Pathological fracture, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by rubber bullet, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.042S — Legal intervention involving injury by rubber bullet, bystander injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of other part of head, subsequent encounter"}, {"role": "assistant", "content": "S00.86XD — Insect bite (nonvenomous) of other part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.264R — Nondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, cooking and baking"}, {"role": "assistant", "content": "Y93.G3 — Activity, cooking and baking"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V20.21XD — Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tinea nigra"}, {"role": "assistant", "content": "B36.1 — Tinea nigra"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified psychotropic drug, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.92XD — Poisoning by unspecified psychotropic drug, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of bilateral front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.323A — Blister (nonthermal) of bilateral front wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mucopurulent chronic bronchitis"}, {"role": "assistant", "content": "J41.1 — Mucopurulent chronic bronchitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F19.259 — Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle (driver) (passenger) injured in unspecified nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V29.39XA — Other motorcycle (driver) (passenger) injured in unspecified nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of superficial palmar arch of right hand, sequela"}, {"role": "assistant", "content": "S65.201S — Unspecified injury of superficial palmar arch of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), right upper arm"}, {"role": "assistant", "content": "M62.121 — Other rupture of muscle (nontraumatic), right upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal melena"}, {"role": "assistant", "content": "P54.1 — Neonatal melena"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.653S — Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of synovium, right finger(s)"}, {"role": "assistant", "content": "M66.144 — Rupture of synovium, right finger(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal microbiological findings in specimens from female genital organs"}, {"role": "assistant", "content": "R87.5 — Abnormal microbiological findings in specimens from female genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified palm, subsequent encounter"}, {"role": "assistant", "content": "T23.759D — Corrosion of third degree of unspecified palm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by falling object on sailboat, initial encounter"}, {"role": "assistant", "content": "V93.44XA — Struck by falling object on sailboat, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occlusion and stenosis of unspecified vertebral artery"}, {"role": "assistant", "content": "I65.09 — Occlusion and stenosis of unspecified vertebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left ring finger, initial encounter"}, {"role": "assistant", "content": "S67.195A — Crushing injury of left ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of first cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.091S — Other nondisplaced fracture of first cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left ankle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.572P — Pathological fracture in neoplastic disease, left ankle, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fatigue fracture of vertebra, sacral and sacrococcygeal region, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M48.48XG — Fatigue fracture of vertebra, sacral and sacrococcygeal region, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic compartment syndrome of other sites"}, {"role": "assistant", "content": "M79.A9 — Nontraumatic compartment syndrome of other sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Collapse of dam or man-made structure causing earth movement, initial encounter"}, {"role": "assistant", "content": "X36.0XXA — Collapse of dam or man-made structure causing earth movement, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of calcium-channel blockers, sequela"}, {"role": "assistant", "content": "T46.1X6S — Underdosing of calcium-channel blockers, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of right little finger, sequela"}, {"role": "assistant", "content": "S64.496S — Injury of digital nerve of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of pleura, initial encounter"}, {"role": "assistant", "content": "S27.63XA — Laceration of pleura, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sledder colliding with stationary object, initial encounter"}, {"role": "assistant", "content": "V00.222A — Sledder colliding with stationary object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other narcotics, initial encounter"}, {"role": "assistant", "content": "T40.695A — Adverse effect of other narcotics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.411S — Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.231P — Salter-Harris Type III physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of abdominal wall, right flank without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.126S — Laceration with foreign body of abdominal wall, right flank without penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S68.623D — Partial traumatic transphalangeal amputation of left middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operation involving other effects of nuclear weapons, military personnel, sequela"}, {"role": "assistant", "content": "Y37.590S — Military operation involving other effects of nuclear weapons, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic transphalangeal amputation of right little finger, sequela"}, {"role": "assistant", "content": "S68.616S — Complete traumatic transphalangeal amputation of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.142D — Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Late congenital syphilitic polyneuropathy"}, {"role": "assistant", "content": "A50.43 — Late congenital syphilitic polyneuropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of proximal end of tibia, right knee, sequela"}, {"role": "assistant", "content": "S83.111S — Anterior subluxation of proximal end of tibia, right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of ligament, right hip"}, {"role": "assistant", "content": "M24.251 — Disorder of ligament, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Microgenia"}, {"role": "assistant", "content": "M26.06 — Microgenia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of centipedes and venomous millipedes, assault, sequela"}, {"role": "assistant", "content": "T63.413S — Toxic effect of venom of centipedes and venomous millipedes, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.431Q — Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left femur, sequela"}, {"role": "assistant", "content": "S72.355S — Nondisplaced comminuted fracture of shaft of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.599C — Other fractures of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body on external eye, part unspecified, unspecified eye, subsequent encounter"}, {"role": "assistant", "content": "T15.90XD — Foreign body on external eye, part unspecified, unspecified eye, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, sequela"}, {"role": "assistant", "content": "S76.822S — Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.432D — Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified symptoms and signs involving the nervous system"}, {"role": "assistant", "content": "R29.90 — Unspecified symptoms and signs involving the nervous system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food in esophagus causing other injury, sequela"}, {"role": "assistant", "content": "T18.128S — Food in esophagus causing other injury, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.219D — Abrasion of unspecified shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.90XP — Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dense breasts, unspecified"}, {"role": "assistant", "content": "R92.30 — Dense breasts, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.292N — Other fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, not applicable or unspecified"}, {"role": "assistant", "content": "O35.19X0 — Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by unspecified firearm discharge, initial encounter"}, {"role": "assistant", "content": "X95.9XXA — Assault by unspecified firearm discharge, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Amputation of limb(s) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure"}, {"role": "assistant", "content": "Y83.5 — Amputation of limb(s) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left little finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.217A — Laceration without foreign body of left little finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of diaphragm, subsequent encounter"}, {"role": "assistant", "content": "S27.809D — Unspecified injury of diaphragm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lesion of radial nerve, left upper limb"}, {"role": "assistant", "content": "G56.32 — Lesion of radial nerve, left upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of carpometacarpal joint of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.043D — Subluxation of carpometacarpal joint of unspecified thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of scalp, initial encounter"}, {"role": "assistant", "content": "S01.02XA — Laceration with foreign body of scalp, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.015G — Nondisplaced fracture of body of left calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pauciarticular juvenile rheumatoid arthritis, other specified site"}, {"role": "assistant", "content": "M08.4A — Pauciarticular juvenile rheumatoid arthritis, other specified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.291G — Other fracture of shaft of right ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, right wrist, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.2311 — Drug-induced chronic gout, right wrist, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T42.8X2A — Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of right tibia, sequela"}, {"role": "assistant", "content": "S82.391S — Other fracture of lower end of right tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified alcohol, intentional self-harm, sequela"}, {"role": "assistant", "content": "T51.92XS — Toxic effect of unspecified alcohol, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.752G — Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.871D — Other superficial bite of right forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of ventricular intracranial (communicating) shunt, subsequent encounter"}, {"role": "assistant", "content": "T85.02XD — Displacement of ventricular intracranial (communicating) shunt, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of anterior process of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.023G — Displaced fracture of anterior process of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter of male for testing for genetic disease carrier status for procreative management"}, {"role": "assistant", "content": "Z31.440 — Encounter of male for testing for genetic disease carrier status for procreative management"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of left femur, sequela"}, {"role": "assistant", "content": "S72.412S — Displaced unspecified condyle fracture of lower end of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper and lower end of right fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.831H — Other fracture of upper and lower end of right fibula, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to unspecified communicable disease"}, {"role": "assistant", "content": "Z20.9 — Contact with and (suspected) exposure to unspecified communicable disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of left radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.572A — Other intraarticular fracture of lower end of left radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of umbrella device, sequela"}, {"role": "assistant", "content": "T82.595S — Other mechanical complication of umbrella device, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.134B — Nondisplaced fracture of medial condyle of right tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other specified means, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.899A — Legal intervention involving other specified means, unspecified person injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounter"}, {"role": "assistant", "content": "T85.511D — Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified site of left lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.102S — Burn of first degree of unspecified site of left lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other flexor muscle, fascia and tendon at forearm level, unspecified arm, sequela"}, {"role": "assistant", "content": "S56.299S — Other injury of other flexor muscle, fascia and tendon at forearm level, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for surveillance of vaginal ring hormonal contraceptive device"}, {"role": "assistant", "content": "Z30.44 — Encounter for surveillance of vaginal ring hormonal contraceptive device"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified anxiety disorders"}, {"role": "assistant", "content": "F41.8 — Other specified anxiety disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.131Q — Displaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to being trapped in a (discarded) refrigerator, assault, initial encounter"}, {"role": "assistant", "content": "T71.233A — Asphyxiation due to being trapped in a (discarded) refrigerator, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy after poliomyelitis, right lower leg"}, {"role": "assistant", "content": "M89.661 — Osteopathy after poliomyelitis, right lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal innervation syndrome unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.519 — Abnormal innervation syndrome unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other pulmonary complications of anesthesia during pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O29.099 — Other pulmonary complications of anesthesia during pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary cataract, left eye"}, {"role": "assistant", "content": "H26.492 — Other secondary cataract, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced longitudinal fracture of left patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.025B — Nondisplaced longitudinal fracture of left patella, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Allergy status to unspecified drugs, medicaments and biological substances"}, {"role": "assistant", "content": "Z88.9 — Allergy status to unspecified drugs, medicaments and biological substances"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of thyroid gland, initial encounter"}, {"role": "assistant", "content": "S11.14XA — Puncture wound with foreign body of thyroid gland, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified B-cell lymphoma, unspecified site"}, {"role": "assistant", "content": "C85.10 — Unspecified B-cell lymphoma, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.012A — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.443A — Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.415C — Nondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of right little finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.206S — Unspecified open wound of right little finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertrichosis of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.869 — Hypertrichosis of unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of facial nerve, right side, initial encounter"}, {"role": "assistant", "content": "S04.51XA — Injury of facial nerve, right side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic multifocal osteomyelitis, right humerus"}, {"role": "assistant", "content": "M86.321 — Chronic multifocal osteomyelitis, right humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of superficial vein at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S45.319A — Laceration of superficial vein at shoulder and upper arm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wear of articular bearing surface of unspecified internal prosthetic joint, sequela"}, {"role": "assistant", "content": "T84.069S — Wear of articular bearing surface of unspecified internal prosthetic joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of chondrosternal joint, sequela"}, {"role": "assistant", "content": "S23.421S — Sprain of chondrosternal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.435G — Nondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from other burning unpowered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V90.28XD — Drowning and submersion due to falling or jumping from other burning unpowered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Genetic susceptibility to other malignant neoplasm"}, {"role": "assistant", "content": "Z15.09 — Genetic susceptibility to other malignant neoplasm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to smothering in furniture, assault, initial encounter"}, {"role": "assistant", "content": "T71.153A — Asphyxiation due to smothering in furniture, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown's sheath syndrome, right eye"}, {"role": "assistant", "content": "H50.611 — Brown's sheath syndrome, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nursemaid's elbow, right elbow, sequela"}, {"role": "assistant", "content": "S53.031S — Nursemaid's elbow, right elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified back wall of thorax with penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.459S — Open bite of unspecified back wall of thorax with penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary open-angle glaucoma, left eye, severe stage"}, {"role": "assistant", "content": "H40.1123 — Primary open-angle glaucoma, left eye, severe stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of tarsometatarsal ligament of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S93.629A — Sprain of tarsometatarsal ligament of unspecified foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.192C — Other fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.009G — Unspecified fracture of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of popliteal artery, left leg, subsequent encounter"}, {"role": "assistant", "content": "S85.002D — Unspecified injury of popliteal artery, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupational exposure to environmental tobacco smoke"}, {"role": "assistant", "content": "Z57.31 — Occupational exposure to environmental tobacco smoke"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.136F — Nondisplaced fracture of medial condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pauciarticular juvenile rheumatoid arthritis, right wrist"}, {"role": "assistant", "content": "M08.431 — Pauciarticular juvenile rheumatoid arthritis, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coxsackievirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.11 — Coxsackievirus as the cause of diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right ring finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.604A — Fracture of unspecified phalanx of right ring finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving incendiary bullet, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.321A — War operations involving incendiary bullet, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of tendon sheath, unspecified thigh"}, {"role": "assistant", "content": "M65.059 — Abscess of tendon sheath, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, unspecified wrist"}, {"role": "assistant", "content": "M24.639 — Ankylosis, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.021R — Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of radius, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.212A — Salter-Harris Type I physeal fracture of lower end of radius, left arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Striking against diving board, subsequent encounter"}, {"role": "assistant", "content": "W21.4XXD — Striking against diving board, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified papilledema"}, {"role": "assistant", "content": "H47.10 — Unspecified papilledema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of other part of head, sequela"}, {"role": "assistant", "content": "S01.81XS — Laceration without foreign body of other part of head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of artificial heart, initial encounter"}, {"role": "assistant", "content": "T82.532A — Leakage of artificial heart, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Imprisonment and other incarceration"}, {"role": "assistant", "content": "Z65.1 — Imprisonment and other incarceration"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of other specified parts of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.8X9D — Sprain of other specified parts of unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.569H — Barton's fracture of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.426D — Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of left axilla, sequela"}, {"role": "assistant", "content": "T22.742S — Corrosion of third degree of left axilla, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.142S — Puncture wound with foreign body of left thumb with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Staphylococcal arthritis, left elbow"}, {"role": "assistant", "content": "M00.022 — Staphylococcal arthritis, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular cyst of right ovary"}, {"role": "assistant", "content": "N83.01 — Follicular cyst of right ovary"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with unspecified motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V59.10XS — Passenger in pick-up truck or van injured in collision with unspecified motor vehicles in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Placentitis, second trimester, fetus 5"}, {"role": "assistant", "content": "O41.1425 — Placentitis, second trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant carcinoid tumor of the thymus"}, {"role": "assistant", "content": "C7A.091 — Malignant carcinoid tumor of the thymus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in collision between railway train or railway vehicle and car, nontraffic, initial encounter"}, {"role": "assistant", "content": "V88.6XXA — Person injured in collision between railway train or railway vehicle and car, nontraffic, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of scapula and long bones of left upper limb"}, {"role": "assistant", "content": "D16.02 — Benign neoplasm of scapula and long bones of left upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.012G — Salter-Harris Type I physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign lipomatous neoplasm of skin and subcutaneous tissue of right leg"}, {"role": "assistant", "content": "D17.23 — Benign lipomatous neoplasm of skin and subcutaneous tissue of right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of kidney following delivery"}, {"role": "assistant", "content": "O86.21 — Infection of kidney following delivery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified part of thorax, subsequent encounter"}, {"role": "assistant", "content": "S21.91XD — Laceration without foreign body of unspecified part of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of tarsal joint of left foot, subsequent encounter"}, {"role": "assistant", "content": "S93.312D — Subluxation of tarsal joint of left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathy following intestinal bypass, unspecified hip"}, {"role": "assistant", "content": "M02.059 — Arthropathy following intestinal bypass, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced dome fracture of right talus, sequela"}, {"role": "assistant", "content": "S92.141S — Displaced dome fracture of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.559C — Other extraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epileptic seizures related to external causes, not intractable, with status epilepticus"}, {"role": "assistant", "content": "G40.501 — Epileptic seizures related to external causes, not intractable, with status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.335A — Nondisplaced oblique fracture of shaft of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O98.819 — Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.023B — Displaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V52.2XXS — Person on outside of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.403D — Unspecified injury of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of multiple sites of unspecified wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T23.599D — Corrosion of first degree of multiple sites of unspecified wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, assault, subsequent encounter"}, {"role": "assistant", "content": "T42.8X3D — Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter"}, {"role": "assistant", "content": "T81.536D — Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by unspecified maternal condition"}, {"role": "assistant", "content": "P00.9 — Newborn affected by unspecified maternal condition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myelodysplastic syndrome, unspecified"}, {"role": "assistant", "content": "D46.9 — Myelodysplastic syndrome, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of indwelling ureteral stent, sequela"}, {"role": "assistant", "content": "T83.122S — Displacement of indwelling ureteral stent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.031R — Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S76.909A — Unspecified injury of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with mouse, subsequent encounter"}, {"role": "assistant", "content": "W53.09XD — Other contact with mouse, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.378A — Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reactive arthropathies, vertebrae"}, {"role": "assistant", "content": "M02.88 — Other reactive arthropathies, vertebrae"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypoplasia of cervix"}, {"role": "assistant", "content": "Q51.821 — Hypoplasia of cervix"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis due to nervous system prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T85.850S — Stenosis due to nervous system prosthetic devices, implants and grafts, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kyasanur Forest disease"}, {"role": "assistant", "content": "A98.2 — Kyasanur Forest disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary gout, right hand"}, {"role": "assistant", "content": "M10.441 — Other secondary gout, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified thumb without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.059A — Open bite of unspecified thumb without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of three-wheeled motor vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V35.7XXS — Person on outside of three-wheeled motor vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.321C — Displaced transverse fracture of shaft of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of fifth metatarsal bone, left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.352P — Displaced fracture of fifth metatarsal bone, left foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, unspecified great toe, initial encounter"}, {"role": "assistant", "content": "S90.453A — Superficial foreign body, unspecified great toe, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of heavy transport vehicle injured in noncollision transport accident in traffic accident, sequela"}, {"role": "assistant", "content": "V68.7XXS — Person on outside of heavy transport vehicle injured in noncollision transport accident in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Galeazzi's fracture of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.372P — Galeazzi's fracture of left radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified fibula, sequela"}, {"role": "assistant", "content": "S82.463S — Displaced segmental fracture of shaft of unspecified fibula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of flank (latus) region, initial encounter"}, {"role": "assistant", "content": "S30.13XA — Contusion of flank (latus) region, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified complication of internal orthopedic prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T84.89XA — Other specified complication of internal orthopedic prosthetic devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.326J — Nondisplaced transverse fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other part of colon, initial encounter"}, {"role": "assistant", "content": "S36.598A — Other injury of other part of colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by peripheral vasodilators, undetermined, sequela"}, {"role": "assistant", "content": "T46.7X4S — Poisoning by peripheral vasodilators, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]"}, {"role": "assistant", "content": "G12.0 — Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of left acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.455A — Nondisplaced transverse fracture of left acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained (nonmagnetic) (old) foreign body in iris or ciliary body, bilateral"}, {"role": "assistant", "content": "H44.723 — Retained (nonmagnetic) (old) foreign body in iris or ciliary body, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula, right ankle"}, {"role": "assistant", "content": "M25.171 — Fistula, right ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced trimalleolar fracture of right lower leg, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.854B — Nondisplaced trimalleolar fracture of right lower leg, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of cranial or spinal infusion catheter, initial encounter"}, {"role": "assistant", "content": "T85.610A — Breakdown (mechanical) of cranial or spinal infusion catheter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Surgical instruments, materials and obstetric and gynecological devices (including sutures) associated with adverse incidents"}, {"role": "assistant", "content": "Y76.3 — Surgical instruments, materials and obstetric and gynecological devices (including sutures) associated with adverse incidents"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.224G — 2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Caught, crushed, jammed or pinched between a moving and stationary object, initial encounter"}, {"role": "assistant", "content": "W23.2XXA — Caught, crushed, jammed or pinched between a moving and stationary object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endodontic overfill"}, {"role": "assistant", "content": "M27.52 — Endodontic overfill"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of cutaneous sensory nerve at forearm level, left arm, initial encounter"}, {"role": "assistant", "content": "S54.32XA — Injury of cutaneous sensory nerve at forearm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.679D — Corrosion of second degree of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified fracture of left pubis, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.592G — Other specified fracture of left pubis, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from other burning powered watercraft, initial encounter"}, {"role": "assistant", "content": "V90.23XA — Drowning and submersion due to falling or jumping from other burning powered watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.425F — Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of intermediate cuneiform of left foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.232D — Displaced fracture of intermediate cuneiform of left foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of superior vena cava, subsequent encounter"}, {"role": "assistant", "content": "S25.21XD — Minor laceration of superior vena cava, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pneumococcal arthritis, left knee"}, {"role": "assistant", "content": "M00.162 — Pneumococcal arthritis, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.251N — Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.369D — Insect bite (nonvenomous) of unspecified front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of hip, left hip, initial encounter"}, {"role": "assistant", "content": "S70.272A — Other superficial bite of hip, left hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other inflammatory and immune myopathies, not elsewhere classified"}, {"role": "assistant", "content": "G72.49 — Other inflammatory and immune myopathies, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of left radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.382E — Bent bone of left radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of blood vessel of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S65.506D — Unspecified injury of blood vessel of right little finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exostosis of unspecified orbit"}, {"role": "assistant", "content": "H05.359 — Exostosis of unspecified orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.230S — Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.346G — Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of triquetrum [cuneiform] bone, left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.112P — Displaced fracture of triquetrum [cuneiform] bone, left wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inappropriate diet and eating habits"}, {"role": "assistant", "content": "Z72.4 — Inappropriate diet and eating habits"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cholesteatoma of attic, left ear"}, {"role": "assistant", "content": "H71.02 — Cholesteatoma of attic, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of bees, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.444A — Toxic effect of venom of bees, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.224M — Nondisplaced transverse fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aneurysm of vertebral artery"}, {"role": "assistant", "content": "I72.6 — Aneurysm of vertebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of other finger, initial encounter"}, {"role": "assistant", "content": "S63.658A — Sprain of metacarpophalangeal joint of other finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of left innominate or subclavian artery, initial encounter"}, {"role": "assistant", "content": "S25.112A — Minor laceration of left innominate or subclavian artery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of cornea and conjunctival sac, unspecified eye, sequela"}, {"role": "assistant", "content": "T26.60XS — Corrosion of cornea and conjunctival sac, unspecified eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Senile osteomalacia"}, {"role": "assistant", "content": "M83.1 — Senile osteomalacia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in noncollision transport accident in traffic accident, sequela"}, {"role": "assistant", "content": "V38.6XXS — Passenger in three-wheeled motor vehicle injured in noncollision transport accident in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of fifth metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.346A — Nondisplaced fracture of base of fifth metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.535S — Nondisplaced fracture of distal phalanx of left lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by letter bomb, sequela"}, {"role": "assistant", "content": "X96.2XXS — Assault by letter bomb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left ear, subsequent encounter"}, {"role": "assistant", "content": "S01.342D — Puncture wound with foreign body of left ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple left fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.342A — Burn of third degree of multiple left fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from crushed (nonpowered) inflatable craft, initial encounter"}, {"role": "assistant", "content": "V90.36XA — Drowning and submersion due to falling or jumping from crushed (nonpowered) inflatable craft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of humerus, right arm, sequela"}, {"role": "assistant", "content": "S42.324S — Nondisplaced transverse fracture of shaft of humerus, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rheumatoid arthritis with rheumatoid factor of other specified site"}, {"role": "assistant", "content": "M05.8A — Other rheumatoid arthritis with rheumatoid factor of other specified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis"}, {"role": "assistant", "content": "N05.5 — Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of unspecified radial head, initial encounter"}, {"role": "assistant", "content": "S53.096A — Other dislocation of unspecified radial head, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.023G — Displaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Angelman syndrome"}, {"role": "assistant", "content": "Q93.51 — Angelman syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Avoidant/restrictive food intake disorder"}, {"role": "assistant", "content": "F50.82 — Avoidant/restrictive food intake disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lateral subluxation of right patella, sequela"}, {"role": "assistant", "content": "S83.011S — Lateral subluxation of right patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonexudative age-related macular degeneration, unspecified eye, stage unspecified"}, {"role": "assistant", "content": "H35.3190 — Nonexudative age-related macular degeneration, unspecified eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Third [oculomotor] nerve palsy, unspecified eye"}, {"role": "assistant", "content": "H49.00 — Third [oculomotor] nerve palsy, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gluteal tendinitis, left hip"}, {"role": "assistant", "content": "M76.02 — Gluteal tendinitis, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified shoulder, initial encounter"}, {"role": "assistant", "content": "S40.919A — Unspecified superficial injury of unspecified shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.465D — Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucomatous flecks (subcapsular), unspecified eye"}, {"role": "assistant", "content": "H26.239 — Glaucomatous flecks (subcapsular), unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S61.549D — Puncture wound with foreign body of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of thyroid gland, sequela"}, {"role": "assistant", "content": "S11.11XS — Laceration without foreign body of thyroid gland, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cardiac complications of anesthesia during pregnancy, first trimester"}, {"role": "assistant", "content": "O29.191 — Other cardiac complications of anesthesia during pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of lower back and pelvis, sequela"}, {"role": "assistant", "content": "S30.820S — Blister (nonthermal) of lower back and pelvis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture"}, {"role": "assistant", "content": "M80.0B2A — Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of other tendons, left lower leg"}, {"role": "assistant", "content": "M66.862 — Spontaneous rupture of other tendons, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from moving wheelchair (powered), sequela"}, {"role": "assistant", "content": "V00.811S — Fall from moving wheelchair (powered), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.233N — Displaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of fallopian tube, unilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.521D — Contusion of fallopian tube, unilateral, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of left talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.125G — Nondisplaced fracture of body of left talus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of right upper eyelid, including canthus"}, {"role": "assistant", "content": "C43.111 — Malignant melanoma of right upper eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of first thoracic vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.018D — Other fracture of first thoracic vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified great toe, sequela"}, {"role": "assistant", "content": "S93.503S — Unspecified sprain of unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoarthritis, not elsewhere classified, left hand"}, {"role": "assistant", "content": "M13.142 — Monoarthritis, not elsewhere classified, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.111M — Displaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for hydrops fetalis, second trimester, fetus 3"}, {"role": "assistant", "content": "O36.22X3 — Maternal care for hydrops fetalis, second trimester, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other parasympathomimetics [cholinergics], accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T44.1X1A — Poisoning by other parasympathomimetics [cholinergics], accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.012G — Salter-Harris Type I physeal fracture of left calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, sequela"}, {"role": "assistant", "content": "T53.7X2S — Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S01.119D — Laceration without foreign body of unspecified eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified external genital organs, female, sequela"}, {"role": "assistant", "content": "S31.552S — Open bite of unspecified external genital organs, female, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.09XD — Other motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aortic ectasia, unspecified site"}, {"role": "assistant", "content": "I77.819 — Aortic ectasia, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infantile and juvenile nuclear cataract, left eye"}, {"role": "assistant", "content": "H26.032 — Infantile and juvenile nuclear cataract, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postinfective membranous urethral stricture, not elsewhere classified, male"}, {"role": "assistant", "content": "N35.113 — Postinfective membranous urethral stricture, not elsewhere classified, male"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right index finger, sequela"}, {"role": "assistant", "content": "S62.600S — Fracture of unspecified phalanx of right index finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcification and ossification of muscles associated with burns, right forearm"}, {"role": "assistant", "content": "M61.331 — Calcification and ossification of muscles associated with burns, right forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of histamine H2-receptor blockers, initial encounter"}, {"role": "assistant", "content": "T47.0X5A — Adverse effect of histamine H2-receptor blockers, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mood disorder due to known physiological condition, unspecified"}, {"role": "assistant", "content": "F06.30 — Mood disorder due to known physiological condition, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis in cysticercosis"}, {"role": "assistant", "content": "B69.81 — Myositis in cysticercosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.463G — Displaced segmental fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.454A — Nondisplaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of abdominal wall, initial encounter"}, {"role": "assistant", "content": "T21.42XA — Corrosion of unspecified degree of abdominal wall, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fat embolism of pulmonary artery with acute cor pulmonale"}, {"role": "assistant", "content": "I26.04 — Fat embolism of pulmonary artery with acute cor pulmonale"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Late congenital syphilitic chorioretinitis"}, {"role": "assistant", "content": "A50.32 — Late congenital syphilitic chorioretinitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of left ankle joint, initial encounter"}, {"role": "assistant", "content": "S93.05XA — Dislocation of left ankle joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic enlargement of bilateral lacrimal glands"}, {"role": "assistant", "content": "H04.033 — Chronic enlargement of bilateral lacrimal glands"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of right foot with fat layer exposed"}, {"role": "assistant", "content": "L97.512 — Non-pressure chronic ulcer of other part of right foot with fat layer exposed"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior dislocation of right sternoclavicular joint, initial encounter"}, {"role": "assistant", "content": "S43.224A — Posterior dislocation of right sternoclavicular joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified abnormal uterine and vaginal bleeding"}, {"role": "assistant", "content": "N93.8 — Other specified abnormal uterine and vaginal bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hydroxyapatite deposition disease, left hip"}, {"role": "assistant", "content": "M11.052 — Hydroxyapatite deposition disease, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifida, fetus 5"}, {"role": "assistant", "content": "O35.08X5 — Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifida, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of right ulna, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S52.621G — Torus fracture of lower end of right ulna, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.709S — Corrosion of third degree of unspecified hand, unspecified site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.052J — Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.021G — Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of fourth metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.344G — Nondisplaced fracture of fourth metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other gonococcal eye infection"}, {"role": "assistant", "content": "A54.39 — Other gonococcal eye infection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.232G — Displaced oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior synechiae (iris), unspecified eye"}, {"role": "assistant", "content": "H21.549 — Posterior synechiae (iris), unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, right humerus, sequela"}, {"role": "assistant", "content": "M84.521S — Pathological fracture in neoplastic disease, right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obesity complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O99.210 — Obesity complicating pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of lower back and pelvis, subsequent encounter"}, {"role": "assistant", "content": "S30.850D — Superficial foreign body of lower back and pelvis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified fracture of right great toe, sequela"}, {"role": "assistant", "content": "S92.401S — Displaced unspecified fracture of right great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other noninflammatory disorders of ovary, fallopian tube and broad ligament"}, {"role": "assistant", "content": "N83.8 — Other noninflammatory disorders of ovary, fallopian tube and broad ligament"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S49.109S — Unspecified physeal fracture of lower end of humerus, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postdysenteric arthropathy, left elbow"}, {"role": "assistant", "content": "M02.122 — Postdysenteric arthropathy, left elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound, left hip, initial encounter"}, {"role": "assistant", "content": "S71.002A — Unspecified open wound, left hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of unspecified parts of thorax, sequela"}, {"role": "assistant", "content": "S20.95XS — Superficial foreign body of unspecified parts of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left index finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.661G — Nondisplaced fracture of distal phalanx of left index finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of the pelvic nerves, unspecified"}, {"role": "assistant", "content": "N80.D0 — Endometriosis of the pelvic nerves, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of extensor tendons, unspecified forearm"}, {"role": "assistant", "content": "M66.239 — Spontaneous rupture of extensor tendons, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chondromalacia, joints of left hand"}, {"role": "assistant", "content": "M94.242 — Chondromalacia, joints of left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.052P — Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter"}, {"role": "assistant", "content": "T85.191A — Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V26.11XD — Electric (assisted) bicycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Longitudinal reduction defect of right tibia"}, {"role": "assistant", "content": "Q72.51 — Longitudinal reduction defect of right tibia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of right femur, sequela"}, {"role": "assistant", "content": "S79.111S — Salter-Harris Type I physeal fracture of lower end of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of right radial styloid process, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.511P — Displaced fracture of right radial styloid process, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.121D — Laceration of flexor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.521K — Pathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute lymphangitis of unspecified finger"}, {"role": "assistant", "content": "L03.029 — Acute lymphangitis of unspecified finger"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.444A — Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.650D — Open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by other hoof stock, initial encounter"}, {"role": "assistant", "content": "W55.31XA — Bitten by other hoof stock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to drugs, right eye, severe stage"}, {"role": "assistant", "content": "H40.61X3 — Glaucoma secondary to drugs, right eye, severe stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V26.11XS — Electric (assisted) bicycle passenger injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, sequela"}, {"role": "assistant", "content": "T58.2X2S — Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.461F — Displaced segmental fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.451P — Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute pericarditis, unspecified"}, {"role": "assistant", "content": "I30.9 — Acute pericarditis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified tibial artery, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.109S — Unspecified injury of unspecified tibial artery, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "34 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.34 — 34 weeks gestation of pregnancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.011M — Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of popliteal vein, bilateral"}, {"role": "assistant", "content": "I82.533 — Chronic embolism and thrombosis of popliteal vein, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of unspecified heel, unstageable"}, {"role": "assistant", "content": "L89.600 — Pressure ulcer of unspecified heel, unstageable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left great toe without damage to nail, sequela"}, {"role": "assistant", "content": "S91.102S — Unspecified open wound of left great toe without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Refractive amblyopia, left eye"}, {"role": "assistant", "content": "H53.022 — Refractive amblyopia, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S60.419D — Abrasion of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of left ear, subsequent encounter"}, {"role": "assistant", "content": "T33.012D — Superficial frostbite of left ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.021A — Salter-Harris Type II physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.302A — Unspecified fracture of shaft of left radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified interphalangeal joint of right ring finger, subsequent encounter"}, {"role": "assistant", "content": "S63.274D — Dislocation of unspecified interphalangeal joint of right ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions involving 80-89% of body surface with 80-89% third degree corrosion"}, {"role": "assistant", "content": "T32.88 — Corrosions involving 80-89% of body surface with 80-89% third degree corrosion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.511G — Displaced fracture of proximal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low-tension glaucoma, unspecified eye, moderate stage"}, {"role": "assistant", "content": "H40.1292 — Low-tension glaucoma, unspecified eye, moderate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior process of left talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.135G — Nondisplaced fracture of posterior process of left talus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of abdominal wall, subsequent encounter"}, {"role": "assistant", "content": "S30.92XD — Unspecified superficial injury of abdominal wall, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cyst of bone, other site"}, {"role": "assistant", "content": "M85.68 — Other cyst of bone, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Castleman disease"}, {"role": "assistant", "content": "D47.Z2 — Castleman disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S86.209S — Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary sideroblastic anemia due to disease"}, {"role": "assistant", "content": "D64.1 — Secondary sideroblastic anemia due to disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hereditary xanthinuria"}, {"role": "assistant", "content": "E79.82 — Hereditary xanthinuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Helicopter fire injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.04XD — Helicopter fire injuring occupant, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of the left pelvic brim, unspecified depth"}, {"role": "assistant", "content": "N80.382 — Endometriosis of the left pelvic brim, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of coronary artery bypass graft, subsequent encounter"}, {"role": "assistant", "content": "T82.212D — Displacement of coronary artery bypass graft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial cuneiform of right foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.244B — Nondisplaced fracture of medial cuneiform of right foot, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Animal-rider injured in collision with pedestrian or animal, sequela"}, {"role": "assistant", "content": "V80.11XS — Animal-rider injured in collision with pedestrian or animal, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.119G — Salter-Harris Type I physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.141K — Salter-Harris Type IV physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S93.506S — Unspecified sprain of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Erosion and ectropion of cervix uteri"}, {"role": "assistant", "content": "N86 — Erosion and ectropion of cervix uteri"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of eyelid unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H00.039 — Abscess of eyelid unspecified eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obesity complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.213 — Obesity complicating pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of antiasthmatics, sequela"}, {"role": "assistant", "content": "T48.6X6S — Underdosing of antiasthmatics, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}, {"role": "assistant", "content": "V44.3XXS — Unspecified car occupant injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abdominal pain of multiple sites"}, {"role": "assistant", "content": "R10.85 — Abdominal pain of multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.291D — Other physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sprain of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S63.689A — Other sprain of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by selective serotonin and norepinephrine reuptake inhibitors, undetermined, sequela"}, {"role": "assistant", "content": "T43.214S — Poisoning by selective serotonin and norepinephrine reuptake inhibitors, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hypertrophic osteoarthropathy, right ankle and foot"}, {"role": "assistant", "content": "M89.471 — Other hypertrophic osteoarthropathy, right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified blood vessel at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.901D — Unspecified injury of unspecified blood vessel at forearm level, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.446R — Nondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other urinary devices and implants, initial encounter"}, {"role": "assistant", "content": "T83.198A — Other mechanical complication of other urinary devices and implants, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of larynx, initial encounter"}, {"role": "assistant", "content": "S11.015A — Open bite of larynx, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement"}, {"role": "assistant", "content": "M05.751 — Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.008G — Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with other venomous animals, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.894D — Toxic effect of contact with other venomous animals, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypoplasia of aorta"}, {"role": "assistant", "content": "Q25.42 — Hypoplasia of aorta"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of external hearing-aid"}, {"role": "assistant", "content": "Z97.4 — Presence of external hearing-aid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of other carpometacarpal joint of unspecified hand, sequela"}, {"role": "assistant", "content": "S63.053S — Subluxation of other carpometacarpal joint of unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced gout, right elbow"}, {"role": "assistant", "content": "M10.221 — Drug-induced gout, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester"}, {"role": "assistant", "content": "O30.221 — Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of unspecified interphalangeal joint of left ring finger, initial encounter"}, {"role": "assistant", "content": "S63.275A — Dislocation of unspecified interphalangeal joint of left ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid bursitis, multiple sites"}, {"role": "assistant", "content": "M06.29 — Rheumatoid bursitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blood alcohol level of 40-59 mg/100 ml"}, {"role": "assistant", "content": "Y90.2 — Blood alcohol level of 40-59 mg/100 ml"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left index finger, initial encounter"}, {"role": "assistant", "content": "S67.191A — Crushing injury of left index finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraretinal microvascular abnormalities"}, {"role": "assistant", "content": "H35.09 — Other intraretinal microvascular abnormalities"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T44.6X2A — Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.046Q — Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other speech and language deficits following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.228 — Other speech and language deficits following other nontraumatic intracranial hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dacryocystitis of unspecified lacrimal passage"}, {"role": "assistant", "content": "H04.309 — Unspecified dacryocystitis of unspecified lacrimal passage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antipsychotics and neuroleptics, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T43.594D — Poisoning by other antipsychotics and neuroleptics, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.256G — Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of ulnar artery at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S55.009D — Unspecified injury of ulnar artery at forearm level, unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to abnormality of maternal pelvic organs"}, {"role": "assistant", "content": "O65.5 — Obstructed labor due to abnormality of maternal pelvic organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site"}, {"role": "assistant", "content": "I70.349 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of brachial artery, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S45.109D — Unspecified injury of brachial artery, unspecified side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter"}, {"role": "assistant", "content": "S06.896D — Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Echinococcus granulosus infection of liver"}, {"role": "assistant", "content": "B67.0 — Echinococcus granulosus infection of liver"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of right knee, sequela"}, {"role": "assistant", "content": "T24.621S — Corrosion of second degree of right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial wall of right acetabulum, sequela"}, {"role": "assistant", "content": "S32.471S — Displaced fracture of medial wall of right acetabulum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of C5/C6 cervical vertebrae, sequela"}, {"role": "assistant", "content": "S13.161S — Dislocation of C5/C6 cervical vertebrae, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S63.619A — Unspecified sprain of unspecified finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester"}, {"role": "assistant", "content": "O30.092 — Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of unspecified hip joint"}, {"role": "assistant", "content": "Z89.629 — Acquired absence of unspecified hip joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by thrombolytic drug, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T45.611D — Poisoning by thrombolytic drug, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, sequela"}, {"role": "assistant", "content": "S42.415S — Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S63.659D — Sprain of metacarpophalangeal joint of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder"}, {"role": "assistant", "content": "M12.019 — Chronic postrheumatic arthropathy [Jaccoud], unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Necrotizing ulcerative stomatitis"}, {"role": "assistant", "content": "A69.0 — Necrotizing ulcerative stomatitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superior oblique muscle entrapment, left eye"}, {"role": "assistant", "content": "H50.662 — Superior oblique muscle entrapment, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.202D — Unspecified open wound of left back wall of thorax without penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with other specified agricultural machinery, subsequent encounter"}, {"role": "assistant", "content": "W30.89XD — Contact with other specified agricultural machinery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Damage to pelvic organs following complete or unspecified spontaneous abortion"}, {"role": "assistant", "content": "O03.84 — Damage to pelvic organs following complete or unspecified spontaneous abortion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.16XD — Passenger of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving bayonet, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.413D — Legal intervention involving bayonet, suspect injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of right index finger, subsequent encounter"}, {"role": "assistant", "content": "S60.410D — Abrasion of right index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury due to other accident on board passenger ship, sequela"}, {"role": "assistant", "content": "V93.81XS — Other injury due to other accident on board passenger ship, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of superficial veins of unspecified upper extremity"}, {"role": "assistant", "content": "I82.719 — Chronic embolism and thrombosis of superficial veins of unspecified upper extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of cardiac-stimulant glycosides and drugs of similar action, initial encounter"}, {"role": "assistant", "content": "T46.0X5A — Adverse effect of cardiac-stimulant glycosides and drugs of similar action, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Karyotype 47, XYY"}, {"role": "assistant", "content": "Q98.5 — Karyotype 47, XYY"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of other metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.368B — Nondisplaced fracture of neck of other metacarpal bone, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.871F — Displaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), unspecified hip, sequela"}, {"role": "assistant", "content": "S70.269S — Insect bite (nonvenomous), unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.223P — Displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified psychotropic drug, assault, initial encounter"}, {"role": "assistant", "content": "T43.93XA — Poisoning by unspecified psychotropic drug, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of muscle in diseases classified elsewhere, right thigh"}, {"role": "assistant", "content": "M63.851 — Disorders of muscle in diseases classified elsewhere, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified rheumatoid arthritis, right shoulder"}, {"role": "assistant", "content": "M06.811 — Other specified rheumatoid arthritis, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other stimulant abuse with stimulant-induced sleep disorder"}, {"role": "assistant", "content": "F15.182 — Other stimulant abuse with stimulant-induced sleep disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of back of left hand, sequela"}, {"role": "assistant", "content": "T23.462S — Corrosion of unspecified degree of back of left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.092E — Other fracture of head and neck of left femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.409A — Unspecified fracture of lower end of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of left calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.012A — Salter-Harris Type I physeal fracture of left calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left ring finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.042D — Contusion of left ring finger without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.299F — Other fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial endometriosis of the anterior cul-de-sac"}, {"role": "assistant", "content": "N80.311 — Superficial endometriosis of the anterior cul-de-sac"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of animal-drawn vehicle injured in unspecified transport accident, subsequent encounter"}, {"role": "assistant", "content": "V80.929D — Occupant of animal-drawn vehicle injured in unspecified transport accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T40.411D — Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infectious mononucleosis with meningitis"}, {"role": "assistant", "content": "B27.82 — Other infectious mononucleosis with meningitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chromosomal abnormality, unspecified"}, {"role": "assistant", "content": "Q99.9 — Chromosomal abnormality, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of fentanyl or fentanyl analogs, initial encounter"}, {"role": "assistant", "content": "T40.416A — Underdosing of fentanyl or fentanyl analogs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced osteochondral fracture of left patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.012D — Displaced osteochondral fracture of left patella, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strabismic amblyopia, unspecified eye"}, {"role": "assistant", "content": "H53.039 — Strabismic amblyopia, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.445A — Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postural kyphosis, thoracic region"}, {"role": "assistant", "content": "M40.04 — Postural kyphosis, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of unspecified lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.699S — Corrosion of second degree of multiple sites of unspecified lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile arthritis, unspecified, other specified site"}, {"role": "assistant", "content": "M08.9A — Juvenile arthritis, unspecified, other specified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.366Q — Nondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter"}, {"role": "assistant", "content": "X74.09XD — Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dementia, moderate, with other behavioral disturbance"}, {"role": "assistant", "content": "F03.B18 — Unspecified dementia, moderate, with other behavioral disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, right arm, sequela"}, {"role": "assistant", "content": "S59.031S — Salter-Harris Type III physeal fracture of lower end of ulna, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of aortic and mitral valves"}, {"role": "assistant", "content": "Q23.88 — Other congenital malformations of aortic and mitral valves"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of bile duct prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T85.520D — Displacement of bile duct prosthesis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of internal fixation device of bone of right lower leg, sequela"}, {"role": "assistant", "content": "T84.126S — Displacement of internal fixation device of bone of right lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis"}, {"role": "assistant", "content": "N04.4 — Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified pleural conditions"}, {"role": "assistant", "content": "J94.8 — Other specified pleural conditions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral atherosclerosis"}, {"role": "assistant", "content": "I67.2 — Cerebral atherosclerosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central retinal vein occlusion, right eye, with retinal neovascularization"}, {"role": "assistant", "content": "H34.8111 — Central retinal vein occlusion, right eye, with retinal neovascularization"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of unspecified forearm with necrosis of bone"}, {"role": "assistant", "content": "L98.A294 — Non-pressure chronic ulcer of unspecified forearm with necrosis of bone"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for hydrops fetalis, third trimester, fetus 1"}, {"role": "assistant", "content": "O36.23X1 — Maternal care for hydrops fetalis, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified scapular region, sequela"}, {"role": "assistant", "content": "T22.769S — Corrosion of third degree of unspecified scapular region, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal innervation syndrome left upper eyelid"}, {"role": "assistant", "content": "H02.514 — Abnormal innervation syndrome left upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of proximal interphalangeal joint of right ring finger, initial encounter"}, {"role": "assistant", "content": "S63.284A — Dislocation of proximal interphalangeal joint of right ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified ankle joint, subsequent encounter"}, {"role": "assistant", "content": "S93.03XD — Subluxation of unspecified ankle joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid vasculitis with rheumatoid arthritis of right wrist"}, {"role": "assistant", "content": "M05.231 — Rheumatoid vasculitis with rheumatoid arthritis of right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left forearm, sequela"}, {"role": "assistant", "content": "S52.92XS — Unspecified fracture of left forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other keratoconjunctivitis, right eye"}, {"role": "assistant", "content": "H16.291 — Other keratoconjunctivitis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema"}, {"role": "assistant", "content": "E09.319 — Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.436K — Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V48.3XXS — Unspecified car occupant injured in noncollision transport accident in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Webbed fingers, unspecified hand"}, {"role": "assistant", "content": "Q70.10 — Webbed fingers, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Effusion, right foot"}, {"role": "assistant", "content": "M25.474 — Effusion, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of tarsal joint of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S93.316D — Dislocation of tarsal joint of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sexual abuse complicating childbirth"}, {"role": "assistant", "content": "O9A.42 — Sexual abuse complicating childbirth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gynephobia"}, {"role": "assistant", "content": "F40.291 — Gynephobia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to previous trauma, left tibia"}, {"role": "assistant", "content": "M87.262 — Osteonecrosis due to previous trauma, left tibia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic osteomyelitis with draining sinus, unspecified tibia and fibula"}, {"role": "assistant", "content": "M86.469 — Chronic osteomyelitis with draining sinus, unspecified tibia and fibula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by other compression of umbilical cord"}, {"role": "assistant", "content": "P02.5 — Newborn affected by other compression of umbilical cord"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of right breast"}, {"role": "assistant", "content": "D24.1 — Benign neoplasm of right breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, unspecified site, sequela"}, {"role": "assistant", "content": "M84.40XS — Pathological fracture, unspecified site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified pulmonary heart diseases"}, {"role": "assistant", "content": "I27.89 — Other specified pulmonary heart diseases"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degeneration of ciliary body, left eye"}, {"role": "assistant", "content": "H21.222 — Degeneration of ciliary body, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.330K — Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior displaced fracture of sternal end of left clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.015A — Posterior displaced fracture of sternal end of left clavicle, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V33.7XXD — Person on outside of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Child neglect or abandonment, confirmed, subsequent encounter"}, {"role": "assistant", "content": "T74.02XD — Child neglect or abandonment, confirmed, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified thigh, initial encounter"}, {"role": "assistant", "content": "T24.619A — Corrosion of second degree of unspecified thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission"}, {"role": "assistant", "content": "R40.2364 — Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S75.811S — Laceration of other blood vessels at hip and thigh level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute lymphangitis of right upper limb"}, {"role": "assistant", "content": "L03.123 — Acute lymphangitis of right upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified scapula, sequela"}, {"role": "assistant", "content": "S43.313S — Subluxation of unspecified scapula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiac allograft vasculopathy"}, {"role": "assistant", "content": "T86.290 — Cardiac allograft vasculopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.629 — Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital absence of left foot and toe(s)"}, {"role": "assistant", "content": "Q72.32 — Congenital absence of left foot and toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right ilium, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.301A — Unspecified fracture of right ilium, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.103A — Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, sequela"}, {"role": "assistant", "content": "T71.192S — Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary osteoarthritis, right elbow"}, {"role": "assistant", "content": "M19.021 — Primary osteoarthritis, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right index finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.630P — Displaced fracture of distal phalanx of right index finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthritis due to other bacteria, left ankle and foot"}, {"role": "assistant", "content": "M00.872 — Arthritis due to other bacteria, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified scapular region, sequela"}, {"role": "assistant", "content": "T22.469S — Corrosion of unspecified degree of unspecified scapular region, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hydrops of gallbladder"}, {"role": "assistant", "content": "K82.1 — Hydrops of gallbladder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into other water striking wall causing drowning and submersion, sequela"}, {"role": "assistant", "content": "W16.831S — Jumping or diving into other water striking wall causing drowning and submersion, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of first cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.02XS — Unstable burst fracture of first cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left wrist, subsequent encounter"}, {"role": "assistant", "content": "S60.812D — Abrasion of left wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of left elbow, subsequent encounter"}, {"role": "assistant", "content": "S59.802D — Other specified injuries of left elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation complex (vertebral) of sacral region"}, {"role": "assistant", "content": "M99.14 — Subluxation complex (vertebral) of sacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other hormone antagonists, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T38.991A — Poisoning by other hormone antagonists, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.013P — Displaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of face, initial encounter"}, {"role": "assistant", "content": "S09.93XA — Unspecified injury of face, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T44.4X2A — Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of fourth metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.395B — Other fracture of fourth metacarpal bone, left hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of second metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.360S — Nondisplaced fracture of neck of second metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.361Q — Displaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.419P — Pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified entropion of left lower eyelid"}, {"role": "assistant", "content": "H02.005 — Unspecified entropion of left lower eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of heart valve prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T82.03XD — Leakage of heart valve prosthesis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V66.6XXA — Passenger in heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left lower leg, initial encounter"}, {"role": "assistant", "content": "T24.332A — Burn of third degree of left lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other meniscus derangements, unspecified meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.309 — Other meniscus derangements, unspecified meniscus, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure"}, {"role": "assistant", "content": "G97.31 — Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.430S — Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by rifle pellet, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.039A — Legal intervention involving injury by rifle pellet, unspecified person injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of breast, unspecified breast, initial encounter"}, {"role": "assistant", "content": "S20.119A — Abrasion of breast, unspecified breast, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spasm of accommodation, left eye"}, {"role": "assistant", "content": "H52.532 — Spasm of accommodation, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of thorax"}, {"role": "assistant", "content": "C76.1 — Malignant neoplasm of thorax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Facial weakness following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.092 — Facial weakness following nontraumatic subarachnoid hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of right calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.031B — Salter-Harris Type III physeal fracture of right calcaneus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right little finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.636A — Displaced fracture of distal phalanx of right little finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 5"}, {"role": "assistant", "content": "O36.8335 — Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.115Q — Nondisplaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced apophyseal fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.133G — Displaced apophyseal fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cellulitis of left finger"}, {"role": "assistant", "content": "L03.012 — Cellulitis of left finger"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of smallpox vaccines, initial encounter"}, {"role": "assistant", "content": "T50.B16A — Underdosing of smallpox vaccines, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of bladder, sequela"}, {"role": "assistant", "content": "S37.22XS — Contusion of bladder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Zone III fracture of sacrum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.130D — Nondisplaced Zone III fracture of sacrum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of left thumb, sequela"}, {"role": "assistant", "content": "S60.312S — Abrasion of left thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of head, face, and neck, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T20.60XD — Corrosion of second degree of head, face, and neck, unspecified site, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.1X2D — Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.533B — Displaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of right talus, sequela"}, {"role": "assistant", "content": "S92.114S — Nondisplaced fracture of neck of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.909D — Unspecified fracture of unspecified foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.241Q — Displaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple myeloma in remission"}, {"role": "assistant", "content": "C90.01 — Multiple myeloma in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of distal interphalangeal joint of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S63.249D — Subluxation of distal interphalangeal joint of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of unspecified hormone antagonists, sequela"}, {"role": "assistant", "content": "T38.905S — Adverse effect of unspecified hormone antagonists, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tramadol, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T40.424D — Poisoning by tramadol, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital malformation of vitreous humor"}, {"role": "assistant", "content": "Q14.0 — Congenital malformation of vitreous humor"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.592S — Other injury of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.466D — Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of right shoulder and upper limb, except wrist and hand, sequela"}, {"role": "assistant", "content": "T22.691S — Corrosion of second degree of multiple sites of right shoulder and upper limb, except wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other urinary stent, subsequent encounter"}, {"role": "assistant", "content": "T83.193D — Other mechanical complication of other urinary stent, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with other fish, initial encounter"}, {"role": "assistant", "content": "W56.59XA — Other contact with other fish, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic abuse with intoxication delirium"}, {"role": "assistant", "content": "F13.121 — Sedative, hypnotic or anxiolytic abuse with intoxication delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced gout, unspecified hip"}, {"role": "assistant", "content": "M10.259 — Drug-induced gout, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left middle finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.663G — Nondisplaced fracture of distal phalanx of left middle finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of skin graft (allograft) (autograft)"}, {"role": "assistant", "content": "T86.828 — Other complications of skin graft (allograft) (autograft)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute upper respiratory infection, unspecified"}, {"role": "assistant", "content": "J06.9 — Acute upper respiratory infection, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "T23.199S — Burn of first degree of multiple sites of unspecified wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian with other conveyance injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V02.19XS — Pedestrian with other conveyance injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.466M — Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial wall of right acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.471K — Displaced fracture of medial wall of right acetabulum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from snowmobile, subsequent encounter"}, {"role": "assistant", "content": "V86.42XD — Person injured while boarding or alighting from snowmobile, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of short bones of left lower limb"}, {"role": "assistant", "content": "C40.32 — Malignant neoplasm of short bones of left lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.116J — Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S87.00XD — Crushing injury of unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified fracture of left ischium, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.692D — Other specified fracture of left ischium, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V63.5XXD — Driver of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lymphoid leukemia, in relapse"}, {"role": "assistant", "content": "C91.Z2 — Other lymphoid leukemia, in relapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Opioid use, unspecified with intoxication delirium"}, {"role": "assistant", "content": "F11.921 — Opioid use, unspecified with intoxication delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.425B — Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of androgens and anabolic congeners, sequela"}, {"role": "assistant", "content": "T38.7X5S — Adverse effect of androgens and anabolic congeners, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Eyelid retraction unspecified eye, unspecified lid"}, {"role": "assistant", "content": "H02.539 — Eyelid retraction unspecified eye, unspecified lid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of right patella, sequela"}, {"role": "assistant", "content": "S82.031S — Displaced transverse fracture of right patella, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), unspecified lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.466A — Insect bite (nonvenomous), unspecified lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bullous keratopathy, unspecified eye"}, {"role": "assistant", "content": "H18.10 — Bullous keratopathy, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with powered lawn mower, initial encounter"}, {"role": "assistant", "content": "W28.XXXA — Contact with powered lawn mower, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia, unspecified eye"}, {"role": "assistant", "content": "H44.20 — Degenerative myopia, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.253P — Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of left fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.292G — Other physeal fracture of upper end of left fibula, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of right femur, sequela"}, {"role": "assistant", "content": "S72.351S — Displaced comminuted fracture of shaft of right femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.334C — Nondisplaced oblique fracture of shaft of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, right great toe, sequela"}, {"role": "assistant", "content": "S90.451S — Superficial foreign body, right great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by amphetamines, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.622D — Poisoning by amphetamines, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of distal interphalangeal joint of left index finger, sequela"}, {"role": "assistant", "content": "S63.291S — Dislocation of distal interphalangeal joint of left index finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela"}, {"role": "assistant", "content": "S96.192S — Other specified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, eyes open, to sound, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2131 — Coma scale, eyes open, to sound, in the field [EMT or ambulance]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral"}, {"role": "assistant", "content": "E11.3313 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified menopausal and perimenopausal disorder"}, {"role": "assistant", "content": "N95.9 — Unspecified menopausal and perimenopausal disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.036N — Nondisplaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of wasps, intentional self-harm, sequela"}, {"role": "assistant", "content": "T63.462S — Toxic effect of venom of wasps, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.116B — Nondisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S60.819D — Abrasion of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with combine harvester, initial encounter"}, {"role": "assistant", "content": "W30.0XXA — Contact with combine harvester, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.039D — Salter-Harris Type III physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dementia, moderate, with anxiety"}, {"role": "assistant", "content": "F03.B4 — Unspecified dementia, moderate, with anxiety"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "NIHSS score 8"}, {"role": "assistant", "content": "R29.708 — NIHSS score 8"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, fetus 3"}, {"role": "assistant", "content": "O35.00X3 — Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spinal instabilities, site unspecified"}, {"role": "assistant", "content": "M53.2X9 — Spinal instabilities, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete loss of teeth due to periodontal diseases, class III"}, {"role": "assistant", "content": "K08.123 — Complete loss of teeth due to periodontal diseases, class III"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of left femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.112P — Salter-Harris Type I physeal fracture of lower end of left femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wernicke's encephalopathy"}, {"role": "assistant", "content": "E51.2 — Wernicke's encephalopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary osteoarthritis, right shoulder"}, {"role": "assistant", "content": "M19.211 — Secondary osteoarthritis, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of proximal interphalangeal joint of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S63.239D — Subluxation of proximal interphalangeal joint of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by unspecified explosive, initial encounter"}, {"role": "assistant", "content": "X96.9XXA — Assault by unspecified explosive, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other soft tissue disorders related to use, overuse and pressure, unspecified thigh"}, {"role": "assistant", "content": "M70.859 — Other soft tissue disorders related to use, overuse and pressure, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, sequela"}, {"role": "assistant", "content": "V61.4XXS — Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other (suspected) fetal abnormality and damage, fetal pulmonary anomalies, fetus 1"}, {"role": "assistant", "content": "O35.CXX1 — Maternal care for other (suspected) fetal abnormality and damage, fetal pulmonary anomalies, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ultralight, microlight or powered-glider collision injuring occupant, sequela"}, {"role": "assistant", "content": "V95.13XS — Ultralight, microlight or powered-glider collision injuring occupant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.514G — Nondisplaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adhesions due to foreign body accidentally left in body following heart catheterization, sequela"}, {"role": "assistant", "content": "T81.515S — Adhesions due to foreign body accidentally left in body following heart catheterization, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hit by object from burning building or structure in controlled fire, subsequent encounter"}, {"role": "assistant", "content": "X02.4XXD — Hit by object from burning building or structure in controlled fire, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of head of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.126C — Nondisplaced fracture of head of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of fourth metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.394A — Other fracture of fourth metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving manhandling, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.812S — Legal intervention involving manhandling, bystander injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of amputation stump, left upper extremity"}, {"role": "assistant", "content": "T87.42 — Infection of amputation stump, left upper extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to internal left knee prosthesis, sequela"}, {"role": "assistant", "content": "T84.54XS — Infection and inflammatory reaction due to internal left knee prosthesis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of scalp [any part], sequela"}, {"role": "assistant", "content": "T20.65XS — Corrosion of second degree of scalp [any part], sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia, unspecified affecting left dominant side"}, {"role": "assistant", "content": "G81.92 — Hemiplegia, unspecified affecting left dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other musculoskeletal tuberculosis"}, {"role": "assistant", "content": "A18.09 — Other musculoskeletal tuberculosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema with loss of consciousness status unknown, initial encounter"}, {"role": "assistant", "content": "S06.1XAA — Traumatic cerebral edema with loss of consciousness status unknown, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, left hand, subsequent encounter"}, {"role": "assistant", "content": "S66.902D — Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of extensor tendons, right hand"}, {"role": "assistant", "content": "M66.241 — Spontaneous rupture of extensor tendons, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoplegia of upper limb affecting left dominant side"}, {"role": "assistant", "content": "G83.22 — Monoplegia of upper limb affecting left dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.391B — Other fracture of shaft of right humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.121A — Salter-Harris Type II physeal fracture of lower end of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of connective and other soft tissue of trunk, unspecified"}, {"role": "assistant", "content": "D21.6 — Benign neoplasm of connective and other soft tissue of trunk, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of monoamine-oxidase-inhibitor antidepressants, subsequent encounter"}, {"role": "assistant", "content": "T43.1X5D — Adverse effect of monoamine-oxidase-inhibitor antidepressants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified toe(s), subsequent encounter"}, {"role": "assistant", "content": "S97.109D — Crushing injury of unspecified toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gout due to renal impairment, right hand"}, {"role": "assistant", "content": "M10.341 — Gout due to renal impairment, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.189Q — Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tin and its compounds, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.6X1A — Toxic effect of tin and its compounds, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Muscle weakness (generalized)"}, {"role": "assistant", "content": "M62.81 — Muscle weakness (generalized)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at T1 level of thoracic spinal cord, initial encounter"}, {"role": "assistant", "content": "S24.101A — Unspecified injury at T1 level of thoracic spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A126 — Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.102A — Unspecified fracture of upper end of left tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of upper back, sequela"}, {"role": "assistant", "content": "T21.23XS — Burn of second degree of upper back, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of cervical intervertebral disc, subsequent encounter"}, {"role": "assistant", "content": "S13.0XXD — Traumatic rupture of cervical intervertebral disc, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of unspecified calcaneus, sequela"}, {"role": "assistant", "content": "S99.019S — Salter-Harris Type I physeal fracture of unspecified calcaneus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adenoviral enteritis"}, {"role": "assistant", "content": "A08.2 — Adenoviral enteritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior subluxation of unspecified humerus, sequela"}, {"role": "assistant", "content": "S43.013S — Anterior subluxation of unspecified humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "T25.429D — Corrosion of unspecified degree of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V61.6XXA — Passenger in heavy transport vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antivaricose drugs, including sclerosing agents, initial encounter"}, {"role": "assistant", "content": "T46.8X5A — Adverse effect of antivaricose drugs, including sclerosing agents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of neck, subsequent encounter"}, {"role": "assistant", "content": "T20.57XD — Corrosion of first degree of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of blood vessel of left middle finger, initial encounter"}, {"role": "assistant", "content": "S65.503A — Unspecified injury of blood vessel of left middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twins, both liveborn"}, {"role": "assistant", "content": "Z37.2 — Twins, both liveborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified acute and subacute iridocyclitis"}, {"role": "assistant", "content": "H20.00 — Unspecified acute and subacute iridocyclitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other soft tissue disorders related to use, overuse and pressure, right lower leg"}, {"role": "assistant", "content": "M70.861 — Other soft tissue disorders related to use, overuse and pressure, right lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.424P — Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.901G — Unspecified fracture of right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushed between fishing boat and other watercraft or other object due to collision, sequela"}, {"role": "assistant", "content": "V91.12XS — Crushed between fishing boat and other watercraft or other object due to collision, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified contact dermatitis, unspecified cause"}, {"role": "assistant", "content": "L25.9 — Unspecified contact dermatitis, unspecified cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of second metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.331S — Displaced fracture of neck of second metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flaccid hemiplegia affecting left nondominant side"}, {"role": "assistant", "content": "G81.04 — Flaccid hemiplegia affecting left nondominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.416A — Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.134Q — Nondisplaced fracture of medial condyle of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diaphragmatic hernia with obstruction, without gangrene"}, {"role": "assistant", "content": "K44.0 — Diaphragmatic hernia with obstruction, without gangrene"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastritis, unspecified, with bleeding"}, {"role": "assistant", "content": "K29.71 — Gastritis, unspecified, with bleeding"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of right shoulder, initial encounter"}, {"role": "assistant", "content": "S41.011A — Laceration without foreign body of right shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) other central nervous system malformation or damage in fetus, other fetus"}, {"role": "assistant", "content": "O35.09X9 — Maternal care for (suspected) other central nervous system malformation or damage in fetus, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of methanol, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T51.1X1D — Toxic effect of methanol, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of ovary, unilateral, sequela"}, {"role": "assistant", "content": "S37.421S — Contusion of ovary, unilateral, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle driver injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V19.09XD — Pedal cycle driver injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.256D — Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of radius, unspecified arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.366D — Nondisplaced segmental fracture of shaft of radius, unspecified arm, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Double urinary meatus"}, {"role": "assistant", "content": "Q64.75 — Double urinary meatus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1"}, {"role": "assistant", "content": "O31.11X1 — Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Colles' fracture of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.531R — Colles' fracture of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of triceps, right arm, subsequent encounter"}, {"role": "assistant", "content": "S46.391D — Other injury of muscle, fascia and tendon of triceps, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Impacted teeth"}, {"role": "assistant", "content": "K01.1 — Impacted teeth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Premature separation of placenta with other coagulation defect, first trimester"}, {"role": "assistant", "content": "O45.091 — Premature separation of placenta with other coagulation defect, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.221B — Displaced transverse fracture of shaft of right ulna, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of single right finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.521A — Corrosion of first degree of single right finger (nail) except thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal serum enzyme level, unspecified"}, {"role": "assistant", "content": "R74.9 — Abnormal serum enzyme level, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.602R — Unspecified fracture of lower end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for fitting and adjustment of partial artificial leg, unspecified leg"}, {"role": "assistant", "content": "Z44.129 — Encounter for fitting and adjustment of partial artificial leg, unspecified leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced pilon fracture of right tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.871G — Displaced pilon fracture of right tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm"}, {"role": "assistant", "content": "M96.622 — Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cervical disc disorders, high cervical region"}, {"role": "assistant", "content": "M50.81 — Other cervical disc disorders, high cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulcerative blepharitis left eye, unspecified eyelid"}, {"role": "assistant", "content": "H01.016 — Ulcerative blepharitis left eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at C6 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.106D — Unspecified injury at C6 level of cervical spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by thrombolytic drug, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T45.611S — Poisoning by thrombolytic drug, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.025H — Nondisplaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lesion of plantar nerve, unspecified lower limb"}, {"role": "assistant", "content": "G57.60 — Lesion of plantar nerve, unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.343K — Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary sleep apnea of newborn, unspecified"}, {"role": "assistant", "content": "P28.30 — Primary sleep apnea of newborn, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of radial nerve at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S54.20XA — Injury of radial nerve at forearm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anterior pituitary [adenohypophyseal] hormones, assault, initial encounter"}, {"role": "assistant", "content": "T38.813A — Poisoning by anterior pituitary [adenohypophyseal] hormones, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.322Q — Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.201G — Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of scapula and long bones of right upper limb"}, {"role": "assistant", "content": "C40.01 — Malignant neoplasm of scapula and long bones of right upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T50.7X1A — Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.411D — Pathological fracture, right shoulder, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.351B — Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter"}, {"role": "assistant", "content": "T85.613A — Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.152R — Displaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of third metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.392P — Other fracture of third metacarpal bone, right hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of hydantoin derivatives, subsequent encounter"}, {"role": "assistant", "content": "T42.0X6D — Underdosing of hydantoin derivatives, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central corneal ulcer, bilateral"}, {"role": "assistant", "content": "H16.013 — Central corneal ulcer, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.819S — Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other migraine, not intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.809 — Other migraine, not intractable, without status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of sea-based artillery shell, military personnel, sequela"}, {"role": "assistant", "content": "Y36.030S — War operations involving explosion of sea-based artillery shell, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, unspecified humerus"}, {"role": "assistant", "content": "M87.829 — Other osteonecrosis, unspecified humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right ulna, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.431G — Pathological fracture, right ulna, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S01.129A — Laceration with foreign body of unspecified eyelid and periocular area, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Immersion hand, unspecified hand, initial encounter"}, {"role": "assistant", "content": "T69.019A — Immersion hand, unspecified hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral T-cell lymphoma, not elsewhere classified, in remission"}, {"role": "assistant", "content": "C84.4A — Peripheral T-cell lymphoma, not elsewhere classified, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cataclysmic storms, subsequent encounter"}, {"role": "assistant", "content": "X37.8XXD — Other cataclysmic storms, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced trimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.856E — Nondisplaced trimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sequelae of Guillain-Barre syndrome"}, {"role": "assistant", "content": "G65.0 — Sequelae of Guillain-Barre syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ocular albinism, unspecified"}, {"role": "assistant", "content": "E70.319 — Ocular albinism, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema without loss of consciousness, subsequent encounter"}, {"role": "assistant", "content": "S06.1X0D — Traumatic cerebral edema without loss of consciousness, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low-tension glaucoma, left eye, stage unspecified"}, {"role": "assistant", "content": "H40.1220 — Low-tension glaucoma, left eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis"}, {"role": "assistant", "content": "N02.7 — Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified bus occupant injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V79.20XA — Unspecified bus occupant injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, unspecified foot, initial encounter for fracture"}, {"role": "assistant", "content": "M84.476A — Pathological fracture, unspecified foot, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of emollients, demulcents and protectants, sequela"}, {"role": "assistant", "content": "T49.3X5S — Adverse effect of emollients, demulcents and protectants, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.401S — Corrosion of unspecified degree of right hand, unspecified site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.209A — Unspecified superficial injury of unspecified eyelid and periocular area, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}, {"role": "assistant", "content": "S06.375S — Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V62.5XXS — Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.300A — Unspecified injury of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of therapeutic gases, initial encounter"}, {"role": "assistant", "content": "T41.5X6A — Underdosing of therapeutic gases, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V36.0XXD — Driver of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of right tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.154F — Nondisplaced fracture of right tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to brow presentation, fetus 3"}, {"role": "assistant", "content": "O64.3XX3 — Obstructed labor due to brow presentation, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified retained (old) intraocular foreign body, nonmagnetic, bilateral"}, {"role": "assistant", "content": "H44.703 — Unspecified retained (old) intraocular foreign body, nonmagnetic, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.464K — Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of connective and other soft tissue of pelvis"}, {"role": "assistant", "content": "D21.5 — Benign neoplasm of connective and other soft tissue of pelvis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of second metatarsal bone, right foot, sequela"}, {"role": "assistant", "content": "S92.321S — Displaced fracture of second metatarsal bone, right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at lower leg level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S84.92XD — Injury of unspecified nerve at lower leg level, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for viable fetus in abdominal pregnancy, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O36.70X5 — Maternal care for viable fetus in abdominal pregnancy, unspecified trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S61.449A — Puncture wound with foreign body of unspecified hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bilateral secondary osteoarthritis of hip"}, {"role": "assistant", "content": "M16.6 — Other bilateral secondary osteoarthritis of hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by intravenous anesthetics, assault, initial encounter"}, {"role": "assistant", "content": "T41.1X3A — Poisoning by intravenous anesthetics, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemarthrosis, right foot"}, {"role": "assistant", "content": "M25.074 — Hemarthrosis, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified lagophthalmos, bilateral, upper and lower eyelids"}, {"role": "assistant", "content": "H02.20C — Unspecified lagophthalmos, bilateral, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Macular corneal dystrophy, right eye"}, {"role": "assistant", "content": "H18.551 — Macular corneal dystrophy, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site"}, {"role": "assistant", "content": "C81.00 — Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of formaldehyde, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T59.2X1S — Toxic effect of formaldehyde, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatic chorea with heart involvement"}, {"role": "assistant", "content": "I02.0 — Rheumatic chorea with heart involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other systemic antibiotics, sequela"}, {"role": "assistant", "content": "T36.8X5S — Adverse effect of other systemic antibiotics, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right elbow, initial encounter"}, {"role": "assistant", "content": "T22.421A — Corrosion of unspecified degree of right elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.019E — Unspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.526S — Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Angioimmunoblastic T-cell lymphoma, in remission"}, {"role": "assistant", "content": "C86.51 — Angioimmunoblastic T-cell lymphoma, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S45.399A — Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic mast cell activation syndrome"}, {"role": "assistant", "content": "D89.42 — Idiopathic mast cell activation syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to hanging, undetermined, initial encounter"}, {"role": "assistant", "content": "T71.164A — Asphyxiation due to hanging, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right wrist, initial encounter"}, {"role": "assistant", "content": "S60.211A — Contusion of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.011K — Salter-Harris Type I physeal fracture of right calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.235J — Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of left ankle and foot, sequela"}, {"role": "assistant", "content": "T25.092S — Burn of unspecified degree of multiple sites of left ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conductive hearing loss, bilateral"}, {"role": "assistant", "content": "H90.0 — Conductive hearing loss, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of benzodiazepines, initial encounter"}, {"role": "assistant", "content": "T42.4X6A — Underdosing of benzodiazepines, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.412A — Displaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from crushed merchant ship, sequela"}, {"role": "assistant", "content": "V90.30XS — Drowning and submersion due to falling or jumping from crushed merchant ship, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic brain compression without herniation, initial encounter"}, {"role": "assistant", "content": "S06.A0XA — Traumatic brain compression without herniation, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior scleritis, bilateral"}, {"role": "assistant", "content": "H15.033 — Posterior scleritis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.291H — Other fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left ring finger, initial encounter"}, {"role": "assistant", "content": "S60.425A — Blister (nonthermal) of left ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intentional self-harm by drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "X71.8XXD — Other intentional self-harm by drowning and submersion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other idiopathic peripheral autonomic neuropathy"}, {"role": "assistant", "content": "G90.09 — Other idiopathic peripheral autonomic neuropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of unspecified lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.476D — Other superficial bite of unspecified lesser toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calcific tendinitis, unspecified site"}, {"role": "assistant", "content": "M65.20 — Calcific tendinitis, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of right radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.134B — Nondisplaced fracture of neck of right radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flail chest, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.5XXA — Flail chest, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.569J — Barton's fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other firearm discharge, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.092A — Legal intervention involving other firearm discharge, bystander injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified inorganic substances, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T57.8X2D — Toxic effect of other specified inorganic substances, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.112H — Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of right toe(s), initial encounter"}, {"role": "assistant", "content": "T34.831A — Frostbite with tissue necrosis of right toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for known or suspected placental insufficiency, first trimester, fetus 4"}, {"role": "assistant", "content": "O36.5114 — Maternal care for known or suspected placental insufficiency, first trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystitis, unspecified without hematuria"}, {"role": "assistant", "content": "N30.90 — Cystitis, unspecified without hematuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter"}, {"role": "assistant", "content": "T84.199A — Other mechanical complication of internal fixation device of unspecified bone of limb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.012A — Salter-Harris Type I physeal fracture of upper end of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.451P — Pathological fracture, right femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side"}, {"role": "assistant", "content": "I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of other specified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S11.85XD — Open bite of other specified part of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incomplete lesion of L2 level of lumbar spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.122A — Incomplete lesion of L2 level of lumbar spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.54XB — Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified acute conjunctivitis, bilateral"}, {"role": "assistant", "content": "H10.33 — Unspecified acute conjunctivitis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with cat, subsequent encounter"}, {"role": "assistant", "content": "W55.09XD — Other contact with cat, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dorsalgia"}, {"role": "assistant", "content": "M54.89 — Other dorsalgia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of anticoagulants, initial encounter"}, {"role": "assistant", "content": "T45.515A — Adverse effect of anticoagulants, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Attention-deficit hyperactivity disorder, combined type"}, {"role": "assistant", "content": "F90.2 — Attention-deficit hyperactivity disorder, combined type"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute erythroid leukemia, in remission"}, {"role": "assistant", "content": "C94.01 — Acute erythroid leukemia, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lyme disease, unspecified"}, {"role": "assistant", "content": "A69.20 — Lyme disease, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of T9-T10 vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.070K — Wedge compression fracture of T9-T10 vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Keratoconjunctivitis sicca, not specified as Sjogren's, left eye"}, {"role": "assistant", "content": "H16.222 — Keratoconjunctivitis sicca, not specified as Sjogren's, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dyspnea, unspecified"}, {"role": "assistant", "content": "R06.00 — Dyspnea, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other primarily systemic and hematological agents, undetermined, sequela"}, {"role": "assistant", "content": "T45.8X4S — Poisoning by other primarily systemic and hematological agents, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.109M — Unspecified fracture of upper end of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other burn on board merchant vessel, subsequent encounter"}, {"role": "assistant", "content": "V93.10XD — Other burn on board merchant vessel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.249A — Puncture wound with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V69.49XA — Driver of heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot"}, {"role": "assistant", "content": "I70.345 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in conjunctival sac, left eye, initial encounter"}, {"role": "assistant", "content": "T15.12XA — Foreign body in conjunctival sac, left eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.391D — Other injury of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula of vagina to small intestine"}, {"role": "assistant", "content": "N82.2 — Fistula of vagina to small intestine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.411A — Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.55XD — Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by appetite depressants, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.5X1S — Poisoning by appetite depressants, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Preterm labor second trimester with preterm delivery second trimester, fetus 1"}, {"role": "assistant", "content": "O60.12X1 — Preterm labor second trimester with preterm delivery second trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1"}, {"role": "assistant", "content": "O36.0111 — Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.431D — Displaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.452D — Displaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.5X9S — Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye"}, {"role": "assistant", "content": "E09.3542 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye inflammation, left eye, indeterminate stage"}, {"role": "assistant", "content": "H40.42X4 — Glaucoma secondary to eye inflammation, left eye, indeterminate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Delirium due to known physiological condition"}, {"role": "assistant", "content": "F05 — Delirium due to known physiological condition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.136C — Nondisplaced apophyseal fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of first thoracic vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.019A — Unspecified fracture of first thoracic vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other retrovirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.39 — Other retrovirus as the cause of diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter"}, {"role": "assistant", "content": "S46.211D — Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S60.519D — Abrasion of unspecified hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving direct blast effect of nuclear weapon, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.510A — Military operations involving direct blast effect of nuclear weapon, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bathroom in reform school as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.152 — Bathroom in reform school as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central perforation of tympanic membrane, left ear"}, {"role": "assistant", "content": "H72.02 — Central perforation of tympanic membrane, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disturbances of temperature regulation of newborn"}, {"role": "assistant", "content": "P81.8 — Other specified disturbances of temperature regulation of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of radius, left arm, sequela"}, {"role": "assistant", "content": "S59.202S — Unspecified physeal fracture of lower end of radius, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.091M — Other fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diffuse acute (reversible) ischemia of small intestine"}, {"role": "assistant", "content": "K55.012 — Diffuse acute (reversible) ischemia of small intestine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.8X2K — Other fracture of left femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, other fetus"}, {"role": "assistant", "content": "O35.00X9 — Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained (old) magnetic foreign body in iris or ciliary body, right eye"}, {"role": "assistant", "content": "H44.621 — Retained (old) magnetic foreign body in iris or ciliary body, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Venezuelan equine fever"}, {"role": "assistant", "content": "A92.2 — Venezuelan equine fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V02.138A — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Palindromic rheumatism, unspecified wrist"}, {"role": "assistant", "content": "M12.339 — Palindromic rheumatism, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.222D — Salter-Harris Type II physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of right fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S82.811G — Torus fracture of upper end of right fibula, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle driver injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V13.0XXD — Pedal cycle driver injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified inflammatory spondylopathy, cervical region"}, {"role": "assistant", "content": "M46.92 — Unspecified inflammatory spondylopathy, cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of other cardiac and vascular devices and implants, sequela"}, {"role": "assistant", "content": "T82.538S — Leakage of other cardiac and vascular devices and implants, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polydactyly, unspecified"}, {"role": "assistant", "content": "Q69.9 — Polydactyly, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], other specified site"}, {"role": "assistant", "content": "M12.08 — Chronic postrheumatic arthropathy [Jaccoud], other specified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Craniosynostosis, unspecified type, bilateral"}, {"role": "assistant", "content": "Q75.002 — Craniosynostosis, unspecified type, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of lateral plantar nerve, left leg, sequela"}, {"role": "assistant", "content": "S94.02XS — Injury of lateral plantar nerve, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified interphalangeal joint of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.222D — Subluxation of unspecified interphalangeal joint of right middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries"}, {"role": "assistant", "content": "I63.543 — Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.433G — Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), left thigh"}, {"role": "assistant", "content": "M62.152 — Other rupture of muscle (nontraumatic), left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient synovitis, left ankle and foot"}, {"role": "assistant", "content": "M67.372 — Transient synovitis, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for observation for suspected exposure to anthrax ruled out"}, {"role": "assistant", "content": "Z03.810 — Encounter for observation for suspected exposure to anthrax ruled out"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.420S — Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.454N — Nondisplaced comminuted fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of xylazine, assault, initial encounter"}, {"role": "assistant", "content": "T65.843A — Toxic effect of xylazine, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other explosives, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.199A — Legal intervention involving other explosives, unspecified person injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of navicular [scaphoid] of left foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.255D — Nondisplaced fracture of navicular [scaphoid] of left foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple left fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.142A — Burn of first degree of multiple left fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Rolando's fracture, unspecified hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.223D — Displaced Rolando's fracture, unspecified hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of other part of genital tract in pregnancy, third trimester"}, {"role": "assistant", "content": "O23.593 — Infection of other part of genital tract in pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian injured in unspecified nontraffic accident, sequela"}, {"role": "assistant", "content": "V09.1XXS — Pedestrian injured in unspecified nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other reduction defects of right lower limb"}, {"role": "assistant", "content": "Q72.891 — Other reduction defects of right lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified electric (assisted) bicycle rider injured in collision with unspecified motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V29.201S — Unspecified electric (assisted) bicycle rider injured in collision with unspecified motor vehicles in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of eyeball and orbital tissues, right eye, initial encounter"}, {"role": "assistant", "content": "S05.11XA — Contusion of eyeball and orbital tissues, right eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental malfunction of hunting rifle, sequela"}, {"role": "assistant", "content": "W33.12XS — Accidental malfunction of hunting rifle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of upper end of radius, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.141D — Salter-Harris Type IV physeal fracture of upper end of radius, right arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.343A — Displaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall on board unspecified watercraft, sequela"}, {"role": "assistant", "content": "V93.39XS — Fall on board unspecified watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cellulitis of trunk, unspecified"}, {"role": "assistant", "content": "L03.319 — Cellulitis of trunk, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient synovitis, unspecified shoulder"}, {"role": "assistant", "content": "M67.319 — Transient synovitis, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.028S — Other fracture of second lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.812D — Other fracture of left foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major osseous defect, left hand"}, {"role": "assistant", "content": "M89.742 — Major osseous defect, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with other motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V29.698S — Unspecified rider of other motorcycle injured in collision with other motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy in diseases classified elsewhere, left hand"}, {"role": "assistant", "content": "M90.842 — Osteopathy in diseases classified elsewhere, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.045G — Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Slaughter house as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.86 — Slaughter house as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of median nerve at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S54.12XD — Injury of median nerve at forearm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paving stone degeneration of retina, bilateral"}, {"role": "assistant", "content": "H35.433 — Paving stone degeneration of retina, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to high air pressure from rapid descent in water, initial encounter"}, {"role": "assistant", "content": "W94.32XA — Exposure to high air pressure from rapid descent in water, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.011P — Salter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obstructed labor due to shoulder presentation, fetus 1"}, {"role": "assistant", "content": "O64.4XX1 — Obstructed labor due to shoulder presentation, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.245S — Puncture wound with foreign body of left ring finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of other specified part of neck, initial encounter"}, {"role": "assistant", "content": "S11.85XA — Open bite of other specified part of neck, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other spondylosis with radiculopathy, site unspecified"}, {"role": "assistant", "content": "M47.20 — Other spondylosis with radiculopathy, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient global amnesia"}, {"role": "assistant", "content": "G45.4 — Transient global amnesia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body, unspecified hip, sequela"}, {"role": "assistant", "content": "S71.029S — Laceration with foreign body, unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.862P — Displaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meibomian gland dysfunction left lower eyelid"}, {"role": "assistant", "content": "H02.885 — Meibomian gland dysfunction left lower eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural hematoma of ear and mastoid process following a procedure on the ear and mastoid process"}, {"role": "assistant", "content": "H95.51 — Postprocedural hematoma of ear and mastoid process following a procedure on the ear and mastoid process"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by dynamite, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.112S — Legal intervention involving injury by dynamite, bystander injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sepsis of newborn due to Escherichia coli"}, {"role": "assistant", "content": "P36.4 — Sepsis of newborn due to Escherichia coli"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sprain of left shoulder joint, initial encounter"}, {"role": "assistant", "content": "S43.492A — Other sprain of left shoulder joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.391A — Other fracture of shaft of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving chemical weapons, civilian injured, initial encounter"}, {"role": "assistant", "content": "Y38.7X2A — Terrorism involving chemical weapons, civilian injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of other finger, initial encounter"}, {"role": "assistant", "content": "S64.498A — Injury of digital nerve of other finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of left calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.032D — Salter-Harris Type III physeal fracture of left calcaneus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving intentional restriction of air and airway, civilian, sequela"}, {"role": "assistant", "content": "Y36.461S — War operations involving intentional restriction of air and airway, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.043C — Displaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V28.11XD — Electric (assisted) bicycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other extraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.552P — Other extraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyhydramnios, unspecified trimester, other fetus"}, {"role": "assistant", "content": "O40.9XX9 — Polyhydramnios, unspecified trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T44.1X2D — Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.361C — Displaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving unarmed hand to hand combat, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.440D — War operations involving unarmed hand to hand combat, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of single left finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.722S — Corrosion of third degree of single left finger (nail) except thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye"}, {"role": "assistant", "content": "E09.3541 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary malignant neoplasm of unspecified adrenal gland"}, {"role": "assistant", "content": "C79.70 — Secondary malignant neoplasm of unspecified adrenal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pseudomembranous conjunctivitis, unspecified eye"}, {"role": "assistant", "content": "H10.229 — Pseudomembranous conjunctivitis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of right ankle joint, initial encounter"}, {"role": "assistant", "content": "S93.04XA — Dislocation of right ankle joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.421P — Pathological fracture, right humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.296A — Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.159S — Open bite of unspecified thumb with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to supersonic waves, subsequent encounter"}, {"role": "assistant", "content": "W42.0XXD — Exposure to supersonic waves, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.233H — Displaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of tooth (traumatic), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.5XXK — Fracture of tooth (traumatic), subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ophthalmia nodosa, right eye"}, {"role": "assistant", "content": "H16.241 — Ophthalmia nodosa, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.121K — Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic aseptic necrosis of right foot"}, {"role": "assistant", "content": "M87.074 — Idiopathic aseptic necrosis of right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intraarticular fracture of left calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.065P — Nondisplaced intraarticular fracture of left calcaneus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with fats and cooking oils, initial encounter"}, {"role": "assistant", "content": "X10.2XXA — Contact with fats and cooking oils, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.353N — Displaced comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation"}, {"role": "assistant", "content": "I60.02 — Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypomyelination with atrophy of the basal ganglia and cerebellum"}, {"role": "assistant", "content": "G23.3 — Hypomyelination with atrophy of the basal ganglia and cerebellum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced dome fracture of right talus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.141A — Displaced dome fracture of right talus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of left ankle, sequela"}, {"role": "assistant", "content": "T25.312S — Burn of third degree of left ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disseminated paracoccidioidomycosis"}, {"role": "assistant", "content": "B41.7 — Disseminated paracoccidioidomycosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O31.20X4 — Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury due to other accident on board unspecified watercraft, subsequent encounter"}, {"role": "assistant", "content": "V93.89XD — Other injury due to other accident on board unspecified watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "S63.093D — Other subluxation of unspecified wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemarthrosis, right knee"}, {"role": "assistant", "content": "M25.061 — Hemarthrosis, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of long flexor muscle, fascia and tendon of unspecified thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.099S — Other specified injury of long flexor muscle, fascia and tendon of unspecified thumb at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other myelodysplastic syndromes"}, {"role": "assistant", "content": "D46.Z — Other myelodysplastic syndromes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.231K — Salter-Harris Type III physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Extraocular muscle entrapment, unspecified, right eye"}, {"role": "assistant", "content": "H50.681 — Extraocular muscle entrapment, unspecified, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of other part of head, subsequent encounter"}, {"role": "assistant", "content": "S01.82XD — Laceration with foreign body of other part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of other part of head, initial encounter"}, {"role": "assistant", "content": "S01.85XA — Open bite of other part of head, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twin pregnancy, monochorionic/diamniotic, second trimester"}, {"role": "assistant", "content": "O30.032 — Twin pregnancy, monochorionic/diamniotic, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Absolute glaucoma, left eye"}, {"role": "assistant", "content": "H44.512 — Absolute glaucoma, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.423B — Displaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Extraocular muscle entrapment, unspecified, left eye"}, {"role": "assistant", "content": "H50.682 — Extraocular muscle entrapment, unspecified, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accident to, on or involving ski lift, initial encounter"}, {"role": "assistant", "content": "V98.3XXA — Accident to, on or involving ski lift, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.002N — Unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other localized visual field defect, right eye"}, {"role": "assistant", "content": "H53.451 — Other localized visual field defect, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Residual stage of open-angle glaucoma, unspecified eye"}, {"role": "assistant", "content": "H40.159 — Residual stage of open-angle glaucoma, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital bullous ichthyosiform erythroderma"}, {"role": "assistant", "content": "Q80.3 — Congenital bullous ichthyosiform erythroderma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fluke infection, unspecified"}, {"role": "assistant", "content": "B66.9 — Fluke infection, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stage 3 necrotizing enterocolitis in newborn"}, {"role": "assistant", "content": "P77.3 — Stage 3 necrotizing enterocolitis in newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcohol dependence with other alcohol-induced disorder"}, {"role": "assistant", "content": "F10.288 — Alcohol dependence with other alcohol-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital hypotonia"}, {"role": "assistant", "content": "P94.2 — Congenital hypotonia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of unspecified part of head, subsequent encounter"}, {"role": "assistant", "content": "S00.91XD — Abrasion of unspecified part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified trochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.109E — Unspecified trochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T84.83XD — Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture of right ilium, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.314K — Nondisplaced avulsion fracture of right ilium, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.132Q — Displaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.132A — Salter-Harris Type III physeal fracture of lower end of left femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of right tibial tuberosity, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.151K — Displaced fracture of right tibial tuberosity, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus"}, {"role": "assistant", "content": "G40.401 — Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for intrauterine death, fetus 5"}, {"role": "assistant", "content": "O36.4XX5 — Maternal care for intrauterine death, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced dome fracture of right talus, sequela"}, {"role": "assistant", "content": "S92.144S — Nondisplaced dome fracture of right talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified place in children's home and orphanage as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.119 — Unspecified place in children's home and orphanage as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dyspareunia not due to a substance or known physiological condition"}, {"role": "assistant", "content": "F52.6 — Dyspareunia not due to a substance or known physiological condition"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of external genitals, sequela"}, {"role": "assistant", "content": "S39.94XS — Unspecified injury of external genitals, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dislocation of unspecified ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.196S — Other dislocation of unspecified ulnohumeral joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.432D — Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.035D — Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Algoneurodystrophy, left ankle and foot"}, {"role": "assistant", "content": "M89.072 — Algoneurodystrophy, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flank tenderness, unspecified"}, {"role": "assistant", "content": "R10.8A9 — Flank tenderness, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ciguatera fish poisoning, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T61.01XD — Ciguatera fish poisoning, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of phalanx of unspecified toe, sequela"}, {"role": "assistant", "content": "S99.299S — Other physeal fracture of phalanx of unspecified toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified ankle, subsequent encounter"}, {"role": "assistant", "content": "S97.00XD — Crushing injury of unspecified ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.239D — Salter-Harris Type III physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by emollients, demulcents and protectants, assault, sequela"}, {"role": "assistant", "content": "T49.3X3S — Poisoning by emollients, demulcents and protectants, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon disulfide, assault, subsequent encounter"}, {"role": "assistant", "content": "T65.4X3D — Toxic effect of carbon disulfide, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E11.3311 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.312S — Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bursal cyst, right hip"}, {"role": "assistant", "content": "M71.351 — Other bursal cyst, right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V01.12XS — Pedestrian on skateboard injured in collision with pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of left forearm, level unspecified, sequela"}, {"role": "assistant", "content": "S58.922S — Partial traumatic amputation of left forearm, level unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.009G — Unspecified physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of radius, unspecified arm, sequela"}, {"role": "assistant", "content": "S59.229S — Salter-Harris Type II physeal fracture of lower end of radius, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of radial artery at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.101D — Unspecified injury of radial artery at forearm level, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury due to collapse of burning building or structure in uncontrolled fire, subsequent encounter"}, {"role": "assistant", "content": "X00.2XXD — Injury due to collapse of burning building or structure in uncontrolled fire, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pneumococcal arthritis, right hand"}, {"role": "assistant", "content": "M00.141 — Pneumococcal arthritis, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine abuse with intoxication, uncomplicated"}, {"role": "assistant", "content": "F14.120 — Cocaine abuse with intoxication, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, sequela"}, {"role": "assistant", "content": "V54.4XXS — Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by other evidence of fetal stress"}, {"role": "assistant", "content": "O77.8 — Labor and delivery complicated by other evidence of fetal stress"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Supervision of pregnancy resulting from assisted reproductive technology, second trimester"}, {"role": "assistant", "content": "O09.812 — Supervision of pregnancy resulting from assisted reproductive technology, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of unspecified site of right lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.601S — Corrosion of second degree of unspecified site of right lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Muscle wasting and atrophy, not elsewhere classified, unspecified thigh"}, {"role": "assistant", "content": "M62.559 — Muscle wasting and atrophy, not elsewhere classified, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vertebral artery compression syndromes, site unspecified"}, {"role": "assistant", "content": "M47.029 — Vertebral artery compression syndromes, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial cuneiform of right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.244P — Nondisplaced fracture of medial cuneiform of right foot, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of abducent nerve, right side, subsequent encounter"}, {"role": "assistant", "content": "S04.41XD — Injury of abducent nerve, right side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.322E — Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Trigger thumb, right thumb"}, {"role": "assistant", "content": "M65.311 — Trigger thumb, right thumb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.142A — Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of right fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.464B — Nondisplaced segmental fracture of shaft of right fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.001A — Unspecified injury of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right little finger, sequela"}, {"role": "assistant", "content": "S62.636S — Displaced fracture of distal phalanx of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, left shoulder"}, {"role": "assistant", "content": "M60.012 — Infective myositis, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flaccid hemiplegia affecting unspecified side"}, {"role": "assistant", "content": "G81.00 — Flaccid hemiplegia affecting unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of iris and ciliary body in diseases classified elsewhere"}, {"role": "assistant", "content": "H22 — Disorders of iris and ciliary body in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.058K — Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to embolism of left vertebral artery"}, {"role": "assistant", "content": "I63.112 — Cerebral infarction due to embolism of left vertebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.354H — Nondisplaced comminuted fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strongyloidiasis, unspecified"}, {"role": "assistant", "content": "B78.9 — Strongyloidiasis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accidental puncture and laceration of the spleen during a procedure on the spleen"}, {"role": "assistant", "content": "D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle, fascia and tendon of triceps, right arm, subsequent encounter"}, {"role": "assistant", "content": "S46.321D — Laceration of muscle, fascia and tendon of triceps, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior cord syndrome at C6 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.136S — Anterior cord syndrome at C6 level of cervical spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of beta-adrenoreceptor antagonists, initial encounter"}, {"role": "assistant", "content": "T44.7X6A — Underdosing of beta-adrenoreceptor antagonists, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irritant contact dermatitis related to fecal or urinary stoma or fistula"}, {"role": "assistant", "content": "L24.B3 — Irritant contact dermatitis related to fecal or urinary stoma or fistula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of phalanx of left toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.292A — Other physeal fracture of phalanx of left toe, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with unspecified sharp object, undetermined intent, initial encounter"}, {"role": "assistant", "content": "Y28.9XXA — Contact with unspecified sharp object, undetermined intent, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.392D — Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from military vehicle, initial encounter"}, {"role": "assistant", "content": "V86.44XA — Person injured while boarding or alighting from military vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.130G — Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, sequela"}, {"role": "assistant", "content": "S52.036S — Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ophthalmoplegic migraine, intractable"}, {"role": "assistant", "content": "G43.B1 — Ophthalmoplegic migraine, intractable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hang-glider fire injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.14XA — Hang-glider fire injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antirheumatics, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T39.4X5D — Adverse effect of antirheumatics, not elsewhere classified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V12.9XXA — Unspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Collapse of dam or man-made structure causing earth movement, subsequent encounter"}, {"role": "assistant", "content": "X36.0XXD — Collapse of dam or man-made structure causing earth movement, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for surveillance of transdermal patch hormonal contraceptive device"}, {"role": "assistant", "content": "Z30.45 — Encounter for surveillance of transdermal patch hormonal contraceptive device"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for screening for depression"}, {"role": "assistant", "content": "Z13.31 — Encounter for screening for depression"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M47.818 — Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T85.598A — Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dental caries on smooth surface penetrating into dentin"}, {"role": "assistant", "content": "K02.62 — Dental caries on smooth surface penetrating into dentin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Penetrating wound of orbit with or without foreign body, left eye, sequela"}, {"role": "assistant", "content": "S05.42XS — Penetrating wound of orbit with or without foreign body, left eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of unspecified elbow, unspecified stage"}, {"role": "assistant", "content": "L89.009 — Pressure ulcer of unspecified elbow, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of left quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.112S — Strain of left quadriceps muscle, fascia and tendon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Otosclerosis involving oval window, obliterative, right ear"}, {"role": "assistant", "content": "H80.11 — Otosclerosis involving oval window, obliterative, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, sequela"}, {"role": "assistant", "content": "T22.692S — Corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of corpus cavernosum penis, subsequent encounter"}, {"role": "assistant", "content": "S39.840D — Fracture of corpus cavernosum penis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral"}, {"role": "assistant", "content": "E13.3593 — Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of left little finger, sequela"}, {"role": "assistant", "content": "S60.477S — Other superficial bite of left little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.66XF — Nondisplaced fracture of lateral malleolus of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other agents primarily affecting gastrointestinal system, undetermined, sequela"}, {"role": "assistant", "content": "T47.8X4S — Poisoning by other agents primarily affecting gastrointestinal system, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.449D — Corrosion of unspecified degree of unspecified axilla, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left great toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.425A — Nondisplaced fracture of distal phalanx of left great toe, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of unspecified great toe without damage to nail, sequela"}, {"role": "assistant", "content": "S91.113S — Laceration without foreign body of unspecified great toe without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drusen of optic disc, unspecified eye"}, {"role": "assistant", "content": "H47.329 — Drusen of optic disc, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of right kidney, initial encounter"}, {"role": "assistant", "content": "S37.091A — Other injury of right kidney, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T43.212A — Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.029K — Salter-Harris Type II physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of deltoid ligament of left ankle, initial encounter"}, {"role": "assistant", "content": "S93.422A — Sprain of deltoid ligament of left ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance use, unspecified with intoxication, uncomplicated"}, {"role": "assistant", "content": "F19.920 — Other psychoactive substance use, unspecified with intoxication, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of right lower leg, level unspecified, sequela"}, {"role": "assistant", "content": "S88.921S — Partial traumatic amputation of right lower leg, level unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.51XA — Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.91XK — Unspecified fracture of right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.0B1D — Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.345E — Nondisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified axilla, initial encounter"}, {"role": "assistant", "content": "T22.749A — Corrosion of third degree of unspecified axilla, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.112D — Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified lesser toe(s) without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.106D — Unspecified open wound of unspecified lesser toe(s) without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of left hand, initial encounter"}, {"role": "assistant", "content": "T34.522A — Frostbite with tissue necrosis of left hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food entering into or through a natural orifice, initial encounter"}, {"role": "assistant", "content": "W44.F3XA — Food entering into or through a natural orifice, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.191K — Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of unspecified thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.009A — Unspecified injury of flexor muscle, fascia and tendon of unspecified thumb at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with dry ice, sequela"}, {"role": "assistant", "content": "W93.01XS — Contact with dry ice, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of axillary artery, unspecified side, sequela"}, {"role": "assistant", "content": "S45.009S — Unspecified injury of axillary artery, unspecified side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of third metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.333D — Displaced fracture of third metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounter"}, {"role": "assistant", "content": "S46.101A — Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by glucocorticoids and synthetic analogues, undetermined, sequela"}, {"role": "assistant", "content": "T38.0X4S — Poisoning by glucocorticoids and synthetic analogues, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid vasculitis with rheumatoid arthritis of left knee"}, {"role": "assistant", "content": "M05.262 — Rheumatoid vasculitis with rheumatoid arthritis of left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving unspecified firearm discharge, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.002A — Legal intervention involving unspecified firearm discharge, bystander injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.109R — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified malignant neoplasm of skin of scalp and neck"}, {"role": "assistant", "content": "C44.49 — Other specified malignant neoplasm of skin of scalp and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.253C — Displaced comminuted fracture of shaft of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cyclist (driver) (passenger) injured in unspecified traffic accident, initial encounter"}, {"role": "assistant", "content": "V19.9XXA — Pedal cyclist (driver) (passenger) injured in unspecified traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.241G — Salter-Harris Type IV physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.199A — Other injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tin and its compounds, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T56.6X2D — Toxic effect of tin and its compounds, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hepatic fibrosis, early fibrosis"}, {"role": "assistant", "content": "K74.01 — Hepatic fibrosis, early fibrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic gout, right shoulder"}, {"role": "assistant", "content": "M10.011 — Idiopathic gout, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.665B — Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of nephrostomy catheter, subsequent encounter"}, {"role": "assistant", "content": "T83.012D — Breakdown (mechanical) of nephrostomy catheter, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of ingested berries, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T62.1X1D — Toxic effect of ingested berries, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of short bones of unspecified lower limb"}, {"role": "assistant", "content": "C40.30 — Malignant neoplasm of short bones of unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.90X0 — Maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Loose body in right hip"}, {"role": "assistant", "content": "M24.051 — Loose body in right hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S48.919D — Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified blood vessel at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S85.911S — Laceration of unspecified blood vessel at lower leg level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by shark, initial encounter"}, {"role": "assistant", "content": "W56.42XA — Struck by shark, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S60.112S — Contusion of left thumb with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of cutaneous sensory nerve at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S54.31XS — Injury of cutaneous sensory nerve at forearm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.039P — Salter-Harris Type III physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Web of larynx"}, {"role": "assistant", "content": "Q31.0 — Web of larynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other melanin hyperpigmentation"}, {"role": "assistant", "content": "L81.4 — Other melanin hyperpigmentation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of left thigh, sequela"}, {"role": "assistant", "content": "T24.412S — Corrosion of unspecified degree of left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with other diabetic kidney complication"}, {"role": "assistant", "content": "E08.29 — Diabetes mellitus due to underlying condition with other diabetic kidney complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other effects of heat and light, sequela"}, {"role": "assistant", "content": "T67.8XXS — Other effects of heat and light, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.301E — Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, unspecified hand"}, {"role": "assistant", "content": "M60.043 — Infective myositis, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute Eustachian salpingitis, left ear"}, {"role": "assistant", "content": "H68.012 — Acute Eustachian salpingitis, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified quadriceps muscle, fascia and tendon, initial encounter"}, {"role": "assistant", "content": "S76.109A — Unspecified injury of unspecified quadriceps muscle, fascia and tendon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucomatous flecks (subcapsular), left eye"}, {"role": "assistant", "content": "H26.232 — Glaucomatous flecks (subcapsular), left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of breast associated with the puerperium"}, {"role": "assistant", "content": "O91.12 — Abscess of breast associated with the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.242K — 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.901A — Unspecified fracture of right foot, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of bronchus, unspecified, subsequent encounter"}, {"role": "assistant", "content": "S27.419D — Primary blast injury of bronchus, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other deformities of toe(s) (acquired), right foot"}, {"role": "assistant", "content": "M20.5X1 — Other deformities of toe(s) (acquired), right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of rectum"}, {"role": "assistant", "content": "C20 — Malignant neoplasm of rectum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other bilateral secondary osteoarthritis of knee"}, {"role": "assistant", "content": "M17.4 — Other bilateral secondary osteoarthritis of knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of C6/C7 cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.171A — Dislocation of C6/C7 cervical vertebrae, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.307K — Unspecified fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.135Q — Nondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified birth injuries"}, {"role": "assistant", "content": "P15.8 — Other specified birth injuries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intervertebral disc displacement, lumbar region"}, {"role": "assistant", "content": "M51.26 — Other intervertebral disc displacement, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.059D — Unspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right hand, subsequent encounter"}, {"role": "assistant", "content": "S61.441D — Puncture wound with foreign body of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple left fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.332D — Burn of third degree of multiple left fingers (nail), not including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular dementia, moderate, with mood disturbance"}, {"role": "assistant", "content": "F01.B3 — Vascular dementia, moderate, with mood disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.181C — Other fracture of upper end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of left radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.562K — Barton's fracture of left radius, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of right arm, initial encounter"}, {"role": "assistant", "content": "T34.41XA — Frostbite with tissue necrosis of right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of nephrotic syndrome"}, {"role": "assistant", "content": "Z87.441 — Personal history of nephrotic syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lymphocyte depleted Hodgkin lymphoma, in remission"}, {"role": "assistant", "content": "C81.3A — Lymphocyte depleted Hodgkin lymphoma, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.279C — Monteggia's fracture of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulceration of vulva"}, {"role": "assistant", "content": "N76.6 — Ulceration of vulva"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of left lower eyelid, including canthus"}, {"role": "assistant", "content": "C43.122 — Malignant melanoma of left lower eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.401K — Unspecified nondisplaced fracture of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.512P — Pathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to fall off other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V92.03XD — Drowning and submersion due to fall off other powered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fractured dental restorative material with loss of material"}, {"role": "assistant", "content": "K08.531 — Fractured dental restorative material with loss of material"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosions of unspecified ear drum, subsequent encounter"}, {"role": "assistant", "content": "T28.919D — Corrosions of unspecified ear drum, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified cruciate ligament of unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.509A — Sprain of unspecified cruciate ligament of unspecified knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left patella, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.002K — Unspecified fracture of left patella, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of unspecified muscle, fascia and tendon at wrist and hand level, right hand, initial encounter"}, {"role": "assistant", "content": "S66.911A — Strain of unspecified muscle, fascia and tendon at wrist and hand level, right hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hydroxyapatite deposition disease, left ankle and foot"}, {"role": "assistant", "content": "M11.072 — Hydroxyapatite deposition disease, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.314D — Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.221D — Laceration with foreign body of right back wall of thorax without penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pigmentary retinal dystrophy"}, {"role": "assistant", "content": "H35.52 — Pigmentary retinal dystrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.421A — Displaced transverse fracture of shaft of right fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into swimming pool striking wall causing drowning and submersion, sequela"}, {"role": "assistant", "content": "W16.031S — Fall into swimming pool striking wall causing drowning and submersion, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Synovial hypertrophy, not elsewhere classified, right thigh"}, {"role": "assistant", "content": "M67.251 — Synovial hypertrophy, not elsewhere classified, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of triquetrum [cuneiform] bone, right wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.111D — Displaced fracture of triquetrum [cuneiform] bone, right wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of popliteal vein, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.519D — Laceration of popliteal vein, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.192K — Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of other metacarpal bone, sequela"}, {"role": "assistant", "content": "S62.328S — Displaced fracture of shaft of other metacarpal bone, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified radial collateral ligament, sequela"}, {"role": "assistant", "content": "S53.20XS — Traumatic rupture of unspecified radial collateral ligament, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified finger, sequela"}, {"role": "assistant", "content": "S60.949S — Unspecified superficial injury of unspecified finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of cartilage, lower leg"}, {"role": "assistant", "content": "M94.8X6 — Other specified disorders of cartilage, lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related reticular degeneration of retina, left eye"}, {"role": "assistant", "content": "H35.442 — Age-related reticular degeneration of retina, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of the lower end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.509E — Unspecified fracture of the lower end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of unspecified antiepileptic and sedative-hypnotic drugs, initial encounter"}, {"role": "assistant", "content": "T42.76XA — Underdosing of unspecified antiepileptic and sedative-hypnotic drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at level between knee and ankle, unspecified lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.129D — Partial traumatic amputation at level between knee and ankle, unspecified lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified radius, sequela"}, {"role": "assistant", "content": "S52.189S — Other fracture of upper end of unspecified radius, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug use complicating the puerperium"}, {"role": "assistant", "content": "O99.325 — Drug use complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T53.7X2A — Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple sites of left lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.392S — Burn of third degree of multiple sites of left lower limb, except ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified chronic otitis externa, left ear"}, {"role": "assistant", "content": "H60.62 — Unspecified chronic otitis externa, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of internal fixation device of bones of foot and toes, subsequent encounter"}, {"role": "assistant", "content": "T84.223D — Displacement of internal fixation device of bones of foot and toes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of optic nerve, not elsewhere classified, left eye"}, {"role": "assistant", "content": "H47.092 — Other disorders of optic nerve, not elsewhere classified, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right front wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.131D — Puncture wound without foreign body of right front wall of thorax without penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulnohumeral (joint) sprain of left elbow, subsequent encounter"}, {"role": "assistant", "content": "S53.422D — Ulnohumeral (joint) sprain of left elbow, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced trimalleolar fracture of right lower leg, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.851Q — Displaced trimalleolar fracture of right lower leg, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.251Q — Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T45.7X2D — Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.425D — Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of cobra venom, assault, initial encounter"}, {"role": "assistant", "content": "T63.043A — Toxic effect of cobra venom, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hypertrophic osteoarthropathy, unspecified shoulder"}, {"role": "assistant", "content": "M89.419 — Other hypertrophic osteoarthropathy, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left middle finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.343D — Puncture wound with foreign body of left middle finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, unspecified elbow, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2290 — Drug-induced chronic gout, unspecified elbow, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.021G — Displaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.059S — Unspecified fracture of head of unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Early satiety"}, {"role": "assistant", "content": "R68.81 — Early satiety"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of prostate, subsequent encounter"}, {"role": "assistant", "content": "S37.823D — Laceration of prostate, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, sequela"}, {"role": "assistant", "content": "T48.1X2S — Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infection carrier state complicating the puerperium"}, {"role": "assistant", "content": "O99.835 — Other infection carrier state complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V42.9XXD — Unspecified car occupant injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of nose, initial encounter"}, {"role": "assistant", "content": "S08.812A — Partial traumatic amputation of nose, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation of one unspecified lesser toe, subsequent encounter"}, {"role": "assistant", "content": "S98.139D — Complete traumatic amputation of one unspecified lesser toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by electrolytic, caloric and water-balance agents, undetermined, sequela"}, {"role": "assistant", "content": "T50.3X4S — Poisoning by electrolytic, caloric and water-balance agents, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, unspecified shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0190 — Idiopathic chronic gout, unspecified shoulder, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture of unspecified ilium, sequela"}, {"role": "assistant", "content": "S32.313S — Displaced avulsion fracture of unspecified ilium, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of right thumb without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.011D — Contusion of right thumb without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tetrachloroethylene, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T53.3X4D — Toxic effect of tetrachloroethylene, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete physeal arrest, left distal femur"}, {"role": "assistant", "content": "M89.156 — Complete physeal arrest, left distal femur"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, right flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.146D — Puncture wound of abdominal wall with foreign body, right flank without penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of multiple sites of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "T23.499S — Corrosion of unspecified degree of multiple sites of unspecified wrist and hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right breast, sequela"}, {"role": "assistant", "content": "S21.031S — Puncture wound without foreign body of right breast, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified noxious substance eaten as food, assault, sequela"}, {"role": "assistant", "content": "T62.93XS — Toxic effect of unspecified noxious substance eaten as food, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctival hemorrhage, unspecified eye"}, {"role": "assistant", "content": "H11.30 — Conjunctival hemorrhage, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S86.302A — Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.122G — Salter-Harris Type II physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T60.0X2D — Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Parking lot as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.481 — Parking lot as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.292D — Other fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.026D — Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter"}, {"role": "assistant", "content": "S75.222A — Major laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of car injured in collision with van in traffic accident, sequela"}, {"role": "assistant", "content": "V43.74XS — Person on outside of car injured in collision with van in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with other specified complication"}, {"role": "assistant", "content": "E09.69 — Drug or chemical induced diabetes mellitus with other specified complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.236C — Nondisplaced oblique fracture of shaft of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of first metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.292S — Other fracture of first metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital malformation of great arteries, unspecified"}, {"role": "assistant", "content": "Q25.9 — Congenital malformation of great arteries, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infrarenal abdominal aortic aneurysm, ruptured"}, {"role": "assistant", "content": "I71.33 — Infrarenal abdominal aortic aneurysm, ruptured"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.049D — Age-related osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antimalarials and drugs acting on other blood protozoa, undetermined, sequela"}, {"role": "assistant", "content": "T37.2X4S — Poisoning by antimalarials and drugs acting on other blood protozoa, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other adverse food reaction due to milk and dairy products with reactivity to baked milk, sequela"}, {"role": "assistant", "content": "T78.111S — Other adverse food reaction due to milk and dairy products with reactivity to baked milk, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other hormone antagonists, undetermined, sequela"}, {"role": "assistant", "content": "T38.994S — Poisoning by other hormone antagonists, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tear of articular cartilage of right knee, current, subsequent encounter"}, {"role": "assistant", "content": "S83.31XD — Tear of articular cartilage of right knee, current, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified systemic antibiotic, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T36.91XS — Poisoning by unspecified systemic antibiotic, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced dome fracture of unspecified talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.143B — Displaced dome fracture of unspecified talus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complex regional pain syndrome I of unspecified upper limb"}, {"role": "assistant", "content": "G90.519 — Complex regional pain syndrome I of unspecified upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion of mine placed during war operations but exploding after cessation of hostilities, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.810A — Explosion of mine placed during war operations but exploding after cessation of hostilities, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyp of left middle ear"}, {"role": "assistant", "content": "H74.42 — Polyp of left middle ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.109D — Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.045C — Nondisplaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of cuboid bone of left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.215G — Nondisplaced fracture of cuboid bone of left foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.449G — Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital toxoplasmosis"}, {"role": "assistant", "content": "P37.1 — Congenital toxoplasmosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other fibrinolysis-affecting drugs, assault, initial encounter"}, {"role": "assistant", "content": "T45.693A — Poisoning by other fibrinolysis-affecting drugs, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nonsuppurative otitis media, unspecified ear"}, {"role": "assistant", "content": "H65.90 — Unspecified nonsuppurative otitis media, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.845H — Nondisplaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Palindromic rheumatism, right wrist"}, {"role": "assistant", "content": "M12.331 — Palindromic rheumatism, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.603A — Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity"}, {"role": "assistant", "content": "I70.499 — Other atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of acromial process, unspecified shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.123A — Displaced fracture of acromial process, unspecified shoulder, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Longitudinal reduction defect of unspecified femur"}, {"role": "assistant", "content": "Q72.40 — Longitudinal reduction defect of unspecified femur"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of intrinsic muscle and tendon at ankle and foot level, left foot, sequela"}, {"role": "assistant", "content": "S96.212S — Strain of intrinsic muscle and tendon at ankle and foot level, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V51.6XXS — Passenger in pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck"}, {"role": "assistant", "content": "D17.0 — Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other spider, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.393D — Toxic effect of venom of other spider, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.302E — Unspecified fracture of lower end of left tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Jumping or diving into natural body of water striking bottom causing drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "W16.621D — Jumping or diving into natural body of water striking bottom causing drowning and submersion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of ulna, left arm, sequela"}, {"role": "assistant", "content": "S59.032S — Salter-Harris Type III physeal fracture of lower end of ulna, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.035Q — Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of left elbow, initial encounter"}, {"role": "assistant", "content": "S53.402A — Unspecified sprain of left elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture"}, {"role": "assistant", "content": "M84.58XA — Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of tarsus, right ankle"}, {"role": "assistant", "content": "M92.61 — Juvenile osteochondrosis of tarsus, right ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Prolapse and hernia of ovary and fallopian tube, unspecified side"}, {"role": "assistant", "content": "N83.40 — Prolapse and hernia of ovary and fallopian tube, unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.296B — Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Zygomatic fracture, unspecified side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.402A — Zygomatic fracture, unspecified side, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right middle finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.332D — Puncture wound without foreign body of right middle finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.144C — Nondisplaced intertrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye"}, {"role": "assistant", "content": "E08.3219 — Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of L4/L5 lumbar vertebra, sequela"}, {"role": "assistant", "content": "S33.140S — Subluxation of L4/L5 lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of amniotic fluid and membranes, third trimester, fetus 4"}, {"role": "assistant", "content": "O41.8X34 — Other specified disorders of amniotic fluid and membranes, third trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified vertebral artery, subsequent encounter"}, {"role": "assistant", "content": "S15.199D — Other specified injury of unspecified vertebral artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V62.2XXD — Person on outside of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of penis, initial encounter"}, {"role": "assistant", "content": "S30.812A — Abrasion of penis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.425B — Nondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Smoking (tobacco) complicating childbirth"}, {"role": "assistant", "content": "O99.334 — Smoking (tobacco) complicating childbirth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 2"}, {"role": "assistant", "content": "O35.06X2 — Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign carcinoid tumor of the descending colon"}, {"role": "assistant", "content": "D3A.024 — Benign carcinoid tumor of the descending colon"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.496B — Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pre-existing diabetes mellitus in pregnancy, first trimester"}, {"role": "assistant", "content": "O24.311 — Unspecified pre-existing diabetes mellitus in pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of upper back, subsequent encounter"}, {"role": "assistant", "content": "T21.03XD — Burn of unspecified degree of upper back, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple right fingers (nail), including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.641D — Corrosion of second degree of multiple right fingers (nail), including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.453S — Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.243N — Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified lower leg, level unspecified, sequela"}, {"role": "assistant", "content": "S88.929S — Partial traumatic amputation of unspecified lower leg, level unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary chronic gout, right knee, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.4611 — Other secondary chronic gout, right knee, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T59.92XD — Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1"}, {"role": "assistant", "content": "O36.5911 — Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of dirt bike or motor/cross bike injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V86.16XA — Passenger of dirt bike or motor/cross bike injured in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Female partner, current, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.040 — Female partner, current, perpetrator of maltreatment and neglect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by drowning and submersion while in swimming pool, sequela"}, {"role": "assistant", "content": "X92.1XXS — Assault by drowning and submersion while in swimming pool, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driveway of nursing home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.123 — Driveway of nursing home as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified superficial mycoses"}, {"role": "assistant", "content": "B36.8 — Other specified superficial mycoses"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of bone development and growth, multiple sites"}, {"role": "assistant", "content": "M89.29 — Other disorders of bone development and growth, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Symblepharon, bilateral"}, {"role": "assistant", "content": "H11.233 — Symblepharon, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S11.92XD — Laceration with foreign body of unspecified part of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pigmentary glaucoma, unspecified eye, mild stage"}, {"role": "assistant", "content": "H40.1391 — Pigmentary glaucoma, unspecified eye, mild stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 fracture of sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.14XG — Type 1 fracture of sacrum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of blood vessel of right thumb, initial encounter"}, {"role": "assistant", "content": "S65.491A — Other specified injury of blood vessel of right thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meralgia paresthetica, unspecified lower limb"}, {"role": "assistant", "content": "G57.10 — Meralgia paresthetica, unspecified lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of two or more left lesser toes, sequela"}, {"role": "assistant", "content": "S98.222S — Partial traumatic amputation of two or more left lesser toes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other agents primarily affecting gastrointestinal system, sequela"}, {"role": "assistant", "content": "T47.8X6S — Underdosing of other agents primarily affecting gastrointestinal system, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of left shoulder, sequela"}, {"role": "assistant", "content": "T22.652S — Corrosion of second degree of left shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of multiple sites of unspecified lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.599D — Corrosion of first degree of multiple sites of unspecified lower limb, except ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V69.69XA — Unspecified occupant of heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antithyroid drugs, assault, initial encounter"}, {"role": "assistant", "content": "T38.2X3A — Poisoning by antithyroid drugs, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Endometriosis of bilateral ureters, unspecified depth"}, {"role": "assistant", "content": "N80.A63 — Endometriosis of bilateral ureters, unspecified depth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia with retinal detachment, left eye"}, {"role": "assistant", "content": "H44.2C2 — Degenerative myopia with retinal detachment, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other North and South American snake, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T63.061S — Toxic effect of venom of other North and South American snake, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified nerve at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S54.91XS — Injury of unspecified nerve at forearm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of other finger, sequela"}, {"role": "assistant", "content": "S68.628S — Partial traumatic transphalangeal amputation of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.495P — Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glutaric aciduria type II"}, {"role": "assistant", "content": "E71.313 — Glutaric aciduria type II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of other ligament of right wrist, initial encounter"}, {"role": "assistant", "content": "S63.391A — Traumatic rupture of other ligament of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.235E — Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lesion of sciatic nerve, right lower limb"}, {"role": "assistant", "content": "G57.01 — Lesion of sciatic nerve, right lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on roller-skates injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V06.11XA — Pedestrian on roller-skates injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of aromatic amino-acid metabolism, unspecified"}, {"role": "assistant", "content": "E70.9 — Disorder of aromatic amino-acid metabolism, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of taipan venom, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.032D — Toxic effect of taipan venom, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fall from one level to another, initial encounter"}, {"role": "assistant", "content": "W17.89XA — Other fall from one level to another, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with diabetic cataract"}, {"role": "assistant", "content": "E08.36 — Diabetes mellitus due to underlying condition with diabetic cataract"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, best motor response, extension, 24 hours or more after hospital admission"}, {"role": "assistant", "content": "R40.2324 — Coma scale, best motor response, extension, 24 hours or more after hospital admission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of cranial nerves"}, {"role": "assistant", "content": "D33.3 — Benign neoplasm of cranial nerves"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of streetcar injured by fall from streetcar, initial encounter"}, {"role": "assistant", "content": "V82.6XXA — Occupant of streetcar injured by fall from streetcar, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.435B — Nondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by benzodiazepines, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T42.4X1A — Poisoning by benzodiazepines, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of left lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.505G — Nondisplaced unspecified fracture of left lesser toe(s), subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.134P — Nondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of other carpometacarpal joint of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S63.053A — Subluxation of other carpometacarpal joint of unspecified hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of other ligament of left index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.491D — Traumatic rupture of other ligament of left index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Female chronic pelvic peritonitis"}, {"role": "assistant", "content": "N73.4 — Female chronic pelvic peritonitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.409S — Unspecified fracture of lower end of unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S70.919D — Unspecified superficial injury of unspecified hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V24.51XA — Electric (assisted) bicycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of spine, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M42.08 — Juvenile osteochondrosis of spine, sacral and sacrococcygeal region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of right hand, subsequent encounter"}, {"role": "assistant", "content": "T33.521D — Superficial frostbite of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adherent leukoma, right eye"}, {"role": "assistant", "content": "H17.01 — Adherent leukoma, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by nonvenomous snake, subsequent encounter"}, {"role": "assistant", "content": "W59.12XD — Struck by nonvenomous snake, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of left tibia, sequela"}, {"role": "assistant", "content": "S82.262S — Displaced segmental fracture of shaft of left tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of triceps, right arm, sequela"}, {"role": "assistant", "content": "S46.391S — Other injury of muscle, fascia and tendon of triceps, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postimmunization arthropathy, right hand"}, {"role": "assistant", "content": "M02.241 — Postimmunization arthropathy, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intraarticular fracture of left calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.065A — Nondisplaced intraarticular fracture of left calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified placental disorder, first trimester"}, {"role": "assistant", "content": "O43.91 — Unspecified placental disorder, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by local astringents and local detergents, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T49.2X4D — Poisoning by local astringents and local detergents, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right great toe, subsequent encounter"}, {"role": "assistant", "content": "S90.471D — Other superficial bite of right great toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial wall of unspecified acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.476D — Nondisplaced fracture of medial wall of unspecified acetabulum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified car occupant injured in collision with other motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V49.69XS — Unspecified car occupant injured in collision with other motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of graft of urinary organ, initial encounter"}, {"role": "assistant", "content": "T83.23XA — Leakage of graft of urinary organ, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V69.50XD — Passenger in heavy transport vehicle injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis dependence with unspecified cannabis-induced disorder"}, {"role": "assistant", "content": "F12.29 — Cannabis dependence with unspecified cannabis-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military firearm discharge, undetermined intent, sequela"}, {"role": "assistant", "content": "Y23.2XXS — Military firearm discharge, undetermined intent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of phenothiazine antipsychotics and neuroleptics, subsequent encounter"}, {"role": "assistant", "content": "T43.3X6D — Underdosing of phenothiazine antipsychotics and neuroleptics, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by other cord complications, fetus 3"}, {"role": "assistant", "content": "O69.89X3 — Labor and delivery complicated by other cord complications, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.511K — Displaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.351G — Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of vagina and vulva, initial encounter"}, {"role": "assistant", "content": "S30.824A — Blister (nonthermal) of vagina and vulva, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.112A — Salter-Harris Type I physeal fracture of lower end of left tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of unspecified leg, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.863B — Displaced Maisonneuve's fracture of unspecified leg, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fibrosis due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T84.82XD — Fibrosis due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Small kidney, unilateral"}, {"role": "assistant", "content": "N27.0 — Small kidney, unilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left little finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.247A — Puncture wound with foreign body of left little finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of trapezium [larger multangular], unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.176P — Nondisplaced fracture of trapezium [larger multangular], unspecified wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inhalant dependence with inhalant-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F18.259 — Inhalant dependence with inhalant-induced psychotic disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.155F — Nondisplaced fracture of left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of thoracic trachea, initial encounter"}, {"role": "assistant", "content": "S27.50XA — Unspecified injury of thoracic trachea, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in collision between railway train or railway vehicle and car, nontraffic, sequela"}, {"role": "assistant", "content": "V88.6XXS — Person injured in collision between railway train or railway vehicle and car, nontraffic, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, unspecified lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.446A — External constriction, unspecified lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V76.9XXS — Unspecified occupant of bus injured in collision with other nonmotor vehicle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified lesser toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S90.129A — Contusion of unspecified lesser toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester"}, {"role": "assistant", "content": "O30.009 — Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body in other parts of genitourinary tract, initial encounter"}, {"role": "assistant", "content": "T19.8XXA — Foreign body in other parts of genitourinary tract, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.064K — Nondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy after poliomyelitis, multiple sites"}, {"role": "assistant", "content": "M89.69 — Osteopathy after poliomyelitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V34.6XXS — Passenger in three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.051P — Unspecified fracture of head of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm"}, {"role": "assistant", "content": "I25.731 — Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of second metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.331B — Displaced fracture of neck of second metacarpal bone, left hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with other motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V69.29XS — Unspecified occupant of heavy transport vehicle injured in collision with other motor vehicles in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of dorsal vein of right foot, sequela"}, {"role": "assistant", "content": "S95.201S — Unspecified injury of dorsal vein of right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.461D — Corrosion of unspecified degree of right scapular region, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.142A — Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple left fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.242A — Burn of second degree of multiple left fingers (nail), including thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.109G — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of vagina and vulva, initial encounter"}, {"role": "assistant", "content": "S30.854A — Superficial foreign body of vagina and vulva, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other postprocedural endocrine and metabolic complications and disorders"}, {"role": "assistant", "content": "E89.89 — Other postprocedural endocrine and metabolic complications and disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in esophagus causing compression of trachea, initial encounter"}, {"role": "assistant", "content": "T18.110A — Gastric contents in esophagus causing compression of trachea, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity"}, {"role": "assistant", "content": "I82.509 — Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E10.3391 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 4"}, {"role": "assistant", "content": "O35.07X4 — Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of other venomous lizard, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.121A — Toxic effect of venom of other venomous lizard, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.346H — Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of amniotic fluid and membranes, third trimester, fetus 1"}, {"role": "assistant", "content": "O41.8X31 — Other specified disorders of amniotic fluid and membranes, third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.036G — Nondisplaced transverse fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.126B — Nondisplaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of left Achilles tendon, initial encounter"}, {"role": "assistant", "content": "S86.022A — Laceration of left Achilles tendon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving explosion of sea-based artillery shell, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y37.031D — Military operations involving explosion of sea-based artillery shell, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic ischemic infarction of muscle, right forearm"}, {"role": "assistant", "content": "M62.231 — Nontraumatic ischemic infarction of muscle, right forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.862J — Displaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.309D — Burn of third degree of unspecified hand, unspecified site, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.319G — Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.601C — Unspecified fracture of lower end of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Skin graft (allograft) (autograft) failure"}, {"role": "assistant", "content": "T86.821 — Skin graft (allograft) (autograft) failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of unspecified finger(s), initial encounter"}, {"role": "assistant", "content": "T33.539A — Superficial frostbite of unspecified finger(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of muscle and tendon graft, sequela"}, {"role": "assistant", "content": "T84.410S — Breakdown (mechanical) of muscle and tendon graft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meibomian gland dysfunction right eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.88A — Meibomian gland dysfunction right eye, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.602D — Unspecified fracture of lower end of left ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified congenital malformations of intestine"}, {"role": "assistant", "content": "Q43.8 — Other specified congenital malformations of intestine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Excessive bleeding in the premenopausal period"}, {"role": "assistant", "content": "N92.4 — Excessive bleeding in the premenopausal period"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter"}, {"role": "assistant", "content": "S06.824A — Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.024P — Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hallucinogen use, unspecified with intoxication with delirium"}, {"role": "assistant", "content": "F16.921 — Hallucinogen use, unspecified with intoxication with delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.25XM — Nondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gastric contents in respiratory tract, part unspecified causing asphyxiation, initial encounter"}, {"role": "assistant", "content": "T17.910A — Gastric contents in respiratory tract, part unspecified causing asphyxiation, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hiccough"}, {"role": "assistant", "content": "R06.6 — Hiccough"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of unspecified thumb, sequela"}, {"role": "assistant", "content": "S68.529S — Partial traumatic transphalangeal amputation of unspecified thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V24.99XS — Unspecified rider of other motorcycle injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.413S — Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Liver transplant failure"}, {"role": "assistant", "content": "T86.42 — Liver transplant failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.149S — Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of left lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.935A — Unspecified superficial injury of left lesser toe(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of left knee, subsequent encounter"}, {"role": "assistant", "content": "T24.522D — Corrosion of first degree of left knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left little finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.667P — Nondisplaced fracture of distal phalanx of left little finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of right artificial elbow joint"}, {"role": "assistant", "content": "Z96.621 — Presence of right artificial elbow joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified part of thorax, subsequent encounter"}, {"role": "assistant", "content": "S21.95XD — Open bite of unspecified part of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.002G — Unspecified physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.473D — Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.219D — Strain of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intermittent alternating esotropia"}, {"role": "assistant", "content": "H50.32 — Intermittent alternating esotropia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at elbow level, unspecified arm, sequela"}, {"role": "assistant", "content": "S58.019S — Complete traumatic amputation at elbow level, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of scapula, right shoulder, sequela"}, {"role": "assistant", "content": "S42.154S — Nondisplaced fracture of neck of scapula, right shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans traumatica, left lower leg"}, {"role": "assistant", "content": "M61.062 — Myositis ossificans traumatica, left lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body, right great toe, initial encounter"}, {"role": "assistant", "content": "S90.451A — Superficial foreign body, right great toe, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with sport utility vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V43.51XD — Car driver injured in collision with sport utility vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.639A — Puncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Problem related to lifestyle, unspecified"}, {"role": "assistant", "content": "Z72.9 — Problem related to lifestyle, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement"}, {"role": "assistant", "content": "H35.3193 — Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.243R — Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.301J — Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.026D — Nondisplaced fracture of middle third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosing hyperostosis [Forestier], occipito-atlanto-axial region"}, {"role": "assistant", "content": "M48.11 — Ankylosing hyperostosis [Forestier], occipito-atlanto-axial region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V22.49XD — Other motorcycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.035N — Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crepitant synovitis (acute) (chronic), unspecified hand"}, {"role": "assistant", "content": "M70.049 — Crepitant synovitis (acute) (chronic), unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.226D — Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ulcerative colitis with fistula"}, {"role": "assistant", "content": "K51.813 — Other ulcerative colitis with fistula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other idiopathic scoliosis, site unspecified"}, {"role": "assistant", "content": "M41.20 — Other idiopathic scoliosis, site unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Homelessness unspecified"}, {"role": "assistant", "content": "Z59.00 — Homelessness unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "ENPP1 deficiency causing generalized arterial calcification of infancy"}, {"role": "assistant", "content": "E83.821 — ENPP1 deficiency causing generalized arterial calcification of infancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nervousness"}, {"role": "assistant", "content": "R45.0 — Nervousness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V25.09XS — Other motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.462J — Displaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.409J — Unspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of popliteal vein, left leg, sequela"}, {"role": "assistant", "content": "S85.512S — Laceration of popliteal vein, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central subluxation of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.043D — Central subluxation of unspecified hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V74.9XXD — Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal (disseminated) listeriosis"}, {"role": "assistant", "content": "P37.2 — Neonatal (disseminated) listeriosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) other central nervous system malformation or damage in fetus, fetus 3"}, {"role": "assistant", "content": "O35.09X3 — Maternal care for (suspected) other central nervous system malformation or damage in fetus, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V05.938D — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failed or difficult intubation for anesthesia during pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O29.60 — Failed or difficult intubation for anesthesia during pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of posterior wall of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.422K — Displaced fracture of posterior wall of left acetabulum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid vasculitis with rheumatoid arthritis of unspecified hip"}, {"role": "assistant", "content": "M05.259 — Rheumatoid vasculitis with rheumatoid arthritis of unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from non-moving wheelchair, initial encounter"}, {"role": "assistant", "content": "W05.0XXA — Fall from non-moving wheelchair, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of right ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.114S — Anterior dislocation of right ulnohumeral joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic osteomyelitis, right thigh"}, {"role": "assistant", "content": "M86.651 — Other chronic osteomyelitis, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of middle ear"}, {"role": "assistant", "content": "Q16.4 — Other congenital malformations of middle ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of supraglottis"}, {"role": "assistant", "content": "C32.1 — Malignant neoplasm of supraglottis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of unspecified ureter"}, {"role": "assistant", "content": "C66.9 — Malignant neoplasm of unspecified ureter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Karyotype 47, XXX"}, {"role": "assistant", "content": "Q97.0 — Karyotype 47, XXX"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of tonsil"}, {"role": "assistant", "content": "C09.8 — Malignant neoplasm of overlapping sites of tonsil"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced trimalleolar fracture of unspecified lower leg, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.856A — Nondisplaced trimalleolar fracture of unspecified lower leg, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of left forearm, initial encounter"}, {"role": "assistant", "content": "S50.822A — Blister (nonthermal) of left forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.301J — Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with hyperglycemia"}, {"role": "assistant", "content": "E09.65 — Drug or chemical induced diabetes mellitus with hyperglycemia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified spider venom, assault, initial encounter"}, {"role": "assistant", "content": "T63.303A — Toxic effect of unspecified spider venom, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of other finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.208A — Unspecified open wound of other finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of lower end of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.122A — Salter-Harris Type II physeal fracture of lower end of left tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of larynx and trachea, initial encounter"}, {"role": "assistant", "content": "T27.0XXA — Burn of larynx and trachea, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural seroma of the spleen following other procedure"}, {"role": "assistant", "content": "D78.34 — Postprocedural seroma of the spleen following other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of synthetic cannabinoids, subsequent encounter"}, {"role": "assistant", "content": "T40.726D — Underdosing of synthetic cannabinoids, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites"}, {"role": "assistant", "content": "C85.99 — Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sprain of left thumb, sequela"}, {"role": "assistant", "content": "S63.682S — Other sprain of left thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stromal corneal pigmentations, unspecified eye"}, {"role": "assistant", "content": "H18.069 — Stromal corneal pigmentations, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V22.29XA — Unspecified rider of other motorcycle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.043P — Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by saline and osmotic laxatives, intentional self-harm, sequela"}, {"role": "assistant", "content": "T47.3X2S — Poisoning by saline and osmotic laxatives, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of unspecified finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.629D — Displaced fracture of middle phalanx of unspecified finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.254Q — Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by unarmed brawl or fight, initial encounter"}, {"role": "assistant", "content": "Y04.0XXA — Assault by unarmed brawl or fight, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of third metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.392B — Other fracture of third metacarpal bone, right hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left ilium, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.302K — Unspecified fracture of left ilium, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter"}, {"role": "assistant", "content": "S05.31XA — Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.96XS — Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter"}, {"role": "assistant", "content": "S31.031A — Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, sequela"}, {"role": "assistant", "content": "S42.421S — Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intervertebral disc disorders with radiculopathy, thoracic region"}, {"role": "assistant", "content": "M51.14 — Intervertebral disc disorders with radiculopathy, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal), unspecified hip, initial encounter"}, {"role": "assistant", "content": "S70.229A — Blister (nonthermal), unspecified hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gout due to renal impairment, left shoulder, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3121 — Chronic gout due to renal impairment, left shoulder, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cystitis, unspecified with hematuria"}, {"role": "assistant", "content": "N30.91 — Cystitis, unspecified with hematuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other blood vessels at lower leg level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S85.892D — Other specified injury of other blood vessels at lower leg level, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle, fascia and tendon of triceps, right arm, sequela"}, {"role": "assistant", "content": "S46.311S — Strain of muscle, fascia and tendon of triceps, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lung transplant rejection"}, {"role": "assistant", "content": "T86.810 — Lung transplant rejection"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gout due to renal impairment, right hip, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.3510 — Chronic gout due to renal impairment, right hip, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periodontosis"}, {"role": "assistant", "content": "K05.4 — Periodontosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of lip(s), sequela"}, {"role": "assistant", "content": "T20.12XS — Burn of first degree of lip(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic viral hepatitis B with delta-agent"}, {"role": "assistant", "content": "B18.0 — Chronic viral hepatitis B with delta-agent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dementia in other diseases classified elsewhere, moderate, with agitation"}, {"role": "assistant", "content": "F02.B11 — Dementia in other diseases classified elsewhere, moderate, with agitation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary dysmenorrhea"}, {"role": "assistant", "content": "N94.5 — Secondary dysmenorrhea"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteolysis, right thigh"}, {"role": "assistant", "content": "M89.551 — Osteolysis, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced osteochondral fracture of right patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.014G — Nondisplaced osteochondral fracture of right patella, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital anemia from fetal blood loss"}, {"role": "assistant", "content": "P61.3 — Congenital anemia from fetal blood loss"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other implanted electronic stimulator of nervous system, sequela"}, {"role": "assistant", "content": "T85.199S — Other mechanical complication of other implanted electronic stimulator of nervous system, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by inhaled anesthetics, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T41.0X1S — Poisoning by inhaled anesthetics, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nontraumatic ischemic infarction of muscle, left thigh"}, {"role": "assistant", "content": "M62.252 — Nontraumatic ischemic infarction of muscle, left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S86.909D — Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V42.0XXD — Car driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low back pain, unspecified"}, {"role": "assistant", "content": "M54.50 — Low back pain, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified lagophthalmos right eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.20A — Unspecified lagophthalmos right eye, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathy following intestinal bypass, unspecified wrist"}, {"role": "assistant", "content": "M02.039 — Arthropathy following intestinal bypass, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.029P — Age-related osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.391A — Other fracture of shaft of right humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of scapula, right shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.111B — Displaced fracture of body of scapula, right shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by skate blades, sequela"}, {"role": "assistant", "content": "W21.32XS — Struck by skate blades, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury at C3 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.103A — Unspecified injury at C3 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified sprain of unspecified wrist, sequela"}, {"role": "assistant", "content": "S63.599S — Other specified sprain of unspecified wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other drug-induced pancytopenia"}, {"role": "assistant", "content": "D61.811 — Other drug-induced pancytopenia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other instability, unspecified hip"}, {"role": "assistant", "content": "M25.359 — Other instability, unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, initial encounter"}, {"role": "assistant", "content": "T43.1X4A — Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other accident to unspecified watercraft, sequela"}, {"role": "assistant", "content": "V90.89XS — Drowning and submersion due to other accident to unspecified watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.406G — Nondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sudden idiopathic hearing loss, unspecified ear"}, {"role": "assistant", "content": "H91.20 — Sudden idiopathic hearing loss, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paralytic calcification and ossification of muscle, left upper arm"}, {"role": "assistant", "content": "M61.222 — Paralytic calcification and ossification of muscle, left upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other incomplete lesion at unspecified level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.159S — Other incomplete lesion at unspecified level of thoracic spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V55.9XXA — Unspecified occupant of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic osteomyelitis, unspecified radius and ulna"}, {"role": "assistant", "content": "M86.639 — Other chronic osteomyelitis, unspecified radius and ulna"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}, {"role": "assistant", "content": "S06.315S — Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Rolando's fracture, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.222B — Displaced Rolando's fracture, left hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.424E — Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.401A — Unspecified fracture of shaft of right fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified renal artery, subsequent encounter"}, {"role": "assistant", "content": "S35.493D — Other specified injury of unspecified renal artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of vocal cord, initial encounter"}, {"role": "assistant", "content": "S19.83XA — Other specified injuries of vocal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial placenta previa NOS or without hemorrhage, second trimester"}, {"role": "assistant", "content": "O44.22 — Partial placenta previa NOS or without hemorrhage, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V05.038D — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.059N — Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of mandible, unspecified, sequela"}, {"role": "assistant", "content": "S02.609S — Fracture of mandible, unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other corneal deformities, right eye"}, {"role": "assistant", "content": "H18.791 — Other corneal deformities, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemoptysis"}, {"role": "assistant", "content": "R04.2 — Hemoptysis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V51.5XXS — Driver of pick-up truck or van injured in collision with pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter"}, {"role": "assistant", "content": "T85.199A — Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with other diabetic ophthalmic complication"}, {"role": "assistant", "content": "E11.39 — Type 2 diabetes mellitus with other diabetic ophthalmic complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.233E — Displaced oblique fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of right back wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.421A — Blister (nonthermal) of right back wall of thorax, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, sequela"}, {"role": "assistant", "content": "S56.309S — Unspecified injury of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Paresis of accommodation, bilateral"}, {"role": "assistant", "content": "H52.523 — Paresis of accommodation, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of unspecified thumb, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.509A — Fracture of unspecified phalanx of unspecified thumb, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified hip, sequela"}, {"role": "assistant", "content": "S70.919S — Unspecified superficial injury of unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.309P — Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bone donor, other"}, {"role": "assistant", "content": "Z52.29 — Bone donor, other"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinal ischemia"}, {"role": "assistant", "content": "H35.82 — Retinal ischemia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V50.2XXA — Person on outside of pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other stimulant use, unspecified, uncomplicated"}, {"role": "assistant", "content": "F15.90 — Other stimulant use, unspecified, uncomplicated"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Caregiver's noncompliance with patient's dietary regimen for other reason"}, {"role": "assistant", "content": "Z91.A18 — Caregiver's noncompliance with patient's dietary regimen for other reason"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of left radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.592D — Other fractures of lower end of left radius, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right fibula, initial encounter for fracture"}, {"role": "assistant", "content": "M84.463A — Pathological fracture, right fibula, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of right hand"}, {"role": "assistant", "content": "Z89.111 — Acquired absence of right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Post COVID-19 condition, unspecified"}, {"role": "assistant", "content": "U09.9 — Post COVID-19 condition, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.263K — Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified part of colon, subsequent encounter"}, {"role": "assistant", "content": "S36.539D — Laceration of unspecified part of colon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of antithyroid drugs, initial encounter"}, {"role": "assistant", "content": "T38.2X6A — Underdosing of antithyroid drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.239D — Puncture wound without foreign body of unspecified finger without damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of therapeutic gases, sequela"}, {"role": "assistant", "content": "T41.5X5S — Adverse effect of therapeutic gases, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.039G — Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.011A — Torus fracture of upper end of right ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified noninflammatory disorders of cervix uteri"}, {"role": "assistant", "content": "N88.8 — Other specified noninflammatory disorders of cervix uteri"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rash and other nonspecific skin eruption"}, {"role": "assistant", "content": "R21 — Rash and other nonspecific skin eruption"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculous enteritis"}, {"role": "assistant", "content": "A18.32 — Tuberculous enteritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute cholecystitis with chronic cholecystitis"}, {"role": "assistant", "content": "K81.2 — Acute cholecystitis with chronic cholecystitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of unspecified blood vessel at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S55.999D — Other specified injury of unspecified blood vessel at forearm level, unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.414P — Nondisplaced fracture of proximal phalanx of right great toe, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for benign tumor of corpus uteri, first trimester"}, {"role": "assistant", "content": "O34.11 — Maternal care for benign tumor of corpus uteri, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dengue hemorrhagic fever"}, {"role": "assistant", "content": "A91 — Dengue hemorrhagic fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of anterior process of unspecified calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.026A — Nondisplaced fracture of anterior process of unspecified calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal electro-oculogram [EOG]"}, {"role": "assistant", "content": "R94.110 — Abnormal electro-oculogram [EOG]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other and unspecified overexertion or strenuous movements or postures, initial encounter"}, {"role": "assistant", "content": "X50.9XXA — Other and unspecified overexertion or strenuous movements or postures, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aneurysmal bone cyst, unspecified lower leg"}, {"role": "assistant", "content": "M85.569 — Aneurysmal bone cyst, unspecified lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diseases of appendix"}, {"role": "assistant", "content": "K38.8 — Other specified diseases of appendix"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.035N — Nondisplaced transverse fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)"}, {"role": "assistant", "content": "R85.610 — Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Finger-joint replacement, bilateral"}, {"role": "assistant", "content": "Z96.693 — Finger-joint replacement, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial cuneiform of left foot, sequela"}, {"role": "assistant", "content": "S92.242S — Displaced fracture of medial cuneiform of left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute duodenal ulcer with hemorrhage"}, {"role": "assistant", "content": "K26.0 — Acute duodenal ulcer with hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right lower leg, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.91XK — Unspecified fracture of right lower leg, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial placenta previa with hemorrhage, first trimester"}, {"role": "assistant", "content": "O44.31 — Partial placenta previa with hemorrhage, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.424A — Nondisplaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired clubfoot, left foot"}, {"role": "assistant", "content": "M21.542 — Acquired clubfoot, left foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by strike by hockey stick, subsequent encounter"}, {"role": "assistant", "content": "Y08.01XD — Assault by strike by hockey stick, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of T9/T10 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.153S — Dislocation of T9/T10 thoracic vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nasopharyngeal diphtheria"}, {"role": "assistant", "content": "A36.1 — Nasopharyngeal diphtheria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital hydrocephalus, unspecified"}, {"role": "assistant", "content": "Q03.9 — Congenital hydrocephalus, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Patient's intentional underdosing of medication regimen for other reason"}, {"role": "assistant", "content": "Z91.128 — Patient's intentional underdosing of medication regimen for other reason"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T50.7X1D — Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with fixed or stationary object in traffic accident, sequela"}, {"role": "assistant", "content": "V27.99XS — Unspecified rider of other motorcycle injured in collision with fixed or stationary object in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cocaine use, unspecified with cocaine-induced sexual dysfunction"}, {"role": "assistant", "content": "F14.981 — Cocaine use, unspecified with cocaine-induced sexual dysfunction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lesser tuberosity of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.261A — Displaced fracture of lesser tuberosity of right humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving bayonet, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.412A — Legal intervention involving bayonet, bystander injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open angle with borderline findings, high risk, left eye"}, {"role": "assistant", "content": "H40.022 — Open angle with borderline findings, high risk, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of fifth metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.356K — Nondisplaced fracture of shaft of fifth metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Eisenmenger's syndrome"}, {"role": "assistant", "content": "I27.83 — Eisenmenger's syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.103S — Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.331C — Displaced oblique fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion and rupture of other gas cylinder, initial encounter"}, {"role": "assistant", "content": "W36.8XXA — Explosion and rupture of other gas cylinder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.699R — Other fracture of lower end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of balloon (counterpulsation) device, sequela"}, {"role": "assistant", "content": "T82.513S — Breakdown (mechanical) of balloon (counterpulsation) device, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other pesticides, assault, initial encounter"}, {"role": "assistant", "content": "T60.8X3A — Toxic effect of other pesticides, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right forearm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.91XE — Unspecified fracture of right forearm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of military vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V86.94XA — Unspecified occupant of military vehicle injured in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of left ankle, subsequent encounter"}, {"role": "assistant", "content": "T34.812D — Frostbite with tissue necrosis of left ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of one rib, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.39XG — Fracture of one rib, unspecified side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other non-diabetic proliferative retinopathy, unspecified eye"}, {"role": "assistant", "content": "H35.20 — Other non-diabetic proliferative retinopathy, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter"}, {"role": "assistant", "content": "S06.346A — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Restrictive allograft syndrome"}, {"role": "assistant", "content": "J4A.0 — Restrictive allograft syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn small for gestational age, 1500-1749 grams"}, {"role": "assistant", "content": "P05.16 — Newborn small for gestational age, 1500-1749 grams"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Derangement of posterior horn of lateral meniscus due to old tear or injury, unspecified knee"}, {"role": "assistant", "content": "M23.259 — Derangement of posterior horn of lateral meniscus due to old tear or injury, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pain in unspecified lower leg"}, {"role": "assistant", "content": "M79.669 — Pain in unspecified lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with Portuguese Man-o-war, assault, initial encounter"}, {"role": "assistant", "content": "T63.613A — Toxic effect of contact with Portuguese Man-o-war, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified blood vessel at hip and thigh level, left leg, initial encounter"}, {"role": "assistant", "content": "S75.902A — Unspecified injury of unspecified blood vessel at hip and thigh level, left leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to other accident to passenger ship, sequela"}, {"role": "assistant", "content": "V90.81XS — Drowning and submersion due to other accident to passenger ship, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of ascending [right] colon, sequela"}, {"role": "assistant", "content": "S36.510S — Primary blast injury of ascending [right] colon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of deep veins of upper extremity, bilateral"}, {"role": "assistant", "content": "I82.723 — Chronic embolism and thrombosis of deep veins of upper extremity, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior subluxation of left radial head, subsequent encounter"}, {"role": "assistant", "content": "S53.022D — Posterior subluxation of left radial head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bone and joint lesions of yaws"}, {"role": "assistant", "content": "A66.6 — Bone and joint lesions of yaws"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S61.439D — Puncture wound without foreign body of unspecified hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.434G — Nondisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of midcarpal joint of left wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.032D — Subluxation of midcarpal joint of left wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of metacarpophalangeal joint of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S63.269D — Dislocation of metacarpophalangeal joint of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic hematogenous osteomyelitis, left radius and ulna"}, {"role": "assistant", "content": "M86.532 — Other chronic hematogenous osteomyelitis, left radius and ulna"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of internal fixation device of left femur, sequela"}, {"role": "assistant", "content": "T84.125S — Displacement of internal fixation device of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection of amniotic sac and membranes, unspecified, unspecified trimester, other fetus"}, {"role": "assistant", "content": "O41.1099 — Infection of amniotic sac and membranes, unspecified, unspecified trimester, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of ulnar artery at wrist and hand level of unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S65.019D — Laceration of ulnar artery at wrist and hand level of unspecified arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S86.899D — Other injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Merkel cell carcinoma of skin of breast"}, {"role": "assistant", "content": "C4A.52 — Merkel cell carcinoma of skin of breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Otosclerosis involving oval window, nonobliterative, right ear"}, {"role": "assistant", "content": "H80.01 — Otosclerosis involving oval window, nonobliterative, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antidiarrheal drugs, intentional self-harm, sequela"}, {"role": "assistant", "content": "T47.6X2S — Poisoning by antidiarrheal drugs, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.432D — Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antiasthmatics, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T48.6X1D — Poisoning by antiasthmatics, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity"}, {"role": "assistant", "content": "I70.608 — Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antipsychotics and neuroleptics, assault, initial encounter"}, {"role": "assistant", "content": "T43.593A — Poisoning by other antipsychotics and neuroleptics, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of tetrachloroethylene, undetermined, initial encounter"}, {"role": "assistant", "content": "T53.3X4A — Toxic effect of tetrachloroethylene, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of unspecified ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.519D — Corrosion of first degree of unspecified ear [any part, except ear drum], subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving direct blast effect of nuclear weapon, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.510D — War operations involving direct blast effect of nuclear weapon, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of right ear, sequela"}, {"role": "assistant", "content": "S00.411S — Abrasion of right ear, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O41.1291 — Chorioamnionitis, unspecified trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.211K — Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of other nerves at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S84.809D — Injury of other nerves at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular dementia, severe, with psychotic disturbance"}, {"role": "assistant", "content": "F01.C2 — Vascular dementia, severe, with psychotic disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of other vascular grafts, subsequent encounter"}, {"role": "assistant", "content": "T82.328D — Displacement of other vascular grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute kidney failure with tubular necrosis"}, {"role": "assistant", "content": "N17.0 — Acute kidney failure with tubular necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V66.5XXD — Driver of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of lip, sequela"}, {"role": "assistant", "content": "S00.541S — External constriction of lip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of anesthesia during pregnancy, second trimester"}, {"role": "assistant", "content": "O29.92 — Unspecified complication of anesthesia during pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.061P — Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of left great toe, sequela"}, {"role": "assistant", "content": "S98.122S — Partial traumatic amputation of left great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.309A — Unspecified injury of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of breast, right breast, sequela"}, {"role": "assistant", "content": "S20.171S — Other superficial bite of breast, right breast, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other postprocedural complications and disorders of genitourinary system"}, {"role": "assistant", "content": "N99.89 — Other postprocedural complications and disorders of genitourinary system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of other bone devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T84.328A — Displacement of other bone devices, implants and grafts, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S68.029A — Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.482P — Torus fracture of lower end of left humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of unspecified part of pancreas, unspecified degree, initial encounter"}, {"role": "assistant", "content": "S36.239A — Laceration of unspecified part of pancreas, unspecified degree, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela"}, {"role": "assistant", "content": "V86.15XS — Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Heelies colliding with stationary object, sequela"}, {"role": "assistant", "content": "V00.152S — Heelies colliding with stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of internal fixation device of right humerus, initial encounter"}, {"role": "assistant", "content": "T84.110A — Breakdown (mechanical) of internal fixation device of right humerus, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.271J — Monteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of abdominal aorta, subsequent encounter"}, {"role": "assistant", "content": "S35.00XD — Unspecified injury of abdominal aorta, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other derangements of patella, left knee"}, {"role": "assistant", "content": "M22.3X2 — Other derangements of patella, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of first metacarpal bone, unspecified hand, sequela"}, {"role": "assistant", "content": "S62.243S — Displaced fracture of shaft of first metacarpal bone, unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intestinal helminthiasis, unspecified"}, {"role": "assistant", "content": "B82.0 — Intestinal helminthiasis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E09.3311 — Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for fitting and adjustment of external breast prosthesis, unspecified breast"}, {"role": "assistant", "content": "Z44.30 — Encounter for fitting and adjustment of external breast prosthesis, unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of base of first metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.231G — Other displaced fracture of base of first metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glasgow coma scale score 13-15, at arrival to emergency department"}, {"role": "assistant", "content": "R40.2412 — Glasgow coma scale score 13-15, at arrival to emergency department"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medial dislocation of unspecified ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.136D — Medial dislocation of unspecified ulnohumeral joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by mouse, subsequent encounter"}, {"role": "assistant", "content": "W53.01XD — Bitten by mouse, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retained (old) magnetic foreign body in anterior chamber, unspecified eye"}, {"role": "assistant", "content": "H44.619 — Retained (old) magnetic foreign body in anterior chamber, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of other part of head, subsequent encounter"}, {"role": "assistant", "content": "S01.84XD — Puncture wound with foreign body of other part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites"}, {"role": "assistant", "content": "C84.A9 — Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pre-existing diabetes mellitus in pregnancy, second trimester"}, {"role": "assistant", "content": "O24.312 — Unspecified pre-existing diabetes mellitus in pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye trauma, unspecified eye, stage unspecified"}, {"role": "assistant", "content": "H40.30X0 — Glaucoma secondary to eye trauma, unspecified eye, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in collision between car and bus (traffic), subsequent encounter"}, {"role": "assistant", "content": "V87.3XXD — Person injured in collision between car and bus (traffic), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Progressive bulbar palsy"}, {"role": "assistant", "content": "G12.22 — Progressive bulbar palsy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Methicillin susceptible Staphylococcus aureus infection, unspecified site"}, {"role": "assistant", "content": "A49.01 — Methicillin susceptible Staphylococcus aureus infection, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by enzymes, assault, subsequent encounter"}, {"role": "assistant", "content": "T45.3X3D — Poisoning by enzymes, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of selective serotonin and norepinephrine reuptake inhibitors, subsequent encounter"}, {"role": "assistant", "content": "T43.216D — Underdosing of selective serotonin and norepinephrine reuptake inhibitors, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of diaphragm, initial encounter"}, {"role": "assistant", "content": "S27.802A — Contusion of diaphragm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of left little finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.417D — Traumatic rupture of collateral ligament of left little finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.455Q — Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "T22.459D — Corrosion of unspecified degree of unspecified shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.455R — Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Amniotic fluid embolism in pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O88.119 — Amniotic fluid embolism in pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of other specified parts of unspecified shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.80XA — Sprain of other specified parts of unspecified shoulder girdle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.309P — Unspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of military vehicle injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.54XS — Driver of military vehicle injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic viral hepatitis C"}, {"role": "assistant", "content": "B18.2 — Chronic viral hepatitis C"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Physical abuse complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O9A.313 — Physical abuse complicating pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for preprocedural cardiovascular examination"}, {"role": "assistant", "content": "Z01.810 — Encounter for preprocedural cardiovascular examination"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified great toe, sequela"}, {"role": "assistant", "content": "S90.933S — Unspecified superficial injury of unspecified great toe, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.035M — Nondisplaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S86.119D — Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dacryops of left lacrimal gland"}, {"role": "assistant", "content": "H04.112 — Dacryops of left lacrimal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of peripheral vasodilators, subsequent encounter"}, {"role": "assistant", "content": "T46.7X5D — Adverse effect of peripheral vasodilators, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crohn's disease, unspecified, with abscess"}, {"role": "assistant", "content": "K50.914 — Crohn's disease, unspecified, with abscess"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left shoulder and upper arm, initial encounter"}, {"role": "assistant", "content": "S47.2XXA — Crushing injury of left shoulder and upper arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity"}, {"role": "assistant", "content": "I70.369 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Round hole, bilateral"}, {"role": "assistant", "content": "H33.323 — Round hole, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.063R — Displaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.242A — Displaced spiral fracture of shaft of ulna, left arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic), sequela"}, {"role": "assistant", "content": "V87.9XXS — Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bullous impetigo"}, {"role": "assistant", "content": "L01.03 — Bullous impetigo"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic lung allograft dysfunction, unspecified"}, {"role": "assistant", "content": "J4A.9 — Chronic lung allograft dysfunction, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left external jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.202A — Unspecified injury of left external jugular vein, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, sequela"}, {"role": "assistant", "content": "V63.9XXS — Unspecified occupant of heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving other forms of conventional warfare, military personnel, sequela"}, {"role": "assistant", "content": "Y36.490S — War operations involving other forms of conventional warfare, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute myeloid leukemia with multilineage dysplasia, not having achieved remission"}, {"role": "assistant", "content": "C92.A0 — Acute myeloid leukemia with multilineage dysplasia, not having achieved remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of left ring finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.435S — Traumatic rupture of volar plate of left ring finger at metacarpophalangeal and interphalangeal joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rising PSA following treatment for malignant neoplasm of prostate"}, {"role": "assistant", "content": "R97.21 — Rising PSA following treatment for malignant neoplasm of prostate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of other marine weapons, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.090D — War operations involving explosion of other marine weapons, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intermittent hydrarthrosis, right elbow"}, {"role": "assistant", "content": "M12.421 — Intermittent hydrarthrosis, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S42.343S — Displaced spiral fracture of shaft of humerus, unspecified arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of left middle finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.613D — Displaced fracture of proximal phalanx of left middle finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tricyclic antidepressants, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T43.011S — Poisoning by tricyclic antidepressants, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified innominate or subclavian artery, subsequent encounter"}, {"role": "assistant", "content": "S25.109D — Unspecified injury of unspecified innominate or subclavian artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of neck with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.456 — Non-pressure chronic ulcer of neck with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxoplasmosis, unspecified"}, {"role": "assistant", "content": "B58.9 — Toxoplasmosis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of autonomic nervous system"}, {"role": "assistant", "content": "G90.89 — Other disorders of autonomic nervous system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to X-rays, initial encounter"}, {"role": "assistant", "content": "W88.0XXA — Exposure to X-rays, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rider of nonpowered watercraft struck by powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V94.22XD — Rider of nonpowered watercraft struck by powered watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders of right external ear in diseases classified elsewhere"}, {"role": "assistant", "content": "H62.8X1 — Other disorders of right external ear in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, unspecified hand, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1491 — Lead-induced chronic gout, unspecified hand, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced dome fracture of unspecified talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.146D — Nondisplaced dome fracture of unspecified talus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Phlebitis and thrombophlebitis of unspecified femoral vein"}, {"role": "assistant", "content": "I80.10 — Phlebitis and thrombophlebitis of unspecified femoral vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.022G — Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of cardiac-stimulant glycosides and drugs of similar action, subsequent encounter"}, {"role": "assistant", "content": "T46.0X5D — Adverse effect of cardiac-stimulant glycosides and drugs of similar action, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other articular cartilage disorders, unspecified foot"}, {"role": "assistant", "content": "M24.176 — Other articular cartilage disorders, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving indirect blast effect of nuclear weapon, civilian, sequela"}, {"role": "assistant", "content": "Y37.521S — Military operations involving indirect blast effect of nuclear weapon, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of muscle, fascia and tendon of unspecified hip, sequela"}, {"role": "assistant", "content": "S76.099S — Other specified injury of muscle, fascia and tendon of unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side"}, {"role": "assistant", "content": "I69.833 — Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hyperparathyroidism"}, {"role": "assistant", "content": "E21.2 — Other hyperparathyroidism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.262D — Insect bite (nonvenomous) of left shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of volar plate of unspecified finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.439D — Traumatic rupture of volar plate of unspecified finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other edema specific to newborn"}, {"role": "assistant", "content": "P83.39 — Other edema specific to newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pneumonia due to Pseudomonas"}, {"role": "assistant", "content": "J15.1 — Pneumonia due to Pseudomonas"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs"}, {"role": "assistant", "content": "O24.415 — Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephaly, other fetus"}, {"role": "assistant", "content": "O35.02X9 — Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephaly, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter"}, {"role": "assistant", "content": "S83.206A — Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of bronchus, unspecified, sequela"}, {"role": "assistant", "content": "S27.409S — Unspecified injury of bronchus, unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, unspecified hand, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0491 — Idiopathic chronic gout, unspecified hand, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced associated transverse-posterior fracture of right acetabulum, sequela"}, {"role": "assistant", "content": "S32.461S — Displaced associated transverse-posterior fracture of right acetabulum, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of interphalangeal joint of right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.134D — Subluxation of interphalangeal joint of right lesser toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis use, unspecified with unspecified cannabis-induced disorder"}, {"role": "assistant", "content": "F12.99 — Cannabis use, unspecified with unspecified cannabis-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recrudescent typhus [Brill's disease]"}, {"role": "assistant", "content": "A75.1 — Recrudescent typhus [Brill's disease]"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cultural public building as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.258 — Other cultural public building as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of other ligament of left little finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.497A — Traumatic rupture of other ligament of left little finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of hamate [unciform] bone, right wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.141D — Displaced fracture of body of hamate [unciform] bone, right wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with other pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V11.9XXS — Unspecified pedal cyclist injured in collision with other pedal cycle in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified displaced fracture of surgical neck of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.212A — Unspecified displaced fracture of surgical neck of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unstable burst fracture of third thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.032K — Unstable burst fracture of third thoracic vertebra, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S61.459A — Open bite of unspecified hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other trigeminal autonomic cephalgias (TAC), intractable"}, {"role": "assistant", "content": "G44.091 — Other trigeminal autonomic cephalgias (TAC), intractable"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.052K — Unspecified fracture of head of left femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of esophagus (thoracic part), initial encounter"}, {"role": "assistant", "content": "S27.818A — Other injury of esophagus (thoracic part), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle, fascia and tendon of abdomen, initial encounter"}, {"role": "assistant", "content": "S39.011A — Strain of muscle, fascia and tendon of abdomen, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transcondylar fracture of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.475A — Nondisplaced transcondylar fracture of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by saline and osmotic laxatives, assault, sequela"}, {"role": "assistant", "content": "T47.3X3S — Poisoning by saline and osmotic laxatives, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Zone II fracture of sacrum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.120K — Nondisplaced Zone II fracture of sacrum, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified lump in unspecified breast"}, {"role": "assistant", "content": "N63.0 — Unspecified lump in unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.505B — Nondisplaced unspecified fracture of left lesser toe(s), initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.402H — Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.251G — Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of base of skull, left side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.102D — Fracture of base of skull, left side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester"}, {"role": "assistant", "content": "O24.011 — Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mature T/NK-cell lymphomas, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C84.Z4 — Other mature T/NK-cell lymphomas, lymph nodes of axilla and upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with hot saucepan or skillet, sequela"}, {"role": "assistant", "content": "X15.3XXS — Contact with hot saucepan or skillet, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, sequela"}, {"role": "assistant", "content": "V50.1XXS — Passenger in pick-up truck or van injured in collision with pedestrian or animal in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular cyst of left ovary"}, {"role": "assistant", "content": "N83.02 — Follicular cyst of left ovary"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periumbilic rebound abdominal tenderness"}, {"role": "assistant", "content": "R10.825 — Periumbilic rebound abdominal tenderness"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of unspecified internal jugular vein"}, {"role": "assistant", "content": "I82.C19 — Acute embolism and thrombosis of unspecified internal jugular vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic osteomyelitis with draining sinus, right tibia and fibula"}, {"role": "assistant", "content": "M86.461 — Chronic osteomyelitis with draining sinus, right tibia and fibula"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified vertebral artery, sequela"}, {"role": "assistant", "content": "S15.109S — Unspecified injury of unspecified vertebral artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V62.0XXD — Driver of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rubber band causing external constriction, sequela"}, {"role": "assistant", "content": "W49.03XS — Rubber band causing external constriction, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right hip, initial encounter"}, {"role": "assistant", "content": "S70.911A — Unspecified superficial injury of right hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, not applicable or unspecified"}, {"role": "assistant", "content": "O35.14X0 — Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, not applicable or unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of meninges, unspecified"}, {"role": "assistant", "content": "C70.9 — Malignant neoplasm of meninges, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Combination metal and plastic jewelry entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.G3XD — Combination metal and plastic jewelry entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right internal jugular vein, sequela"}, {"role": "assistant", "content": "S15.301S — Unspecified injury of right internal jugular vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other specified muscles and tendons at ankle and foot level, left foot, initial encounter"}, {"role": "assistant", "content": "S96.812A — Strain of other specified muscles and tendons at ankle and foot level, left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral vascular angioplasty status with implants and grafts"}, {"role": "assistant", "content": "Z95.820 — Peripheral vascular angioplasty status with implants and grafts"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S56.502D — Unspecified injury of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.625P — Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.225K — Nondisplaced transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of right kidney, unspecified degree, sequela"}, {"role": "assistant", "content": "S37.031S — Laceration of right kidney, unspecified degree, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of tail of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.202A — Unspecified injury of tail of pancreas, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other drug primarily affecting the autonomic nervous system, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T44.991S — Poisoning by other drug primarily affecting the autonomic nervous system, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified rider of other motorcycle injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V27.29XA — Unspecified rider of other motorcycle injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other corrosive organic compounds, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T54.1X2D — Toxic effect of other corrosive organic compounds, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other family member, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.499 — Other family member, perpetrator of maltreatment and neglect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.22XJ — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Housing instability, housed, homelessness in past 12 months"}, {"role": "assistant", "content": "Z59.812 — Housing instability, housed, homelessness in past 12 months"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.131G — Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to embolism of right middle cerebral artery"}, {"role": "assistant", "content": "I63.411 — Cerebral infarction due to embolism of right middle cerebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by other bodily force, sequela"}, {"role": "assistant", "content": "Y04.8XXS — Assault by other bodily force, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of proximal tibia, right leg"}, {"role": "assistant", "content": "M92.511 — Juvenile osteochondrosis of proximal tibia, right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of deep palmar arch of unspecified hand, sequela"}, {"role": "assistant", "content": "S65.399S — Other specified injury of deep palmar arch of unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder"}, {"role": "assistant", "content": "F13.988 — Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dining room in other specified residential institution as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.191 — Dining room in other specified residential institution as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of left fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.292A — Other physeal fracture of upper end of left fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.515P — Nondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to drugs, right foot"}, {"role": "assistant", "content": "M87.174 — Osteonecrosis due to drugs, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of T9-T10 vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.078G — Other fracture of T9-T10 vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified parts of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.96XD — Insect bite (nonvenomous) of unspecified parts of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of right radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.181B — Other fracture of upper end of right radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.335H — Nondisplaced oblique fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.309G — Unspecified fracture of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disseminated chorioretinal inflammation, generalized, right eye"}, {"role": "assistant", "content": "H30.131 — Disseminated chorioretinal inflammation, generalized, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peroxisomal disorder, unspecified"}, {"role": "assistant", "content": "E71.50 — Peroxisomal disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.811D — Abrasion of right forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to passenger ship sinking, subsequent encounter"}, {"role": "assistant", "content": "V90.11XD — Drowning and submersion due to passenger ship sinking, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.451K — Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V49.40XD — Driver injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postencephalitic parkinsonism"}, {"role": "assistant", "content": "G21.3 — Postencephalitic parkinsonism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.115B — Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body, left knee, initial encounter"}, {"role": "assistant", "content": "S81.042A — Puncture wound with foreign body, left knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epidural hemorrhage without loss of consciousness, sequela"}, {"role": "assistant", "content": "S06.4X0S — Epidural hemorrhage without loss of consciousness, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection following a procedure, organ and space surgical site, sequela"}, {"role": "assistant", "content": "T81.43XS — Infection following a procedure, organ and space surgical site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.209K — Unspecified physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus"}, {"role": "assistant", "content": "G40.019 — Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs"}, {"role": "assistant", "content": "R86.2 — Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.142A — Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.90XQ — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.262F — Displaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ice-skater colliding with stationary object, initial encounter"}, {"role": "assistant", "content": "V00.212A — Ice-skater colliding with stationary object, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of bees, assault, subsequent encounter"}, {"role": "assistant", "content": "T63.443D — Toxic effect of venom of bees, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "ABO isoimmunization of newborn"}, {"role": "assistant", "content": "P55.1 — ABO isoimmunization of newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other complications of obstetric surgery and procedures"}, {"role": "assistant", "content": "O75.4 — Other complications of obstetric surgery and procedures"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial malleolus of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.52XB — Displaced fracture of medial malleolus of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of radiocarpal joint of right wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.521D — Sprain of radiocarpal joint of right wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria"}, {"role": "assistant", "content": "D51.1 — Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of angle of left mandible, sequela"}, {"role": "assistant", "content": "S02.652S — Fracture of angle of left mandible, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of right radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.511R — Displaced fracture of right radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mushroom-worker's lung"}, {"role": "assistant", "content": "J67.5 — Mushroom-worker's lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of right patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.021D — Displaced longitudinal fracture of right patella, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified anomaly of tooth position of fully erupted tooth or teeth"}, {"role": "assistant", "content": "M26.30 — Unspecified anomaly of tooth position of fully erupted tooth or teeth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of expectorants, subsequent encounter"}, {"role": "assistant", "content": "T48.4X6D — Underdosing of expectorants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of ligaments of lumbar spine, subsequent encounter"}, {"role": "assistant", "content": "S33.5XXD — Sprain of ligaments of lumbar spine, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vertebro-basilar artery syndrome"}, {"role": "assistant", "content": "G45.0 — Vertebro-basilar artery syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified nephritic syndrome with minor glomerular abnormality"}, {"role": "assistant", "content": "N05.0 — Unspecified nephritic syndrome with minor glomerular abnormality"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis dependence with intoxication delirium"}, {"role": "assistant", "content": "F12.221 — Cannabis dependence with intoxication delirium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at right shoulder joint, sequela"}, {"role": "assistant", "content": "S48.021S — Partial traumatic amputation at right shoulder joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of back of right hand, sequela"}, {"role": "assistant", "content": "T23.461S — Corrosion of unspecified degree of back of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of pituitary gland"}, {"role": "assistant", "content": "D44.3 — Neoplasm of uncertain behavior of pituitary gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Accessory toe(s)"}, {"role": "assistant", "content": "Q69.2 — Accessory toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of left toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.532D — Corrosion of first degree of left toe(s) (nail), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified ilium, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.309G — Unspecified fracture of unspecified ilium, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of left lower leg, initial encounter"}, {"role": "assistant", "content": "T24.232A — Burn of second degree of left lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteolysis, unspecified upper arm"}, {"role": "assistant", "content": "M89.529 — Osteolysis, unspecified upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V58.6XXD — Passenger in pick-up truck or van injured in noncollision transport accident in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.112M — Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Broken internal joint prosthesis, other site, sequela"}, {"role": "assistant", "content": "T84.018S — Broken internal joint prosthesis, other site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Degenerative myopia with foveoschisis, right eye"}, {"role": "assistant", "content": "H44.2D1 — Degenerative myopia with foveoschisis, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic dacryoadenitis, bilateral lacrimal gland"}, {"role": "assistant", "content": "H04.023 — Chronic dacryoadenitis, bilateral lacrimal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T43.592A — Poisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S34.105D — Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right great toe with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.241A — Puncture wound with foreign body of right great toe with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of unspecified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S19.80XD — Other specified injuries of unspecified part of neck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute (reversible) ischemia of intestine, part and extent unspecified"}, {"role": "assistant", "content": "K55.059 — Acute (reversible) ischemia of intestine, part and extent unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other antidepressants, sequela"}, {"role": "assistant", "content": "T43.296S — Underdosing of other antidepressants, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C85.23 — Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at knee level, unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "S88.019A — Complete traumatic amputation at knee level, unspecified lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of peroneal nerve at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S84.11XA — Injury of peroneal nerve at lower leg level, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic cough"}, {"role": "assistant", "content": "R05.3 — Chronic cough"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of left foot, initial encounter"}, {"role": "assistant", "content": "S93.602A — Unspecified sprain of left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropathies in other specified diseases classified elsewhere, multiple sites"}, {"role": "assistant", "content": "M14.89 — Arthropathies in other specified diseases classified elsewhere, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic tubotympanic suppurative otitis media, left ear"}, {"role": "assistant", "content": "H66.12 — Chronic tubotympanic suppurative otitis media, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of fifth metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.396B — Other fracture of fifth metacarpal bone, right hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)"}, {"role": "assistant", "content": "Z20.01 — Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified rheumatoid arthritis, left knee"}, {"role": "assistant", "content": "M06.862 — Other specified rheumatoid arthritis, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of fourth metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.344D — Nondisplaced fracture of base of fourth metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of right lesser toe(s) with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.244D — Puncture wound with foreign body of right lesser toe(s) with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.263D — Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of right fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.201P — Unspecified physeal fracture of upper end of right fibula, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hordeolum internum left upper eyelid"}, {"role": "assistant", "content": "H00.024 — Hordeolum internum left upper eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of ingested mushrooms, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T62.0X1D — Toxic effect of ingested mushrooms, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second lumbar vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.028A — Other fracture of second lumbar vertebra, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Internuclear ophthalmoplegia, right eye"}, {"role": "assistant", "content": "H51.21 — Internuclear ophthalmoplegia, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.016D — Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.355M — Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "S63.509A — Unspecified sprain of unspecified wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.64XN — Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to plastic bag, accidental, subsequent encounter"}, {"role": "assistant", "content": "T71.121D — Asphyxiation due to plastic bag, accidental, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, sequela"}, {"role": "assistant", "content": "V50.4XXS — Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.142D — Salter-Harris Type IV physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital kyphosis, unspecified region"}, {"role": "assistant", "content": "Q76.419 — Congenital kyphosis, unspecified region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atresia of bile ducts"}, {"role": "assistant", "content": "Q44.2 — Atresia of bile ducts"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye inflammation, bilateral, moderate stage"}, {"role": "assistant", "content": "H40.43X2 — Glaucoma secondary to eye inflammation, bilateral, moderate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Homonymous bilateral field defects, unspecified side"}, {"role": "assistant", "content": "H53.469 — Homonymous bilateral field defects, unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.102K — Unspecified fracture of left talus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adult sexual abuse, confirmed, subsequent encounter"}, {"role": "assistant", "content": "T74.21XD — Adult sexual abuse, confirmed, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "State road as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.413 — State road as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis of unspecified site with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.60 — Rheumatoid arthritis of unspecified site with involvement of other organs and systems"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, best verbal response, confused conversation, at arrival to emergency department"}, {"role": "assistant", "content": "R40.2242 — Coma scale, best verbal response, confused conversation, at arrival to emergency department"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with other powered hand tools and household machinery, sequela"}, {"role": "assistant", "content": "W29.8XXS — Contact with other powered hand tools and household machinery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for breech presentation, other fetus"}, {"role": "assistant", "content": "O32.1XX9 — Maternal care for breech presentation, other fetus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of forehead and cheek, initial encounter"}, {"role": "assistant", "content": "T20.46XA — Corrosion of unspecified degree of forehead and cheek, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cow's milk hypocalcemia in newborn"}, {"role": "assistant", "content": "P71.0 — Cow's milk hypocalcemia in newborn"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.332H — Displaced oblique fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of liver, sequela"}, {"role": "assistant", "content": "S36.112S — Contusion of liver, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of multiple sites of head, face, and neck, sequela"}, {"role": "assistant", "content": "T20.29XS — Burn of second degree of multiple sites of head, face, and neck, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of esophageal anti-reflux device, initial encounter"}, {"role": "assistant", "content": "T85.521A — Displacement of esophageal anti-reflux device, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lower leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.899P — Other fracture of unspecified lower leg, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.014K — Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of multiple right fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.731D — Corrosion of third degree of multiple right fingers (nail), not including thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple fractures of ribs, left side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.42XK — Multiple fractures of ribs, left side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.011D — Salter-Harris Type I physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of thorax, unspecified, sequela"}, {"role": "assistant", "content": "S20.20XS — Contusion of thorax, unspecified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.221Q — Displaced transverse fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epispadias"}, {"role": "assistant", "content": "Q64.0 — Epispadias"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn affected by prolapsed cord"}, {"role": "assistant", "content": "P02.4 — Newborn affected by prolapsed cord"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.182J — Other fracture of upper end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other shellfish poisoning, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T61.782D — Other shellfish poisoning, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of right patella, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.001K — Unspecified fracture of right patella, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of right ring finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.334D — Puncture wound without foreign body of right ring finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective (teno)synovitis, left hip"}, {"role": "assistant", "content": "M65.152 — Other infective (teno)synovitis, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other scooter (nonmotorized) accident, initial encounter"}, {"role": "assistant", "content": "V00.148A — Other scooter (nonmotorized) accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Irritant contact dermatitis due to food in contact with skin"}, {"role": "assistant", "content": "L24.6 — Irritant contact dermatitis due to food in contact with skin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral malleolus of right fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.61XB — Displaced fracture of lateral malleolus of right fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 4"}, {"role": "assistant", "content": "O35.04X4 — Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right external jugular vein, subsequent encounter"}, {"role": "assistant", "content": "S15.201D — Unspecified injury of right external jugular vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body on external eye, part unspecified, right eye, sequela"}, {"role": "assistant", "content": "T15.91XS — Foreign body on external eye, part unspecified, right eye, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital complete absence of upper limb, bilateral"}, {"role": "assistant", "content": "Q71.03 — Congenital complete absence of upper limb, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of navicular [scaphoid] of left foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.252B — Displaced fracture of navicular [scaphoid] of left foot, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of upper-outer quadrant of left female breast"}, {"role": "assistant", "content": "C50.412 — Malignant neoplasm of upper-outer quadrant of left female breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Effect of air pressure and water pressure, unspecified, initial encounter"}, {"role": "assistant", "content": "T70.9XXA — Effect of air pressure and water pressure, unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Patient's noncompliance with dietary regimen for other reason"}, {"role": "assistant", "content": "Z91.118 — Patient's noncompliance with dietary regimen for other reason"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior scleritis, unspecified eye"}, {"role": "assistant", "content": "H15.039 — Posterior scleritis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.118A — Strain of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Late congenital syphilitic arthropathy"}, {"role": "assistant", "content": "A50.55 — Late congenital syphilitic arthropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified site of right lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.201A — Burn of second degree of unspecified site of right lower limb, except ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter"}, {"role": "assistant", "content": "S48.119A — Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superior glenoid labrum lesion of unspecified shoulder, initial encounter"}, {"role": "assistant", "content": "S43.439A — Superior glenoid labrum lesion of unspecified shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right thumb, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.521D — Displaced fracture of distal phalanx of right thumb, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.236F — Nondisplaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lunate [semilunar], unspecified wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.123D — Displaced fracture of lunate [semilunar], unspecified wrist, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other specified muscles and tendons at ankle and foot level, right foot, initial encounter"}, {"role": "assistant", "content": "S96.811A — Strain of other specified muscles and tendons at ankle and foot level, right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Temporary auditory threshold shift, unspecified ear"}, {"role": "assistant", "content": "H93.249 — Temporary auditory threshold shift, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V59.50XS — Passenger in pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of other part of head, initial encounter"}, {"role": "assistant", "content": "S00.80XA — Unspecified superficial injury of other part of head, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.426B — Nondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced unspecified fracture of right lesser toe(s), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.504P — Nondisplaced unspecified fracture of right lesser toe(s), subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, right hand, sequela"}, {"role": "assistant", "content": "S66.901S — Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified maternal infectious and parasitic disease complicating the puerperium"}, {"role": "assistant", "content": "O98.93 — Unspecified maternal infectious and parasitic disease complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other rupture of muscle (nontraumatic), right ankle and foot"}, {"role": "assistant", "content": "M62.171 — Other rupture of muscle (nontraumatic), right ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.063P — Displaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Follicular lymphoma grade II, in remission"}, {"role": "assistant", "content": "C82.1A — Follicular lymphoma grade II, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other myositis, unspecified forearm"}, {"role": "assistant", "content": "M60.839 — Other myositis, unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of buttock, initial encounter"}, {"role": "assistant", "content": "T21.55XA — Corrosion of first degree of buttock, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic postrheumatic arthropathy [Jaccoud], unspecified hip"}, {"role": "assistant", "content": "M12.059 — Chronic postrheumatic arthropathy [Jaccoud], unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of other parts of pelvis, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.89XA — Fracture of other parts of pelvis, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atypical femoral fracture, unspecified, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.750P — Atypical femoral fracture, unspecified, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedestrian on skateboard injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V06.02XS — Pedestrian on skateboard injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by cannabis, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T40.714D — Poisoning by cannabis, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Serum neuropathy"}, {"role": "assistant", "content": "G61.1 — Serum neuropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural pneumothorax"}, {"role": "assistant", "content": "J95.811 — Postprocedural pneumothorax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "LMNB1-related autosomal dominant leukodystrophy"}, {"role": "assistant", "content": "G90.B — LMNB1-related autosomal dominant leukodystrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of digital nerve of left middle finger, initial encounter"}, {"role": "assistant", "content": "S64.493A — Injury of digital nerve of left middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of sigmoid colon, sequela"}, {"role": "assistant", "content": "S36.593S — Other injury of sigmoid colon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of right ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.001D — Unspecified fracture of upper end of right ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}, {"role": "assistant", "content": "S06.1X5S — Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.266R — Nondisplaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.453P — Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Apraxia following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.090 — Apraxia following nontraumatic subarachnoid hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of synovium, unspecified foot"}, {"role": "assistant", "content": "M66.176 — Rupture of synovium, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 50-59% of body surface with 10-19% third degree burns"}, {"role": "assistant", "content": "T31.51 — Burns involving 50-59% of body surface with 10-19% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Loose body in unspecified toe joint(s)"}, {"role": "assistant", "content": "M24.076 — Loose body in unspecified toe joint(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of bilateral front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.213D — Contusion of bilateral front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of unspecified ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.279Q — Monteggia's fracture of unspecified ulna, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient synovitis, multiple sites"}, {"role": "assistant", "content": "M67.39 — Transient synovitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Plagiocephaly"}, {"role": "assistant", "content": "Q67.3 — Plagiocephaly"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of coracoid process, left shoulder, sequela"}, {"role": "assistant", "content": "S42.132S — Displaced fracture of coracoid process, left shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.189F — Other fracture of upper end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, fetus 2"}, {"role": "assistant", "content": "O35.03X2 — Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for known or suspected placental insufficiency, second trimester, fetus 4"}, {"role": "assistant", "content": "O36.5124 — Maternal care for known or suspected placental insufficiency, second trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of deep veins of unspecified upper extremity"}, {"role": "assistant", "content": "I82.729 — Chronic embolism and thrombosis of deep veins of unspecified upper extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brazilian purpuric fever"}, {"role": "assistant", "content": "A48.4 — Brazilian purpuric fever"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for excessive fetal growth, first trimester, fetus 5"}, {"role": "assistant", "content": "O36.61X5 — Maternal care for excessive fetal growth, first trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other estrogens and progestogens, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T38.5X4D — Poisoning by other estrogens and progestogens, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving intentional restriction of air and airway, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.460D — War operations involving intentional restriction of air and airway, military personnel, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 90% or more of body surface with 50-59% third degree burns"}, {"role": "assistant", "content": "T31.95 — Burns involving 90% or more of body surface with 50-59% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for health supervision and care of other healthy infant and child"}, {"role": "assistant", "content": "Z76.2 — Encounter for health supervision and care of other healthy infant and child"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.535K — Nondisplaced fracture of distal phalanx of left lesser toe(s), subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement"}, {"role": "assistant", "content": "M05.742 — Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute meningococcemia"}, {"role": "assistant", "content": "A39.2 — Acute meningococcemia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of bilateral back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.223D — Contusion of bilateral back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion of bomb placed during war operations but exploding after cessation of hostilities, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.821A — Explosion of bomb placed during war operations but exploding after cessation of hostilities, civilian, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal immunological findings in specimens from respiratory organs and thorax"}, {"role": "assistant", "content": "R84.4 — Abnormal immunological findings in specimens from respiratory organs and thorax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of right scapula, subsequent encounter"}, {"role": "assistant", "content": "S43.314D — Dislocation of right scapula, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of petroleum products, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T52.0X1A — Toxic effect of petroleum products, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spontaneous rupture of flexor tendons, unspecified shoulder"}, {"role": "assistant", "content": "M66.319 — Spontaneous rupture of flexor tendons, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified hand, sequela"}, {"role": "assistant", "content": "S60.569S — Insect bite (nonvenomous) of unspecified hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of unspecified hip, sequela"}, {"role": "assistant", "content": "S79.819S — Other specified injuries of unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of upper end of radius, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.112A — Salter-Harris Type I physeal fracture of upper end of radius, left arm, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of forehead and cheek, sequela"}, {"role": "assistant", "content": "T20.76XS — Corrosion of third degree of forehead and cheek, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, sleeping"}, {"role": "assistant", "content": "Y93.84 — Activity, sleeping"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of ascending [right] colon, sequela"}, {"role": "assistant", "content": "S36.520S — Contusion of ascending [right] colon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified tibia and fibula, initial encounter for fracture"}, {"role": "assistant", "content": "M84.369A — Stress fracture, unspecified tibia and fibula, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified lesser toe(s) without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.126A — Laceration with foreign body of unspecified lesser toe(s) without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of musculocutaneous nerve, right arm, subsequent encounter"}, {"role": "assistant", "content": "S44.41XD — Injury of musculocutaneous nerve, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of adductor muscle, fascia and tendon of right thigh, initial encounter"}, {"role": "assistant", "content": "S76.221A — Laceration of adductor muscle, fascia and tendon of right thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tinnitus, unspecified ear"}, {"role": "assistant", "content": "H93.19 — Tinnitus, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonproliferative sickle-cell retinopathy, bilateral"}, {"role": "assistant", "content": "H36.813 — Nonproliferative sickle-cell retinopathy, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Systemic mastocytosis"}, {"role": "assistant", "content": "D47.02 — Systemic mastocytosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type I physeal fracture of right calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.011A — Salter-Harris Type I physeal fracture of right calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary lacrimal gland atrophy, left lacrimal gland"}, {"role": "assistant", "content": "H04.152 — Secondary lacrimal gland atrophy, left lacrimal gland"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter"}, {"role": "assistant", "content": "T84.053D — Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Preterm labor second trimester with preterm delivery third trimester, fetus 1"}, {"role": "assistant", "content": "O60.13X1 — Preterm labor second trimester with preterm delivery third trimester, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antirheumatics, not elsewhere classified, assault, sequela"}, {"role": "assistant", "content": "T39.4X3S — Poisoning by antirheumatics, not elsewhere classified, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent dislocation, left toe(s)"}, {"role": "assistant", "content": "M24.478 — Recurrent dislocation, left toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of condylar process of left mandible, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.612D — Fracture of condylar process of left mandible, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced intertrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.145E — Nondisplaced intertrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Factory as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.63 — Factory as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced associated transverse-posterior fracture of left acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.462D — Displaced associated transverse-posterior fracture of left acetabulum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other problems related to housing and economic circumstances"}, {"role": "assistant", "content": "Z59.89 — Other problems related to housing and economic circumstances"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body, right ankle, sequela"}, {"role": "assistant", "content": "S91.031S — Puncture wound without foreign body, right ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of right lower leg, sequela"}, {"role": "assistant", "content": "S89.91XS — Unspecified injury of right lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into swimming pool striking bottom causing drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "W16.021D — Fall into swimming pool striking bottom causing drowning and submersion, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitrogen oxides, assault, initial encounter"}, {"role": "assistant", "content": "T59.0X3A — Toxic effect of nitrogen oxides, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient synovitis, unspecified wrist"}, {"role": "assistant", "content": "M67.339 — Transient synovitis, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sickle-cell disorders with splenic sequestration"}, {"role": "assistant", "content": "D57.812 — Other sickle-cell disorders with splenic sequestration"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S46.299A — Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O36.8392 — Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial frostbite of left ear, sequela"}, {"role": "assistant", "content": "T33.012S — Superficial frostbite of left ear, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Biliary cirrhosis, unspecified"}, {"role": "assistant", "content": "K74.5 — Biliary cirrhosis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from military vehicle, subsequent encounter"}, {"role": "assistant", "content": "V86.44XD — Person injured while boarding or alighting from military vehicle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with diabetic polyneuropathy"}, {"role": "assistant", "content": "E10.42 — Type 1 diabetes mellitus with diabetic polyneuropathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous), right knee, subsequent encounter"}, {"role": "assistant", "content": "S80.261D — Insect bite (nonvenomous), right knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Flail joint, unspecified joint"}, {"role": "assistant", "content": "M25.20 — Flail joint, unspecified joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V18.1XXD — Pedal cycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abscess of tendon sheath, left forearm"}, {"role": "assistant", "content": "M65.032 — Abscess of tendon sheath, left forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.319P — Stress fracture, unspecified shoulder, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lymphoid leukemia, unspecified, in relapse"}, {"role": "assistant", "content": "C91.92 — Lymphoid leukemia, unspecified, in relapse"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified B-cell lymphoma, extranodal and solid organ sites"}, {"role": "assistant", "content": "C85.19 — Unspecified B-cell lymphoma, extranodal and solid organ sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right middle finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.642B — Nondisplaced fracture of proximal phalanx of right middle finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of unspecified foot, sequela"}, {"role": "assistant", "content": "T25.029S — Burn of unspecified degree of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of left kidney, unspecified degree, subsequent encounter"}, {"role": "assistant", "content": "S37.032D — Laceration of left kidney, unspecified degree, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of shoulder and upper arm, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S49.80XA — Other specified injuries of shoulder and upper arm, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal levels of other serum enzymes"}, {"role": "assistant", "content": "R74.8 — Abnormal levels of other serum enzymes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture (chip fracture) of left talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.155B — Nondisplaced avulsion fracture (chip fracture) of left talus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exudative age-related macular degeneration, right eye, with active choroidal neovascularization"}, {"role": "assistant", "content": "H35.3211 — Exudative age-related macular degeneration, right eye, with active choroidal neovascularization"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced dome fracture of unspecified talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.143K — Displaced dome fracture of unspecified talus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of gallbladder and bile duct without cholecystitis with obstruction"}, {"role": "assistant", "content": "K80.71 — Calculus of gallbladder and bile duct without cholecystitis with obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug rash with eosinophilia and systemic symptoms syndrome"}, {"role": "assistant", "content": "D72.12 — Drug rash with eosinophilia and systemic symptoms syndrome"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.036K — Nondisplaced avulsion fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of navicular [scaphoid] of right foot, sequela"}, {"role": "assistant", "content": "S92.254S — Nondisplaced fracture of navicular [scaphoid] of right foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Colostomy hemorrhage"}, {"role": "assistant", "content": "K94.01 — Colostomy hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.121R — Displaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.322F — Displaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "History of falling"}, {"role": "assistant", "content": "Z91.81 — History of falling"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other atherosclerosis of native arteries of extremities, right leg"}, {"role": "assistant", "content": "I70.291 — Other atherosclerosis of native arteries of extremities, right leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of unspecified talus, sequela"}, {"role": "assistant", "content": "S92.116S — Nondisplaced fracture of neck of unspecified talus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Limb girdle muscular dystrophy due to anoctamin-5 dysfunction"}, {"role": "assistant", "content": "G71.035 — Limb girdle muscular dystrophy due to anoctamin-5 dysfunction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.426K — Nondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other specified gases, fumes and vapors, undetermined, initial encounter"}, {"role": "assistant", "content": "T59.894A — Toxic effect of other specified gases, fumes and vapors, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of posterior cruciate ligament of right knee, sequela"}, {"role": "assistant", "content": "S83.521S — Sprain of posterior cruciate ligament of right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.141D — Displaced bicondylar fracture of right tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracapsular fracture of left femur, sequela"}, {"role": "assistant", "content": "S72.012S — Unspecified intracapsular fracture of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound without foreign body of left hand, subsequent encounter"}, {"role": "assistant", "content": "S61.432D — Puncture wound without foreign body of left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced pilon fracture of right tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.874G — Nondisplaced pilon fracture of right tibia, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced apophyseal fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.133F — Displaced apophyseal fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other chronic suppurative otitis media, unspecified ear"}, {"role": "assistant", "content": "H66.3X9 — Other chronic suppurative otitis media, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-magnetic metal bead entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.E1XD — Non-magnetic metal bead entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Imbalance of constituents of food intake"}, {"role": "assistant", "content": "E63.1 — Imbalance of constituents of food intake"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter"}, {"role": "assistant", "content": "T84.60XA — Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2"}, {"role": "assistant", "content": "O36.5912 — Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg"}, {"role": "assistant", "content": "I70.612 — Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right thumb, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.501A — Fracture of unspecified phalanx of right thumb, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.337G — Displaced fracture of neck of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Body mass index [BMI] 45.0-49.9, adult"}, {"role": "assistant", "content": "Z68.42 — Body mass index [BMI] 45.0-49.9, adult"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other gas, suspect injured, sequela"}, {"role": "assistant", "content": "Y35.293S — Legal intervention involving other gas, suspect injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at elbow level, left arm, sequela"}, {"role": "assistant", "content": "S58.022S — Partial traumatic amputation at elbow level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by histamine H2-receptor blockers, assault, initial encounter"}, {"role": "assistant", "content": "T47.0X3A — Poisoning by histamine H2-receptor blockers, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.579C — Other intraarticular fracture of lower end of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of spectacles and contact lenses"}, {"role": "assistant", "content": "Z97.3 — Presence of spectacles and contact lenses"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicose veins of right lower extremity with ulcer of ankle"}, {"role": "assistant", "content": "I83.013 — Varicose veins of right lower extremity with ulcer of ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bucket-handle tear of lateral meniscus, current injury, right knee, initial encounter"}, {"role": "assistant", "content": "S83.251A — Bucket-handle tear of lateral meniscus, current injury, right knee, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of right shoulder joint, sequela"}, {"role": "assistant", "content": "S43.401S — Unspecified sprain of right shoulder joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of unspecified tibial tuberosity, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.156H — Nondisplaced fracture of unspecified tibial tuberosity, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of major salivary gland, unspecified"}, {"role": "assistant", "content": "D11.9 — Benign neoplasm of major salivary gland, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.101M — Unspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified tracheostomy complication"}, {"role": "assistant", "content": "J95.00 — Unspecified tracheostomy complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of capitate [os magnum] bone, unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.133K — Displaced fracture of capitate [os magnum] bone, unspecified wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of right patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.031G — Displaced transverse fracture of right patella, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of fluoroquinolone antibiotics, initial encounter"}, {"role": "assistant", "content": "T36.AX6A — Underdosing of fluoroquinolone antibiotics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sprain of left foot, initial encounter"}, {"role": "assistant", "content": "S93.692A — Other sprain of left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person injured while boarding or alighting from special agricultural vehicle, initial encounter"}, {"role": "assistant", "content": "V84.4XXA — Person injured while boarding or alighting from special agricultural vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Forced landing of glider (nonpowered) injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.22XA — Forced landing of glider (nonpowered) injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lysosome-associated membrane protein 2 [LAMP2] deficiency"}, {"role": "assistant", "content": "E74.05 — Lysosome-associated membrane protein 2 [LAMP2] deficiency"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign neoplasm of anus and anal canal"}, {"role": "assistant", "content": "D12.9 — Benign neoplasm of anus and anal canal"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other ossification of muscle, left hand"}, {"role": "assistant", "content": "M61.542 — Other ossification of muscle, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postlaminectomy kyphosis"}, {"role": "assistant", "content": "M96.3 — Postlaminectomy kyphosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicose veins of right lower extremity with other complications"}, {"role": "assistant", "content": "I83.891 — Varicose veins of right lower extremity with other complications"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified alcohol, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T51.91XD — Toxic effect of unspecified alcohol, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.149D — Burn of first degree of unspecified axilla, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Retinal micro-aneurysms, unspecified, left eye"}, {"role": "assistant", "content": "H35.042 — Retinal micro-aneurysms, unspecified, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Parapsoriasis, unspecified"}, {"role": "assistant", "content": "L41.9 — Parapsoriasis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion with resulting rupture and destruction of left eyeball, sequela"}, {"role": "assistant", "content": "T26.72XS — Corrosion with resulting rupture and destruction of left eyeball, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving explosion of depth-charge, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.010A — War operations involving explosion of depth-charge, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "S89.80XA — Other specified injuries of unspecified lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.141D — Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dust storm, initial encounter"}, {"role": "assistant", "content": "X37.3XXA — Dust storm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of implanted penile prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T83.420D — Displacement of implanted penile prosthesis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unintended awareness under general anesthesia during procedure, sequela"}, {"role": "assistant", "content": "T88.53XS — Unintended awareness under general anesthesia during procedure, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified foot, sequela"}, {"role": "assistant", "content": "S93.609S — Unspecified sprain of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Zygomatic fracture, left side, sequela"}, {"role": "assistant", "content": "S02.40FS — Zygomatic fracture, left side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant (driver) (passenger) of heavy transport vehicle injured in unspecified nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V69.3XXA — Occupant (driver) (passenger) of heavy transport vehicle injured in unspecified nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder"}, {"role": "assistant", "content": "F19.94 — Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of fifth metatarsal bone, unspecified foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.356B — Nondisplaced fracture of fifth metatarsal bone, unspecified foot, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.456A — Nondisplaced transverse fracture of unspecified acetabulum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of calcaneofibular ligament of unspecified ankle, initial encounter"}, {"role": "assistant", "content": "S93.419A — Sprain of calcaneofibular ligament of unspecified ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of vagina and vulva, subsequent encounter"}, {"role": "assistant", "content": "S31.42XD — Laceration with foreign body of vagina and vulva, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Preterm labor second trimester with preterm delivery second trimester, fetus 4"}, {"role": "assistant", "content": "O60.12X4 — Preterm labor second trimester with preterm delivery second trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester"}, {"role": "assistant", "content": "O30.003 — Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vascular complications following infusion, transfusion and therapeutic injection, subsequent encounter"}, {"role": "assistant", "content": "T80.1XXD — Vascular complications following infusion, transfusion and therapeutic injection, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of shaft of left fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.492A — Other fracture of shaft of left fibula, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fibrothorax"}, {"role": "assistant", "content": "J94.1 — Fibrothorax"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to thrombosis of unspecified cerebral artery"}, {"role": "assistant", "content": "I63.30 — Cerebral infarction due to thrombosis of unspecified cerebral artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.499P — Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of left ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.202Q — Unspecified fracture of shaft of left ulna, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced osteochondral fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.013C — Displaced osteochondral fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of scalp, initial encounter"}, {"role": "assistant", "content": "S00.02XA — Blister (nonthermal) of scalp, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of radial artery at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.111D — Laceration of radial artery at forearm level, right arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced other extraarticular fracture of left calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.052K — Displaced other extraarticular fracture of left calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, subsequent encounter"}, {"role": "assistant", "content": "T50.2X6D — Underdosing of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subacute osteomyelitis, multiple sites"}, {"role": "assistant", "content": "M86.29 — Subacute osteomyelitis, multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified osteochondropathies, left thigh"}, {"role": "assistant", "content": "M93.852 — Other specified osteochondropathies, left thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of left upper arm, sequela"}, {"role": "assistant", "content": "S41.102S — Unspecified open wound of left upper arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right finger(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.344D — Stress fracture, right finger(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of third metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.333S — Displaced fracture of neck of third metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.435H — Nondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary gout, unspecified knee"}, {"role": "assistant", "content": "M10.469 — Other secondary gout, unspecified knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Initial lesions of yaws"}, {"role": "assistant", "content": "A66.0 — Initial lesions of yaws"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter"}, {"role": "assistant", "content": "T83.713D — Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of buttock limited to breakdown of skin"}, {"role": "assistant", "content": "L98.411 — Non-pressure chronic ulcer of buttock limited to breakdown of skin"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other secondary gout, right elbow"}, {"role": "assistant", "content": "M10.421 — Other secondary gout, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.334Q — Nondisplaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced avulsion fracture (chip fracture) of left talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.152G — Displaced avulsion fracture (chip fracture) of left talus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of prostate"}, {"role": "assistant", "content": "N42.0 — Calculus of prostate"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.341P — Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced gout, unspecified ankle and foot"}, {"role": "assistant", "content": "M10.179 — Lead-induced gout, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of scalp, subsequent encounter"}, {"role": "assistant", "content": "S00.07XD — Other superficial bite of scalp, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Patient bathroom in hospital as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.231 — Patient bathroom in hospital as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exostosis of right orbit"}, {"role": "assistant", "content": "H05.351 — Exostosis of right orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of right wrist and hand, initial encounter"}, {"role": "assistant", "content": "T23.691A — Corrosion of second degree of multiple sites of right wrist and hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels of thorax, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S25.819D — Laceration of other blood vessels of thorax, unspecified side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of cardiac pulse generator (battery), initial encounter"}, {"role": "assistant", "content": "T82.191A — Other mechanical complication of cardiac pulse generator (battery), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of transverse colon, initial encounter"}, {"role": "assistant", "content": "S36.521A — Contusion of transverse colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.022G — Displaced fracture of olecranon process without intraarticular extension of left ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to other specified smoke, fire and flames, subsequent encounter"}, {"role": "assistant", "content": "X08.8XXD — Exposure to other specified smoke, fire and flames, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified obstetric trauma"}, {"role": "assistant", "content": "O71.89 — Other specified obstetric trauma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of right hand, sequela"}, {"role": "assistant", "content": "S60.541S — External constriction of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Keratomalacia, left eye"}, {"role": "assistant", "content": "H18.442 — Keratomalacia, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of unspecified knee and lower leg, initial encounter"}, {"role": "assistant", "content": "T34.70XA — Frostbite with tissue necrosis of unspecified knee and lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of nasopharynx"}, {"role": "assistant", "content": "C11.8 — Malignant neoplasm of overlapping sites of nasopharynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced dome fracture of unspecified talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.146B — Nondisplaced dome fracture of unspecified talus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neonatal diabetes mellitus"}, {"role": "assistant", "content": "P70.2 — Neonatal diabetes mellitus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of proximal interphalangeal joint of left little finger, initial encounter"}, {"role": "assistant", "content": "S63.237A — Subluxation of proximal interphalangeal joint of left little finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of trichloroethylene, intentional self-harm, sequela"}, {"role": "assistant", "content": "T53.2X2S — Toxic effect of trichloroethylene, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right wrist, sequela"}, {"role": "assistant", "content": "S61.551S — Open bite of right wrist, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic aseptic necrosis of left ankle"}, {"role": "assistant", "content": "M87.072 — Idiopathic aseptic necrosis of left ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of left ring finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.615K — Displaced fracture of proximal phalanx of left ring finger, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of back of left hand, initial encounter"}, {"role": "assistant", "content": "T23.762A — Corrosion of third degree of back of left hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mature T/NK-cell lymphomas, in remission"}, {"role": "assistant", "content": "C84.ZA — Other mature T/NK-cell lymphomas, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Truck as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.812 — Truck as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving destruction of aircraft due to onboard fire, military personnel, sequela"}, {"role": "assistant", "content": "Y37.130S — Military operations involving destruction of aircraft due to onboard fire, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to plastic bag, assault, sequela"}, {"role": "assistant", "content": "T71.123S — Asphyxiation due to plastic bag, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of iron metabolism, unspecified"}, {"role": "assistant", "content": "E83.10 — Disorder of iron metabolism, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.201K — Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gout due to renal impairment, unspecified hand, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3491 — Chronic gout due to renal impairment, unspecified hand, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spastic hemiplegia affecting unspecified side"}, {"role": "assistant", "content": "G81.10 — Spastic hemiplegia affecting unspecified side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.022A — Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Newborn small for gestational age, 2000-2499 grams"}, {"role": "assistant", "content": "P05.18 — Newborn small for gestational age, 2000-2499 grams"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.522P — Pathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of multiple sites of right lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.691A — Corrosion of second degree of multiple sites of right lower limb, except ankle and foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture"}, {"role": "assistant", "content": "M80.029A — Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other acute kidney failure"}, {"role": "assistant", "content": "N17.8 — Other acute kidney failure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from utility gas, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T58.11XA — Toxic effect of carbon monoxide from utility gas, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of unspecified part of head, subsequent encounter"}, {"role": "assistant", "content": "S00.97XD — Other superficial bite of unspecified part of head, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Blister (nonthermal) of penis, sequela"}, {"role": "assistant", "content": "S30.822S — Blister (nonthermal) of penis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous follicle center lymphoma, intrapelvic lymph nodes"}, {"role": "assistant", "content": "C82.66 — Cutaneous follicle center lymphoma, intrapelvic lymph nodes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified osteochondropathies, right thigh"}, {"role": "assistant", "content": "M93.851 — Other specified osteochondropathies, right thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of lower end of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.131A — Salter-Harris Type III physeal fracture of lower end of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral"}, {"role": "assistant", "content": "E13.3513 — Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unintended awareness under general anesthesia during procedure, initial encounter"}, {"role": "assistant", "content": "T88.53XA — Unintended awareness under general anesthesia during procedure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pick-up truck or van injured in collision with fixed or stationary object, sequela"}, {"role": "assistant", "content": "V57.4XXS — Person boarding or alighting a pick-up truck or van injured in collision with fixed or stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adhesions and ankylosis of right temporomandibular joint"}, {"role": "assistant", "content": "M26.611 — Adhesions and ankylosis of right temporomandibular joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.443E — Displaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of right thumb, sequela"}, {"role": "assistant", "content": "S62.501S — Fracture of unspecified phalanx of right thumb, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glasgow coma scale score 3-8, at hospital admission"}, {"role": "assistant", "content": "R40.2433 — Glasgow coma scale score 3-8, at hospital admission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for fitting and adjustment of hearing aid"}, {"role": "assistant", "content": "Z46.1 — Encounter for fitting and adjustment of hearing aid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of intercostal blood vessels, unspecified side, sequela"}, {"role": "assistant", "content": "S25.519S — Laceration of intercostal blood vessels, unspecified side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.035J — Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of left lower leg, sequela"}, {"role": "assistant", "content": "T24.432S — Corrosion of unspecified degree of left lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left little finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.317S — Laceration without foreign body of left little finger with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of ovary, bilateral, initial encounter"}, {"role": "assistant", "content": "S37.492A — Other injury of ovary, bilateral, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acquired absence of ovaries, unilateral"}, {"role": "assistant", "content": "Z90.721 — Acquired absence of ovaries, unilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other lichen planopilaris"}, {"role": "assistant", "content": "L66.19 — Other lichen planopilaris"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified shoulder, sequela"}, {"role": "assistant", "content": "S41.009S — Unspecified open wound of unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of heart without hemopericardium, initial encounter"}, {"role": "assistant", "content": "S26.10XA — Unspecified injury of heart without hemopericardium, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Long-term (current) use of injectable non-insulin antidiabetic drugs"}, {"role": "assistant", "content": "Z79.85 — Long-term (current) use of injectable non-insulin antidiabetic drugs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 60-69% of body surface with 10-19% third degree burns"}, {"role": "assistant", "content": "T31.61 — Burns involving 60-69% of body surface with 10-19% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified psychotropic drug, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T43.91XD — Poisoning by unspecified psychotropic drug, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute nephritic syndrome with idiopathic immune membranoproliferative glomerulonephritis (IC-MPGN)"}, {"role": "assistant", "content": "N00.B1 — Acute nephritic syndrome with idiopathic immune membranoproliferative glomerulonephritis (IC-MPGN)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of unspecified finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.10XD — Contusion of unspecified finger with damage to nail, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by football, subsequent encounter"}, {"role": "assistant", "content": "W21.01XD — Struck by football, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of unspecified vein"}, {"role": "assistant", "content": "I82.91 — Chronic embolism and thrombosis of unspecified vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.655A — Open bite of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall on board passenger ship, initial encounter"}, {"role": "assistant", "content": "V93.31XA — Fall on board passenger ship, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of left little finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.257A — Open bite of left little finger without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of unspecified fibula, sequela"}, {"role": "assistant", "content": "S89.299S — Other physeal fracture of upper end of unspecified fibula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic petrositis, right ear"}, {"role": "assistant", "content": "H70.221 — Chronic petrositis, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of ethanol, intentional self-harm, sequela"}, {"role": "assistant", "content": "T51.0X2S — Toxic effect of ethanol, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of blood vessel of other finger, sequela"}, {"role": "assistant", "content": "S65.508S — Unspecified injury of blood vessel of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displacement of coronary artery bypass graft, initial encounter"}, {"role": "assistant", "content": "T82.212A — Displacement of coronary artery bypass graft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of animal-drawn vehicle injured in collision with fixed or stationary object, sequela"}, {"role": "assistant", "content": "V80.82XS — Occupant of animal-drawn vehicle injured in collision with fixed or stationary object, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation of gallbladder in cholecystitis"}, {"role": "assistant", "content": "K82.A2 — Perforation of gallbladder in cholecystitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.849D — Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to previous trauma, other site"}, {"role": "assistant", "content": "M87.28 — Osteonecrosis due to previous trauma, other site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn with resulting rupture and destruction of unspecified eyeball, initial encounter"}, {"role": "assistant", "content": "T26.20XA — Burn with resulting rupture and destruction of unspecified eyeball, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to being thrown overboard by motion of other powered watercraft, initial encounter"}, {"role": "assistant", "content": "V92.13XA — Drowning and submersion due to being thrown overboard by motion of other powered watercraft, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic compartment syndrome of unspecified lower extremity, initial encounter"}, {"role": "assistant", "content": "T79.A29A — Traumatic compartment syndrome of unspecified lower extremity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of left ear, initial encounter"}, {"role": "assistant", "content": "S00.442A — External constriction of left ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S86.202D — Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.293G — Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.603D — Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.464P — Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Peripheral pterygium, progressive, unspecified eye"}, {"role": "assistant", "content": "H11.059 — Peripheral pterygium, progressive, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with diabetic amyotrophy"}, {"role": "assistant", "content": "E08.44 — Diabetes mellitus due to underlying condition with diabetic amyotrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.329G — Displaced fracture of shaft of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by hydantoin derivatives, undetermined, initial encounter"}, {"role": "assistant", "content": "T42.0X4A — Poisoning by hydantoin derivatives, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ankylosis, left hip"}, {"role": "assistant", "content": "M24.652 — Ankylosis, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified transfusion reaction, subsequent encounter"}, {"role": "assistant", "content": "T80.92XD — Unspecified transfusion reaction, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.059D — Unspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for transverse and oblique lie, fetus 1"}, {"role": "assistant", "content": "O32.2XX1 — Maternal care for transverse and oblique lie, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other specified blood vessels at shoulder and upper arm level, right arm, sequela"}, {"role": "assistant", "content": "S45.811S — Laceration of other specified blood vessels at shoulder and upper arm level, right arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiac failure due to anesthesia during pregnancy, first trimester"}, {"role": "assistant", "content": "O29.121 — Cardiac failure due to anesthesia during pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile myelomonocytic leukemia, in remission"}, {"role": "assistant", "content": "C93.31 — Juvenile myelomonocytic leukemia, in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.849G — Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antipsychotics and neuroleptics, assault, initial encounter"}, {"role": "assistant", "content": "T43.503A — Poisoning by unspecified antipsychotics and neuroleptics, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.412J — Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute nonspecific idiopathic pericarditis"}, {"role": "assistant", "content": "I30.0 — Acute nonspecific idiopathic pericarditis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of eyeball and orbital tissues, right eye, subsequent encounter"}, {"role": "assistant", "content": "S05.11XD — Contusion of eyeball and orbital tissues, right eye, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of multiple sites of right ankle and foot, sequela"}, {"role": "assistant", "content": "T25.591S — Corrosion of first degree of multiple sites of right ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gout due to renal impairment, right wrist, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.3310 — Chronic gout due to renal impairment, right wrist, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adult osteomalacia due to malabsorption"}, {"role": "assistant", "content": "M83.2 — Adult osteomalacia due to malabsorption"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pecked by chicken, subsequent encounter"}, {"role": "assistant", "content": "W61.33XD — Pecked by chicken, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of head and neck of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.092Q — Other fracture of head and neck of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Viral carditis, unspecified"}, {"role": "assistant", "content": "B33.20 — Viral carditis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified middle and inner ear, sequela"}, {"role": "assistant", "content": "S09.309S — Unspecified injury of unspecified middle and inner ear, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V78.2XXD — Person on outside of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitrogen oxides, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T59.0X1A — Toxic effect of nitrogen oxides, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to drugs, unspecified finger(s)"}, {"role": "assistant", "content": "M87.146 — Osteonecrosis due to drugs, unspecified finger(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Maisonneuve's fracture of right leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.864P — Nondisplaced Maisonneuve's fracture of right leg, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of other parts of pelvis, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.89XG — Fracture of other parts of pelvis, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of medial collateral ligament of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.419D — Sprain of medial collateral ligament of unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body, unspecified hip, sequela"}, {"role": "assistant", "content": "S71.049S — Puncture wound with foreign body, unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of external lip, unspecified"}, {"role": "assistant", "content": "C00.2 — Malignant neoplasm of external lip, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of iminostilbenes, sequela"}, {"role": "assistant", "content": "T42.1X6S — Underdosing of iminostilbenes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic maculopathy, right eye"}, {"role": "assistant", "content": "H35.381 — Toxic maculopathy, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.231B — Displaced oblique fracture of shaft of right tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.125S — Laceration of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.022B — Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of vocal cord, sequela"}, {"role": "assistant", "content": "S11.039S — Unspecified open wound of vocal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other drugs, medicaments and biological substances, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T50.991D — Poisoning by other drugs, medicaments and biological substances, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inferior rectus muscle entrapment, left eye"}, {"role": "assistant", "content": "H50.632 — Inferior rectus muscle entrapment, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified ligament of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.402A — Traumatic rupture of unspecified ligament of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F13.951 — Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, first trimester, fetus 4"}, {"role": "assistant", "content": "O41.1214 — Chorioamnionitis, first trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.221C — Displaced transverse fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of lip(s), initial encounter"}, {"role": "assistant", "content": "T20.72XA — Corrosion of third degree of lip(s), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.251R — Displaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nontraumatic intracerebral hemorrhage"}, {"role": "assistant", "content": "I61.8 — Other nontraumatic intracerebral hemorrhage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spotting complicating pregnancy, first trimester"}, {"role": "assistant", "content": "O26.851 — Spotting complicating pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.842D — Fracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of upper end of unspecified radius, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S52.119G — Torus fracture of upper end of unspecified radius, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified upper arm, subsequent encounter"}, {"role": "assistant", "content": "T22.139D — Burn of first degree of unspecified upper arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of greater saphenous vein at hip and thigh level, right leg, initial encounter"}, {"role": "assistant", "content": "S75.291A — Other specified injury of greater saphenous vein at hip and thigh level, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to eye trauma, unspecified eye, moderate stage"}, {"role": "assistant", "content": "H40.30X2 — Glaucoma secondary to eye trauma, unspecified eye, moderate stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela"}, {"role": "assistant", "content": "S66.802S — Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Food in respiratory tract, part unspecified causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.920S — Food in respiratory tract, part unspecified causing asphyxiation, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, right hand, sequela"}, {"role": "assistant", "content": "M84.341S — Stress fracture, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.008D — Other fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, right ankle, initial encounter for fracture"}, {"role": "assistant", "content": "M84.671A — Pathological fracture in other disease, right ankle, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other estrogens and progestogens, undetermined, initial encounter"}, {"role": "assistant", "content": "T38.5X4A — Poisoning by other estrogens and progestogens, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture (chip fracture) of left talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.155K — Nondisplaced avulsion fracture (chip fracture) of left talus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.262H — Displaced segmental fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Menstrual migraine, not intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.829 — Menstrual migraine, not intractable, without status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, grass drills"}, {"role": "assistant", "content": "Y93.A6 — Activity, grass drills"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.333C — Displaced oblique fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of superficial palmar arch of left hand, subsequent encounter"}, {"role": "assistant", "content": "S65.202D — Unspecified injury of superficial palmar arch of left hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Polyp of vocal cord and larynx"}, {"role": "assistant", "content": "J38.1 — Polyp of vocal cord and larynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.597A — Other injury of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis use, unspecified with psychotic disorder with delusions"}, {"role": "assistant", "content": "F12.950 — Cannabis use, unspecified with psychotic disorder with delusions"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of back of right hand, subsequent encounter"}, {"role": "assistant", "content": "T23.261D — Burn of second degree of back of right hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.024M — Nondisplaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.251D — Displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nephrotic syndrome with minor glomerular abnormality"}, {"role": "assistant", "content": "N04.0 — Nephrotic syndrome with minor glomerular abnormality"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of other part of head, sequela"}, {"role": "assistant", "content": "T34.09XS — Frostbite with tissue necrosis of other part of head, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by expectorants, undetermined, initial encounter"}, {"role": "assistant", "content": "T48.4X4A — Poisoning by expectorants, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by crocodile, initial encounter"}, {"role": "assistant", "content": "W58.12XA — Struck by crocodile, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital complete absence of unspecified upper limb"}, {"role": "assistant", "content": "Q71.00 — Congenital complete absence of unspecified upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antithrombotic drugs, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T45.522A — Poisoning by antithrombotic drugs, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left foot, sequela"}, {"role": "assistant", "content": "S97.82XS — Crushing injury of left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified retinoschisis, unspecified eye"}, {"role": "assistant", "content": "H33.109 — Unspecified retinoschisis, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula, left hip"}, {"role": "assistant", "content": "M25.152 — Fistula, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders"}, {"role": "assistant", "content": "F17.219 — Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a pedal cycle injured in noncollision transport accident, initial encounter"}, {"role": "assistant", "content": "V18.3XXA — Person boarding or alighting a pedal cycle injured in noncollision transport accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced other extraarticular fracture of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.051K — Displaced other extraarticular fracture of right calcaneus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other blood vessels of thorax, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S25.809D — Unspecified injury of other blood vessels of thorax, unspecified side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute on chronic slipped upper femoral epiphysis, unstable (nontraumatic), unspecified hip"}, {"role": "assistant", "content": "M93.053 — Acute on chronic slipped upper femoral epiphysis, unstable (nontraumatic), unspecified hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.25XG — Nondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of urethra, subsequent encounter"}, {"role": "assistant", "content": "S37.39XD — Other injury of urethra, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of humerus, left arm, sequela"}, {"role": "assistant", "content": "S42.335S — Nondisplaced oblique fracture of shaft of humerus, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S86.909A — Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Kissing spine, cervical region"}, {"role": "assistant", "content": "M48.22 — Kissing spine, cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, drum and other percussion instrument playing"}, {"role": "assistant", "content": "Y93.J2 — Activity, drum and other percussion instrument playing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified otosclerosis, bilateral"}, {"role": "assistant", "content": "H80.93 — Unspecified otosclerosis, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of unspecified lesser toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.599D — Other fracture of unspecified lesser toe(s), subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burns involving 70-79% of body surface with 10-19% third degree burns"}, {"role": "assistant", "content": "T31.71 — Burns involving 70-79% of body surface with 10-19% third degree burns"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm complicating childbirth"}, {"role": "assistant", "content": "O9A.12 — Malignant neoplasm complicating childbirth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S86.221S — Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.364G — Nondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.533S — Displaced fracture of distal phalanx of unspecified lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.092M — Other fracture of left patella, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.456G — Nondisplaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.466R — Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drowning and submersion due to falling or jumping from crushed passenger ship, sequela"}, {"role": "assistant", "content": "V90.31XS — Drowning and submersion due to falling or jumping from crushed passenger ship, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Amyloidosis, unspecified"}, {"role": "assistant", "content": "E85.9 — Amyloidosis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg"}, {"role": "assistant", "content": "I70.548 — Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of female external genital organs, initial encounter"}, {"role": "assistant", "content": "S38.212A — Partial traumatic amputation of female external genital organs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.812S — Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pre-existing hypertension with pre-eclampsia, second trimester"}, {"role": "assistant", "content": "O11.2 — Pre-existing hypertension with pre-eclampsia, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of splenic vein, subsequent encounter"}, {"role": "assistant", "content": "S35.328D — Other specified injury of splenic vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lipomatosis, not elsewhere classified"}, {"role": "assistant", "content": "E88.2 — Lipomatosis, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with venomous frog, assault, sequela"}, {"role": "assistant", "content": "T63.813S — Toxic effect of contact with venomous frog, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation stenosis of neural canal of thoracic region"}, {"role": "assistant", "content": "M99.22 — Subluxation stenosis of neural canal of thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Overactive bladder"}, {"role": "assistant", "content": "N32.81 — Overactive bladder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atheroembolism of unspecified lower extremity"}, {"role": "assistant", "content": "I75.029 — Atheroembolism of unspecified lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right great toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.414B — Nondisplaced fracture of proximal phalanx of right great toe, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of unspecified finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.639B — Displaced fracture of distal phalanx of unspecified finger, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.143M — Displaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified obstructed labor"}, {"role": "assistant", "content": "O66.8 — Other specified obstructed labor"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Webbed toes, unspecified foot"}, {"role": "assistant", "content": "Q70.30 — Webbed toes, unspecified foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Eczema herpeticum"}, {"role": "assistant", "content": "B00.0 — Eczema herpeticum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other meniscus derangements, posterior horn of medial meniscus, right knee"}, {"role": "assistant", "content": "M23.321 — Other meniscus derangements, posterior horn of medial meniscus, right knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spondylopathy in diseases classified elsewhere, thoracolumbar region"}, {"role": "assistant", "content": "M49.85 — Spondylopathy in diseases classified elsewhere, thoracolumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of right lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.521S — Displaced fracture of middle phalanx of right lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.329K — Stress fracture, unspecified humerus, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S01.112S — Laceration without foreign body of left eyelid and periocular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tornado, sequela"}, {"role": "assistant", "content": "X37.1XXS — Tornado, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of unspecified tibial vein"}, {"role": "assistant", "content": "I82.449 — Acute embolism and thrombosis of unspecified tibial vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cerebral infarction due to thrombosis of bilateral carotid arteries"}, {"role": "assistant", "content": "I63.033 — Cerebral infarction due to thrombosis of bilateral carotid arteries"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bitten by turtle, subsequent encounter"}, {"role": "assistant", "content": "W59.21XD — Bitten by turtle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.044H — Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Combined forms of age-related cataract, left eye"}, {"role": "assistant", "content": "H25.812 — Combined forms of age-related cataract, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of unspecified carotid artery, subsequent encounter"}, {"role": "assistant", "content": "S15.009D — Unspecified injury of unspecified carotid artery, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dissection of other specified artery"}, {"role": "assistant", "content": "I77.79 — Dissection of other specified artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by other cord entanglement, with compression, fetus 2"}, {"role": "assistant", "content": "O69.2XX2 — Labor and delivery complicated by other cord entanglement, with compression, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S80.219D — Abrasion, unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other athletic field as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.328 — Other athletic field as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction"}, {"role": "assistant", "content": "K80.66 — Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.102G — Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle and tendon of front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.021D — Laceration of muscle and tendon of front wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.562N — Barton's fracture of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of other finger, initial encounter"}, {"role": "assistant", "content": "S63.618A — Unspecified sprain of other finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of dichloromethane, undetermined, initial encounter"}, {"role": "assistant", "content": "T53.4X4A — Toxic effect of dichloromethane, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bent bone of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.382B — Bent bone of left radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Terrorism involving fires, conflagration and hot substances, civilian injured, subsequent encounter"}, {"role": "assistant", "content": "Y38.3X2D — Terrorism involving fires, conflagration and hot substances, civilian injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intervertebral annulus fibrosus defect, large, lumbar region"}, {"role": "assistant", "content": "M51.A2 — Intervertebral annulus fibrosus defect, large, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other specified means, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.893D — Legal intervention involving other specified means, suspect injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute embolism and thrombosis of left tibial vein"}, {"role": "assistant", "content": "I82.442 — Acute embolism and thrombosis of left tibial vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mixed cellularity Hodgkin lymphoma, unspecified site"}, {"role": "assistant", "content": "C81.20 — Mixed cellularity Hodgkin lymphoma, unspecified site"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T46.6X4D — Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.242Q — Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.236P — Nondisplaced oblique fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, subsequent encounter"}, {"role": "assistant", "content": "T43.213D — Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile arthritis, unspecified, right elbow"}, {"role": "assistant", "content": "M08.921 — Juvenile arthritis, unspecified, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C84.A8 — Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Meibomian gland dysfunction left eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.88B — Meibomian gland dysfunction left eye, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Valgus deformity, not elsewhere classified, left knee"}, {"role": "assistant", "content": "M21.062 — Valgus deformity, not elsewhere classified, left knee"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.123J — Displaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified foot, sequela"}, {"role": "assistant", "content": "S93.333S — Other subluxation of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C81.04 — Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of liver, subsequent encounter"}, {"role": "assistant", "content": "S36.119D — Unspecified injury of liver, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.009N — Unspecified fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.126D — Laceration of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of left ilium, sequela"}, {"role": "assistant", "content": "S32.392S — Other fracture of left ilium, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by sulfonamides, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T37.0X1S — Poisoning by sulfonamides, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chondritis of external ear, bilateral"}, {"role": "assistant", "content": "H61.033 — Chondritis of external ear, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Otorrhagia, right ear"}, {"role": "assistant", "content": "H92.21 — Otorrhagia, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fatal familial insomnia"}, {"role": "assistant", "content": "A81.83 — Fatal familial insomnia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels of thorax, right side, sequela"}, {"role": "assistant", "content": "S25.811S — Laceration of other blood vessels of thorax, right side, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V45.1XXA — Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.355Q — Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.463E — Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other hereditary corneal dystrophies, unspecified eye"}, {"role": "assistant", "content": "H18.599 — Other hereditary corneal dystrophies, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaphylactic reaction due to fruits and vegetables, subsequent encounter"}, {"role": "assistant", "content": "T78.04XD — Anaphylactic reaction due to fruits and vegetables, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, unspecified thigh"}, {"role": "assistant", "content": "M60.059 — Infective myositis, unspecified thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Alcoholic hepatic failure with coma"}, {"role": "assistant", "content": "K70.41 — Alcoholic hepatic failure with coma"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other serum reaction due to administration of blood and blood products, sequela"}, {"role": "assistant", "content": "T80.61XS — Other serum reaction due to administration of blood and blood products, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of blood vessel of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S65.599D — Other specified injury of blood vessel of unspecified finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall into other water striking wall causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.332A — Fall into other water striking wall causing other injury, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nocturnal polyuria"}, {"role": "assistant", "content": "R35.81 — Nocturnal polyuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified urethral stricture, male, overlapping sites"}, {"role": "assistant", "content": "N35.916 — Unspecified urethral stricture, male, overlapping sites"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of upper end of left tibia, sequela"}, {"role": "assistant", "content": "S89.022S — Salter-Harris Type II physeal fracture of upper end of left tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other blood vessels at ankle and foot level, right leg, sequela"}, {"role": "assistant", "content": "S95.811S — Laceration of other blood vessels at ankle and foot level, right leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent dislocation, other specified joint"}, {"role": "assistant", "content": "M24.49 — Recurrent dislocation, other specified joint"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified symptoms and signs involving the genitourinary system"}, {"role": "assistant", "content": "R39.9 — Unspecified symptoms and signs involving the genitourinary system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fall from, out of or through building, not otherwise specified, sequela"}, {"role": "assistant", "content": "W13.9XXS — Fall from, out of or through building, not otherwise specified, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Spinal enthesopathy, thoracic region"}, {"role": "assistant", "content": "M46.04 — Spinal enthesopathy, thoracic region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.445G — Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Heatstroke and sunstroke, subsequent encounter"}, {"role": "assistant", "content": "T67.01XD — Heatstroke and sunstroke, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.149A — Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nonexudative age-related macular degeneration, left eye, early dry stage"}, {"role": "assistant", "content": "H35.3121 — Nonexudative age-related macular degeneration, left eye, early dry stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S00.449D — External constriction of unspecified ear, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.436F — Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.262B — Displaced segmental fracture of shaft of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, right lesser toe(s), sequela"}, {"role": "assistant", "content": "S90.414S — Abrasion, right lesser toe(s), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antidotes and chelating agents, subsequent encounter"}, {"role": "assistant", "content": "T50.6X5D — Adverse effect of antidotes and chelating agents, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of unspecified muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.911D — Strain of unspecified muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of other ligament of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.492A — Traumatic rupture of other ligament of right middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V53.3XXS — Unspecified occupant of pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of inferior mesenteric vein, sequela"}, {"role": "assistant", "content": "S35.341S — Laceration of inferior mesenteric vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S46.802A — Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Agranulocytosis secondary to cancer chemotherapy"}, {"role": "assistant", "content": "D70.1 — Agranulocytosis secondary to cancer chemotherapy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.433E — Displaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of unspecified finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.419A — Traumatic rupture of collateral ligament of unspecified finger at metacarpophalangeal and interphalangeal joint, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformation of penis"}, {"role": "assistant", "content": "Q55.69 — Other congenital malformation of penis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Breakdown (mechanical) of artificial heart, subsequent encounter"}, {"role": "assistant", "content": "T82.512D — Breakdown (mechanical) of artificial heart, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cystostomy status"}, {"role": "assistant", "content": "Z93.59 — Other cystostomy status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of third metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.343G — Nondisplaced fracture of base of third metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified site of right lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.701D — Corrosion of third degree of unspecified site of right lower limb, except ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.246R — Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral"}, {"role": "assistant", "content": "E10.37X3 — Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of methanol, assault, initial encounter"}, {"role": "assistant", "content": "T51.1X3A — Toxic effect of methanol, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.436F — Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Premature separation of placenta with afibrinogenemia, third trimester"}, {"role": "assistant", "content": "O45.013 — Premature separation of placenta with afibrinogenemia, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right little finger, sequela"}, {"role": "assistant", "content": "S62.646S — Nondisplaced fracture of proximal phalanx of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial (capsular) laceration of spleen, initial encounter"}, {"role": "assistant", "content": "S36.030A — Superficial (capsular) laceration of spleen, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug-induced chronic gout, left knee, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2620 — Drug-induced chronic gout, left knee, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of collateral ligament of left wrist, initial encounter"}, {"role": "assistant", "content": "S63.312A — Traumatic rupture of collateral ligament of left wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury due to other accident to water-skis, sequela"}, {"role": "assistant", "content": "V91.87XS — Other injury due to other accident to water-skis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified elbow, sequela"}, {"role": "assistant", "content": "S51.029S — Laceration with foreign body of unspecified elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subacute necrotizing myelitis of central nervous system"}, {"role": "assistant", "content": "G37.4 — Subacute necrotizing myelitis of central nervous system"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.801D — Unspecified injury of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of other parts of alimentary tract, subsequent encounter"}, {"role": "assistant", "content": "T28.2XXD — Burn of other parts of alimentary tract, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S60.032S — Contusion of left middle finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by antimycobacterial drugs, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T37.1X1A — Poisoning by antimycobacterial drugs, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaphylactic reaction due to food additives, sequela"}, {"role": "assistant", "content": "T78.06XS — Anaphylactic reaction due to food additives, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis of right wrist with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.631 — Rheumatoid arthritis of right wrist with involvement of other organs and systems"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified pedal cyclist injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V16.2XXD — Unspecified pedal cyclist injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.249D — Puncture wound with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of urethra, sequela"}, {"role": "assistant", "content": "S37.30XS — Unspecified injury of urethra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior dislocation of unspecified humerus, subsequent encounter"}, {"role": "assistant", "content": "S43.016D — Anterior dislocation of unspecified humerus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other neurodevelopmental disorders related to pathogenic variants in other specific genes"}, {"role": "assistant", "content": "QA0.8 — Other neurodevelopmental disorders related to pathogenic variants in other specific genes"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aftercare following joint replacement surgery"}, {"role": "assistant", "content": "Z47.1 — Aftercare following joint replacement surgery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wegener's granulomatosis without renal involvement"}, {"role": "assistant", "content": "M31.30 — Wegener's granulomatosis without renal involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of female genital region, sequela"}, {"role": "assistant", "content": "T21.57XS — Corrosion of first degree of female genital region, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of peripheral vasodilators, initial encounter"}, {"role": "assistant", "content": "T46.7X5A — Adverse effect of peripheral vasodilators, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type II physeal fracture of unspecified metatarsal, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.129P — Salter-Harris Type II physeal fracture of unspecified metatarsal, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraventricular hemorrhage due to birth injury"}, {"role": "assistant", "content": "P10.2 — Intraventricular hemorrhage due to birth injury"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter"}, {"role": "assistant", "content": "T81.539A — Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of ascending [right] colon, subsequent encounter"}, {"role": "assistant", "content": "S36.590D — Other injury of ascending [right] colon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified interphalangeal joint of left index finger, subsequent encounter"}, {"role": "assistant", "content": "S63.221D — Subluxation of unspecified interphalangeal joint of left index finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Antepartum hemorrhage, unspecified, third trimester"}, {"role": "assistant", "content": "O46.93 — Antepartum hemorrhage, unspecified, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.035M — Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by hydantoin derivatives, assault, sequela"}, {"role": "assistant", "content": "T42.0X3S — Poisoning by hydantoin derivatives, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, other site, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.48XP — Pathological fracture, other site, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Aftercare following explantation of knee joint prosthesis"}, {"role": "assistant", "content": "Z47.33 — Aftercare following explantation of knee joint prosthesis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of inferior mesenteric vein, sequela"}, {"role": "assistant", "content": "S35.349S — Unspecified injury of inferior mesenteric vein, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.649S — Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of right patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.044H — Nondisplaced comminuted fracture of right patella, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of right ear, initial encounter"}, {"role": "assistant", "content": "S01.301A — Unspecified open wound of right ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.613D — Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by androgens and anabolic congeners, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T38.7X1S — Poisoning by androgens and anabolic congeners, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of left ring finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.635K — Displaced fracture of distal phalanx of left ring finger, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monteggia's fracture of unspecified ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.279A — Monteggia's fracture of unspecified ulna, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg"}, {"role": "assistant", "content": "I70.648 — Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified ligament of left ankle, sequela"}, {"role": "assistant", "content": "S93.402S — Sprain of unspecified ligament of left ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S00.261S — Insect bite (nonvenomous) of right eyelid and periocular area, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Keratosis punctata (palmaris et plantaris)"}, {"role": "assistant", "content": "L85.2 — Keratosis punctata (palmaris et plantaris)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abdominal distension (gaseous)"}, {"role": "assistant", "content": "R14.0 — Abdominal distension (gaseous)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital absence of (ear) auricle"}, {"role": "assistant", "content": "Q16.0 — Congenital absence of (ear) auricle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right wrist, initial encounter"}, {"role": "assistant", "content": "S61.521A — Laceration with foreign body of right wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Conjunctival edema, unspecified eye"}, {"role": "assistant", "content": "H11.429 — Conjunctival edema, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified corneal scar and opacity"}, {"role": "assistant", "content": "H17.9 — Unspecified corneal scar and opacity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.435D — Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.321M — Displaced transverse fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of right quadriceps muscle, fascia and tendon, subsequent encounter"}, {"role": "assistant", "content": "S76.111D — Strain of right quadriceps muscle, fascia and tendon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Central pterygium of right eye"}, {"role": "assistant", "content": "H11.021 — Central pterygium of right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.309D — Unspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of extensor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.429S — Laceration of extensor muscle, fascia and tendon of unspecified finger at forearm level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of other part of small intestine, initial encounter"}, {"role": "assistant", "content": "S36.418A — Primary blast injury of other part of small intestine, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exhaustion due to excessive exertion, sequela"}, {"role": "assistant", "content": "T73.3XXS — Exhaustion due to excessive exertion, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced longitudinal fracture of right patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.024P — Nondisplaced longitudinal fracture of right patella, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle passenger injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V29.191D — Electric (assisted) bicycle passenger injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "War operations involving unspecified explosion and fragments, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.201D — War operations involving unspecified explosion and fragments, civilian, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, sequela"}, {"role": "assistant", "content": "T53.6X4S — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of unspecified fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.453B — Displaced comminuted fracture of shaft of unspecified fibula, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nursemaid's elbow, left elbow, sequela"}, {"role": "assistant", "content": "S53.032S — Nursemaid's elbow, left elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S72.479P — Torus fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of nose, subsequent encounter"}, {"role": "assistant", "content": "S01.21XD — Laceration without foreign body of nose, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dentofacial anomalies"}, {"role": "assistant", "content": "M26.89 — Other dentofacial anomalies"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antihyperlipidemic and antiarteriosclerotic drugs, initial encounter"}, {"role": "assistant", "content": "T46.6X5A — Adverse effect of antihyperlipidemic and antiarteriosclerotic drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of chin, initial encounter"}, {"role": "assistant", "content": "T20.43XA — Corrosion of unspecified degree of chin, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.24XK — Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in heavy transport vehicle injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V66.1XXS — Passenger in heavy transport vehicle injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of aminoglycosides, sequela"}, {"role": "assistant", "content": "T36.5X5S — Adverse effect of aminoglycosides, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V33.0XXS — Driver of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anaphylactic reaction due to milk and dairy products, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T78.079D — Anaphylactic reaction due to milk and dairy products, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of unspecified uterine artery, initial encounter"}, {"role": "assistant", "content": "S35.533A — Injury of unspecified uterine artery, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.235P — Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified seafood, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T61.91XS — Toxic effect of unspecified seafood, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified acquired deformity of unspecified forearm"}, {"role": "assistant", "content": "M21.939 — Unspecified acquired deformity of unspecified forearm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Glaucoma secondary to other eye disorders, bilateral, severe stage"}, {"role": "assistant", "content": "H40.53X3 — Glaucoma secondary to other eye disorders, bilateral, severe stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acoustic neuritis in infectious and parasitic diseases classified elsewhere, right ear"}, {"role": "assistant", "content": "H94.01 — Acoustic neuritis in infectious and parasitic diseases classified elsewhere, right ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of upper end of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.009A — Unspecified physeal fracture of upper end of unspecified tibia, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, other site, sequela"}, {"role": "assistant", "content": "M84.48XS — Pathological fracture, other site, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of visual cortex, left side, subsequent encounter"}, {"role": "assistant", "content": "S04.042D — Injury of visual cortex, left side, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Eclampsia complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O15.02 — Eclampsia complicating pregnancy, second trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of right scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.561D — Corrosion of first degree of right scapular region, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorders of male genital organs in diseases classified elsewhere"}, {"role": "assistant", "content": "N51 — Disorders of male genital organs in diseases classified elsewhere"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of other part of small intestine, initial encounter"}, {"role": "assistant", "content": "S36.428A — Contusion of other part of small intestine, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by football, sequela"}, {"role": "assistant", "content": "W21.01XS — Struck by football, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.11EK — Type III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.001G — Stable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.114J — Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Childhood emotional disorder, unspecified"}, {"role": "assistant", "content": "F93.9 — Childhood emotional disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T44.6X2D — Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, right hand, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0410 — Idiopathic chronic gout, right hand, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.461G — Displaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention, means unspecified, bystander injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.92XD — Legal intervention, means unspecified, bystander injured, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified inflammatory spondylopathies, cervical region"}, {"role": "assistant", "content": "M46.82 — Other specified inflammatory spondylopathies, cervical region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified disorders of tendon, left wrist"}, {"role": "assistant", "content": "M67.834 — Other specified disorders of tendon, left wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of thyroid hormones and substitutes, subsequent encounter"}, {"role": "assistant", "content": "T38.1X5D — Adverse effect of thyroid hormones and substitutes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis without rheumatoid factor, unspecified shoulder"}, {"role": "assistant", "content": "M06.019 — Rheumatoid arthritis without rheumatoid factor, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by mineralocorticoids and their antagonists, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.0X1S — Poisoning by mineralocorticoids and their antagonists, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of right great toe without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.121A — Laceration with foreign body of right great toe without damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.343D — Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx"}, {"role": "assistant", "content": "C14.8 — Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S60.939D — Unspecified superficial injury of unspecified thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of fifth metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.366D — Nondisplaced fracture of neck of fifth metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of proximal phalanx of right middle finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.612G — Displaced fracture of proximal phalanx of right middle finger, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.002K — Unspecified fracture of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intentional self-harm by paintball gun, subsequent encounter"}, {"role": "assistant", "content": "X74.02XD — Intentional self-harm by paintball gun, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of other ingested (parts of) plant(s), assault, initial encounter"}, {"role": "assistant", "content": "T62.2X3A — Toxic effect of other ingested (parts of) plant(s), assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of left little finger, sequela"}, {"role": "assistant", "content": "S63.657S — Sprain of metacarpophalangeal joint of left little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with venomous toad, undetermined, sequela"}, {"role": "assistant", "content": "T63.824S — Toxic effect of contact with venomous toad, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced oblique fracture of shaft of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.331K — Displaced oblique fracture of shaft of right radius, subsequent encounter for closed fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.494A — Other injury of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of car injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V44.2XXD — Person on outside of car injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure"}, {"role": "assistant", "content": "I97.42 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.024K — Nondisplaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chilblains, subsequent encounter"}, {"role": "assistant", "content": "T69.1XXD — Chilblains, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified diabetes mellitus with diabetic amyotrophy"}, {"role": "assistant", "content": "E13.44 — Other specified diabetes mellitus with diabetic amyotrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of right peroneal vein"}, {"role": "assistant", "content": "I82.551 — Chronic embolism and thrombosis of right peroneal vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving other sharp objects, law enforcement official injured, initial encounter"}, {"role": "assistant", "content": "Y35.491A — Legal intervention involving other sharp objects, law enforcement official injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of left ankle, subsequent encounter"}, {"role": "assistant", "content": "S99.912D — Unspecified injury of left ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.146E — Nondisplaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial endometriosis of left ureter"}, {"role": "assistant", "content": "N80.A42 — Superficial endometriosis of left ureter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced pilon fracture of left tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.875P — Nondisplaced pilon fracture of left tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E10.3291 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left thumb with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.122A — Laceration with foreign body of left thumb with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter"}, {"role": "assistant", "content": "T81.539D — Perforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of first degree of shoulder and upper limb, except wrist and hand unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T22.50XD — Corrosion of first degree of shoulder and upper limb, except wrist and hand unspecified site, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter"}, {"role": "assistant", "content": "S67.92XD — Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of right forearm, initial encounter"}, {"role": "assistant", "content": "S50.861A — Insect bite (nonvenomous) of right forearm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.416 — Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of blood vessel of left ring finger, subsequent encounter"}, {"role": "assistant", "content": "S65.595D — Other specified injury of blood vessel of left ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.134R — Nondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right axilla, initial encounter"}, {"role": "assistant", "content": "T22.041A — Burn of unspecified degree of right axilla, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body on external eye, part unspecified, left eye, subsequent encounter"}, {"role": "assistant", "content": "T15.92XD — Foreign body on external eye, part unspecified, left eye, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic chronic gout, right hand, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0411 — Idiopathic chronic gout, right hand, with tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of malignant neoplasm of larynx"}, {"role": "assistant", "content": "Z85.21 — Personal history of malignant neoplasm of larynx"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of unspecified back wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.209S — Unspecified open wound of unspecified back wall of thorax without penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.133B — Displaced fracture of neck of unspecified radius, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of other part of unspecified wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "S63.8X9D — Sprain of other part of unspecified wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified kernicterus"}, {"role": "assistant", "content": "P57.8 — Other specified kernicterus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified bursopathies, unspecified hand"}, {"role": "assistant", "content": "M71.849 — Other specified bursopathies, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V68.2XXA — Person on outside of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by tramadol, intentional self-harm, sequela"}, {"role": "assistant", "content": "T40.422S — Poisoning by tramadol, intentional self-harm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of radial artery at wrist and hand level of right arm, initial encounter"}, {"role": "assistant", "content": "S65.101A — Unspecified injury of radial artery at wrist and hand level of right arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of right calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.031D — Salter-Harris Type III physeal fracture of right calcaneus, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atrophic flaccid tympanic membrane, bilateral"}, {"role": "assistant", "content": "H73.813 — Atrophic flaccid tympanic membrane, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoarthritis, not elsewhere classified, unspecified ankle and foot"}, {"role": "assistant", "content": "M13.179 — Monoarthritis, not elsewhere classified, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pelizaeus-Merzbacher disease"}, {"role": "assistant", "content": "E75.27 — Pelizaeus-Merzbacher disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by machine gun, suspect injured, sequela"}, {"role": "assistant", "content": "Y35.013S — Legal intervention involving injury by machine gun, suspect injured, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by monoamine-oxidase-inhibitor antidepressants, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T43.1X1A — Poisoning by monoamine-oxidase-inhibitor antidepressants, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced osteochondral fracture of right patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.011D — Displaced osteochondral fracture of right patella, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of unspecified shoulder, sequela"}, {"role": "assistant", "content": "T22.759S — Corrosion of third degree of unspecified shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by being hit or run over by motor vehicle, initial encounter"}, {"role": "assistant", "content": "Y03.0XXA — Assault by being hit or run over by motor vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified retained foreign body fragments"}, {"role": "assistant", "content": "Z18.89 — Other specified retained foreign body fragments"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of left shoulder, initial encounter"}, {"role": "assistant", "content": "T22.252A — Burn of second degree of left shoulder, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.033F — Displaced transverse fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tear of articular cartilage of left knee, current, subsequent encounter"}, {"role": "assistant", "content": "S83.32XD — Tear of articular cartilage of left knee, current, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute cystitis with hematuria"}, {"role": "assistant", "content": "N30.01 — Acute cystitis with hematuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter"}, {"role": "assistant", "content": "S33.2XXD — Dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unicornate uterus"}, {"role": "assistant", "content": "Q51.4 — Unicornate uterus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myositis ossificans traumatica, left ankle and foot"}, {"role": "assistant", "content": "M61.072 — Myositis ossificans traumatica, left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of ribs, sternum and clavicle"}, {"role": "assistant", "content": "C41.3 — Malignant neoplasm of ribs, sternum and clavicle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of median nerve at upper arm level, left arm, sequela"}, {"role": "assistant", "content": "S44.12XS — Injury of median nerve at upper arm level, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.352E — Displaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.495 — Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, left ankle, sequela"}, {"role": "assistant", "content": "M84.672S — Pathological fracture in other disease, left ankle, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of unspecified foot, sequela"}, {"role": "assistant", "content": "T25.129S — Burn of first degree of unspecified foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Zone I fracture of sacrum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.110B — Nondisplaced Zone I fracture of sacrum, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Otitis media in diseases classified elsewhere, left ear"}, {"role": "assistant", "content": "H67.2 — Otitis media in diseases classified elsewhere, left ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye"}, {"role": "assistant", "content": "E10.3212 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of antithyroid drugs, initial encounter"}, {"role": "assistant", "content": "T38.2X5A — Adverse effect of antithyroid drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injuries of thyroid gland, initial encounter"}, {"role": "assistant", "content": "S19.84XA — Other specified injuries of thyroid gland, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced transverse fracture of shaft of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.323G — Displaced transverse fracture of shaft of unspecified radius, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic megacolon"}, {"role": "assistant", "content": "K59.31 — Toxic megacolon"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other adverse food reaction due to milk and dairy products with reactivity to baked milk, subsequent encounter"}, {"role": "assistant", "content": "T78.111D — Other adverse food reaction due to milk and dairy products with reactivity to baked milk, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified soft tissue disorder related to use, overuse and pressure, right shoulder"}, {"role": "assistant", "content": "M70.911 — Unspecified soft tissue disorder related to use, overuse and pressure, right shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of brachial artery, left side, initial encounter"}, {"role": "assistant", "content": "S45.112A — Laceration of brachial artery, left side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention, means unspecified, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.92XA — Legal intervention, means unspecified, bystander injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic migraine without aura, intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.719 — Chronic migraine without aura, intractable, without status migrainosus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.109P — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.301Q — Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of synovium, left hip"}, {"role": "assistant", "content": "M66.152 — Rupture of synovium, left hip"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of dorsal vein of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S95.219D — Laceration of dorsal vein of unspecified foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other osteonecrosis, right foot"}, {"role": "assistant", "content": "M87.874 — Other osteonecrosis, right foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Failure of sterile precautions during kidney dialysis and other perfusion"}, {"role": "assistant", "content": "Y62.2 — Failure of sterile precautions during kidney dialysis and other perfusion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified joint disorders, unspecified wrist"}, {"role": "assistant", "content": "M25.839 — Other specified joint disorders, unspecified wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertrophy of bone, left shoulder"}, {"role": "assistant", "content": "M89.312 — Hypertrophy of bone, left shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body, left thigh, sequela"}, {"role": "assistant", "content": "S71.112S — Laceration without foreign body, left thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of urethra"}, {"role": "assistant", "content": "D41.3 — Neoplasm of uncertain behavior of urethra"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic cerebral edema without loss of consciousness, initial encounter"}, {"role": "assistant", "content": "S06.1X0A — Traumatic cerebral edema without loss of consciousness, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Schizotypal disorder"}, {"role": "assistant", "content": "F21 — Schizotypal disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Supervision of pregnancy with history of infertility, first trimester"}, {"role": "assistant", "content": "O09.01 — Supervision of pregnancy with history of infertility, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of right back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.471D — Other superficial bite of right back wall of thorax, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pupillary abnormality, unspecified eye"}, {"role": "assistant", "content": "H21.569 — Pupillary abnormality, unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Discitis, unspecified, lumbar region"}, {"role": "assistant", "content": "M46.46 — Discitis, unspecified, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.112P — Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of internal right hip prosthesis, initial encounter"}, {"role": "assistant", "content": "T84.090A — Other mechanical complication of internal right hip prosthesis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.134A — Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified Zone III fracture of sacrum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.139A — Unspecified Zone III fracture of sacrum, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Explosion on board other powered watercraft, sequela"}, {"role": "assistant", "content": "V93.53XS — Explosion on board other powered watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to welding light (arc), sequela"}, {"role": "assistant", "content": "W89.0XXS — Exposure to welding light (arc), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Occupant of streetcar injured in other specified transport accidents, initial encounter"}, {"role": "assistant", "content": "V82.8XXA — Occupant of streetcar injured in other specified transport accidents, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type II occipital condyle fracture, right side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.11CB — Type II occipital condyle fracture, right side, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of manganese and its compounds, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T57.2X4D — Toxic effect of manganese and its compounds, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple defects of retina without detachment, right eye"}, {"role": "assistant", "content": "H33.331 — Multiple defects of retina without detachment, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounter"}, {"role": "assistant", "content": "S46.192A — Other injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of metacarpophalangeal joint of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S63.116A — Dislocation of metacarpophalangeal joint of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of unspecified gases, fumes and vapors, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T59.94XD — Toxic effect of unspecified gases, fumes and vapors, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other spacecraft accident injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.49XA — Other spacecraft accident injuring occupant, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Exposure to reduction in atmospheric pressure while surfacing from deep-water diving, sequela"}, {"role": "assistant", "content": "W94.21XS — Exposure to reduction in atmospheric pressure while surfacing from deep-water diving, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced dens fracture, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.120D — Other displaced dens fracture, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of right foot, subsequent encounter"}, {"role": "assistant", "content": "S97.81XD — Crushing injury of right foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of second metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.390K — Other fracture of second metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of body of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.016G — Nondisplaced fracture of body of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of muscle, fascia and tendon at neck level, sequela"}, {"role": "assistant", "content": "S16.8XXS — Other specified injury of muscle, fascia and tendon at neck level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of scalp, subsequent encounter"}, {"role": "assistant", "content": "S01.04XD — Puncture wound with foreign body of scalp, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other disorders resulting from impaired renal tubular function"}, {"role": "assistant", "content": "N25.89 — Other disorders resulting from impaired renal tubular function"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.54XD — Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.500S — Unspecified injury of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of cornea and conjunctival sac, unspecified eye, initial encounter"}, {"role": "assistant", "content": "T26.10XA — Burn of cornea and conjunctival sac, unspecified eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction, right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.444D — External constriction, right lesser toe(s), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of abducent nerve, left side, initial encounter"}, {"role": "assistant", "content": "S04.42XA — Injury of abducent nerve, left side, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Separation of muscle (nontraumatic), left ankle and foot"}, {"role": "assistant", "content": "M62.072 — Separation of muscle (nontraumatic), left ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.422N — Displaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wedge compression fracture of fourth lumbar vertebra, sequela"}, {"role": "assistant", "content": "S32.040S — Wedge compression fracture of fourth lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified atherosclerosis"}, {"role": "assistant", "content": "I70.90 — Unspecified atherosclerosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced bimalleolar fracture of unspecified lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.846C — Nondisplaced bimalleolar fracture of unspecified lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Mammary duct ectasia of unspecified breast"}, {"role": "assistant", "content": "N60.49 — Mammary duct ectasia of unspecified breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of ovary, unilateral, initial encounter"}, {"role": "assistant", "content": "S37.401A — Unspecified injury of ovary, unilateral, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.111D — Complete traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Deep endometriosis of the right pelvic brim"}, {"role": "assistant", "content": "N80.371 — Deep endometriosis of the right pelvic brim"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of hook process of hamate [unciform] bone, left wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.152A — Displaced fracture of hook process of hamate [unciform] bone, left wrist, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.324D — Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S70.219D — Abrasion, unspecified hip, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asphyxiation due to being trapped in bed linens, assault, initial encounter"}, {"role": "assistant", "content": "T71.133A — Asphyxiation due to being trapped in bed linens, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.263M — Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nicotine dependence, unspecified, with other nicotine-induced disorders"}, {"role": "assistant", "content": "F17.208 — Nicotine dependence, unspecified, with other nicotine-induced disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of median nerve at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S54.10XA — Injury of median nerve at forearm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis use, unspecified with psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F12.951 — Cannabis use, unspecified with psychotic disorder with hallucinations"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other foreign object in larynx causing asphyxiation, subsequent encounter"}, {"role": "assistant", "content": "T17.390D — Other foreign object in larynx causing asphyxiation, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of body of scapula, left shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.112B — Displaced fracture of body of scapula, left shoulder, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela"}, {"role": "assistant", "content": "S06.363S — Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.323A — Laceration with foreign body of left middle finger with damage to nail, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by heroin, assault, subsequent encounter"}, {"role": "assistant", "content": "T40.1X3D — Poisoning by heroin, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.039G — Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body, unspecified thigh, sequela"}, {"role": "assistant", "content": "S71.129S — Laceration with foreign body, unspecified thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Drug induced subacute dyskinesia"}, {"role": "assistant", "content": "G24.01 — Drug induced subacute dyskinesia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.391D — Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stable burst fracture of third thoracic vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.031B — Stable burst fracture of third thoracic vertebra, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Traumatic rupture of unspecified ulnar collateral ligament, initial encounter"}, {"role": "assistant", "content": "S53.30XA — Traumatic rupture of unspecified ulnar collateral ligament, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Wrist drop, right wrist"}, {"role": "assistant", "content": "M21.331 — Wrist drop, right wrist"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of acromial process, left shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.125A — Nondisplaced fracture of acromial process, left shoulder, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.059M — Unspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic gingivitis, plaque induced"}, {"role": "assistant", "content": "K05.10 — Chronic gingivitis, plaque induced"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with stingray, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.512D — Toxic effect of contact with stingray, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of thrombophlebitis"}, {"role": "assistant", "content": "Z86.72 — Personal history of thrombophlebitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting a car injured in noncollision transport accident, sequela"}, {"role": "assistant", "content": "V48.4XXS — Person boarding or alighting a car injured in noncollision transport accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of left rotator cuff capsule, subsequent encounter"}, {"role": "assistant", "content": "S43.422D — Sprain of left rotator cuff capsule, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V78.3XXS — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.009P — Unspecified physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of duodenum, initial encounter"}, {"role": "assistant", "content": "S36.490A — Other injury of duodenum, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of right patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.021E — Displaced longitudinal fracture of right patella, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Indeterminate leprosy"}, {"role": "assistant", "content": "A30.0 — Indeterminate leprosy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S86.829D — Laceration of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter"}, {"role": "assistant", "content": "S88.112A — Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Organ-limited amyloidosis"}, {"role": "assistant", "content": "E85.4 — Organ-limited amyloidosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O10.219 — Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anal fistula, simple, recurrent"}, {"role": "assistant", "content": "K60.313 — Anal fistula, simple, recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.029D — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Labor and delivery complicated by vascular lesion of cord, fetus 1"}, {"role": "assistant", "content": "O69.5XX1 — Labor and delivery complicated by vascular lesion of cord, fetus 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Idiopathic gout, unspecified ankle and foot"}, {"role": "assistant", "content": "M10.079 — Idiopathic gout, unspecified ankle and foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Transient ischemic deafness, unspecified ear"}, {"role": "assistant", "content": "H93.019 — Transient ischemic deafness, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified acquired deformities of right lower leg"}, {"role": "assistant", "content": "M21.861 — Other specified acquired deformities of right lower leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.014G — Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of second degree of chin, subsequent encounter"}, {"role": "assistant", "content": "T20.63XD — Corrosion of second degree of chin, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arteriovenous malformation of digestive system vessel"}, {"role": "assistant", "content": "Q27.33 — Arteriovenous malformation of digestive system vessel"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for other type scar from previous cesarean delivery"}, {"role": "assistant", "content": "O34.218 — Maternal care for other type scar from previous cesarean delivery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified psychotropic drug, assault, sequela"}, {"role": "assistant", "content": "T43.93XS — Poisoning by unspecified psychotropic drug, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified cruciate ligament of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.509D — Sprain of unspecified cruciate ligament of unspecified knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other psychotropic drugs, subsequent encounter"}, {"role": "assistant", "content": "T43.8X5D — Adverse effect of other psychotropic drugs, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Velamentous insertion of umbilical cord, unspecified trimester"}, {"role": "assistant", "content": "O43.129 — Velamentous insertion of umbilical cord, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infective myositis, unspecified upper arm"}, {"role": "assistant", "content": "M60.029 — Infective myositis, unspecified upper arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of left wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.072D — Burn of unspecified degree of left wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.335H — Nondisplaced oblique fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.613A — Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left ischium, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.602G — Unspecified fracture of left ischium, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of unspecified thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.149S — Puncture wound with foreign body of unspecified thumb with damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving destruction of aircraft due to collision with other aircraft, military personnel, sequela"}, {"role": "assistant", "content": "Y37.120S — Military operations involving destruction of aircraft due to collision with other aircraft, military personnel, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.579Q — Other intraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.409B — Unspecified fracture of lower end of unspecified femur, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter"}, {"role": "assistant", "content": "S78.929A — Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.823A — Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Torus fracture of lower end of unspecified humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.489A — Torus fracture of lower end of unspecified humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic metacarpophalangeal amputation of right little finger, sequela"}, {"role": "assistant", "content": "S68.126S — Partial traumatic metacarpophalangeal amputation of right little finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter"}, {"role": "assistant", "content": "T84.293D — Other mechanical complication of internal fixation device of bones of foot and toes, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.111A — Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other contact with dog, initial encounter"}, {"role": "assistant", "content": "W54.8XXA — Other contact with dog, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Activity, free weights"}, {"role": "assistant", "content": "Y93.B3 — Activity, free weights"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified primarily systemic and hematological agent, undetermined, sequela"}, {"role": "assistant", "content": "T45.94XS — Poisoning by unspecified primarily systemic and hematological agent, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, assault, subsequent encounter"}, {"role": "assistant", "content": "T42.73XD — Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, assault, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of anterior process of unspecified calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.023A — Displaced fracture of anterior process of unspecified calcaneus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S86.319A — Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Long term (current) use of myelosuppressive agent"}, {"role": "assistant", "content": "Z79.64 — Long term (current) use of myelosuppressive agent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.327K — Displaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete lesion at C3 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.113S — Complete lesion at C3 level of cervical spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypertrophic disorder of the skin, unspecified"}, {"role": "assistant", "content": "L91.9 — Hypertrophic disorder of the skin, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dermatophytoses"}, {"role": "assistant", "content": "B35.8 — Other dermatophytoses"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side"}, {"role": "assistant", "content": "I69.151 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cell of prison as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.143 — Cell of prison as the place of occurrence of the external cause"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.209D — Unspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Magnetic metal jewelry entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.D4XD — Magnetic metal jewelry entering into or through a natural orifice, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.031D — Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complex regional pain syndrome I of right lower limb"}, {"role": "assistant", "content": "G90.521 — Complex regional pain syndrome I of right lower limb"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter"}, {"role": "assistant", "content": "T81.508D — Unspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tetralogy of Fallot"}, {"role": "assistant", "content": "Q21.3 — Tetralogy of Fallot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.225P — 2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right thigh, initial encounter"}, {"role": "assistant", "content": "S70.921A — Unspecified superficial injury of right thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of lower back and pelvis, sequela"}, {"role": "assistant", "content": "S30.840S — External constriction of lower back and pelvis, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Insect bite (nonvenomous) of unspecified ear, initial encounter"}, {"role": "assistant", "content": "S00.469A — Insect bite (nonvenomous) of unspecified ear, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement"}, {"role": "assistant", "content": "M05.771 — Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, undetermined, sequela"}, {"role": "assistant", "content": "T39.8X4S — Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adult osteochondrosis of spine, multiple sites in spine"}, {"role": "assistant", "content": "M42.19 — Adult osteochondrosis of spine, multiple sites in spine"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of middle phalanx of other finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.628A — Displaced fracture of middle phalanx of other finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant melanoma of left upper limb, including shoulder"}, {"role": "assistant", "content": "C43.62 — Malignant melanoma of left upper limb, including shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nail disorder, unspecified"}, {"role": "assistant", "content": "L60.9 — Nail disorder, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of right thigh, initial encounter"}, {"role": "assistant", "content": "T24.011A — Burn of unspecified degree of right thigh, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Gallstone ileus"}, {"role": "assistant", "content": "K56.3 — Gallstone ileus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of unspecified agents primarily acting on the respiratory system, sequela"}, {"role": "assistant", "content": "T48.906S — Underdosing of unspecified agents primarily acting on the respiratory system, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.342P — Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of calcaneofibular ligament of right ankle, subsequent encounter"}, {"role": "assistant", "content": "S93.411D — Sprain of calcaneofibular ligament of right ankle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.319S — Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified superficial injury of right great toe, subsequent encounter"}, {"role": "assistant", "content": "S90.931D — Unspecified superficial injury of right great toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.147S — Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stress fracture, unspecified hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.343P — Stress fracture, unspecified hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.102J — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Juvenile osteochondrosis of proximal tibia, unspecified leg"}, {"role": "assistant", "content": "M92.519 — Juvenile osteochondrosis of proximal tibia, unspecified leg"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced Rolando's fracture, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.225B — Nondisplaced Rolando's fracture, left hand, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Obturator dislocation of unspecified hip, sequela"}, {"role": "assistant", "content": "S73.026S — Obturator dislocation of unspecified hip, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lead-induced chronic gout, multiple sites, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.19X0 — Lead-induced chronic gout, multiple sites, without tophus (tophi)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of unspecified palm, sequela"}, {"role": "assistant", "content": "T23.359S — Burn of third degree of unspecified palm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of other parts of respiratory tract, subsequent encounter"}, {"role": "assistant", "content": "T27.2XXD — Burn of other parts of respiratory tract, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital fistulae between uterus and digestive and urinary tracts"}, {"role": "assistant", "content": "Q51.7 — Congenital fistulae between uterus and digestive and urinary tracts"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cicatricial alopecia"}, {"role": "assistant", "content": "L66.89 — Other cicatricial alopecia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stenosis of right lacrimal sac"}, {"role": "assistant", "content": "H04.571 — Stenosis of right lacrimal sac"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Recurrent dislocation, left finger"}, {"role": "assistant", "content": "M24.445 — Recurrent dislocation, left finger"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.406D — Unspecified injury of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postthrombotic syndrome with ulcer of bilateral lower extremity"}, {"role": "assistant", "content": "I87.013 — Postthrombotic syndrome with ulcer of bilateral lower extremity"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.114N — Nondisplaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified ligament of unspecified ankle, initial encounter"}, {"role": "assistant", "content": "S93.409A — Sprain of unspecified ligament of unspecified ankle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of ingested berries, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T62.1X1S — Toxic effect of ingested berries, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postdysenteric arthropathy, vertebrae"}, {"role": "assistant", "content": "M02.18 — Postdysenteric arthropathy, vertebrae"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of ketones, assault, initial encounter"}, {"role": "assistant", "content": "T52.4X3A — Toxic effect of ketones, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Car passenger injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V47.6XXD — Car passenger injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.842M — Displaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.479D — Corrosion of unspecified degree of unspecified wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other diseases of salivary glands"}, {"role": "assistant", "content": "K11.8 — Other diseases of salivary glands"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicella meningitis"}, {"role": "assistant", "content": "B01.0 — Varicella meningitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Myasthenia gravis with (acute) exacerbation"}, {"role": "assistant", "content": "G70.01 — Myasthenia gravis with (acute) exacerbation"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pain due to nervous system prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T85.840D — Pain due to nervous system prosthetic devices, implants and grafts, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced articular fracture of head of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.061A — Displaced articular fracture of head of right femur, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of shaft of third metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.352A — Nondisplaced fracture of shaft of third metacarpal bone, right hand, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Button battery entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.A1XS — Button battery entering into or through a natural orifice, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified sprain of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S63.609A — Unspecified sprain of unspecified thumb, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for HIV pre-exposure prophylaxis"}, {"role": "assistant", "content": "Z29.81 — Encounter for HIV pre-exposure prophylaxis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.346N — Nondisplaced spiral fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of other finger, sequela"}, {"role": "assistant", "content": "S63.258S — Unspecified dislocation of other finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.129S — Laceration with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type III physeal fracture of phalanx of unspecified toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.239B — Salter-Harris Type III physeal fracture of phalanx of unspecified toe, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.109G — Unspecified physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.242K — Salter-Harris Type IV physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fibrous dysplasia (monostotic), right hand"}, {"role": "assistant", "content": "M85.041 — Fibrous dysplasia (monostotic), right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Scleritis with corneal involvement, bilateral"}, {"role": "assistant", "content": "H15.043 — Scleritis with corneal involvement, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of left ankle and foot, sequela"}, {"role": "assistant", "content": "T25.192S — Burn of first degree of multiple sites of left ankle and foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified amblyopia, bilateral"}, {"role": "assistant", "content": "H53.003 — Unspecified amblyopia, bilateral"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other bacterial vaccines, assault, sequela"}, {"role": "assistant", "content": "T50.A93S — Poisoning by other bacterial vaccines, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of right foot, initial encounter"}, {"role": "assistant", "content": "T25.221A — Burn of second degree of right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of radial artery at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S55.109A — Unspecified injury of radial artery at forearm level, unspecified arm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Third degree perineal laceration during delivery, IIIa"}, {"role": "assistant", "content": "O70.21 — Third degree perineal laceration during delivery, IIIa"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of penis, subsequent encounter"}, {"role": "assistant", "content": "S31.22XD — Laceration with foreign body of penis, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture"}, {"role": "assistant", "content": "M80.061A — Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary malignant neoplasm of left kidney and renal pelvis"}, {"role": "assistant", "content": "C79.02 — Secondary malignant neoplasm of left kidney and renal pelvis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of right forearm, sequela"}, {"role": "assistant", "content": "T22.711S — Corrosion of third degree of right forearm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic reaction to local anesthesia during pregnancy, first trimester"}, {"role": "assistant", "content": "O29.3X1 — Toxic reaction to local anesthesia during pregnancy, first trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.022D — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by emetics, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T47.7X1D — Poisoning by emetics, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of lower-outer quadrant of right female breast"}, {"role": "assistant", "content": "C50.511 — Malignant neoplasm of lower-outer quadrant of right female breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "T26.50XD — Corrosion of unspecified eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure-induced deep tissue damage of unspecified part of back"}, {"role": "assistant", "content": "L89.106 — Pressure-induced deep tissue damage of unspecified part of back"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subacute osteomyelitis, left humerus"}, {"role": "assistant", "content": "M86.222 — Subacute osteomyelitis, left humerus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.82XB — Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration without foreign body of left wrist, initial encounter"}, {"role": "assistant", "content": "S61.512A — Laceration without foreign body of left wrist, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.191D — Other subluxation of right knee, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn due to sailboat on fire, initial encounter"}, {"role": "assistant", "content": "V91.04XA — Burn due to sailboat on fire, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified carpal bone, unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.109K — Fracture of unspecified carpal bone, unspecified wrist, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.365E — Nondisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Undue concern and preoccupation with stressful events"}, {"role": "assistant", "content": "R46.6 — Undue concern and preoccupation with stressful events"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Foreign body on external eye, part unspecified, right eye, initial encounter"}, {"role": "assistant", "content": "T15.91XA — Foreign body on external eye, part unspecified, right eye, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Stiffness of left wrist, not elsewhere classified"}, {"role": "assistant", "content": "M25.632 — Stiffness of left wrist, not elsewhere classified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], unspecified hand"}, {"role": "assistant", "content": "M92.229 — Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of the parotid salivary glands"}, {"role": "assistant", "content": "D37.030 — Neoplasm of uncertain behavior of the parotid salivary glands"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.452G — Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of intraperitoneal dialysis catheter, sequela"}, {"role": "assistant", "content": "T85.631S — Leakage of intraperitoneal dialysis catheter, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S56.812D — Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of distal phalanx of right great toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.421D — Displaced fracture of distal phalanx of right great toe, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Diabetes mellitus due to underlying condition with hyperglycemia"}, {"role": "assistant", "content": "E08.65 — Diabetes mellitus due to underlying condition with hyperglycemia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of labial mucosa and vermilion border"}, {"role": "assistant", "content": "D00.01 — Carcinoma in situ of labial mucosa and vermilion border"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cannabis use, unspecified with other cannabis-induced disorder"}, {"role": "assistant", "content": "F12.988 — Cannabis use, unspecified with other cannabis-induced disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Arthropod-borne viral encephalitis, unspecified"}, {"role": "assistant", "content": "A85.2 — Arthropod-borne viral encephalitis, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other motorcycle driver injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V29.498A — Other motorcycle driver injured in collision with other motor vehicles in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of anticholinesterase agents, sequela"}, {"role": "assistant", "content": "T44.0X5S — Adverse effect of anticholinesterase agents, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Otorrhagia, unspecified ear"}, {"role": "assistant", "content": "H92.20 — Otorrhagia, unspecified ear"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of metacarpophalangeal joint of left middle finger, initial encounter"}, {"role": "assistant", "content": "S63.213A — Subluxation of metacarpophalangeal joint of left middle finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced other extraarticular fracture of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.053G — Displaced other extraarticular fracture of unspecified calcaneus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Candidal stomatitis"}, {"role": "assistant", "content": "B37.0 — Candidal stomatitis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation at level between knee and ankle, left lower leg, sequela"}, {"role": "assistant", "content": "S88.122S — Partial traumatic amputation at level between knee and ankle, left lower leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall without foreign body, left flank without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.137A — Puncture wound of abdominal wall without foreign body, left flank without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pannus (corneal), unspecified eye"}, {"role": "assistant", "content": "H16.429 — Pannus (corneal), unspecified eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.391N — Other fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemarthrosis, right hand"}, {"role": "assistant", "content": "M25.041 — Hemarthrosis, right hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other benign neoplasm of skin of right lower eyelid, including canthus"}, {"role": "assistant", "content": "D23.112 — Other benign neoplasm of skin of right lower eyelid, including canthus"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of upper end of unspecified femur, sequela"}, {"role": "assistant", "content": "S79.099S — Other physeal fracture of upper end of unspecified femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of left tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.102G — Unspecified physeal fracture of lower end of left tibia, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.401S — Unspecified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Legal intervention involving injury by explosive shell, suspect injured, initial encounter"}, {"role": "assistant", "content": "Y35.123A — Legal intervention involving injury by explosive shell, suspect injured, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other subluxation of unspecified shoulder joint, sequela"}, {"role": "assistant", "content": "S43.083S — Other subluxation of unspecified shoulder joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of acromial process, right shoulder, sequela"}, {"role": "assistant", "content": "S42.124S — Nondisplaced fracture of acromial process, right shoulder, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bennett's fracture, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.212P — Bennett's fracture, left hand, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of carbon monoxide from utility gas, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T58.11XS — Toxic effect of carbon monoxide from utility gas, accidental (unintentional), sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of right heel, stage 1"}, {"role": "assistant", "content": "L89.611 — Pressure ulcer of right heel, stage 1"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of neck of second metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.330S — Displaced fracture of neck of second metacarpal bone, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Anal fistula, complex, recurrent"}, {"role": "assistant", "content": "K60.323 — Anal fistula, complex, recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder"}, {"role": "assistant", "content": "F19.16 — Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.665A — Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of other specified skull and facial bones, left side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.82XK — Fracture of other specified skull and facial bones, left side, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of left femur, sequela"}, {"role": "assistant", "content": "S72.462S — Displaced supracondylar fracture with intracondylar extension of lower end of left femur, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Low lying placenta with hemorrhage, unspecified trimester"}, {"role": "assistant", "content": "O44.50 — Low lying placenta with hemorrhage, unspecified trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M45.A8 — Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T39.91XA — Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.341N — Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 5"}, {"role": "assistant", "content": "O31.22X5 — Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Varicose veins of left lower extremity with ulcer other part of foot"}, {"role": "assistant", "content": "I83.025 — Varicose veins of left lower extremity with ulcer other part of foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.422G — Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of descending [left] colon, sequela"}, {"role": "assistant", "content": "S36.532S — Laceration of descending [left] colon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other infective spondylopathies, lumbar region"}, {"role": "assistant", "content": "M46.56 — Other infective spondylopathies, lumbar region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dysuria"}, {"role": "assistant", "content": "R30.0 — Dysuria"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.009F — Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bone transplant status"}, {"role": "assistant", "content": "Z94.6 — Bone transplant status"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.234R — Nondisplaced oblique fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of unspecified interphalangeal joint of right ring finger, initial encounter"}, {"role": "assistant", "content": "S63.224A — Subluxation of unspecified interphalangeal joint of right ring finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, right ankle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.671G — Pathological fracture in other disease, right ankle, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Presence of cardiac and vascular implant and graft, unspecified"}, {"role": "assistant", "content": "Z95.9 — Presence of cardiac and vascular implant and graft, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial lipodystrophy"}, {"role": "assistant", "content": "E88.11 — Partial lipodystrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.002D — Unspecified physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acute infarction of spinal cord (embolic) (nonembolic)"}, {"role": "assistant", "content": "G95.11 — Acute infarction of spinal cord (embolic) (nonembolic)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Amniotic fluid embolism in the puerperium"}, {"role": "assistant", "content": "O88.13 — Amniotic fluid embolism in the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of left hand, sequela"}, {"role": "assistant", "content": "S62.92XS — Unspecified fracture of left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Malignant neoplasm of lower-outer quadrant of left male breast"}, {"role": "assistant", "content": "C50.522 — Malignant neoplasm of lower-outer quadrant of left male breast"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}, {"role": "assistant", "content": "S06.9X4D — Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of third degree of buttock, subsequent encounter"}, {"role": "assistant", "content": "T21.75XD — Corrosion of third degree of buttock, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left hand, sequela"}, {"role": "assistant", "content": "S61.422S — Laceration with foreign body of left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body, left foot, initial encounter"}, {"role": "assistant", "content": "S91.322A — Laceration with foreign body, left foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hemorrhage of unspecified orbit"}, {"role": "assistant", "content": "H05.239 — Hemorrhage of unspecified orbit"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dermatomyositis without myopathy"}, {"role": "assistant", "content": "M33.13 — Other dermatomyositis without myopathy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Elephantiasis of right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.853 — Elephantiasis of right eye, unspecified eyelid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of nitrogen oxides, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T59.0X2D — Toxic effect of nitrogen oxides, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Ulcerative blepharitis right eye, upper and lower eyelids"}, {"role": "assistant", "content": "H01.01A — Ulcerative blepharitis right eye, upper and lower eyelids"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intervertebral disc displacement, lumbosacral region"}, {"role": "assistant", "content": "M51.27 — Other intervertebral disc displacement, lumbosacral region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal, initial encounter"}, {"role": "assistant", "content": "V20.31XA — Person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced segmental fracture of shaft of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.265B — Nondisplaced segmental fracture of shaft of left tibia, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.325H — Nondisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of multiple sites of unspecified ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T25.199D — Burn of first degree of multiple sites of unspecified ankle and foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of muscle"}, {"role": "assistant", "content": "L97.803 — Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of muscle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pressure ulcer of right hip, unspecified stage"}, {"role": "assistant", "content": "L89.219 — Pressure ulcer of right hip, unspecified stage"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Corrosion of unspecified degree of right foot, initial encounter"}, {"role": "assistant", "content": "T25.421A — Corrosion of unspecified degree of right foot, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of sigmoid colon, subsequent encounter"}, {"role": "assistant", "content": "S36.593D — Other injury of sigmoid colon, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of interphalangeal joint of left middle finger, sequela"}, {"role": "assistant", "content": "S63.633S — Sprain of interphalangeal joint of left middle finger, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pneumothorax originating in the perinatal period"}, {"role": "assistant", "content": "P25.1 — Pneumothorax originating in the perinatal period"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pain in joints of left hand"}, {"role": "assistant", "content": "M25.542 — Pain in joints of left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Dislocation of other parts of right shoulder girdle, subsequent encounter"}, {"role": "assistant", "content": "S43.394D — Dislocation of other parts of right shoulder girdle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester"}, {"role": "assistant", "content": "O30.203 — Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hostility towards and scapegoating of child"}, {"role": "assistant", "content": "Z62.3 — Hostility towards and scapegoating of child"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "HIV-associated lipodystrophy"}, {"role": "assistant", "content": "E88.14 — HIV-associated lipodystrophy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.199K — Other physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, left radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.434K — Pathological fracture, left radius, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced spiral fracture of shaft of radius, left arm, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.345B — Nondisplaced spiral fracture of shaft of radius, left arm, initial encounter for open fracture type I or II"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nephrotic syndrome with C3 glomerulonephritis"}, {"role": "assistant", "content": "N04.A — Nephrotic syndrome with C3 glomerulonephritis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pedal cyclist (driver) (passenger) injured in transport accident with military vehicle, initial encounter"}, {"role": "assistant", "content": "V19.81XA — Pedal cyclist (driver) (passenger) injured in transport accident with military vehicle, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cognitive social or emotional deficit following other cerebrovascular disease"}, {"role": "assistant", "content": "I69.815 — Cognitive social or emotional deficit following other cerebrovascular disease"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rupture of synovium, left hand"}, {"role": "assistant", "content": "M66.142 — Rupture of synovium, left hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.415A — Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh"}, {"role": "assistant", "content": "I70.431 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other antihypertensive drugs, assault, initial encounter"}, {"role": "assistant", "content": "T46.5X3A — Poisoning by other antihypertensive drugs, assault, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disorder of eye and adnexa"}, {"role": "assistant", "content": "H57.9 — Unspecified disorder of eye and adnexa"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V68.3XXS — Unspecified occupant of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V33.3XXA — Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of right patella, subsequent encounter"}, {"role": "assistant", "content": "S83.004D — Unspecified dislocation of right patella, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chorioamnionitis, first trimester, fetus 5"}, {"role": "assistant", "content": "O41.1215 — Chorioamnionitis, first trimester, fetus 5"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other fractures of lower end of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.592H — Other fractures of lower end of left radius, subsequent encounter for open fracture type I or II with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.461J — Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus without complications in remission"}, {"role": "assistant", "content": "E11.A — Type 2 diabetes mellitus without complications in remission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.209D — Unspecified fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for hydrops fetalis, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O36.20X3 — Maternal care for hydrops fetalis, unspecified trimester, fetus 3"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.136R — Nondisplaced fracture of medial condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of unspecified toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.919A — Unspecified fracture of unspecified toe(s), initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Assault by antipersonnel bomb, subsequent encounter"}, {"role": "assistant", "content": "X96.0XXD — Assault by antipersonnel bomb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.112R — Displaced fracture of greater trochanter of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.034J — Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of right fibula, sequela"}, {"role": "assistant", "content": "S82.454S — Nondisplaced comminuted fracture of shaft of right fibula, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced longitudinal fracture of unspecified patella, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.023A — Displaced longitudinal fracture of unspecified patella, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.447P — Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 2"}, {"role": "assistant", "content": "O31.32X2 — Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 2"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other congenital malformations of pulmonary artery"}, {"role": "assistant", "content": "Q25.79 — Other congenital malformations of pulmonary artery"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of unspecified ureter"}, {"role": "assistant", "content": "D41.20 — Neoplasm of uncertain behavior of unspecified ureter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Periumbilic swelling, mass or lump"}, {"role": "assistant", "content": "R19.05 — Periumbilic swelling, mass or lump"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with edge of stiff paper, initial encounter"}, {"role": "assistant", "content": "W26.2XXA — Contact with edge of stiff paper, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of orbit, unspecified, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.85XB — Fracture of orbit, unspecified, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E11.3411 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteonecrosis due to previous trauma, left ankle"}, {"role": "assistant", "content": "M87.272 — Osteonecrosis due to previous trauma, left ankle"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S01.159D — Open bite of unspecified eyelid and periocular area, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Enterocolitis due to Clostridium difficile, not specified as recurrent"}, {"role": "assistant", "content": "A04.72 — Enterocolitis due to Clostridium difficile, not specified as recurrent"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left elbow, sequela"}, {"role": "assistant", "content": "S51.022S — Laceration with foreign body of left elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mast cell neoplasms of uncertain behavior"}, {"role": "assistant", "content": "D47.09 — Other mast cell neoplasms of uncertain behavior"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Airgun discharge, undetermined intent, initial encounter"}, {"role": "assistant", "content": "Y24.0XXA — Airgun discharge, undetermined intent, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S24.113D — Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of muscle, fascia and tendon of triceps, left arm, sequela"}, {"role": "assistant", "content": "S46.392S — Other injury of muscle, fascia and tendon of triceps, left arm, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Crushing injury of left hip, initial encounter"}, {"role": "assistant", "content": "S77.02XA — Crushing injury of left hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration with foreign body of left hand, initial encounter"}, {"role": "assistant", "content": "S61.422A — Laceration with foreign body of left hand, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dementia, moderate, with mood disturbance"}, {"role": "assistant", "content": "F03.B3 — Unspecified dementia, moderate, with mood disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of thyroid, unspecified"}, {"role": "assistant", "content": "E07.9 — Disorder of thyroid, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of right shoulder joint, subsequent encounter"}, {"role": "assistant", "content": "S43.001D — Unspecified subluxation of right shoulder joint, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Subluxation of L2/L3 lumbar vertebra, sequela"}, {"role": "assistant", "content": "S33.120S — Subluxation of L2/L3 lumbar vertebra, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with explosive material, undetermined intent, sequela"}, {"role": "assistant", "content": "Y25.XXXS — Contact with explosive material, undetermined intent, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 1 diabetes mellitus with other specified complication"}, {"role": "assistant", "content": "E10.69 — Type 1 diabetes mellitus with other specified complication"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of unspecified part of colon, initial encounter"}, {"role": "assistant", "content": "S36.599A — Other injury of unspecified part of colon, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced oblique fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.234C — Nondisplaced oblique fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela"}, {"role": "assistant", "content": "S06.306S — Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.049P — Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of alveolus of maxilla, sequela"}, {"role": "assistant", "content": "S02.42XS — Fracture of alveolus of maxilla, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Radial collateral ligament sprain of right elbow, sequela"}, {"role": "assistant", "content": "S53.431S — Radial collateral ligament sprain of right elbow, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Relapsing fever, unspecified"}, {"role": "assistant", "content": "A68.9 — Relapsing fever, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.299D — Other physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of right hand, sequela"}, {"role": "assistant", "content": "S60.551S — Superficial foreign body of right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury to rider of non-recreational watercraft being pulled behind other watercraft, subsequent encounter"}, {"role": "assistant", "content": "V94.32XD — Injury to rider of non-recreational watercraft being pulled behind other watercraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side"}, {"role": "assistant", "content": "I69.062 — Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced avulsion fracture of left ischium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.615B — Nondisplaced avulsion fracture of left ischium, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Open bite of right ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.254S — Open bite of right ring finger without damage to nail, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.421B — Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Coma scale, best verbal response, confused conversation, at hospital admission"}, {"role": "assistant", "content": "R40.2243 — Coma scale, best verbal response, confused conversation, at hospital admission"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of left innominate or subclavian vein, subsequent encounter"}, {"role": "assistant", "content": "S25.392D — Other specified injury of left innominate or subclavian vein, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving unspecified explosion and fragments, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.200A — Military operations involving unspecified explosion and fragments, military personnel, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Frostbite with tissue necrosis of left wrist, subsequent encounter"}, {"role": "assistant", "content": "T34.512D — Frostbite with tissue necrosis of left wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "ABCC6 deficiency causing generalized arterial calcification of infancy"}, {"role": "assistant", "content": "E83.823 — ABCC6 deficiency causing generalized arterial calcification of infancy"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced segmental fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.463P — Displaced segmental fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open wound of right wrist, subsequent encounter"}, {"role": "assistant", "content": "S61.501D — Unspecified open wound of right wrist, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Asymptomatic hemophilia A carrier"}, {"role": "assistant", "content": "Z14.01 — Asymptomatic hemophilia A carrier"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inhalant dependence with inhalant-induced anxiety disorder"}, {"role": "assistant", "content": "F18.280 — Inhalant dependence with inhalant-induced anxiety disorder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic amputation of unspecified great toe, subsequent encounter"}, {"role": "assistant", "content": "S98.129D — Partial traumatic amputation of unspecified great toe, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neuropathic heredofamilial amyloidosis"}, {"role": "assistant", "content": "E85.1 — Neuropathic heredofamilial amyloidosis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Personal history of adult neglect"}, {"role": "assistant", "content": "Z91.412 — Personal history of adult neglect"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced Rolando's fracture, unspecified hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.223G — Displaced Rolando's fracture, unspecified hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of medial condyle of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.465A — Nondisplaced fracture of medial condyle of left humerus, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other dissociative and conversion disorders"}, {"role": "assistant", "content": "F44.89 — Other dissociative and conversion disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of venom of wasps, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.462D — Toxic effect of venom of wasps, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dementia, mild, with psychotic disturbance"}, {"role": "assistant", "content": "F03.A2 — Unspecified dementia, mild, with psychotic disturbance"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of unspecified female genital organs"}, {"role": "assistant", "content": "D07.30 — Carcinoma in situ of unspecified female genital organs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified phalanx of left index finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.601A — Fracture of unspecified phalanx of left index finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chondromalacia, left ankle and joints of left foot"}, {"role": "assistant", "content": "M94.272 — Chondromalacia, left ankle and joints of left foot"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of unspecified carpal bone, right wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.101P — Fracture of unspecified carpal bone, right wrist, subsequent encounter for fracture with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of head of left radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.125A — Nondisplaced fracture of head of left radius, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of nerve root of cervical spine, subsequent encounter"}, {"role": "assistant", "content": "S14.2XXD — Injury of nerve root of cervical spine, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.129S — Laceration of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury to L5 level of lumbar spinal cord, sequela"}, {"role": "assistant", "content": "S34.105S — Unspecified injury to L5 level of lumbar spinal cord, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of anterior tibial artery, left leg, sequela"}, {"role": "assistant", "content": "S85.152S — Other specified injury of anterior tibial artery, left leg, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with venomous toad, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.824D — Toxic effect of contact with venomous toad, undetermined, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of rattlesnake venom, assault, sequela"}, {"role": "assistant", "content": "T63.013S — Toxic effect of rattlesnake venom, assault, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of contact with unspecified venomous animal, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.94XA — Toxic effect of contact with unspecified venomous animal, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of shaft of second metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.320K — Displaced fracture of shaft of second metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.036E — Nondisplaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of unspecified degree of multiple sites of right wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T23.091D — Burn of unspecified degree of multiple sites of right wrist and hand, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Radiation sickness, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T66.XXXD — Radiation sickness, unspecified, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abnormal uterine and vaginal bleeding, unspecified"}, {"role": "assistant", "content": "N93.9 — Abnormal uterine and vaginal bleeding, unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Strain of other specified muscles, fascia and tendons at thigh level, right thigh, sequela"}, {"role": "assistant", "content": "S76.811S — Strain of other specified muscles, fascia and tendons at thigh level, right thigh, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of lesser saphenous vein at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.499A — Other specified injury of lesser saphenous vein at lower leg level, unspecified leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by falling object on other unpowered watercraft, sequela"}, {"role": "assistant", "content": "V93.48XS — Struck by falling object on other unpowered watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other speech and language deficits following cerebral infarction"}, {"role": "assistant", "content": "I69.328 — Other speech and language deficits following cerebral infarction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epidermolysis bullosa due to drug"}, {"role": "assistant", "content": "L12.31 — Epidermolysis bullosa due to drug"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, subsequent encounter"}, {"role": "assistant", "content": "T44.3X6D — Underdosing of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by vitamins, undetermined, sequela"}, {"role": "assistant", "content": "T45.2X4S — Poisoning by vitamins, undetermined, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.141A — Puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other intentional self-harm by crashing of motor vehicle, subsequent encounter"}, {"role": "assistant", "content": "X82.8XXD — Other intentional self-harm by crashing of motor vehicle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Injury of bile duct, initial encounter"}, {"role": "assistant", "content": "S36.13XA — Injury of bile duct, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture, right humerus, initial encounter for fracture"}, {"role": "assistant", "content": "M84.421A — Pathological fracture, right humerus, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of beryllium and its compounds, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T56.7X1D — Toxic effect of beryllium and its compounds, accidental (unintentional), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.256E — Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Electric (assisted) bicycle driver injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V29.401D — Electric (assisted) bicycle driver injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.002G — Unspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Superficial foreign body of left back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.452S — Superficial foreign body of left back wall of thorax, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion of left foot, subsequent encounter"}, {"role": "assistant", "content": "S90.32XD — Contusion of left foot, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of second degree of unspecified axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.249D — Burn of second degree of unspecified axilla, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of emollients, demulcents and protectants, subsequent encounter"}, {"role": "assistant", "content": "T49.3X6D — Underdosing of emollients, demulcents and protectants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of lateral cuneiform of right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.221G — Displaced fracture of lateral cuneiform of right foot, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other mechanical complication of other urinary stent, initial encounter"}, {"role": "assistant", "content": "T83.193A — Other mechanical complication of other urinary stent, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Barton's fracture of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.561R — Barton's fracture of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.143G — Displaced intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Neoplasm of uncertain behavior of tongue"}, {"role": "assistant", "content": "D37.02 — Neoplasm of uncertain behavior of tongue"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital hypothyroidism without goiter"}, {"role": "assistant", "content": "E03.1 — Congenital hypothyroidism without goiter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Major laceration of left innominate or subclavian artery, sequela"}, {"role": "assistant", "content": "S25.122S — Major laceration of left innominate or subclavian artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified fracture of lower end of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.609G — Unspecified fracture of lower end of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Abrasion, right knee, sequela"}, {"role": "assistant", "content": "S80.211S — Abrasion, right knee, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Partial traumatic transphalangeal amputation of right ring finger, subsequent encounter"}, {"role": "assistant", "content": "S68.624D — Partial traumatic transphalangeal amputation of right ring finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of other bacterial vaccines, sequela"}, {"role": "assistant", "content": "T50.A95S — Adverse effect of other bacterial vaccines, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T45.692A — Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of third degree of scalp [any part], initial encounter"}, {"role": "assistant", "content": "T20.35XA — Burn of third degree of scalp [any part], initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter"}, {"role": "assistant", "content": "S06.324A — Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Struck by goose, sequela"}, {"role": "assistant", "content": "W61.52XS — Struck by goose, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chronic embolism and thrombosis of unspecified internal jugular vein"}, {"role": "assistant", "content": "I82.C29 — Chronic embolism and thrombosis of unspecified internal jugular vein"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Burn of first degree of left forearm, subsequent encounter"}, {"role": "assistant", "content": "T22.112D — Burn of first degree of left forearm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V61.9XXA — Unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Primary blast injury of bronchus, bilateral, sequela"}, {"role": "assistant", "content": "S27.412S — Primary blast injury of bronchus, bilateral, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by other estrogens and progestogens, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T38.5X1A — Poisoning by other estrogens and progestogens, accidental (unintentional), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.651D — Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carcinoma in situ of right bronchus and lung"}, {"role": "assistant", "content": "D02.21 — Carcinoma in situ of right bronchus and lung"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fistula, right elbow"}, {"role": "assistant", "content": "M25.121 — Fistula, right elbow"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other anterior dislocation of left hip, initial encounter"}, {"role": "assistant", "content": "S73.035A — Other anterior dislocation of left hip, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of balloon (counterpulsation) device, initial encounter"}, {"role": "assistant", "content": "T82.533A — Leakage of balloon (counterpulsation) device, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of proximal phalanx of right middle finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.642A — Nondisplaced fracture of proximal phalanx of right middle finger, initial encounter for closed fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Displaced fracture of posterior wall of unspecified acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.423D — Displaced fracture of posterior wall of unspecified acetabulum, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of dune buggy injured in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.03XD — Driver of dune buggy injured in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Laceration of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.821A — Laceration of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 4"}, {"role": "assistant", "content": "O41.92X4 — Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fracture of vault of skull, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.0XXK — Fracture of vault of skull, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "External constriction of part of throat, sequela"}, {"role": "assistant", "content": "S10.14XS — External constriction of part of throat, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V36.9XXD — Unspecified occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Person on outside of dirt bike or motor/cross bike injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.76XS — Person on outside of dirt bike or motor/cross bike injured in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V32.3XXS — Unspecified occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Fusion of spine, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M43.28 — Fusion of spine, sacral and sacrococcygeal region"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hit or struck by falling object due to accident to other unpowered watercraft, sequela"}, {"role": "assistant", "content": "V91.38XS — Hit or struck by falling object due to accident to other unpowered watercraft, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Underdosing of other antiepileptic and sedative-hypnotic drugs, initial encounter"}, {"role": "assistant", "content": "T42.6X6A — Underdosing of other antiepileptic and sedative-hypnotic drugs, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other diseases of vocal cords"}, {"role": "assistant", "content": "J38.3 — Other diseases of vocal cords"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other superficial bite of flank, initial encounter"}, {"role": "assistant", "content": "S30.87AA — Other superficial bite of flank, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Postprocedural hemorrhage of a musculoskeletal structure following other procedure"}, {"role": "assistant", "content": "M96.831 — Postprocedural hemorrhage of a musculoskeletal structure following other procedure"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Poisoning by immune checkpoint inhibitors and immunostimulant drugs, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T45.AX2D — Poisoning by immune checkpoint inhibitors and immunostimulant drugs, intentional self-harm, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter"}, {"role": "assistant", "content": "T85.735A — Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Leakage of breast prosthesis and implant, sequela"}, {"role": "assistant", "content": "T85.43XS — Leakage of breast prosthesis and implant, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela"}, {"role": "assistant", "content": "S66.801S — Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Encounter for initial prescription of other contraceptives"}, {"role": "assistant", "content": "Z30.018 — Encounter for initial prescription of other contraceptives"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Pathological fracture in other disease, right hand, initial encounter for fracture"}, {"role": "assistant", "content": "M84.641A — Pathological fracture in other disease, right hand, initial encounter for fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Adverse effect of thyroid hormones and substitutes, initial encounter"}, {"role": "assistant", "content": "T38.1X5A — Adverse effect of thyroid hormones and substitutes, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Toxic effect of detergents, undetermined, initial encounter"}, {"role": "assistant", "content": "T55.1X4A — Toxic effect of detergents, undetermined, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of fourth metatarsal bone, right foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.344K — Nondisplaced fracture of fourth metatarsal bone, right foot, subsequent encounter for fracture with nonunion"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced transverse fracture of shaft of left tibia, sequela"}, {"role": "assistant", "content": "S82.225S — Nondisplaced transverse fracture of shaft of left tibia, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Congenital absence of unspecified foot and toe(s)"}, {"role": "assistant", "content": "Q72.30 — Congenital absence of unspecified foot and toe(s)"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified open-angle glaucoma, stage unspecified"}, {"role": "assistant", "content": "H40.10X0 — Unspecified open-angle glaucoma, stage unspecified"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lesion of ulnar nerve, bilateral upper limbs"}, {"role": "assistant", "content": "G56.23 — Lesion of ulnar nerve, bilateral upper limbs"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.345G — Nondisplaced fracture of base of fourth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.496D — Other injury of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Benign lipomatous neoplasm of skin and subcutaneous tissue of left arm"}, {"role": "assistant", "content": "D17.22 — Benign lipomatous neoplasm of skin and subcutaneous tissue of left arm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Driver of pick-up truck or van injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V59.09XD — Driver of pick-up truck or van injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Military operations involving flamethrower, civilian, sequela"}, {"role": "assistant", "content": "Y37.331S — Military operations involving flamethrower, civilian, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tuberculosis complicating the puerperium"}, {"role": "assistant", "content": "O98.03 — Tuberculosis complicating the puerperium"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Complete traumatic metacarpophalangeal amputation of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S68.112D — Complete traumatic metacarpophalangeal amputation of right middle finger, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified subluxation of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S63.209A — Unspecified subluxation of unspecified finger, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other displaced fracture of base of first metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.232S — Other displaced fracture of base of first metacarpal bone, left hand, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified injury of other specified muscles and tendons at ankle and foot level, left foot, sequela"}, {"role": "assistant", "content": "S96.892S — Other specified injury of other specified muscles and tendons at ankle and foot level, left foot, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified dislocation of left acromioclavicular joint, sequela"}, {"role": "assistant", "content": "S43.102S — Unspecified dislocation of left acromioclavicular joint, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Minor laceration of celiac artery, sequela"}, {"role": "assistant", "content": "S35.211S — Minor laceration of celiac artery, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of metacarpophalangeal joint of right thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.641D — Sprain of metacarpophalangeal joint of right thumb, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Osteopathy in diseases classified elsewhere, unspecified shoulder"}, {"role": "assistant", "content": "M90.819 — Osteopathy in diseases classified elsewhere, unspecified shoulder"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Puncture wound with foreign body of left front wall of thorax with penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.342S — Puncture wound with foreign body of left front wall of thorax with penetration into thoracic cavity, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Passenger in pick-up truck or van injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V59.19XD — Passenger in pick-up truck or van injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other genetic causes of short stature"}, {"role": "assistant", "content": "E34.328 — Other genetic causes of short stature"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Maternal care for disproportion due to unusually large fetus, fetus 4"}, {"role": "assistant", "content": "O33.5XX4 — Maternal care for disproportion due to unusually large fetus, fetus 4"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sprain of unspecified parts of lumbar spine and pelvis, initial encounter"}, {"role": "assistant", "content": "S33.9XXA — Sprain of unspecified parts of lumbar spine and pelvis, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other injury of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.194D — Other injury of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Secondary osteoarthritis, unspecified hand"}, {"role": "assistant", "content": "M19.249 — Secondary osteoarthritis, unspecified hand"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Thromboembolism in pregnancy, third trimester"}, {"role": "assistant", "content": "O88.213 — Thromboembolism in pregnancy, third trimester"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bus occupant (driver) (passenger) injured in other specified transport accidents, subsequent encounter"}, {"role": "assistant", "content": "V79.88XD — Bus occupant (driver) (passenger) injured in other specified transport accidents, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact with garden tool, sequela"}, {"role": "assistant", "content": "W27.1XXS — Contact with garden tool, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified disorder of refraction"}, {"role": "assistant", "content": "H52.7 — Unspecified disorder of refraction"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other specified respiratory disorders"}, {"role": "assistant", "content": "J98.8 — Other specified respiratory disorders"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.155D — Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healing"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Type 2 fracture of sacrum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.15XB — Type 2 fracture of sacrum, initial encounter for open fracture"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Contact urticaria"}, {"role": "assistant", "content": "L50.6 — Contact urticaria"}]}