{"messages": [{"role": "system", "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 wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T23.791D — Corrosion of third 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": "Gulf war illness, subsequent encounter"}, {"role": "assistant", "content": "T75.830D — Gulf war illness, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter"}, {"role": "assistant", "content": "S96.291A — Other specified injury of intrinsic muscle and tendon 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": "Stress fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.319G — Stress fracture, unspecified 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 fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.022F — Displaced fracture of epiphysis (separation) (upper) 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": "Displaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.442N — Displaced 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": "Unspecified fracture of unspecified ilium, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.309K — Unspecified fracture of unspecified 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": "Umbilical hernia without obstruction or gangrene"}, {"role": "assistant", "content": "K42.9 — Umbilical 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": "Laceration without foreign body, left ankle, initial encounter"}, {"role": "assistant", "content": "S91.012A — Laceration without foreign body, 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": "Salter-Harris Type I physeal fracture of lower end of left fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.312A — Salter-Harris Type I physeal fracture of lower 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": "Disorders of magnesium metabolism, unspecified"}, {"role": "assistant", "content": "E83.40 — Disorders of magnesium 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": "Breakdown (mechanical) of internal fixation device of bones of foot and toes, subsequent encounter"}, {"role": "assistant", "content": "T84.213D — Breakdown (mechanical) 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": "Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis"}, {"role": "assistant", "content": "G04.02 — Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis"}]}
{"messages": [{"role": "system", "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 railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V05.00XS — Pedestrian on foot 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": "Multifocal motor neuropathy"}, {"role": "assistant", "content": "G61.82 — Multifocal motor 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": "Unspecified injury at C4 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.104S — Unspecified injury at C4 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": "Allergy to other foods"}, {"role": "assistant", "content": "Z91.018 — Allergy to other foods"}]}
{"messages": [{"role": "system", "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 cerebral infarction affecting left dominant side"}, {"role": "assistant", "content": "I69.342 — Monoplegia of lower limb following cerebral infarction 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": "Strain of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S86.919A — Strain 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": "Helminthiasis, unspecified"}, {"role": "assistant", "content": "B83.9 — 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": "Forced landing of glider (nonpowered) injuring occupant, sequela"}, {"role": "assistant", "content": "V96.22XS — Forced landing of glider (nonpowered) 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": "Hit or struck by falling object due to accident to canoe or kayak, subsequent encounter"}, {"role": "assistant", "content": "V91.35XD — Hit or struck by falling object due to accident to canoe or kayak, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.392B — Other fracture of shaft 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": "Chronic or unspecified gastric ulcer with perforation"}, {"role": "assistant", "content": "K25.5 — Chronic or unspecified gastric 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 organ or system involvement in systemic lupus erythematosus"}, {"role": "assistant", "content": "M32.19 — Other organ or system involvement in systemic lupus erythematosus"}]}
{"messages": [{"role": "system", "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 highly flammable material, subsequent encounter"}, {"role": "assistant", "content": "X04.XXXD — Exposure to ignition of highly flammable 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": "Benign neoplasm of duodenum"}, {"role": "assistant", "content": "D13.2 — Benign neoplasm of 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": "Laceration of body of pancreas, unspecified degree, initial encounter"}, {"role": "assistant", "content": "S36.231A — Laceration of body 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": "Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.059D — Unspecified fracture of fifth 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": "Age-related osteoporosis with current pathological fracture, left ankle and foot, sequela"}, {"role": "assistant", "content": "M80.072S — Age-related osteoporosis with current pathological fracture, 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": "Displaced fracture of anterior column [iliopubic] of unspecified acetabulum, sequela"}, {"role": "assistant", "content": "S32.433S — Displaced fracture of anterior column [iliopubic] of unspecified 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": "Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V20.21XA — Unspecified electric (assisted) bicycle rider 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 avulsion fracture of left ilium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.315B — Nondisplaced avulsion 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": "Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, assault, sequela"}, {"role": "assistant", "content": "T46.6X3S — Poisoning by antihyperlipidemic and antiarteriosclerotic 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": "Maternal care for other isoimmunization, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O36.1994 — Maternal care for other isoimmunization, 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": "Systemic involvement of connective tissue, unspecified"}, {"role": "assistant", "content": "M35.9 — Systemic involvement of connective 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": "Fracture of bony thorax, part unspecified, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.9XXG — Fracture of bony thorax, part 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": "Osteophyte, right elbow"}, {"role": "assistant", "content": "M25.721 — Osteophyte, 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": "Dislocation of jaw, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S03.03XD — Dislocation of jaw, 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": "Nondisplaced fracture of anterior process of right calcaneus, sequela"}, {"role": "assistant", "content": "S92.024S — Nondisplaced fracture of anterior process 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": "Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E09.3511 — Drug or chemical induced diabetes mellitus with proliferative 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": "Puncture wound with foreign body of unspecified part of head, subsequent encounter"}, {"role": "assistant", "content": "S01.94XD — Puncture wound with foreign body 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 sphingolipidosis"}, {"role": "assistant", "content": "E75.29 — Other sphingolipidosis"}]}
{"messages": [{"role": "system", "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 nutritional disorder"}, {"role": "assistant", "content": "Z13.21 — Encounter for screening for nutritional 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 segmental fracture of shaft of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.464A — Nondisplaced segmental 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": "Myositis ossificans traumatica, left hand"}, {"role": "assistant", "content": "M61.042 — Myositis ossificans traumatica, 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": "Bucket-handle tear of unspecified meniscus, current injury, right knee, initial encounter"}, {"role": "assistant", "content": "S83.200A — Bucket-handle 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": "Disorder of ligament, unspecified foot"}, {"role": "assistant", "content": "M24.276 — Disorder of ligament, 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": "Unspecified fracture of right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.901P — Unspecified fracture 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": "Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm"}, {"role": "assistant", "content": "I25.111 — Atherosclerotic heart disease of native coronary artery 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": "Toxic effect of cobra venom, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.042A — Toxic effect of cobra venom, 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 specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, sequela"}, {"role": "assistant", "content": "S45.991S — Other specified injury of unspecified blood vessel 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": "Leakage of coronary artery bypass graft, initial encounter"}, {"role": "assistant", "content": "T82.213A — Leakage 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": "Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.264P — Nondisplaced segmental fracture of shaft of ulna, right 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": "Corrosion of second degree of right thumb (nail), subsequent encounter"}, {"role": "assistant", "content": "T23.611D — Corrosion of second degree of right 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": "Unspecified injury of unspecified tibial artery, right leg, subsequent encounter"}, {"role": "assistant", "content": "S85.101D — Unspecified injury 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": "Chronic embolism and thrombosis of peroneal vein, bilateral"}, {"role": "assistant", "content": "I82.553 — Chronic embolism and thrombosis 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": "Other specified injuries of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.8XXD — Other specified injuries 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 on outside of bus injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V75.7XXD — Person on outside of bus 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": "Unspecified open wound of left cheek and temporomandibular area, initial encounter"}, {"role": "assistant", "content": "S01.402A — Unspecified open wound of left cheek and temporomandibular 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": "Smith's fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.549F — Smith's fracture 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": "Abrasion of lower back and pelvis, subsequent encounter"}, {"role": "assistant", "content": "S30.810D — Abrasion 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": "Cicatricial ectropion of left upper eyelid"}, {"role": "assistant", "content": "H02.114 — Cicatricial 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": "Other injury of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.198A — Other injury 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": "Abrasion of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S60.412D — Abrasion 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": "Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, other fetus"}, {"role": "assistant", "content": "O35.BXX9 — Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, 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": "Burn of left eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "T26.02XA — Burn 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": "Migraine with aura, intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.119 — 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": "Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.311A — Strain 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": "Other specified injury of unspecified blood vessel at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.991D — Other specified 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": "Crushing injury of penis, sequela"}, {"role": "assistant", "content": "S38.01XS — Crushing injury 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": "Other congenital malformations of pancreas and pancreatic duct"}, {"role": "assistant", "content": "Q45.3 — Other congenital malformations of pancreas and pancreatic 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": "Blindness right eye category 3, low vision left eye category 2"}, {"role": "assistant", "content": "H54.1132 — Blindness right eye category 3, 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": "Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela"}, {"role": "assistant", "content": "S46.892S — Other injury of other muscles, fascia and tendons at shoulder and 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": "Obturator dislocation of left hip, subsequent encounter"}, {"role": "assistant", "content": "S73.025D — Obturator dislocation 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": "Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement"}, {"role": "assistant", "content": "M05.752 — Rheumatoid arthritis with rheumatoid factor of left 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": "Obsessive-compulsive disorder, unspecified"}, {"role": "assistant", "content": "F42.9 — Obsessive-compulsive 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 transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.225P — Nondisplaced transverse fracture of shaft 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 transverse fracture of unspecified patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.036H — Nondisplaced transverse fracture of unspecified 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": "Chronic embolism and thrombosis of internal jugular vein, bilateral"}, {"role": "assistant", "content": "I82.C23 — Chronic embolism and thrombosis of internal jugular 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": "Underdosing of vitamins, initial encounter"}, {"role": "assistant", "content": "T45.2X6A — Underdosing of vitamins, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S62.112K — Displaced fracture of triquetrum [cuneiform] bone, 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": "Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T50.3X2D — Poisoning by electrolytic, caloric and water-balance agents, 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": "Presence of other vascular implants and grafts"}, {"role": "assistant", "content": "Z95.828 — Presence of other vascular 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": "Poisoning by unspecified narcotics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T40.602S — Poisoning by unspecified narcotics, 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 from bus injured in collision with car, pick-up truck or van, subsequent encounter"}, {"role": "assistant", "content": "V73.4XXD — Person boarding or alighting from bus injured in collision with car, pick-up truck or van, subsequent encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S50.341S — External constriction 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": "Laceration of other blood vessels at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S85.812A — Laceration of other blood vessels 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": "Unspecified fracture of lower end of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.309P — Unspecified fracture of lower 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": "Injury of median nerve at upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S44.12XA — Injury of median nerve at 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": "Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V65.2XXD — Person on outside of heavy transport vehicle 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": "Other heavy for gestational age newborn"}, {"role": "assistant", "content": "P08.1 — Other heavy for gestational age 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": "Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.425G — Nondisplaced transverse fracture of shaft of left 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 fracture of distal phalanx of right ring finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.664G — Nondisplaced fracture of distal 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": "Pedestrian on roller-skates injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V05.11XS — Pedestrian on roller-skates 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": "Juvenile arthritis, unspecified, left hip"}, {"role": "assistant", "content": "M08.952 — Juvenile arthritis, unspecified, 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 injury of diaphragm, initial encounter"}, {"role": "assistant", "content": "S27.808A — Other injury 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": "Cocaine abuse, uncomplicated"}, {"role": "assistant", "content": "F14.10 — Cocaine abuse, 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 anterior wall of unspecified acetabulum, sequela"}, {"role": "assistant", "content": "S32.413S — Displaced fracture of anterior wall of unspecified 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 specified disorders of bone density and structure, right lower leg"}, {"role": "assistant", "content": "M85.861 — Other specified disorders of bone density and structure, 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": "Rectal fistula, simple, persistent"}, {"role": "assistant", "content": "K60.412 — Rectal fistula, simple, persistent"}]}
{"messages": [{"role": "system", "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 unspecified congenital malformation of uterus, third trimester"}, {"role": "assistant", "content": "O34.03 — Maternal care for unspecified congenital malformation of uterus, 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": "Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C85.28 — Mediastinal (thymic) large B-cell 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": "Central nervous system complications of anesthesia during the puerperium"}, {"role": "assistant", "content": "O89.2 — Central nervous system complications of anesthesia during 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 ulna, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.001P — Unspecified physeal fracture of lower end of ulna, 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": "Sprain of other parts of lumbar spine and pelvis, sequela"}, {"role": "assistant", "content": "S33.8XXS — Sprain of other parts of lumbar spine 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": "Postprocedural seroma of right eye and adnexa following other procedure"}, {"role": "assistant", "content": "H59.361 — Postprocedural seroma of right eye and adnexa 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": "Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.22XQ — Displaced subtrochanteric 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": "Traumatic subcutaneous emphysema, subsequent encounter"}, {"role": "assistant", "content": "T79.7XXD — Traumatic subcutaneous emphysema, subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified trimester"}, {"role": "assistant", "content": "O99.350 — Diseases of the nervous system 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": "Passenger in heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V62.1XXS — Passenger in 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 disorders of continuity of bone, unspecified humerus"}, {"role": "assistant", "content": "M84.829 — Other disorders of continuity of bone, 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": "Mast cell leukemia, in relapse"}, {"role": "assistant", "content": "C94.32 — Mast cell 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": "Other nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.091A — Other nondisplaced fracture of first 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": "Neoplasm of uncertain behavior of bladder"}, {"role": "assistant", "content": "D41.4 — Neoplasm of uncertain behavior 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": "Poisoning by androgens and anabolic congeners, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T38.7X2D — Poisoning by androgens and anabolic congeners, 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 fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.026H — Nondisplaced fracture of epiphysis (separation) (upper) 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": "Infection and inflammatory reaction due to internal right hip prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T84.51XD — Infection and inflammatory reaction due to internal right hip 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": "Subluxation of distal end of left ulna, initial encounter"}, {"role": "assistant", "content": "S63.072A — Subluxation of distal end of left 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": "Salter-Harris Type II physeal fracture of unspecified calcaneus, sequela"}, {"role": "assistant", "content": "S99.029S — Salter-Harris Type II 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": "Contusion of thoracic trachea, initial encounter"}, {"role": "assistant", "content": "S27.52XA — Contusion 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": "Poisoning by other primarily systemic and hematological agents, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T45.8X2D — Poisoning by other primarily systemic and hematological agents, 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 fracture of capitate [os magnum] bone, left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.135P — Nondisplaced fracture of capitate [os magnum] 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": "Pedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V16.5XXS — Pedal cycle passenger 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": "Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter"}, {"role": "assistant", "content": "S46.202D — Unspecified injury of muscle, fascia and tendon of other parts of biceps, 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": "Laceration without foreign body of penis, sequela"}, {"role": "assistant", "content": "S31.21XS — Laceration without 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": "Corrosion of third degree of right ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.711D — Corrosion of third degree of right 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": "Unspecified focal traumatic brain injury without loss of consciousness, initial encounter"}, {"role": "assistant", "content": "S06.300A — Unspecified focal traumatic brain injury 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": "Other sleep disorders not due to a substance or known physiological condition"}, {"role": "assistant", "content": "F51.8 — Other sleep disorders 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": "Lichen planopilaris, unspecified"}, {"role": "assistant", "content": "L66.10 — Lichen planopilaris, 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 other halogen derivatives of aliphatic hydrocarbons, assault, sequela"}, {"role": "assistant", "content": "T53.6X3S — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, 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": "Mechanical entropion of right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.023 — Mechanical entropion 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": "Psychomotor deficit following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.213 — Psychomotor 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": "Other ulcerative colitis with intestinal obstruction"}, {"role": "assistant", "content": "K51.812 — Other ulcerative colitis with 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": "Nondisplaced fracture of olecranon process with intraarticular extension of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.035J — Nondisplaced fracture of olecranon process with intraarticular extension 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": "Other specified diseases of pericardium"}, {"role": "assistant", "content": "I31.8 — Other specified diseases of pericardium"}]}
{"messages": [{"role": "system", "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 traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V09.3XXD — Pedestrian injured in unspecified 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": "Sezary disease, intrathoracic lymph nodes"}, {"role": "assistant", "content": "C84.12 — Sezary disease, 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": "Metabolic acidemia in newborn, unspecified"}, {"role": "assistant", "content": "P19.9 — Metabolic acidemia in 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": "Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.031K — Stable burst fracture of third 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": "Toxic effect of gadolinium, undetermined, initial encounter"}, {"role": "assistant", "content": "T56.824A — Toxic effect of gadolinium, 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 myopathy, unspecified"}, {"role": "assistant", "content": "G71.20 — Congenital myopathy, 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 physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.209G — Unspecified physeal fracture of phalanx of unspecified 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": "Low vision right eye category 1, normal vision left eye"}, {"role": "assistant", "content": "H54.511A — Low vision right eye category 1, 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": "Displaced oblique fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.233N — Displaced oblique fracture of shaft 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": "Inhalation of dry ice, sequela"}, {"role": "assistant", "content": "W93.02XS — Inhalation of 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": "Laceration of peroneal artery, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.219A — Laceration 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": "Other specified disorders of cartilage, multiple sites"}, {"role": "assistant", "content": "M94.8X0 — Other specified disorders of cartilage, 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 osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.80XG — Other osteoporosis with current pathological fracture, unspecified site, 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 avulsion fracture (chip fracture) of unspecified talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.156B — Nondisplaced avulsion fracture (chip 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": "Ankylosis of ear ossicles, bilateral"}, {"role": "assistant", "content": "H74.313 — Ankylosis of ear ossicles, 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": "Infection and inflammatory reaction due to internal fixation device of left tibia, initial encounter"}, {"role": "assistant", "content": "T84.623A — Infection and inflammatory reaction due to internal fixation device of left 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": "Unspecified fracture of left forearm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.92XH — Unspecified fracture of left forearm, 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 osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.829P — Other 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": "Displaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.512Q — Displaced fracture of left radial 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": "Adult psychological abuse, confirmed, sequela"}, {"role": "assistant", "content": "T74.31XS — Adult psychological abuse, confirmed, sequela"}]}
{"messages": [{"role": "system", "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 lower leg, sequela"}, {"role": "assistant", "content": "S80.862S — Insect bite (nonvenomous), 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": "Pathological fracture in other disease, unspecified femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.653P — Pathological fracture in other disease, 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": "Embolism and thrombosis of superficial veins of right lower extremity"}, {"role": "assistant", "content": "I82.811 — Embolism and thrombosis of superficial veins 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": "Unspecified occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V30.3XXD — Unspecified occupant of three-wheeled motor vehicle 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": "Other superficial bite of unspecified back wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.479A — Other superficial bite of unspecified 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": "Nondisplaced transverse fracture of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.455K — Nondisplaced transverse 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": "Term delivery with preterm labor, second trimester, fetus 2"}, {"role": "assistant", "content": "O60.22X2 — Term delivery with preterm labor, 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": "Gout due to renal impairment, left hand"}, {"role": "assistant", "content": "M10.342 — Gout due to renal impairment, 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 hyperaldosteronism"}, {"role": "assistant", "content": "E26.89 — Other hyperaldosteronism"}]}
{"messages": [{"role": "system", "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 unspecified bone of limb, initial encounter"}, {"role": "assistant", "content": "T84.129A — Displacement 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": "Penetrating wound without foreign body of unspecified eyeball, initial encounter"}, {"role": "assistant", "content": "S05.60XA — Penetrating wound without foreign body 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": "Rheumatoid bursitis, right elbow"}, {"role": "assistant", "content": "M06.221 — Rheumatoid bursitis, 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 injury of brachial artery, unspecified side, initial encounter"}, {"role": "assistant", "content": "S45.109A — Unspecified 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": "Corrosion of unspecified degree of right shoulder, initial encounter"}, {"role": "assistant", "content": "T22.451A — Corrosion 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": "Other streptococcal arthritis, right wrist"}, {"role": "assistant", "content": "M00.231 — Other streptococcal 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": "Diabetes mellitus due to underlying condition with diabetic dermatitis"}, {"role": "assistant", "content": "E08.620 — Diabetes mellitus due to underlying condition with diabetic 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": "Corrosion of unspecified degree of single right finger (nail) except thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.421D — Corrosion of unspecified degree of single right 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": "Unspecified injury of celiac artery, initial encounter"}, {"role": "assistant", "content": "S35.219A — Unspecified injury 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": "Subluxation of lens, bilateral"}, {"role": "assistant", "content": "H27.113 — Subluxation of lens, 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": "Corrosion of second degree of unspecified ankle, subsequent encounter"}, {"role": "assistant", "content": "T25.619D — Corrosion of second degree 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": "Unspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.051J — Unspecified fracture of head 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": "Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission"}, {"role": "assistant", "content": "Z20.2 — Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission"}]}
{"messages": [{"role": "system", "content": "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, left knee"}, {"role": "assistant", "content": "M23.307 — Other meniscus derangements, unspecified 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": "Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, sequela"}, {"role": "assistant", "content": "S76.312S — Strain of muscle, fascia and tendon of the posterior muscle group 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": "Other fracture of right great toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.491K — Other fracture 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": "External constriction of left little finger, initial encounter"}, {"role": "assistant", "content": "S60.447A — External constriction 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": "Unspecified injury of neck, sequela"}, {"role": "assistant", "content": "S19.9XXS — Unspecified injury of 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": "Injury of nerve root of lumbar spine, sequela"}, {"role": "assistant", "content": "S34.21XS — Injury of nerve root of lumbar 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": "Injury of unspecified nerve at wrist and hand level of unspecified arm, initial encounter"}, {"role": "assistant", "content": "S64.90XA — Injury of unspecified 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": "Other accident with motorized mobility scooter, initial encounter"}, {"role": "assistant", "content": "V00.838A — Other accident with motorized mobility scooter, initial encounter"}]}
{"messages": [{"role": "system", "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 unspecified level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.139S — Anterior cord 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 upper arm, initial encounter"}, {"role": "assistant", "content": "S40.922A — Unspecified superficial injury 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": "Carcinoma in situ of colon"}, {"role": "assistant", "content": "D01.0 — Carcinoma in situ 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": "Accessory auricle"}, {"role": "assistant", "content": "Q17.0 — Accessory 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": "Other complications of other transplanted tissue"}, {"role": "assistant", "content": "T86.898 — Other complications of other transplanted 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": "Anomalous implantation of ureter"}, {"role": "assistant", "content": "Q62.63 — Anomalous implantation 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": "Other physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S79.199G — Other physeal fracture of lower end of unspecified 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": "Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.142D — Displaced fracture of glenoid cavity 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": "Toxic effect of glycols, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T52.3X1A — Toxic effect of glycols, 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": "Contracture, left knee"}, {"role": "assistant", "content": "M24.562 — Contracture, 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": "Puncture wound without foreign body of larynx, initial encounter"}, {"role": "assistant", "content": "S11.013A — Puncture wound without foreign body 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": "Other dislocation of left knee, subsequent encounter"}, {"role": "assistant", "content": "S83.195D — Other dislocation 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": "Mycosis fungoides, spleen"}, {"role": "assistant", "content": "C84.07 — Mycosis fungoides, 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": "Mild to moderate pre-eclampsia, complicating the puerperium"}, {"role": "assistant", "content": "O14.05 — Mild to moderate pre-eclampsia, 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": "Poisoning by benzodiazepines, undetermined, sequela"}, {"role": "assistant", "content": "T42.4X4S — Poisoning by benzodiazepines, 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 antiviral drugs, sequela"}, {"role": "assistant", "content": "T37.5X5S — Adverse effect of antiviral 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": "Nondisplaced oblique fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.236N — Nondisplaced 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": "Pathological fracture in other disease, left tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.662D — Pathological fracture in other disease, 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": "Microscopic colitis, unspecified"}, {"role": "assistant", "content": "K52.839 — Microscopic colitis, 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": "Sprain of interphalangeal joint of right thumb, initial encounter"}, {"role": "assistant", "content": "S63.621A — Sprain of interphalangeal 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": "Poisoning by macrolides, undetermined, sequela"}, {"role": "assistant", "content": "T36.3X4S — Poisoning by macrolides, 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": "Laceration with foreign body of left lesser toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.225A — Laceration with foreign body of left 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": "Corrosion of second degree of multiple sites of unspecified wrist and hand, initial encounter"}, {"role": "assistant", "content": "T23.699A — Corrosion of second degree of multiple sites 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": "Nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.65XH — Nondisplaced fracture of lateral malleolus of left 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": "Displaced oblique fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.432H — Displaced oblique fracture of shaft of left 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": "Pathological fracture in neoplastic disease, left foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.575D — Pathological fracture in neoplastic disease, 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": "Contusion of right thigh, subsequent encounter"}, {"role": "assistant", "content": "S70.11XD — Contusion of 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": "Other injury of flexor muscle, fascia and tendon of left thumb at forearm level, sequela"}, {"role": "assistant", "content": "S56.092S — Other injury of flexor muscle, fascia and tendon of left 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": "Military operations involving other firearms discharge, civilian, sequela"}, {"role": "assistant", "content": "Y37.431S — Military operations involving other firearms discharge, 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": "Breakdown (mechanical) of other nervous system device, implant or graft, sequela"}, {"role": "assistant", "content": "T85.615S — Breakdown (mechanical) 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": "Chorioamnionitis, second trimester, fetus 2"}, {"role": "assistant", "content": "O41.1222 — Chorioamnionitis, 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": "Displaced fracture of proximal phalanx of left lesser toe(s), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.512P — Displaced fracture of proximal phalanx 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": "Driver of three-wheeled motor vehicle injured in collision with pedestrian or animal in nontraffic accident, sequela"}, {"role": "assistant", "content": "V30.0XXS — Driver of three-wheeled motor vehicle 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": "Bitten by squirrel, initial encounter"}, {"role": "assistant", "content": "W53.21XA — Bitten by 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": "Partial traumatic amputation of unspecified breast, sequela"}, {"role": "assistant", "content": "S28.229S — Partial traumatic amputation 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": "Other specified injury of right innominate or subclavian artery, sequela"}, {"role": "assistant", "content": "S25.191S — Other specified injury of right 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": "Nondisplaced transverse fracture of shaft of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.225F — Nondisplaced transverse fracture of shaft 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": "Multi-system degeneration of the autonomic nervous system"}, {"role": "assistant", "content": "G90.3 — Multi-system degeneration of the 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": "Other accident with motorized mobility scooter, sequela"}, {"role": "assistant", "content": "V00.838S — Other accident with motorized mobility scooter, sequela"}]}
{"messages": [{"role": "system", "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 miliary tuberculosis, unspecified"}, {"role": "assistant", "content": "A19.2 — Acute miliary tuberculosis, 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 hook process of hamate [unciform] bone, unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.156P — Nondisplaced fracture of hook process of hamate [unciform] bone, 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": "Sacral spina bifida with hydrocephalus"}, {"role": "assistant", "content": "Q05.3 — Sacral spina bifida with hydrocephalus"}]}
{"messages": [{"role": "system", "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, back, cervical"}, {"role": "assistant", "content": "M62.5A0 — Muscle wasting and atrophy, not elsewhere classified, back, cervical"}]}
{"messages": [{"role": "system", "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 chloroform, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T53.1X1A — Toxic effect of chloroform, 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 plantar artery of right foot, sequela"}, {"role": "assistant", "content": "S95.101S — Unspecified injury 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": "Assault by strike against or bumped into by another person, sequela"}, {"role": "assistant", "content": "Y04.2XXS — Assault by strike 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": "Other specific arthropathies, not elsewhere classified, other specified site"}, {"role": "assistant", "content": "M12.88 — Other specific arthropathies, not elsewhere classified, 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": "Webbed toes, left foot"}, {"role": "assistant", "content": "Q70.32 — Webbed toes, 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": "Congenital megaureter"}, {"role": "assistant", "content": "Q62.2 — Congenital megaureter"}]}
{"messages": [{"role": "system", "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, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T40.1X2D — Poisoning by heroin, 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 mechanical complication of implanted urinary sphincter, initial encounter"}, {"role": "assistant", "content": "T83.191A — Other mechanical complication of 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": "Chronic instability of knee, left knee"}, {"role": "assistant", "content": "M23.52 — Chronic instability of knee, 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 other rapid changes in air pressure during ascent, initial encounter"}, {"role": "assistant", "content": "W94.29XA — Exposure to other rapid changes in air pressure during ascent, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.018D — Other fracture of first 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": "Adult physical abuse, suspected, subsequent encounter"}, {"role": "assistant", "content": "T76.11XD — Adult physical abuse, 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": "Open bite, right hip, subsequent encounter"}, {"role": "assistant", "content": "S71.051D — Open bite, 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": "Displaced pilon fracture of right tibia, sequela"}, {"role": "assistant", "content": "S82.871S — Displaced pilon fracture 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": "Exposure to excessive natural heat, sequela"}, {"role": "assistant", "content": "X30.XXXS — Exposure to excessive natural heat, sequela"}]}
{"messages": [{"role": "system", "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, right ear"}, {"role": "assistant", "content": "H66.11 — Chronic tubotympanic suppurative otitis media, 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": "Military operations involving other destruction of aircraft, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.191A — Military operations involving other destruction of aircraft, 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": "Displaced fracture of navicular [scaphoid] of left foot, sequela"}, {"role": "assistant", "content": "S92.252S — Displaced fracture of navicular [scaphoid] 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": "Displaced fracture of neck of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.339P — Displaced 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": "Hemarthrosis, left wrist"}, {"role": "assistant", "content": "M25.032 — Hemarthrosis, 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 predominantly beta-adrenoreceptor agonists, subsequent encounter"}, {"role": "assistant", "content": "T44.5X5D — Adverse effect of predominantly beta-adrenoreceptor agonists, subsequent encounter"}]}
{"messages": [{"role": "system", "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), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.449A — Corrosion of unspecified 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": "Poisoning by other antipsychotics and neuroleptics, assault, sequela"}, {"role": "assistant", "content": "T43.593S — Poisoning by other 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": "Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.031P — Displaced midcervical 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": "Pain in right wrist"}, {"role": "assistant", "content": "M25.531 — Pain in 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": "Displacement of cranial or spinal infusion catheter, sequela"}, {"role": "assistant", "content": "T85.620S — Displacement 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": "Adverse effect of centrally-acting and adrenergic-neuron-blocking agents, subsequent encounter"}, {"role": "assistant", "content": "T44.8X5D — Adverse effect 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 injury of unspecified ankle, sequela"}, {"role": "assistant", "content": "S99.919S — Unspecified injury of 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": "Primary iridocyclitis, unspecified eye"}, {"role": "assistant", "content": "H20.019 — Primary iridocyclitis, 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 androgenic alopecia"}, {"role": "assistant", "content": "L64.8 — Other androgenic 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": "Injury of brachial plexus, sequela"}, {"role": "assistant", "content": "S14.3XXS — Injury of brachial plexus, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medical services not available in home"}, {"role": "assistant", "content": "Z75.0 — Medical services not available in 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": "Salter-Harris Type IV physeal fracture of left calcaneus, sequela"}, {"role": "assistant", "content": "S99.042S — Salter-Harris Type IV 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": "Torus fracture of lower end of left femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S72.472K — Torus 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": "Carbuncle of unspecified hand"}, {"role": "assistant", "content": "L02.539 — Carbuncle of 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": "Typhoid pneumonia"}, {"role": "assistant", "content": "A01.03 — Typhoid 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": "Strain of muscle, fascia and tendon of long head of biceps, left arm, sequela"}, {"role": "assistant", "content": "S46.112S — Strain 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": "Drug-induced chronic gout, unspecified shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2190 — Drug-induced 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": "Granuloma of left lacrimal passage"}, {"role": "assistant", "content": "H04.812 — Granuloma of left 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": "Maternal care for known or suspected placental insufficiency, first trimester, fetus 3"}, {"role": "assistant", "content": "O36.5113 — Maternal care for known or suspected placental insufficiency, 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": "Hyperfunction of pituitary gland, unspecified"}, {"role": "assistant", "content": "E22.9 — Hyperfunction 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": "Other injury of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.495D — Other 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": "Poisoning by unspecified drugs, medicaments and biological substances, assault, initial encounter"}, {"role": "assistant", "content": "T50.903A — Poisoning by unspecified drugs, medicaments and biological 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": "Displaced transverse fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.323Q — Displaced transverse 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": "Unspecified fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.209B — Unspecified 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": "Pedestrian on roller-skates injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V06.11XD — Pedestrian on roller-skates 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": "Puncture wound without foreign body of right hand, sequela"}, {"role": "assistant", "content": "S61.431S — Puncture wound without 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": "Exit ramp or entrance ramp of street or highway as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.415 — Exit ramp or entrance ramp of street or highway 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": "Postimmunization arthropathy, left elbow"}, {"role": "assistant", "content": "M02.222 — Postimmunization 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": "Non-pressure chronic ulcer of right forearm with fat layer exposed"}, {"role": "assistant", "content": "L98.A212 — Non-pressure chronic ulcer of right forearm 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": "Photokeratitis, bilateral"}, {"role": "assistant", "content": "H16.133 — Photokeratitis, 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": "Corrosion of first degree of multiple sites of right lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.591D — Corrosion of first degree of multiple sites 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": "Pathological fracture in other disease, left foot, initial encounter for fracture"}, {"role": "assistant", "content": "M84.675A — Pathological fracture in other disease, 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": "Laceration of unspecified blood vessel at hip and thigh level, right leg, initial encounter"}, {"role": "assistant", "content": "S75.911A — Laceration of unspecified blood vessel 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": "Toxic effect of venom of scorpion, assault, sequela"}, {"role": "assistant", "content": "T63.2X3S — Toxic effect of venom of scorpion, 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 open wound of abdominal wall, left flank with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.607A — Unspecified open wound of abdominal wall, left flank 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 shaft of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.301Q — Unspecified 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": "Allergy status to other antibiotic agents"}, {"role": "assistant", "content": "Z88.1 — Allergy status to other antibiotic agents"}]}
{"messages": [{"role": "system", "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 delayed healing"}, {"role": "assistant", "content": "S89.321G — Salter-Harris Type II physeal fracture of lower 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": "Pressure ulcer of unspecified buttock, stage 4"}, {"role": "assistant", "content": "L89.304 — Pressure ulcer of unspecified buttock, stage 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": "Laceration with foreign body of vocal cord, sequela"}, {"role": "assistant", "content": "S11.032S — Laceration with foreign body 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": "Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C81.95 — Hodgkin lymphoma, unspecified, 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": "Other physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.199P — Other physeal fracture of lower 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 disorders of bone development and growth, left fibula"}, {"role": "assistant", "content": "M89.264 — Other disorders of bone development and growth, left 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": "Poisoning by selective serotonin reuptake inhibitors, assault, subsequent encounter"}, {"role": "assistant", "content": "T43.223D — Poisoning by selective serotonin 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": "Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.453J — Displaced supracondylar fracture without 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": "Resistance to unspecified antimicrobial drugs"}, {"role": "assistant", "content": "Z16.30 — Resistance to unspecified antimicrobial 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": "Other hereditary ataxias"}, {"role": "assistant", "content": "G11.8 — Other hereditary ataxias"}]}
{"messages": [{"role": "system", "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 part of left wrist and hand, sequela"}, {"role": "assistant", "content": "S63.92XS — Sprain of unspecified part 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 spontaneous disruption of medial collateral ligament of unspecified knee"}, {"role": "assistant", "content": "M23.639 — Other spontaneous disruption of medial collateral ligament 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 osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture"}, {"role": "assistant", "content": "M80.80XA — Other osteoporosis with current pathological 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": "Insect bite (nonvenomous) of left thumb, subsequent encounter"}, {"role": "assistant", "content": "S60.362D — Insect bite (nonvenomous) 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": "Other motorcycle passenger injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V21.59XS — Other motorcycle passenger 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": "Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.009K — Unspecified physeal fracture of upper end 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": "Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.224H — Nondisplaced transverse fracture of shaft 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": "Abnormal level of enzymes in specimens from digestive organs and abdominal cavity"}, {"role": "assistant", "content": "R85.0 — Abnormal level of enzymes in specimens from digestive organs and abdominal 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": "Congenital pneumonia, unspecified"}, {"role": "assistant", "content": "P23.9 — Congenital pneumonia, 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 right back wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.251S — Open bite of right 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": "Hepatic fibrosis with hepatic sclerosis"}, {"role": "assistant", "content": "K74.2 — Hepatic fibrosis with hepatic 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": "Unspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S86.801S — Unspecified injury of other muscle(s) and tendon(s) 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": "Complete traumatic amputation of left midfoot, initial encounter"}, {"role": "assistant", "content": "S98.312A — Complete traumatic amputation of left midfoot, initial encounter"}]}
{"messages": [{"role": "system", "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 cheilitis"}, {"role": "assistant", "content": "B37.83 — Candidal cheilitis"}]}
{"messages": [{"role": "system", "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 routine healing"}, {"role": "assistant", "content": "M84.521D — Pathological fracture in neoplastic disease, 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": "External constriction, left foot, subsequent encounter"}, {"role": "assistant", "content": "S90.842D — External constriction, 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": "Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder"}, {"role": "assistant", "content": "F13.182 — Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-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 olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.036M — Nondisplaced fracture of olecranon process with intraarticular extension of unspecified 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 Rolando's fracture, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.222K — Displaced Rolando's fracture, 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": "Idiopathic aseptic necrosis of unspecified ankle"}, {"role": "assistant", "content": "M87.073 — Idiopathic aseptic necrosis 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": "Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, not applicable or unspecified"}, {"role": "assistant", "content": "O35.BXX0 — Maternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomalies, 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": "Unspecified fracture of right ilium, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.301K — Unspecified 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 dome fracture of unspecified acetabulum, sequela"}, {"role": "assistant", "content": "S32.483S — Displaced dome fracture of unspecified 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": "Poisoning by anticholinesterase agents, undetermined, sequela"}, {"role": "assistant", "content": "T44.0X4S — Poisoning by anticholinesterase 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": "Salter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.111G — Salter-Harris Type I 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 due to other accident to (nonpowered) inflatable craft, sequela"}, {"role": "assistant", "content": "V91.86XS — Other injury 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": "Unspecified injury of unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "S89.90XA — Unspecified injury 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": "Major laceration of right internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.321A — Major laceration of right 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 specific arthropathies, not elsewhere classified, right shoulder"}, {"role": "assistant", "content": "M12.811 — Other specific arthropathies, 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": "Type 4 fracture of sacrum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.17XB — Type 4 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": "Unspecified spacecraft accident injuring occupant, sequela"}, {"role": "assistant", "content": "V95.40XS — Unspecified spacecraft 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 dislocation of left knee, sequela"}, {"role": "assistant", "content": "S83.105S — Unspecified dislocation 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": "Complication of immune effector cellular therapy, sequela"}, {"role": "assistant", "content": "T80.82XS — Complication of immune effector cellular therapy, sequela"}]}
{"messages": [{"role": "system", "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 delayed healing"}, {"role": "assistant", "content": "S22.031G — Stable burst fracture of third 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": "Partial traumatic amputation at level between elbow and wrist, right arm, sequela"}, {"role": "assistant", "content": "S58.121S — Partial traumatic amputation at level between elbow and wrist, 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": "Toxic effect of contact with Portuguese Man-o-war, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.614D — Toxic effect of contact with Portuguese Man-o-war, 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": "Idiopathic aseptic necrosis of right ulna"}, {"role": "assistant", "content": "M87.034 — Idiopathic aseptic necrosis 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": "Alcohol use complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.313 — Alcohol use 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": "Displaced segmental fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.462J — Displaced segmental fracture of shaft of left 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": "Struck by shark, subsequent encounter"}, {"role": "assistant", "content": "W56.42XD — Struck by shark, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter"}, {"role": "assistant", "content": "S55.892A — Other specified injury of other blood vessels 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": "Burn of second degree of multiple left fingers (nail), including thumb, sequela"}, {"role": "assistant", "content": "T23.242S — Burn of second degree of multiple left fingers (nail), 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": "Osteonecrosis due to previous trauma, right ankle"}, {"role": "assistant", "content": "M87.271 — Osteonecrosis due to previous trauma, 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": "Postprocedural urethral stricture, male, meatal"}, {"role": "assistant", "content": "N99.110 — Postprocedural urethral stricture, male, meatal"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S82.892H — Other 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": "Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V81.0XXD — Occupant of railway train or railway vehicle injured in collision with 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": "Military operations involving biological weapons, military personnel, sequela"}, {"role": "assistant", "content": "Y37.6X0S — Military operations involving biological 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": "Congenital malformation of aortic and mitral valves, unspecified"}, {"role": "assistant", "content": "Q23.9 — Congenital malformation of aortic and mitral valves, 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": "Incomplete lesion of sacral spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.132A — Incomplete lesion of sacral 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": "Corrosion of unspecified degree of left toe(s) (nail), sequela"}, {"role": "assistant", "content": "T25.432S — Corrosion of unspecified degree of left 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": "Ghost vessels (corneal), bilateral"}, {"role": "assistant", "content": "H16.413 — Ghost vessels (corneal), 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": "Scleral ectasia, unspecified eye"}, {"role": "assistant", "content": "H15.849 — Scleral ectasia, 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 malignant neuroendocrine tumors"}, {"role": "assistant", "content": "C7A.8 — Other malignant 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": "Vitiligo of unspecified eye, unspecified eyelid and periocular area"}, {"role": "assistant", "content": "H02.739 — Vitiligo of unspecified eye, unspecified eyelid and periocular area"}]}
{"messages": [{"role": "system", "content": "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, right foot"}, {"role": "assistant", "content": "M24.174 — Other articular cartilage disorders, 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 injury of bladder, subsequent encounter"}, {"role": "assistant", "content": "S37.20XD — Unspecified injury of bladder, subsequent encounter"}]}
{"messages": [{"role": "system", "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, other fetus"}, {"role": "assistant", "content": "O35.HXX9 — Maternal care for other (suspected) fetal abnormality and damage, fetal lower extremities anomalies, 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": "Displaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.122K — Displaced 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": "16 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.16 — 16 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": "Insect bite (nonvenomous) of left front wall of thorax, sequela"}, {"role": "assistant", "content": "S20.362S — Insect bite (nonvenomous) 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": "Other immediate postpartum hemorrhage"}, {"role": "assistant", "content": "O72.1 — Other immediate postpartum 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 extraarticular fracture of lower end of left radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.552E — Other extraarticular fracture of lower end 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": "Non-pressure chronic ulcer of left ankle with fat layer exposed"}, {"role": "assistant", "content": "L97.322 — Non-pressure chronic ulcer of left ankle 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": "Burn of unspecified degree of unspecified site of unspecified lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.009D — Burn of unspecified 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": "Unspecified superficial injury of lip, subsequent encounter"}, {"role": "assistant", "content": "S00.501D — Unspecified superficial injury 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": "Burns involving 70-79% of body surface with 50-59% third degree burns"}, {"role": "assistant", "content": "T31.75 — Burns involving 70-79% 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": "Other specified joint disorders, left shoulder"}, {"role": "assistant", "content": "M25.812 — Other specified joint disorders, 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": "Breakdown (mechanical) of esophageal anti-reflux device, sequela"}, {"role": "assistant", "content": "T85.511S — Breakdown (mechanical) of esophageal anti-reflux 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": "Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age"}, {"role": "assistant", "content": "P05.2 — Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age"}]}
{"messages": [{"role": "system", "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 ulna, initial encounter for fracture"}, {"role": "assistant", "content": "M84.631A — Pathological fracture in other disease, right 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": "Displaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.033M — Displaced fracture of olecranon process with intraarticular extension of unspecified 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": "Crushing injury of right lower leg, sequela"}, {"role": "assistant", "content": "S87.81XS — Crushing 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": "Displaced bicondylar fracture of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.142B — Displaced bicondylar fracture 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 intraarticular fracture of left calcaneus, sequela"}, {"role": "assistant", "content": "S92.065S — Nondisplaced intraarticular 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": "Laceration of superior mesenteric vein, sequela"}, {"role": "assistant", "content": "S35.331S — Laceration of superior 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": "Nondisplaced transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.225G — Nondisplaced transverse 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": "Salter-Harris Type I physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.112K — Salter-Harris Type I physeal fracture of left 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": "Encephalocele, unspecified"}, {"role": "assistant", "content": "Q01.9 — Encephalocele, 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": "Fall from burning building or structure in controlled fire, subsequent encounter"}, {"role": "assistant", "content": "X02.3XXD — Fall 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": "Fracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.101P — Fracture of unspecified part of scapula, right 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": "Posterior dislocation of right ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.124D — Posterior 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": "Presence of artificial eye"}, {"role": "assistant", "content": "Z97.0 — Presence of artificial 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 lower epiphysis (separation) of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.446K — Nondisplaced fracture of lower epiphysis (separation) 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": "Nondisplaced fracture of anterior wall of left acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.415D — Nondisplaced fracture of anterior wall 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 mechanical complication of internal fixation device of bone of left forearm, sequela"}, {"role": "assistant", "content": "T84.193S — Other mechanical complication of internal fixation device of bone 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": "Blepharophimosis right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.523 — Blepharophimosis 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 infective (teno)synovitis, other site"}, {"role": "assistant", "content": "M65.18 — Other infective (teno)synovitis, 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": "Nondisplaced fracture of base of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.349G — Nondisplaced fracture of base 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": "Underdosing of ophthalmological drugs and preparations, sequela"}, {"role": "assistant", "content": "T49.5X6S — Underdosing of ophthalmological drugs and preparations, sequela"}]}
{"messages": [{"role": "system", "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 frontal lobe"}, {"role": "assistant", "content": "C71.1 — Malignant neoplasm of frontal lobe"}]}
{"messages": [{"role": "system", "content": "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 left clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.022A — Displaced fracture of shaft 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": "Corrosion of first degree of unspecified hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.509S — Corrosion of first 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": "Nondisplaced comminuted fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.044M — Nondisplaced comminuted 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": "Other war operations occurring after cessation of hostilities, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.881D — Other war operations occurring after cessation of hostilities, 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": "Nondisplaced fracture of base of fourth metacarpal bone, left hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.345A — Nondisplaced fracture of base of fourth 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": "Primary blast injury of brain, not elsewhere classified without loss of consciousness, subsequent encounter"}, {"role": "assistant", "content": "S06.8A0D — Primary blast injury of brain, not elsewhere classified 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": "Non-ST elevation (NSTEMI) myocardial infarction"}, {"role": "assistant", "content": "I21.4 — Non-ST elevation (NSTEMI) 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": "Adult osteochondrosis of spine, lumbar region"}, {"role": "assistant", "content": "M42.16 — Adult osteochondrosis of spine, 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 other extraarticular fracture of right calcaneus, sequela"}, {"role": "assistant", "content": "S92.051S — Displaced other extraarticular 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": "Respiratory conditions due to smoke inhalation"}, {"role": "assistant", "content": "J70.5 — Respiratory conditions due to smoke inhalation"}]}
{"messages": [{"role": "system", "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 fixed or stationary object in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V77.0XXD — Driver of bus 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": "Preterm newborn, gestational age 34 completed weeks"}, {"role": "assistant", "content": "P07.37 — Preterm newborn, gestational age 34 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": "Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C85.14 — Unspecified B-cell 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": "Cellulitis of unspecified orbit"}, {"role": "assistant", "content": "H05.019 — Cellulitis 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": "Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, unspecified extremity"}, {"role": "assistant", "content": "I70.729 — Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, 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": "Anhidrosis"}, {"role": "assistant", "content": "L74.4 — Anhidrosis"}]}
{"messages": [{"role": "system", "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 upper arm, subsequent encounter"}, {"role": "assistant", "content": "T22.231D — Burn of second degree 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": "Drowning and submersion due to falling or jumping from crushed fishing boat, sequela"}, {"role": "assistant", "content": "V90.32XS — Drowning and submersion due to falling or jumping from crushed fishing boat, sequela"}]}
{"messages": [{"role": "system", "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 femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.059P — Age-related osteoporosis with current pathological fracture, 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": "Hemangioma unspecified site"}, {"role": "assistant", "content": "D18.00 — Hemangioma 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": "Attic perforation of tympanic membrane, unspecified ear"}, {"role": "assistant", "content": "H72.10 — Attic 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": "Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, sequela"}, {"role": "assistant", "content": "S43.129S — Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, sequela"}]}
{"messages": [{"role": "system", "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 left shoulder joint, subsequent encounter"}, {"role": "assistant", "content": "S48.012D — Complete traumatic amputation at left 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": "Epilepsy, unspecified, intractable, with status epilepticus"}, {"role": "assistant", "content": "G40.911 — Epilepsy, unspecified, 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": "Toxic effect of hydrogen cyanide, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T57.3X2D — Toxic effect of hydrogen cyanide, 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 unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S46.921D — Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm 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 transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.325M — Nondisplaced transverse fracture of shaft 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": "Immersion hand, right hand, initial encounter"}, {"role": "assistant", "content": "T69.011A — Immersion hand, 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": "Unspecified symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.019 — Unspecified symptoms and signs involving cognitive functions 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": "Complete physeal arrest, left proximal humerus"}, {"role": "assistant", "content": "M89.122 — Complete physeal arrest, left 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": "Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F19.250 — Other psychoactive substance dependence 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": "Contusion of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "S70.10XD — Contusion 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": "Cataract with neovascularization, right eye"}, {"role": "assistant", "content": "H26.211 — Cataract with neovascularization, 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": "Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.000D — Wedge compression 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": "Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.499G — Other 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": "Burn of second degree of right ankle, initial encounter"}, {"role": "assistant", "content": "T25.211A — Burn of second 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": "Unspecified fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.401N — Unspecified 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": "Nondisplaced avulsion fracture of right ischium, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.614D — Nondisplaced avulsion fracture of right 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": "Pneumococcal arthritis, left shoulder"}, {"role": "assistant", "content": "M00.112 — Pneumococcal 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": "Other specified disorders of lacrimal gland"}, {"role": "assistant", "content": "H04.19 — Other specified disorders of 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": "Other disorders of bone development and growth, unspecified femur"}, {"role": "assistant", "content": "M89.259 — Other disorders of bone development and growth, 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": "Chemical pneumonitis due to anesthesia"}, {"role": "assistant", "content": "J95.4 — Chemical pneumonitis due to anesthesia"}]}
{"messages": [{"role": "system", "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 primarily systemic and hematological agents, sequela"}, {"role": "assistant", "content": "T45.8X5S — Adverse effect of other primarily systemic and hematological 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": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.466A — Nondisplaced supracondylar fracture with intracondylar extension 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 transverse fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.324E — Nondisplaced transverse 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": "Nondisplaced transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.226Q — Nondisplaced transverse 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": "Non-pressure chronic ulcer of skin of other sites with necrosis of bone"}, {"role": "assistant", "content": "L98.494 — Non-pressure chronic ulcer of skin of other sites 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": "Nondisplaced fracture of capitate [os magnum] bone, right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.134A — Nondisplaced fracture of capitate [os magnum] bone, 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 injury of blood vessel of left index finger, initial encounter"}, {"role": "assistant", "content": "S65.591A — Other specified injury of blood vessel 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": "Traumatic rupture of symphysis pubis, initial encounter"}, {"role": "assistant", "content": "S33.4XXA — Traumatic rupture of symphysis pubis, initial encounter"}]}
{"messages": [{"role": "system", "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 gallbladder, subsequent encounter"}, {"role": "assistant", "content": "S36.122D — Contusion of gallbladder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 femur, sequela"}, {"role": "assistant", "content": "S79.091S — Other physeal fracture of upper 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": "Age-related osteoporosis with current pathological fracture, left femur, sequela"}, {"role": "assistant", "content": "M80.052S — Age-related osteoporosis with current pathological fracture, 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": "War operations involving explosion of improvised explosive device [IED], civilian, sequela"}, {"role": "assistant", "content": "Y36.231S — War operations involving explosion of improvised explosive device [IED], 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": "War operations involving intentional restriction of air and airway, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.460A — War operations involving intentional restriction of air and airway, 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": "Displaced fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.62XM — Displaced fracture of lateral malleolus 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": "Toxic effect of other pesticides, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T60.8X4D — Toxic effect of other pesticides, 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": "Military operations involving explosion due to accidental detonation and discharge of own munitions or munitions launch device, military personnel, sequela"}, {"role": "assistant", "content": "Y37.240S — Military operations involving explosion due to accidental detonation and discharge of own munitions or munitions launch device, 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": "Displaced fracture of medial cuneiform of right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.241G — Displaced fracture of medial 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": "Struck by duck, subsequent encounter"}, {"role": "assistant", "content": "W61.62XD — Struck by duck, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S82.132S — Displaced fracture of medial condyle 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": "Central retinal vein occlusion, bilateral, with retinal neovascularization"}, {"role": "assistant", "content": "H34.8131 — Central retinal vein occlusion, bilateral, 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": "Toxic effect of strychnine and its salts, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T65.1X1A — Toxic effect of strychnine and its salts, 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": "Effusion, left shoulder"}, {"role": "assistant", "content": "M25.412 — Effusion, 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 mechanical complication of intraocular lens, sequela"}, {"role": "assistant", "content": "T85.29XS — Other mechanical complication of intraocular lens, sequela"}]}
{"messages": [{"role": "system", "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 utero procedure while a fetus"}, {"role": "assistant", "content": "Z98.871 — Personal history of in utero procedure while a 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": "Abrasion of other part of head, initial encounter"}, {"role": "assistant", "content": "S00.81XA — Abrasion 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": "Unspecified fracture of shaft of unspecified fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.409B — Unspecified 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": "Toxic effect of cobra venom, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.044D — Toxic effect of cobra venom, 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": "Traumatic rupture of collateral ligament of right ring finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.414S — Traumatic rupture of collateral ligament of right 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": "Unspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.059K — Unspecified 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": "Displaced comminuted fracture of shaft of unspecified fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.453C — Displaced comminuted fracture of shaft 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": "Graphite fibrosis (of lung)"}, {"role": "assistant", "content": "J63.3 — Graphite fibrosis (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": "Sprain of other part of left wrist and hand, initial encounter"}, {"role": "assistant", "content": "S63.8X2A — Sprain of other part of left 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 laxatives, undetermined, initial encounter"}, {"role": "assistant", "content": "T47.4X4A — Poisoning by other laxatives, 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": "Leakage of other specified internal prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T85.638S — Leakage of other specified internal 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": "Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.90XH — Unspecified fracture 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": "Abrasion of unspecified part of neck, sequela"}, {"role": "assistant", "content": "S10.91XS — Abrasion of unspecified part of 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": "Contact with and (suspected) exposure to other communicable diseases"}, {"role": "assistant", "content": "Z20.89 — Contact with and (suspected) exposure to other communicable 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": "Blister (nonthermal) of lip, sequela"}, {"role": "assistant", "content": "S00.521S — Blister (nonthermal) 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": "Pain due to genitourinary prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T83.84XA — Pain due to genitourinary 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": "Disease of upper respiratory tract, unspecified"}, {"role": "assistant", "content": "J39.9 — Disease of upper respiratory 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": "Other fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.392F — Other 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": "Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T44.8X2D — Poisoning by centrally-acting and adrenergic-neuron-blocking agents, 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 fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.291R — Other 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": "Non-pressure chronic ulcer of buttock with necrosis of bone"}, {"role": "assistant", "content": "L98.414 — Non-pressure chronic ulcer of buttock 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": "NIHSS score 14"}, {"role": "assistant", "content": "R29.714 — NIHSS score 14"}]}
{"messages": [{"role": "system", "content": "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 to person on ground due to air transport accident, sequela"}, {"role": "assistant", "content": "V97.39XS — Other injury to person on ground due to air 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": "Other symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage"}, {"role": "assistant", "content": "I69.118 — Other symptoms and signs involving cognitive functions 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": "Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.321D — Displaced 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": "Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.414P — Nondisplaced simple supracondylar fracture without intercondylar fracture 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": "Sprain of right coracohumeral (ligament), initial encounter"}, {"role": "assistant", "content": "S43.411A — Sprain of right coracohumeral (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": "Neoplasm of uncertain behavior of aortic body and other paraganglia"}, {"role": "assistant", "content": "D44.7 — Neoplasm of uncertain behavior of aortic body and other paraganglia"}]}
{"messages": [{"role": "system", "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 sacral spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.131A — Complete lesion of sacral 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": "Abnormal level of enzymes in specimens from female genital organs"}, {"role": "assistant", "content": "R87.0 — Abnormal level of enzymes 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": "Aggressive periodontitis, localized, slight"}, {"role": "assistant", "content": "K05.211 — Aggressive periodontitis, localized, slight"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "T47.7X3D — Poisoning by emetics, 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": "Assault by drowning and submersion, unspecified, initial encounter"}, {"role": "assistant", "content": "X92.9XXA — Assault by drowning and submersion, 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 shaft of fourth metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.355S — Nondisplaced fracture of shaft of fourth 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": "Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate"}, {"role": "assistant", "content": "M96.65 — Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate"}]}
{"messages": [{"role": "system", "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 heavy transport vehicle or bus in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V34.5XXD — Driver of three-wheeled motor vehicle 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": "Cellulitis of right lower limb"}, {"role": "assistant", "content": "L03.115 — Cellulitis 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": "Other pre-existing diabetes mellitus in pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O24.819 — Other pre-existing diabetes mellitus 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": "Fall on board (nonpowered) inflatable craft, initial encounter"}, {"role": "assistant", "content": "V93.36XA — Fall on board (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": "Other specified disorders of left external ear"}, {"role": "assistant", "content": "H61.892 — Other specified disorders 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": "Poisoning by other primarily systemic and hematological agents, assault, sequela"}, {"role": "assistant", "content": "T45.8X3S — Poisoning by other primarily systemic and hematological 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": "Superficial mycosis, unspecified"}, {"role": "assistant", "content": "B36.9 — Superficial mycosis, 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": "Puncture wound without foreign body of left lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S91.135S — Puncture wound 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": "Unspecified fracture of unspecified lower leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.90XP — Unspecified 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": "Homicidal ideations"}, {"role": "assistant", "content": "R45.850 — Homicidal 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": "Poisoning by thyroid hormones and substitutes, assault, sequela"}, {"role": "assistant", "content": "T38.1X3S — Poisoning by thyroid hormones and substitutes, 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 fracture of lower end of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.691B — Other fracture of lower 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": "Poisoning by hemostatic drug, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T45.621D — Poisoning by hemostatic 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": "Person on outside of pick-up truck or van injured in collision with pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V51.2XXA — Person on outside 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": "Other juvenile osteochondrosis, left upper limb"}, {"role": "assistant", "content": "M92.32 — Other juvenile osteochondrosis, 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": "Person on outside of other special all-terrain or other off-road motor vehicles injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.79XD — Person on outside of other special all-terrain or other off-road motor vehicles 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": "Nondisplaced associated transverse-posterior fracture of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.466A — Nondisplaced associated transverse-posterior 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": "Activity, piano playing"}, {"role": "assistant", "content": "Y93.J1 — Activity, piano 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": "Open bite of right front wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.151S — Open bite of right 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": "Dislocation of unspecified interphalangeal joint of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.273D — Dislocation of unspecified 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": "Military operations involving explosion of guided missile, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.221A — Military operations involving explosion of guided missile, 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": "Displaced unspecified fracture of right great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.401P — Displaced unspecified fracture 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": "Other motorcycle passenger injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V24.59XA — Other motorcycle 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": "Toxic effect of venom of other Australian snake, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T63.071S — Toxic effect of venom of other Australian 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": "Struck by falling object on passenger ship, subsequent encounter"}, {"role": "assistant", "content": "V93.41XD — Struck by falling object on passenger 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": "Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.445P — Nondisplaced fracture of lower epiphysis (separation) 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": "War operations involving chemical weapons and other forms of unconventional warfare, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.7X1D — War operations involving chemical weapons and other forms of unconventional warfare, 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 extraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.552K — Other extraarticular fracture of lower end 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": "Corrosion of first degree of head, face, and neck, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T20.50XD — Corrosion of first 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": "Unspecified physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.009P — Unspecified 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": "Parent-adopted child conflict"}, {"role": "assistant", "content": "Z62.821 — Parent-adopted 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": "Salter-Harris Type II physeal fracture of upper end of right tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.021G — Salter-Harris Type II physeal fracture of upper 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": "Ulcerative blepharitis right lower eyelid"}, {"role": "assistant", "content": "H01.012 — Ulcerative blepharitis 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": "Superficial frostbite of left hand, subsequent encounter"}, {"role": "assistant", "content": "T33.522D — Superficial frostbite 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": "Salter-Harris Type II physeal fracture of lower end of left fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.322G — Salter-Harris Type II physeal fracture of lower 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": "Other zygomycoses"}, {"role": "assistant", "content": "B46.8 — Other zygomycoses"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S62.212S — Bennett's fracture, 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": "Short bowel syndrome, unspecified"}, {"role": "assistant", "content": "K90.829 — Short bowel 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": "Pressure ulcer of left hip, stage 3"}, {"role": "assistant", "content": "L89.223 — Pressure ulcer of left 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": "Other fracture of left great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.492P — Other fracture of left 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": "Other psychoactive substance use, unspecified, uncomplicated"}, {"role": "assistant", "content": "F19.90 — Other psychoactive substance 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": "Anterior tibial syndrome, right leg"}, {"role": "assistant", "content": "M76.811 — Anterior tibial 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": "Presence of unspecified artificial ankle joint"}, {"role": "assistant", "content": "Z96.669 — Presence of unspecified artificial ankle 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": "Sprain of other specified parts of right shoulder girdle, sequela"}, {"role": "assistant", "content": "S43.81XS — Sprain of other specified 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": "Postimmunization arthropathy, left knee"}, {"role": "assistant", "content": "M02.262 — Postimmunization 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": "Toxic effect of venom of ants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.422D — Toxic effect of venom of ants, 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": "Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela"}, {"role": "assistant", "content": "S06.312S — Contusion and laceration of right cerebrum 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": "Exostosis of external canal, bilateral"}, {"role": "assistant", "content": "H61.813 — Exostosis of external canal, 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": "Strain of other extensor muscle, fascia and tendon at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S56.512S — Strain of other extensor muscle, fascia and tendon 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": "Contact with lifting devices, not elsewhere classified, sequela"}, {"role": "assistant", "content": "W24.0XXS — Contact with lifting devices, 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": "Other fracture of third lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.038B — Other 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": "Injury of conjunctiva and corneal abrasion without foreign body, left eye, sequela"}, {"role": "assistant", "content": "S05.02XS — Injury of conjunctiva and corneal abrasion 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": "Vitiligo of right eye, unspecified eyelid and periocular area"}, {"role": "assistant", "content": "H02.733 — Vitiligo of right eye, unspecified eyelid and periocular area"}]}
{"messages": [{"role": "system", "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 back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.411D — Abrasion 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": "Congenital malformation of circulatory system, unspecified"}, {"role": "assistant", "content": "Q28.9 — Congenital malformation of circulatory 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": "Diseases of the respiratory system complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O99.519 — Diseases of the respiratory system 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": "Nondisplaced transverse fracture of right patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.034D — Nondisplaced transverse 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": "Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity"}, {"role": "assistant", "content": "I70.229 — Atherosclerosis of native arteries of extremities with rest pain, 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": "Total perforations of tympanic membrane, right ear"}, {"role": "assistant", "content": "H72.821 — Total perforations of tympanic membrane, 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 fracture of third metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.302D — Unspecified fracture of third 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": "Chronic multifocal osteomyelitis, unspecified site"}, {"role": "assistant", "content": "M86.30 — Chronic multifocal osteomyelitis, 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": "Acute embolism and thrombosis of other specified deep vein of left lower extremity"}, {"role": "assistant", "content": "I82.492 — Acute embolism and thrombosis of other specified deep vein of 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": "Maternal care for Anti-A sensitization, second trimester, other fetus"}, {"role": "assistant", "content": "O36.1129 — Maternal care for Anti-A sensitization, 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": "Displaced transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.222K — Displaced 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": "Injury of ulnar nerve at wrist and hand level of left arm, sequela"}, {"role": "assistant", "content": "S64.02XS — Injury of ulnar nerve 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": "Drowning and submersion due to falling or jumping from other crushed powered watercraft, sequela"}, {"role": "assistant", "content": "V90.33XS — Drowning and submersion due to falling or jumping from other crushed 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": "Other specified congenital malformations of kidney"}, {"role": "assistant", "content": "Q63.8 — Other specified congenital malformations of kidney"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Atherosclerotic heart disease of native coronary artery with unstable angina pectoris"}, {"role": "assistant", "content": "I25.110 — Atherosclerotic heart disease of native coronary artery 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": "Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age"}, {"role": "assistant", "content": "Z68.52 — Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age"}]}
{"messages": [{"role": "system", "content": "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 wall of left acetabulum, sequela"}, {"role": "assistant", "content": "S32.415S — Nondisplaced fracture of anterior wall 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": "Complete traumatic transphalangeal amputation of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S68.519D — Complete traumatic transphalangeal amputation 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": "Poisoning by unspecified hormone antagonists, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T38.904D — Poisoning by unspecified hormone antagonists, 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 articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.062J — Displaced articular 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": "Poisoning by unspecified narcotics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T40.601A — Poisoning by unspecified narcotics, 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 foreign object in pharynx causing other injury, sequela"}, {"role": "assistant", "content": "T17.298S — Other foreign object 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": "Crushing injury of skull, initial encounter"}, {"role": "assistant", "content": "S07.1XXA — Crushing injury of skull, initial encounter"}]}
{"messages": [{"role": "system", "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 (nonpowered) inflatable craft, initial encounter"}, {"role": "assistant", "content": "V92.06XA — Drowning and submersion due to fall off (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": "Bent bone of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.281H — Bent bone 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": "Retinal vasculitis, right eye"}, {"role": "assistant", "content": "H35.061 — Retinal vasculitis, 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 foot, initial encounter"}, {"role": "assistant", "content": "T25.121A — Burn 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": "Parent-foster child conflict"}, {"role": "assistant", "content": "Z62.822 — Parent-foster 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": "Displaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.121F — Displaced fracture of head 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": "Alcohol use, unspecified with intoxication, uncomplicated"}, {"role": "assistant", "content": "F10.920 — Alcohol 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": "Gastroschisis"}, {"role": "assistant", "content": "Q79.3 — Gastroschisis"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S99.291G — Other 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": "Displaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.041R — Displaced fracture of coronoid process of right 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": "Other fracture of second metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.391P — Other fracture 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": "Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.372D — Contusion, laceration, and hemorrhage of cerebellum 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": "Other calcification of muscle, right thigh"}, {"role": "assistant", "content": "M61.451 — Other calcification of muscle, 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 proximal phalanx of left index finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.611P — Displaced fracture of proximal phalanx of left 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": "Burn of second degree of left thumb (nail), initial encounter"}, {"role": "assistant", "content": "T23.212A — Burn of second degree of left 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": "Synovial hypertrophy, not elsewhere classified, right forearm"}, {"role": "assistant", "content": "M67.231 — Synovial hypertrophy, not elsewhere classified, 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": "Toxic effect of rattlesnake venom, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.014A — Toxic effect of rattlesnake venom, 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": "Greenstick fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.319A — Greenstick 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": "Other specified glaucoma"}, {"role": "assistant", "content": "H40.89 — Other specified 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": "Other fracture of second metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.390B — Other fracture of second 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 nondisplaced fracture of surgical neck of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.215B — Unspecified nondisplaced fracture of surgical neck 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": "Abrasion of unspecified back wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.419A — Abrasion of unspecified 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 unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.909D — Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm 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": "Corrosion of third degree of right thumb (nail), sequela"}, {"role": "assistant", "content": "T23.711S — Corrosion of third degree of right 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": "Unspecified astigmatism, unspecified eye"}, {"role": "assistant", "content": "H52.209 — Unspecified astigmatism, 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": "Nemaline myopathy"}, {"role": "assistant", "content": "G71.21 — Nemaline 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": "Intentional collision of motor vehicle with tree, initial encounter"}, {"role": "assistant", "content": "X82.2XXA — Intentional collision of motor vehicle with tree, initial encounter"}]}
{"messages": [{"role": "system", "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 mastoiditis with other complications, right ear"}, {"role": "assistant", "content": "H70.091 — Acute mastoiditis with other complications, 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": "Underdosing of skeletal muscle relaxants [neuromuscular blocking agents], initial encounter"}, {"role": "assistant", "content": "T48.1X6A — Underdosing of skeletal muscle relaxants [neuromuscular blocking 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": "Person boarding or alighting a pedal cycle injured in collision with heavy transport vehicle or bus, sequela"}, {"role": "assistant", "content": "V14.3XXS — Person boarding or alighting a pedal cycle 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": "Nondisplaced dome fracture of unspecified talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.146P — Nondisplaced dome 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": "Excessive interocclusal distance of fully erupted teeth"}, {"role": "assistant", "content": "M26.37 — Excessive interocclusal distance of fully erupted 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": "Displaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.331N — Displaced 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": "Legal intervention involving other explosives, bystander injured, initial encounter"}, {"role": "assistant", "content": "Y35.192A — Legal intervention involving other explosives, 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": "Other specified anemias"}, {"role": "assistant", "content": "D64.89 — Other specified anemias"}]}
{"messages": [{"role": "system", "content": "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 humerus, initial encounter for fracture"}, {"role": "assistant", "content": "M80.822A — Other osteoporosis with current pathological fracture, left 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": "Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.245Q — Nondisplaced 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": "Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela"}, {"role": "assistant", "content": "T82.310S — Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela"}]}
{"messages": [{"role": "system", "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 eye syndrome of right lacrimal gland"}, {"role": "assistant", "content": "H04.121 — Dry eye syndrome of right 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": "Benign neoplasm of unspecified adrenal gland"}, {"role": "assistant", "content": "D35.00 — Benign 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": "Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter"}, {"role": "assistant", "content": "T84.039D — Mechanical loosening 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": "Burn of respiratory tract, part unspecified, initial encounter"}, {"role": "assistant", "content": "T27.3XXA — Burn of respiratory tract, 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": "Blood alcohol level of less than 20 mg/100 ml"}, {"role": "assistant", "content": "Y90.0 — Blood alcohol level of less than 20 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 anuria, subsequent encounter"}, {"role": "assistant", "content": "T79.5XXD — Traumatic anuria, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.266C — Nondisplaced 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": "Burn of unspecified degree of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "T22.039A — Burn of unspecified degree 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": "NIHSS score 37"}, {"role": "assistant", "content": "R29.737 — NIHSS score 37"}]}
{"messages": [{"role": "system", "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 long flexor muscle of toe at ankle and foot level, right foot, initial encounter"}, {"role": "assistant", "content": "S96.011A — Strain of muscle and tendon of long flexor muscle of toe 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": "Unspecified synovitis and tenosynovitis, right hand"}, {"role": "assistant", "content": "M65.941 — Unspecified synovitis and tenosynovitis, 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": "Displaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.252G — Displaced fracture of greater tuberosity 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 bursitis, not elsewhere classified, unspecified knee"}, {"role": "assistant", "content": "M71.569 — Other bursitis, not elsewhere classified, 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": "Open bite of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.659D — Open bite of abdominal wall, unspecified 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 dental drugs, topically applied, intentional self-harm, sequela"}, {"role": "assistant", "content": "T49.7X2S — Poisoning by dental drugs, topically applied, 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 medial condyle of right tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.131M — Displaced fracture of medial condyle 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": "Osteonecrosis due to drugs of left ulna"}, {"role": "assistant", "content": "M87.135 — Osteonecrosis due to drugs of left 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": "Laceration of other specified muscles, fascia and tendons at wrist and hand level, unspecified hand, sequela"}, {"role": "assistant", "content": "S66.829S — Laceration of other specified muscles, fascia and tendons at wrist and hand level, 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": "Nondisplaced transverse fracture of shaft of left radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.325D — Nondisplaced transverse fracture of shaft 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": "Osteonecrosis due to previous trauma of unspecified carpus"}, {"role": "assistant", "content": "M87.239 — Osteonecrosis due to previous trauma of unspecified carpus"}]}
{"messages": [{"role": "system", "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], initial encounter"}, {"role": "assistant", "content": "T20.65XA — Corrosion of second 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": "Primary osteoarthritis, other specified site"}, {"role": "assistant", "content": "M19.09 — Primary osteoarthritis, 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": "Poisoning by antifungal antibiotics, systemically used, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T36.7X1D — Poisoning by antifungal antibiotics, systemically used, 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": "Unsatisfactory restoration of tooth, unspecified"}, {"role": "assistant", "content": "K08.50 — Unsatisfactory restoration of tooth, 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": "Follicular lymphoma grade III, unspecified, in remission"}, {"role": "assistant", "content": "C82.2A — Follicular lymphoma grade III, 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": "Nondisplaced fracture of anterior wall of left acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.415A — Nondisplaced fracture of anterior wall 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": "Other fracture of unspecified metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.399G — Other 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": "Corrosion of second degree of unspecified ear [any part, except ear drum], initial encounter"}, {"role": "assistant", "content": "T20.619A — Corrosion of second 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": "Nondisplaced transverse fracture of shaft of right fibula, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.424P — Nondisplaced transverse fracture of shaft of right 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 other standing micro-mobility pedestrian conveyance injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V01.038S — Pedestrian on other standing micro-mobility pedestrian conveyance 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": "Toxic effect of venom of other African and Asian snake, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.084A — Toxic effect of venom of other African and Asian 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": "Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg"}, {"role": "assistant", "content": "I70.511 — Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, 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": "Severely displaced Zone II fracture of sacrum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.122D — Severely displaced Zone II 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": "Periostitis of left orbit"}, {"role": "assistant", "content": "H05.032 — Periostitis 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 fracture of fifth metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.397S — Other fracture of fifth 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": "Salter-Harris Type IV physeal fracture of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.042G — Salter-Harris Type IV 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": "Terrorism involving fires, conflagration and hot substances, terrorist injured, subsequent encounter"}, {"role": "assistant", "content": "Y38.3X3D — Terrorism involving fires, conflagration and hot substances, 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": "Salter-Harris Type II physeal fracture of lower end of humerus, left arm, sequela"}, {"role": "assistant", "content": "S49.122S — Salter-Harris Type II 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": "Abnormal findings in other body fluids and substances"}, {"role": "assistant", "content": "R88.8 — Abnormal findings in other body fluids and 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": "Pressure ulcer of unspecified part of back, stage 1"}, {"role": "assistant", "content": "L89.101 — Pressure ulcer of unspecified part of back, 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": "Salter-Harris Type II physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.129K — Salter-Harris Type II 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": "Toxic effect of unspecified spider venom, undetermined, sequela"}, {"role": "assistant", "content": "T63.304S — Toxic effect of unspecified spider venom, 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": "Acute lymphangitis of trunk, unspecified"}, {"role": "assistant", "content": "L03.329 — Acute lymphangitis 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": "Retinopathy of prematurity, stage 4, right eye"}, {"role": "assistant", "content": "H35.151 — Retinopathy of prematurity, stage 4, 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 fracture of fourth lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.048B — Other fracture of fourth 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": "Fracture of manubrium, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.21XG — Fracture of manubrium, 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 anus, initial encounter"}, {"role": "assistant", "content": "S30.877A — Other superficial bite of anus, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Tenonitis of left orbit"}, {"role": "assistant", "content": "H05.042 — Tenonitis 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": "Encounter for antibody response examination"}, {"role": "assistant", "content": "Z01.84 — Encounter for antibody response 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": "Maternal care for abnormality of vulva and perineum, third trimester"}, {"role": "assistant", "content": "O34.73 — Maternal care for abnormality of vulva and perineum, 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 epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.024E — Nondisplaced fracture of epiphysis (separation) (upper) 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 fracture of proximal phalanx of left great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.415P — Nondisplaced fracture of proximal phalanx of left 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": "Displaced spiral fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.241K — Displaced spiral fracture of shaft of ulna, 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": "Pathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.659K — Pathological fracture in other disease, hip, unspecified, 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": "Osteitis deformans in neoplastic diseases, right thigh"}, {"role": "assistant", "content": "M90.651 — Osteitis deformans in neoplastic diseases, 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 injury of unspecified blood vessel of thorax, sequela"}, {"role": "assistant", "content": "S25.99XS — Other specified injury of unspecified blood vessel 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 superficial bite of hand of unspecified hand, sequela"}, {"role": "assistant", "content": "S60.579S — Other superficial bite of hand 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": "Burn of second degree of female genital region, initial encounter"}, {"role": "assistant", "content": "T21.27XA — Burn of second degree of female genital 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": "Bitten by other birds, sequela"}, {"role": "assistant", "content": "W61.91XS — Bitten by other birds, sequela"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "T85.818D — Embolism due to other internal 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": "Polydipsia"}, {"role": "assistant", "content": "R63.1 — Polydipsia"}]}
{"messages": [{"role": "system", "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 ear, initial encounter"}, {"role": "assistant", "content": "S00.412A — Abrasion 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": "Regular astigmatism, right eye"}, {"role": "assistant", "content": "H52.221 — Regular astigmatism, 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 passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V22.51XD — Electric (assisted) bicycle passenger 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": "Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O41.8X92 — Other specified disorders of amniotic fluid and membranes, 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 shaft of first metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.244A — Nondisplaced fracture of shaft 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": "War operations involving unspecified destruction of aircraft, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.100A — War operations involving unspecified destruction of aircraft, 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": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.235N — Nondisplaced oblique 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": "Corrosions involving 70-79% of body surface with 50-59% third degree corrosion"}, {"role": "assistant", "content": "T32.75 — Corrosions involving 70-79% 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 mechanical complication of cardiac electrode, initial encounter"}, {"role": "assistant", "content": "T82.190A — Other mechanical complication of cardiac electrode, initial encounter"}]}
{"messages": [{"role": "system", "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 greater than 24 hours with return to pre-existing conscious level, initial encounter"}, {"role": "assistant", "content": "S06.365A — Traumatic hemorrhage of cerebrum, unspecified, 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": "Streptococcal sepsis, unspecified"}, {"role": "assistant", "content": "A40.9 — Streptococcal sepsis, 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 allergic otitis media, unspecified ear"}, {"role": "assistant", "content": "H65.419 — Chronic allergic 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": "Unspecified fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.401G — Unspecified 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": "Paralytic lagophthalmos left eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.23B — Paralytic lagophthalmos 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": "Toxic effect of venom of scorpion, assault, initial encounter"}, {"role": "assistant", "content": "T63.2X3A — Toxic effect of venom of scorpion, 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": "Open bite, unspecified elbow, initial encounter"}, {"role": "assistant", "content": "S51.059A — Open bite, 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": "Multiple papillomata and wet crab yaws"}, {"role": "assistant", "content": "A66.1 — Multiple papillomata and wet crab 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": "Greenstick fracture of shaft of humerus, right arm, sequela"}, {"role": "assistant", "content": "S42.311S — Greenstick 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": "Huntington's disease"}, {"role": "assistant", "content": "G10 — Huntington'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": "Corrosion of first degree of unspecified ear [any part, except ear drum], sequela"}, {"role": "assistant", "content": "T20.519S — Corrosion of first degree of unspecified ear [any part, except ear drum], sequela"}]}
{"messages": [{"role": "system", "content": "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 patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.099H — Other fracture of unspecified 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 injury of radial artery at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S55.102D — Unspecified injury of radial artery 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": "Glaucomatous optic atrophy, right eye"}, {"role": "assistant", "content": "H47.231 — Glaucomatous optic atrophy, 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": "Zellweger syndrome"}, {"role": "assistant", "content": "E71.510 — Zellweger 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": "Pre-existing hypertension with pre-eclampsia, complicating the puerperium"}, {"role": "assistant", "content": "O11.5 — Pre-existing hypertension with pre-eclampsia, 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": "Malignant neoplasm of upper lip, inner aspect"}, {"role": "assistant", "content": "C00.3 — Malignant neoplasm of upper lip, inner aspect"}]}
{"messages": [{"role": "system", "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 general anesthetics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.292A — Poisoning by other general 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": "Injury of musculocutaneous nerve, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S44.40XA — Injury of musculocutaneous nerve, 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": "Metatarsalgia, right foot"}, {"role": "assistant", "content": "M77.41 — Metatarsalgia, 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": "Puncture wound without foreign body of left shoulder, initial encounter"}, {"role": "assistant", "content": "S41.032A — Puncture wound without 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": "Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.753G — Incomplete atypical femoral fracture, unspecified 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": "Torus fracture of lower end of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.481A — Torus fracture of lower end 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": "Other batteries entering into or through a natural orifice, initial encounter"}, {"role": "assistant", "content": "W44.A9XA — Other batteries 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": "Calcific tendinitis, unspecified lower leg"}, {"role": "assistant", "content": "M65.269 — Calcific tendinitis, 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": "Nondisplaced midcervical fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.036C — Nondisplaced midcervical 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": "Frostbite with tissue necrosis of left finger(s), subsequent encounter"}, {"role": "assistant", "content": "T34.532D — Frostbite with tissue necrosis of left 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": "Sudden visual loss, right eye"}, {"role": "assistant", "content": "H53.131 — Sudden visual loss, 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": "Failure of sterile precautions during endoscopic examination"}, {"role": "assistant", "content": "Y62.4 — Failure of sterile precautions during endoscopic 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": "Other secondary osteonecrosis, left femur"}, {"role": "assistant", "content": "M87.352 — Other secondary osteonecrosis, 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 ulcerative colitis with other complication"}, {"role": "assistant", "content": "K51.818 — Other ulcerative colitis 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": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with car, pick-up or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V03.038A — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with car, pick-up 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": "Contusion of right lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S90.121S — Contusion of right 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": "Low level blast overpressure in military operations, initial encounter"}, {"role": "assistant", "content": "Y37.A1XA — Low level blast overpressure in military operations, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 car, pick-up truck or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V73.3XXA — Unspecified occupant of bus 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": "Acquired absence of right foot"}, {"role": "assistant", "content": "Z89.431 — Acquired absence 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": "Carcinoma in situ of skin of right lower limb, including hip"}, {"role": "assistant", "content": "D04.71 — Carcinoma in situ 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": "Nondisplaced fracture of distal phalanx of unspecified great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.426P — Nondisplaced fracture of distal phalanx of unspecified 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": "Vestibular neuronitis, unspecified ear"}, {"role": "assistant", "content": "H81.20 — Vestibular neuronitis, 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": "Blister (nonthermal) of left front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.322A — Blister (nonthermal) of left 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": "Poisoning by other drugs, medicaments and biological substances, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T50.994D — Poisoning by other drugs, medicaments and biological substances, 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 lower end of ulna, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.001K — Unspecified 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": "Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O36.8391 — Maternal care for abnormalities of the fetal heart rate or rhythm, 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": "Other instability, left elbow"}, {"role": "assistant", "content": "M25.322 — Other instability, 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 disorders of glycoprotein metabolism"}, {"role": "assistant", "content": "E77.8 — Other disorders of glycoprotein 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 right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.251B — Displaced 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": "Frostbite with tissue necrosis of nose, initial encounter"}, {"role": "assistant", "content": "T34.02XA — Frostbite with tissue necrosis 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": "Complications of reattached (part of) left lower extremity"}, {"role": "assistant", "content": "T87.1X2 — Complications of reattached (part of) 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": "Other fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.299Q — Other fracture of shaft 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": "Nutritional marasmus"}, {"role": "assistant", "content": "E41 — Nutritional marasmus"}]}
{"messages": [{"role": "system", "content": "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 endoscopic examination, initial encounter"}, {"role": "assistant", "content": "T81.504A — Unspecified complication 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": "Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs"}, {"role": "assistant", "content": "I70.393 — Other 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": "Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.24XN — Nondisplaced subtrochanteric fracture 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": "Other bursitis, not elsewhere classified, right elbow"}, {"role": "assistant", "content": "M71.521 — Other bursitis, not elsewhere classified, 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 fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.126M — Nondisplaced fracture of lateral condyle 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": "Celiac artery compression syndrome"}, {"role": "assistant", "content": "I77.4 — Celiac artery compression 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": "Subluxation of other carpometacarpal joint of right hand, subsequent encounter"}, {"role": "assistant", "content": "S63.051D — Subluxation of other carpometacarpal joint 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 contact with turkey, subsequent encounter"}, {"role": "assistant", "content": "W61.49XD — Other contact with turkey, subsequent encounter"}]}
{"messages": [{"role": "system", "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 shoulder"}, {"role": "assistant", "content": "M14.612 — Charcot's joint, 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": "Resistance to vancomycin related antibiotics"}, {"role": "assistant", "content": "Z16.22 — Resistance to vancomycin related antibiotics"}]}
{"messages": [{"role": "system", "content": "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 right foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.241D — Displaced fracture of medial cuneiform of 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": "Legal intervention involving other explosives, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.192S — Legal intervention involving other explosives, 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": "Acute myelomonocytic leukemia, not having achieved remission"}, {"role": "assistant", "content": "C92.50 — Acute myelomonocytic 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": "Displaced bicondylar fracture of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.143P — Displaced bicondylar fracture 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": "Infective myositis, right ankle"}, {"role": "assistant", "content": "M60.070 — Infective myositis, 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": "Corrosion of third degree of unspecified site of unspecified lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.709S — Corrosion of third degree of unspecified site 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": "Postprocedural heart failure following cardiac surgery"}, {"role": "assistant", "content": "I97.130 — Postprocedural heart failure following 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": "Marginal corneal ulcer, unspecified eye"}, {"role": "assistant", "content": "H16.049 — Marginal corneal ulcer, 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": "Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.8A3A — Primary blast injury of brain, 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": "Other cirrhosis of liver"}, {"role": "assistant", "content": "K74.69 — Other cirrhosis 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 third degree of unspecified lower leg, sequela"}, {"role": "assistant", "content": "T24.739S — Corrosion of third degree 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": "Unspecified otitis externa, right ear"}, {"role": "assistant", "content": "H60.91 — Unspecified 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": "Suppurative otitis media, unspecified, bilateral"}, {"role": "assistant", "content": "H66.43 — Suppurative otitis media, unspecified, 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 spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.344P — Nondisplaced 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": "Blister (nonthermal), right thigh, sequela"}, {"role": "assistant", "content": "S70.321S — Blister (nonthermal), 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": "Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.112D — Type III 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": "Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C81.48 — Lymphocyte-rich 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": "Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.021K — Stable burst 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": "Poisoning by anterior pituitary [adenohypophyseal] hormones, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T38.811A — Poisoning by anterior pituitary [adenohypophyseal] hormones, 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": "Breakdown (mechanical) of graft of urinary organ, initial encounter"}, {"role": "assistant", "content": "T83.21XA — Breakdown (mechanical) 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": "Complete oblique atypical femoral fracture, unspecified leg, initial encounter for fracture"}, {"role": "assistant", "content": "M84.759A — Complete oblique atypical femoral fracture, unspecified 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": "Burn of second degree of unspecified multiple fingers (nail), including thumb, sequela"}, {"role": "assistant", "content": "T23.249S — Burn of second degree of unspecified multiple fingers (nail), 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": "Occupant of animal-drawn vehicle injured in collision with railway train or railway vehicle, initial encounter"}, {"role": "assistant", "content": "V80.62XA — Occupant of animal-drawn vehicle 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": "Unequal limb length (acquired), left femur"}, {"role": "assistant", "content": "M21.752 — Unequal limb length (acquired), 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": "Unspecified fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.301H — Unspecified fracture of lower end 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": "Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O31.30X3 — Continuing pregnancy after elective fetal reduction of one fetus or more, 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": "Other fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.291M — Other 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": "Toxic effect of other specified substances, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T65.891D — Toxic effect of other specified 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": "Dislocation of interphalangeal joint of right lesser toe(s), sequela"}, {"role": "assistant", "content": "S93.114S — Dislocation of interphalangeal joint 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": "Unspecified fracture of lower end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.302J — Unspecified fracture of lower 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": "External constriction of part of scalp, subsequent encounter"}, {"role": "assistant", "content": "S00.04XD — External constriction of part 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": "Unspecified blepharitis left upper eyelid"}, {"role": "assistant", "content": "H01.004 — Unspecified blepharitis 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": "Unspecified trochanteric fracture of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.101M — Unspecified trochanteric 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": "Pedal cycle driver injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V17.0XXA — Pedal cycle driver 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": "Congenital malformation of stomach, unspecified"}, {"role": "assistant", "content": "Q40.3 — Congenital malformation 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": "Burn of first degree of unspecified palm, sequela"}, {"role": "assistant", "content": "T23.159S — Burn of first 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": "Displaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.352M — Displaced 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": "Rectal fistula, complex, persistent"}, {"role": "assistant", "content": "K60.422 — Rectal fistula, complex, persistent"}]}
{"messages": [{"role": "system", "content": "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, unspecified arm, sequela"}, {"role": "assistant", "content": "S42.336S — Nondisplaced oblique 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": "Abdominal pregnancy with intrauterine pregnancy"}, {"role": "assistant", "content": "O00.01 — Abdominal pregnancy with intrauterine 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 specified injury of plantar artery of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S95.199D — Other specified injury of plantar artery 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": "Military operations involving rubber bullets, military personnel, sequela"}, {"role": "assistant", "content": "Y37.410S — Military operations involving rubber bullets, 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": "Chronic periodontitis, unspecified"}, {"role": "assistant", "content": "K05.30 — Chronic periodontitis, 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 cystitis with hematuria"}, {"role": "assistant", "content": "N30.81 — Other 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": "Newborn affected by other abnormalities of membranes"}, {"role": "assistant", "content": "P02.8 — Newborn affected by other abnormalities 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": "Osteitis condensans, left shoulder"}, {"role": "assistant", "content": "M85.312 — Osteitis condensans, 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": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries"}, {"role": "assistant", "content": "I63.533 — Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior 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": "Other infective otitis externa, unspecified ear"}, {"role": "assistant", "content": "H60.399 — Other infective 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": "Traumatic spondylopathy, cervicothoracic region"}, {"role": "assistant", "content": "M48.33 — Traumatic 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 fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.209P — Unspecified 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": "Anterior dislocation of right sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.214D — Anterior dislocation 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": "Non-active secondary progressive multiple sclerosis"}, {"role": "assistant", "content": "G35.C2 — Non-active secondary progressive 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": "Electric (assisted) bicycle passenger injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V21.11XD — Electric (assisted) bicycle passenger 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": "Family history of other psychoactive substance abuse and dependence"}, {"role": "assistant", "content": "Z81.3 — Family history of other psychoactive substance 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": "Other complications of gastric band procedure"}, {"role": "assistant", "content": "K95.09 — Other complications of gastric band 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": "Hemorrhagic detachment of retinal pigment epithelium, unspecified eye"}, {"role": "assistant", "content": "H35.739 — Hemorrhagic detachment of retinal pigment epithelium, 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 ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.253R — Displaced comminuted 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": "Passenger in heavy transport vehicle injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V68.1XXD — Passenger in heavy transport vehicle 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": "Displaced apophyseal fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.133H — Displaced apophyseal fracture 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": "Infections of cervix in pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O23.519 — Infections of cervix 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": "Unspecified superficial injury of right eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.201A — Unspecified superficial injury 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": "Unspecified open wound, right lower leg, sequela"}, {"role": "assistant", "content": "S81.801S — Unspecified open wound, 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": "Disorder of central nervous system, unspecified"}, {"role": "assistant", "content": "G96.9 — Disorder 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": "Unspecified fracture of shaft of right femur, sequela"}, {"role": "assistant", "content": "S72.301S — Unspecified 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": "Vascular dementia, mild, with mood disturbance"}, {"role": "assistant", "content": "F01.A3 — Vascular dementia, mild, 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": "Leakage of other specified internal prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T85.638A — Leakage of other specified 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": "Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.022K — Displaced fracture of epiphysis (separation) (upper) 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": "Congenital malformation of integument, unspecified"}, {"role": "assistant", "content": "Q84.9 — Congenital malformation of integument, 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 boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, subsequent encounter"}, {"role": "assistant", "content": "V21.31XD — Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, subsequent encounter"}]}
{"messages": [{"role": "system", "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 other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V29.091D — Electric (assisted) bicycle 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": "Acute idiopathic pulmonary hemorrhage in infants"}, {"role": "assistant", "content": "R04.81 — Acute idiopathic pulmonary hemorrhage in infants"}]}
{"messages": [{"role": "system", "content": "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, left arm, sequela"}, {"role": "assistant", "content": "S59.292S — Other 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 specified injuries of vocal cord, subsequent encounter"}, {"role": "assistant", "content": "S19.83XD — Other specified injuries of vocal 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": "Mycosis fungoides, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C84.08 — Mycosis fungoides, 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": "Salter-Harris Type I physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.119P — Salter-Harris Type I physeal fracture of upper 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": "Displaced fracture of neck of left radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.132D — Displaced fracture of neck 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": "Preterm labor third trimester with preterm delivery third trimester, fetus 5"}, {"role": "assistant", "content": "O60.14X5 — Preterm labor third trimester with preterm delivery 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": "Shortness of breath"}, {"role": "assistant", "content": "R06.02 — Shortness of breath"}]}
{"messages": [{"role": "system", "content": "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 wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.199D — Other injury of flexor 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": "Gangrene, not elsewhere classified"}, {"role": "assistant", "content": "I96 — Gangrene, 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 mechanical complication of internal fixation device of bone of right lower leg, sequela"}, {"role": "assistant", "content": "T84.196S — Other mechanical complication 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": "Torticollis"}, {"role": "assistant", "content": "M43.6 — 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": "Abrasion, left foot, sequela"}, {"role": "assistant", "content": "S90.812S — Abrasion, 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": "Nondisplaced transverse fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.326P — Nondisplaced transverse 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": "Nondisplaced fracture of pisiform, unspecified wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.166B — Nondisplaced fracture of pisiform, unspecified 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": "Abscess of tendon sheath, unspecified shoulder"}, {"role": "assistant", "content": "M65.019 — Abscess of tendon sheath, 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": "Attention and concentration deficit following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.010 — Attention and concentration deficit 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": "Displaced longitudinal fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.023Q — Displaced longitudinal 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": "Blister (nonthermal) of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S60.422D — Blister (nonthermal) 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": "Displaced fracture of third metatarsal bone, right foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.331B — Displaced fracture of third metatarsal bone, 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": "Other specified injury of blood vessel of other finger, sequela"}, {"role": "assistant", "content": "S65.598S — Other specified 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": "Toxic effect of rattlesnake venom, assault, initial encounter"}, {"role": "assistant", "content": "T63.013A — Toxic effect of rattlesnake 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": "Stress fracture, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.342D — Stress fracture, 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": "Intrapartum hemorrhage with coagulation defect"}, {"role": "assistant", "content": "O67.0 — Intrapartum hemorrhage with coagulation 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": "Fracture of ramus of left mandible, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.642A — Fracture of ramus 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": "Maternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomalies, other fetus"}, {"role": "assistant", "content": "O35.GXX9 — Maternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomalies, 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": "Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.6X3D — Traumatic subarachnoid 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": "Other specified injury of axillary artery, unspecified side, sequela"}, {"role": "assistant", "content": "S45.099S — Other specified 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": "Other contact with other birds, sequela"}, {"role": "assistant", "content": "W61.99XS — Other contact with other birds, sequela"}]}
{"messages": [{"role": "system", "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 purine and pyrimidine metabolism, unspecified"}, {"role": "assistant", "content": "E79.9 — Disorder of purine and pyrimidine 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": "Nondisplaced fracture of neck of other metacarpal bone, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.368A — Nondisplaced fracture of neck of other metacarpal bone, 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": "Absolute glaucoma, unspecified eye"}, {"role": "assistant", "content": "H44.519 — Absolute 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": "Other fracture of occiput, left side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.11HK — Other fracture of occiput, 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 calcification of muscle, left upper arm"}, {"role": "assistant", "content": "M61.422 — Other calcification 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": "Sporotrichosis, unspecified"}, {"role": "assistant", "content": "B42.9 — Sporotrichosis, 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 second degree of unspecified wrist, sequela"}, {"role": "assistant", "content": "T23.279S — Burn of second degree 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": "Subluxation of tarsal joint of right foot, subsequent encounter"}, {"role": "assistant", "content": "S93.311D — Subluxation of tarsal 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": "Presence of aortocoronary bypass graft"}, {"role": "assistant", "content": "Z95.1 — Presence of aortocoronary bypass graft"}]}
{"messages": [{"role": "system", "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 of 6 hours to 24 hours, sequela"}, {"role": "assistant", "content": "S06.4X4S — Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela"}]}
{"messages": [{"role": "system", "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, unspecified time"}, {"role": "assistant", "content": "R40.2430 — Glasgow coma scale score 3-8, 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": "Type 2 diabetes mellitus with other oral complications"}, {"role": "assistant", "content": "E11.638 — Type 2 diabetes mellitus with other oral 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": "Unspecified injury of dorsal vein of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S95.209D — Unspecified injury 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": "Injury of musculocutaneous nerve, unspecified arm, sequela"}, {"role": "assistant", "content": "S44.40XS — Injury of musculocutaneous nerve, 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": "Fibrosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T85.820D — Fibrosis 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": "Walked into furniture, subsequent encounter"}, {"role": "assistant", "content": "W22.03XD — Walked into furniture, subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S75.229A — Major 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": "Drowning and submersion due to (nonpowered) inflatable craft overturning, sequela"}, {"role": "assistant", "content": "V90.06XS — Drowning and submersion due to (nonpowered) inflatable craft overturning, sequela"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.253Q — Displaced comminuted 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": "Person on outside of car injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V45.7XXS — Person on outside of car 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": "Fracture of unspecified carpal bone, right wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.101B — Fracture of unspecified carpal bone, 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": "Laceration with foreign body of right breast, sequela"}, {"role": "assistant", "content": "S21.021S — Laceration with 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": "Chorioamnionitis, second trimester, other fetus"}, {"role": "assistant", "content": "O41.1229 — Chorioamnionitis, 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": "Alcohol dependence with alcohol-induced sexual dysfunction"}, {"role": "assistant", "content": "F10.281 — Alcohol dependence with alcohol-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": "Legal intervention involving injury by handgun, law enforcement official injured, sequela"}, {"role": "assistant", "content": "Y35.021S — Legal intervention involving injury by handgun, law enforcement official 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": "2-part nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.226A — 2-part nondisplaced fracture of surgical neck 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": "Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg"}, {"role": "assistant", "content": "I70.712 — Atherosclerosis of other 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": "Superficial foreign body of breast, right breast, sequela"}, {"role": "assistant", "content": "S20.151S — Superficial foreign body 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": "Displaced transverse fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.221F — Displaced transverse fracture of shaft 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": "Other specified osteochondrodysplasias"}, {"role": "assistant", "content": "Q78.8 — Other specified osteochondrodysplasias"}]}
{"messages": [{"role": "system", "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 knee, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1621 — Lead-induced 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": "Osteonecrosis in diseases classified elsewhere, left upper arm"}, {"role": "assistant", "content": "M90.522 — Osteonecrosis in diseases classified elsewhere, 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": "Contusion of left elbow, initial encounter"}, {"role": "assistant", "content": "S50.02XA — Contusion 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": "Displaced supracondylar fracture without intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.452P — Displaced supracondylar fracture without intracondylar extension of lower end 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": "Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.445F — Nondisplaced fracture of lower epiphysis (separation) 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": "Injury of trochlear nerve, unspecified side, sequela"}, {"role": "assistant", "content": "S04.20XS — Injury of trochlear 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": "Collapsed vertebra, not elsewhere classified, cervicothoracic region, sequela of fracture"}, {"role": "assistant", "content": "M48.53XS — Collapsed vertebra, not elsewhere classified, cervicothoracic 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": "Adverse effect of smallpox vaccines, subsequent encounter"}, {"role": "assistant", "content": "T50.B15D — Adverse effect of smallpox vaccines, subsequent encounter"}]}
{"messages": [{"role": "system", "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, bilateral, with active choroidal neovascularization"}, {"role": "assistant", "content": "H35.3231 — Exudative age-related macular degeneration, bilateral, 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": "Blister (nonthermal) of right forearm, initial encounter"}, {"role": "assistant", "content": "S50.821A — Blister (nonthermal) 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": "Person on outside of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V36.2XXD — Person on outside 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": "Other displaced fracture of second cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.190B — Other displaced fracture of second 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": "Acute hematogenous osteomyelitis, unspecified radius and ulna"}, {"role": "assistant", "content": "M86.039 — Acute hematogenous 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 comminuted fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.454R — Nondisplaced comminuted fracture of shaft of right 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": "Unspecified injury of dorsal artery of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S95.009D — Unspecified injury of dorsal artery 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": "Nondisplaced fracture of trapezoid [smaller multangular], left wrist, sequela"}, {"role": "assistant", "content": "S62.185S — Nondisplaced fracture of trapezoid [smaller multangular], 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": "Other inadequate housing"}, {"role": "assistant", "content": "Z59.19 — Other inadequate housing"}]}
{"messages": [{"role": "system", "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 drugs affecting uric acid metabolism, sequela"}, {"role": "assistant", "content": "T50.4X5S — Adverse effect of drugs affecting uric acid metabolism, sequela"}]}
{"messages": [{"role": "system", "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 hand"}, {"role": "assistant", "content": "M85.542 — Aneurysmal bone cyst, 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 comminuted fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.451Q — Displaced comminuted fracture of shaft of right 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": "Other superficial bite of hand of right hand, sequela"}, {"role": "assistant", "content": "S60.571S — Other superficial bite of hand 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": "Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela"}, {"role": "assistant", "content": "S06.4X3S — Epidural hemorrhage with loss of consciousness of 1 hour 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": "Tick-borne viral encephalitis, unspecified"}, {"role": "assistant", "content": "A84.9 — Tick-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": "Unspecified Zone I fracture of sacrum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.119K — Unspecified Zone I 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": "Displaced pilon fracture of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.873F — Displaced pilon fracture 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": "Nondisplaced fracture of pisiform, unspecified wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.166G — Nondisplaced fracture of pisiform, 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": "Adult neglect or abandonment, confirmed, sequela"}, {"role": "assistant", "content": "T74.01XS — Adult neglect or abandonment, confirmed, sequela"}]}
{"messages": [{"role": "system", "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 lower leg, sequela"}, {"role": "assistant", "content": "S80.822S — Blister (nonthermal), 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": "Biomechanical lesion, unspecified"}, {"role": "assistant", "content": "M99.9 — Biomechanical lesion, 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": "Blue sclera"}, {"role": "assistant", "content": "Q13.5 — Blue sclera"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Intramural leiomyoma of uterus"}, {"role": "assistant", "content": "D25.1 — Intramural leiomyoma 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": "Electrocution, sequela"}, {"role": "assistant", "content": "T75.4XXS — Electrocution, sequela"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "T45.AX3D — Poisoning by immune checkpoint inhibitors and immunostimulant 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": "Hyperacusis, right ear"}, {"role": "assistant", "content": "H93.231 — Hyperacusis, 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": "Encounter for antenatal screening for hydrops fetalis"}, {"role": "assistant", "content": "Z36.81 — Encounter for antenatal screening for hydrops fetalis"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.615K — Nondisplaced avulsion fracture of left ischium, 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": "Pneumonia, unspecified organism"}, {"role": "assistant", "content": "J18.9 — 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": "Nondisplaced fracture of base of other metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.348B — Nondisplaced fracture of base 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": "Other injury of spleen, initial encounter"}, {"role": "assistant", "content": "S36.09XA — Other injury 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": "Displaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.322R — Displaced transverse 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": "Other specified fracture of right pubis, sequela"}, {"role": "assistant", "content": "S32.591S — Other specified 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": "Unspecified injury of fallopian tube, unilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.501D — Unspecified injury 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": "Laceration without foreign body of right thumb without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.011D — Laceration without foreign body 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": "Open bite of right middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.352A — Open bite 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": "Conjunctival pigmentations, unspecified eye"}, {"role": "assistant", "content": "H11.139 — Conjunctival 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": "Displaced Maisonneuve's fracture of unspecified leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.863C — Displaced Maisonneuve's fracture of unspecified 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": "Nondisplaced fracture of unspecified radial styloid process, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.516A — Nondisplaced fracture of unspecified radial styloid process, 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 other drugs, medicaments and biological substances, assault, initial encounter"}, {"role": "assistant", "content": "T50.993A — Poisoning by other drugs, medicaments and biological 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": "Hypertrophy of bone, left fibula"}, {"role": "assistant", "content": "M89.364 — Hypertrophy of bone, left 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": "Interstitial emphysema"}, {"role": "assistant", "content": "J98.2 — Interstitial emphysema"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S32.436S — Nondisplaced fracture of anterior column [iliopubic] of unspecified 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": "Poisoning by intravenous anesthetics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T41.1X2S — Poisoning by intravenous anesthetics, 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": "Dissection of thoracoabdominal aorta"}, {"role": "assistant", "content": "I71.03 — Dissection of thoracoabdominal 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": "Nondisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.26XR — Nondisplaced subtrochanteric 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": "Ulcerative (chronic) pancolitis with intestinal obstruction"}, {"role": "assistant", "content": "K51.012 — Ulcerative (chronic) pancolitis with 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": "Contusion of unspecified shoulder, initial encounter"}, {"role": "assistant", "content": "S40.019A — Contusion 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": "Displacement of indwelling urethral catheter, sequela"}, {"role": "assistant", "content": "T83.021S — Displacement of indwelling urethral 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": "Other disorders of external ear in diseases classified elsewhere, unspecified ear"}, {"role": "assistant", "content": "H62.8X9 — Other disorders of external ear in diseases classified elsewhere, 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 injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S86.399D — Other injury of muscle(s) and tendon(s) of peroneal 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": "Nondisplaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.145A — Nondisplaced 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": "Contact lens associated with adverse incidents"}, {"role": "assistant", "content": "Y77.11 — Contact lens 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": "Stress fracture, right tibia, initial encounter for fracture"}, {"role": "assistant", "content": "M84.361A — Stress fracture, right 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": "Exposure to smoke in uncontrolled fire in building or structure, sequela"}, {"role": "assistant", "content": "X00.1XXS — Exposure to smoke in uncontrolled fire in building or structure, sequela"}]}
{"messages": [{"role": "system", "content": "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 routine healing"}, {"role": "assistant", "content": "S72.464F — Nondisplaced supracondylar fracture with intracondylar extension of lower end 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": "Other superficial bite of left ring finger, initial encounter"}, {"role": "assistant", "content": "S60.475A — Other superficial bite 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": "Glasgow coma scale score 3-8, 24 hours or more after hospital admission"}, {"role": "assistant", "content": "R40.2434 — Glasgow coma scale score 3-8, 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": "Fracture of medial orbital wall, right side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.831D — Fracture of medial orbital wall, 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": "Laceration of unspecified tibial artery, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.119S — Laceration 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": "Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.359S — Traumatic hemorrhage of left 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 fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.309E — Unspecified 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": "Nondisplaced bicondylar fracture of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.146N — Nondisplaced bicondylar fracture 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": "Toxic effect of phosphorus and its compounds, assault, subsequent encounter"}, {"role": "assistant", "content": "T57.1X3D — Toxic effect of phosphorus 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": "Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.191G — Fracture of other part 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": "Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V04.038A — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus 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": "Failure of sterile precautions during unspecified surgical and medical care"}, {"role": "assistant", "content": "Y62.9 — Failure of sterile precautions during unspecified 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": "Gastric contents in respiratory tract, part unspecified causing asphyxiation, subsequent encounter"}, {"role": "assistant", "content": "T17.910D — Gastric contents in respiratory tract, part unspecified 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": "Nondisplaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.254D — Nondisplaced 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": "Unspecified anterior urethral stricture, male"}, {"role": "assistant", "content": "N35.914 — Unspecified anterior urethral stricture, 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": "Boutonniere deformity of unspecified finger(s)"}, {"role": "assistant", "content": "M20.029 — Boutonniere deformity 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": "Disorders of optic chiasm in (due to) other disorders"}, {"role": "assistant", "content": "H47.49 — Disorders of optic chiasm in (due to) other 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": "Burn of first degree of left hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.102S — Burn of first degree of left 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": "Electric (assisted) bicycle rider (driver) (passenger) injured in transport accident with military vehicle, sequela"}, {"role": "assistant", "content": "V29.811S — Electric (assisted) bicycle rider (driver) (passenger) injured in transport accident 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": "Unspecified injury of vein at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S55.202D — Unspecified injury of vein 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": "Disorders of muscle in diseases classified elsewhere, right shoulder"}, {"role": "assistant", "content": "M63.811 — Disorders of muscle in diseases classified elsewhere, 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": "Pedestrian on standing electric scooter injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V01.131S — Pedestrian on standing electric scooter 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": "Ankylosing hyperostosis [Forestier], thoracic region"}, {"role": "assistant", "content": "M48.14 — Ankylosing hyperostosis [Forestier], 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": "Sprain of lateral collateral ligament of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.429D — Sprain of lateral 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": "Salmonella pneumonia"}, {"role": "assistant", "content": "A02.22 — Salmonella 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": "Nondisplaced fracture of neck of third metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.362D — Nondisplaced fracture of neck of third 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": "Fall in (into) filled bathtub causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.212A — Fall in (into) filled bathtub 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": "Poisoning by fluoroquinolone antibiotics, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T36.AX2D — Poisoning by fluoroquinolone antibiotics, 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 unspecified radial styloid process, sequela"}, {"role": "assistant", "content": "S52.513S — Displaced 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": "Bacteremia"}, {"role": "assistant", "content": "R78.81 — Bacteremia"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.854H — Nondisplaced trimalleolar fracture of right 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": "Toxic effect of other alcohols, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T51.8X2A — Toxic effect of other alcohols, 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 upper end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.109E — Unspecified fracture of upper 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": "Other injury of extensor muscle, fascia and tendon of unspecified finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.499A — Other injury of extensor 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": "Nondisplaced fracture of lateral cuneiform of left foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.225A — Nondisplaced fracture of lateral cuneiform of left 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": "Unstable burst fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.022D — Unstable burst 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": "Chronic gout due to renal impairment, unspecified wrist, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.3390 — Chronic gout due to renal impairment, unspecified 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": "Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B96.29 — Other Escherichia coli [E. coli] 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": "Other non-diabetic proliferative retinopathy, left eye"}, {"role": "assistant", "content": "H35.22 — Other non-diabetic proliferative retinopathy, 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": "Poisoning by drugs affecting uric acid metabolism, intentional self-harm, sequela"}, {"role": "assistant", "content": "T50.4X2S — Poisoning by drugs affecting uric acid metabolism, 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 fracture of lower end of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.691C — Other 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": "Car driver injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}, {"role": "assistant", "content": "V44.0XXS — Car driver 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": "Displaced fracture of lateral condyle of left femur, sequela"}, {"role": "assistant", "content": "S72.422S — Displaced fracture of lateral 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": "Other fracture of lower end of left tibia, sequela"}, {"role": "assistant", "content": "S82.392S — Other fracture of lower 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": "Displaced avulsion fracture of tuberosity of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.032G — Displaced avulsion fracture of tuberosity 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": "Nondisplaced pilon fracture of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.876J — Nondisplaced pilon fracture 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": "Total traumatic cataract, right eye"}, {"role": "assistant", "content": "H26.131 — Total traumatic cataract, 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 drugs, unspecified toe(s)"}, {"role": "assistant", "content": "M87.179 — Osteonecrosis due to drugs, 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": "Laceration with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.629S — Laceration 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": "Other specified injury of splenic vein, sequela"}, {"role": "assistant", "content": "S35.328S — Other specified injury of splenic 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": "Underdosing of other systemic antibiotics, sequela"}, {"role": "assistant", "content": "T36.8X6S — Underdosing 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": "Congenital prolapse of urinary meatus"}, {"role": "assistant", "content": "Q64.72 — Congenital prolapse of 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": "Blister (nonthermal) of breast, left breast, subsequent encounter"}, {"role": "assistant", "content": "S20.122D — Blister (nonthermal) of breast, left 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": "Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg"}, {"role": "assistant", "content": "I70.721 — Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, 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": "Retained (old) magnetic foreign body in anterior chamber, right eye"}, {"role": "assistant", "content": "H44.611 — Retained (old) magnetic foreign body in 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": "Unspecified foreign body in respiratory tract, part unspecified causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.900S — Unspecified foreign body 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": "Other motorcycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V22.09XA — Other motorcycle driver 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": "Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter"}, {"role": "assistant", "content": "T85.191D — Other mechanical complication of implanted electronic neurostimulator of peripheral nerve 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": "Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism"}, {"role": "assistant", "content": "Z83.2 — Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism"}]}
{"messages": [{"role": "system", "content": "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 intoxication with perceptual disturbance"}, {"role": "assistant", "content": "F15.922 — Other stimulant 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": "Kitchen in nursing home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.120 — Kitchen in 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 intraarticular fracture of lower end of unspecified radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.579D — Other intraarticular fracture of lower end 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": "Unsheltered homelessness"}, {"role": "assistant", "content": "Z59.02 — Unsheltered homelessness"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "S67.91XA — Crushing injury of unspecified part(s) of right wrist, 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": "Esophageal varices without bleeding"}, {"role": "assistant", "content": "I85.00 — Esophageal varices 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": "Unilateral post-traumatic osteoarthritis, right knee"}, {"role": "assistant", "content": "M17.31 — Unilateral post-traumatic osteoarthritis, 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 injury of intrinsic muscle, fascia and tendon of other finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.598A — Other injury of intrinsic muscle, fascia and tendon of other 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": "Term delivery with preterm labor, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O60.20X1 — Term delivery with preterm labor, 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": "Passenger in heavy transport vehicle injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V67.6XXD — Passenger in heavy transport vehicle 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": "Xeroderma pigmentosum"}, {"role": "assistant", "content": "Q82.1 — Xeroderma pigmentosum"}]}
{"messages": [{"role": "system", "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, right shoulder"}, {"role": "assistant", "content": "M65.011 — Abscess of tendon sheath, 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 amebic infections"}, {"role": "assistant", "content": "A06.89 — Other amebic 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": "Unspecified fracture of head of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.051K — Unspecified fracture of head 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": "Contaminated medical or biological substance, injected or used for immunization"}, {"role": "assistant", "content": "Y64.1 — Contaminated medical or biological substance, injected or used for immunization"}]}
{"messages": [{"role": "system", "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 carotid artery, sequela"}, {"role": "assistant", "content": "S15.011S — Minor laceration of right 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": "Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.499E — Other fracture 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": "Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V16.9XXS — Unspecified pedal cyclist 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": "Other stimulant dependence with stimulant-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F15.259 — Other stimulant dependence with stimulant-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": "Child in welfare custody"}, {"role": "assistant", "content": "Z62.21 — Child in welfare custody"}]}
{"messages": [{"role": "system", "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 railway train or railway vehicle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V05.92XA — Pedestrian on skateboard injured in collision with railway train or railway 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": "Body mass index [BMI] 50.0-59.9, adult"}, {"role": "assistant", "content": "Z68.43 — Body mass index [BMI] 50.0-59.9, 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": "Glider (nonpowered) fire injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.24XA — Glider (nonpowered) 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": "War operations involving explosion of guided missile, civilian, sequela"}, {"role": "assistant", "content": "Y36.221S — War operations involving explosion of guided missile, 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": "Varicose veins of unspecified lower extremity with ulcer of heel and midfoot"}, {"role": "assistant", "content": "I83.004 — Varicose veins of unspecified lower extremity with ulcer 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": "Bitten or stung by nonvenomous insect and other nonvenomous arthropods, subsequent encounter"}, {"role": "assistant", "content": "W57.XXXD — Bitten or stung by nonvenomous insect and other nonvenomous arthropods, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S62.013G — Displaced fracture of distal pole 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": "Displaced fracture of head of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.122P — Displaced fracture of head 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": "Unspecified dislocation of left hip, sequela"}, {"role": "assistant", "content": "S73.005S — Unspecified 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": "Keratoconus, unstable, bilateral"}, {"role": "assistant", "content": "H18.623 — Keratoconus, unstable, 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": "Rupture of uterus before onset of labor, third trimester"}, {"role": "assistant", "content": "O71.03 — Rupture of uterus before 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": "Nasal congestion"}, {"role": "assistant", "content": "R09.81 — Nasal congestion"}]}
{"messages": [{"role": "system", "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 2"}, {"role": "assistant", "content": "O35.HXX2 — Maternal care for other (suspected) fetal abnormality and damage, fetal lower extremities 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": "Poisoning by unspecified general anesthetics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.202A — Poisoning by unspecified general 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": "Fracture of angle of left mandible, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.652D — Fracture of angle 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": "Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosum, other fetus"}, {"role": "assistant", "content": "O35.01X9 — Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosum, 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": "Displaced bimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.843F — Displaced bimalleolar fracture of unspecified lower 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": "Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.322F — Displaced transverse fracture of shaft of left 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": "Burn of first degree of left thumb (nail), initial encounter"}, {"role": "assistant", "content": "T23.112A — Burn of first degree of left 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": "Chronic gout due to renal impairment, multiple sites, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.39X0 — Chronic gout due to renal impairment, 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": "Unspecified ultralight, microlight or powered-glider accident injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.10XA — Unspecified ultralight, microlight or powered-glider 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": "Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, sequela"}, {"role": "assistant", "content": "S62.014S — Nondisplaced fracture of distal pole of navicular [scaphoid] bone 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": "Other injury of adductor muscle, fascia and tendon of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.299D — Other injury of adductor muscle, fascia and tendon 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 segmental fracture of shaft of radius, unspecified arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.363G — Displaced segmental fracture of shaft of radius, 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": "Takotsubo syndrome"}, {"role": "assistant", "content": "I51.81 — Takotsubo 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 displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.600G — Unspecified displaced fracture of seventh 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": "Poisoning by unspecified psychotropic drug, undetermined, sequela"}, {"role": "assistant", "content": "T43.94XS — Poisoning by unspecified psychotropic drug, 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 sprain of left index finger, sequela"}, {"role": "assistant", "content": "S63.691S — Other sprain 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": "Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.9XXA — Fracture of unspecified parts of lumbosacral spine and 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": "Walked into lamppost, subsequent encounter"}, {"role": "assistant", "content": "W22.02XD — Walked into lamppost, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 routine healing"}, {"role": "assistant", "content": "S72.366E — Nondisplaced segmental 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": "Person on outside of heavy transport vehicle injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V60.2XXA — Person on outside of heavy transport vehicle 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 specified bursopathies, unspecified site"}, {"role": "assistant", "content": "M71.80 — Other specified bursopathies, 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 right ulna styloid process, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.614G — Nondisplaced fracture of right ulna styloid process, 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 atherosclerosis of nonbiological bypass graft(s) of the extremities, unspecified extremity"}, {"role": "assistant", "content": "I70.699 — Other atherosclerosis of nonbiological 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": "Other specified injury of femoral vein at hip and thigh level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.199D — Other specified injury of femoral vein 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": "Laceration of unspecified muscles, fascia and tendons at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S56.921D — Laceration of unspecified muscles, fascia and tendons 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": "Adverse effect of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, sequela"}, {"role": "assistant", "content": "T38.6X5S — Adverse effect of antigonadotrophins, antiestrogens, antiandrogens, 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": "Crushing injury of left hip with thigh, subsequent encounter"}, {"role": "assistant", "content": "S77.22XD — Crushing injury of left hip with 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": "Complete traumatic metacarpophalangeal amputation of right index finger, sequela"}, {"role": "assistant", "content": "S68.110S — Complete traumatic metacarpophalangeal amputation 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": "Complete traumatic amputation of left forearm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S58.912D — Complete traumatic amputation of left 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": "Nondisplaced transverse fracture of shaft of left fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.425K — Nondisplaced transverse fracture of shaft of left 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": "Dislocation of C7/T1 cervical vertebrae, initial encounter"}, {"role": "assistant", "content": "S13.181A — Dislocation of C7/T1 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": "Nondisplaced fracture of lateral condyle of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.126C — Nondisplaced fracture of lateral condyle 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": "Unspecified injury of unspecified muscles, fascia and tendons at thigh level, right thigh, sequela"}, {"role": "assistant", "content": "S76.901S — Unspecified injury of unspecified 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": "Cleft soft palate"}, {"role": "assistant", "content": "Q35.3 — Cleft soft palate"}]}
{"messages": [{"role": "system", "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 groin"}, {"role": "assistant", "content": "L02.214 — Cutaneous abscess 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": "Secondary osteoarthritis, left elbow"}, {"role": "assistant", "content": "M19.222 — Secondary osteoarthritis, 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": "Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.453J — Displaced comminuted 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": "Generalized contraction of visual field, left eye"}, {"role": "assistant", "content": "H53.482 — Generalized contraction of visual field, 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 upper end of unspecified humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.209K — Unspecified fracture of upper end 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": "Dislocation of metatarsophalangeal joint of right lesser toe(s), sequela"}, {"role": "assistant", "content": "S93.124S — Dislocation of metatarsophalangeal joint 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": "Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture"}, {"role": "assistant", "content": "M48.50XA — Collapsed vertebra, not elsewhere classified, site unspecified, 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": "Corrosion of third degree of neck, initial encounter"}, {"role": "assistant", "content": "T20.77XA — Corrosion of third degree 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": "Nondisplaced fracture of unspecified ulna styloid process, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.616A — Nondisplaced fracture of unspecified ulna styloid process, 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 muscle and tendon of front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.001D — Unspecified injury 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": "Breakdown (mechanical) of other urinary devices and implants, sequela"}, {"role": "assistant", "content": "T83.118S — Breakdown (mechanical) of other urinary 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": "Blister (nonthermal) of right index finger, initial encounter"}, {"role": "assistant", "content": "S60.420A — Blister (nonthermal) 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 unspecified phalanx of unspecified thumb, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.509B — Fracture of unspecified phalanx of unspecified thumb, 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": "Pedestrian on standing electric scooter injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V06.931A — Pedestrian on standing electric scooter injured in collision with other nonmotor 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": "Other drug-induced agranulocytosis"}, {"role": "assistant", "content": "D70.2 — Other drug-induced agranulocytosis"}]}
{"messages": [{"role": "system", "content": "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 digestive system"}, {"role": "assistant", "content": "K91.89 — Other postprocedural complications and disorders 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 muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.201D — Unspecified injury of muscle(s) and tendon(s) of anterior 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": "Other contact with squirrel, subsequent encounter"}, {"role": "assistant", "content": "W53.29XD — Other contact with squirrel, subsequent encounter"}]}
{"messages": [{"role": "system", "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, right arm, sequela"}, {"role": "assistant", "content": "S49.111S — Salter-Harris Type I physeal fracture of lower end 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": "Implantation cysts of iris, ciliary body or anterior chamber, right eye"}, {"role": "assistant", "content": "H21.321 — Implantation cysts 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": "Abrasion of left shoulder, sequela"}, {"role": "assistant", "content": "S40.212S — Abrasion 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 second degree of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "T25.629D — Corrosion of second 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": "Other psychoactive substance dependence, in remission"}, {"role": "assistant", "content": "F19.21 — Other psychoactive substance dependence, 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": "Osteochondritis dissecans, joints of left hand"}, {"role": "assistant", "content": "M93.242 — Osteochondritis dissecans, 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": "Underdosing of aspirin, sequela"}, {"role": "assistant", "content": "T39.016S — Underdosing of aspirin, sequela"}]}
{"messages": [{"role": "system", "content": "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 open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.499Q — Other fracture of lower end 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": "Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation"}, {"role": "assistant", "content": "I83.224 — Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.392D — Other fracture of lower end 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": "Maxillary fracture, unspecified side, sequela"}, {"role": "assistant", "content": "S02.401S — Maxillary fracture, 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 left radial styloid process, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.512G — Displaced fracture of left radial styloid process, 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 with foreign body of unspecified ear, sequela"}, {"role": "assistant", "content": "S01.329S — Laceration with foreign body 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": "Sebaceous cell carcinoma of skin of right lower eyelid, including canthus"}, {"role": "assistant", "content": "C44.1322 — Sebaceous cell carcinoma 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": "Metabolic acidemia noted at birth"}, {"role": "assistant", "content": "P19.2 — Metabolic acidemia noted at birth"}]}
{"messages": [{"role": "system", "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 two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V42.6XXD — Car passenger 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": "Person boarding or alighting an electric (assisted) bicycle injured in collision with heavy transport vehicle or bus, sequela"}, {"role": "assistant", "content": "V24.31XS — Person boarding or alighting an electric (assisted) bicycle 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": "Fatigue fracture of vertebra, lumbar region, sequela of fracture"}, {"role": "assistant", "content": "M48.46XS — Fatigue fracture of vertebra, lumbar 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": "Unspecified injury of right foot, sequela"}, {"role": "assistant", "content": "S99.921S — Unspecified 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": "Primary hyperoxaluria, unspecified"}, {"role": "assistant", "content": "E72.539 — Primary hyperoxaluria, 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": "Pedestrian on foot injured in collision with other pedestrian conveyance, subsequent encounter"}, {"role": "assistant", "content": "V00.09XD — Pedestrian on foot injured in collision with other pedestrian conveyance, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 unspecified type of bypass graft(s) of the extremities, other extremity"}, {"role": "assistant", "content": "I70.398 — Other atherosclerosis of unspecified 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": "Other displaced fracture of third cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.290S — Other displaced 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": "Age-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.011G — Age-related osteoporosis with current pathological fracture, 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": "Nondisplaced fracture of distal phalanx of left thumb, sequela"}, {"role": "assistant", "content": "S62.525S — Nondisplaced fracture of distal phalanx 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": "Displaced fracture of base of second metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.310A — Displaced 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": "Laceration without foreign body of unspecified eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S01.119A — Laceration without 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": "Displaced Rolando's fracture, unspecified hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.223P — Displaced Rolando's 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": "Chronic hepatitis, unspecified"}, {"role": "assistant", "content": "K73.9 — Chronic hepatitis, 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 left calf limited to breakdown of skin"}, {"role": "assistant", "content": "L97.221 — Non-pressure chronic ulcer of left calf 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": "Nondisplaced fracture of shaft of first metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.245P — Nondisplaced fracture of shaft 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": "Salter-Harris Type II physeal fracture of phalanx of right toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.221A — Salter-Harris Type II physeal fracture of phalanx of right 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": "Osteochondritis dissecans, right knee"}, {"role": "assistant", "content": "M93.261 — Osteochondritis dissecans, 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": "Allergic dermatitis of right upper eyelid"}, {"role": "assistant", "content": "H01.111 — Allergic dermatitis 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": "Laceration without foreign body of left ring finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.215A — Laceration without 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": "Laceration of axillary or brachial vein, left side, sequela"}, {"role": "assistant", "content": "S45.212S — Laceration of axillary or brachial vein, 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": "Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T85.79XA — Infection and inflammatory reaction 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": "Burn of first degree of left elbow, initial encounter"}, {"role": "assistant", "content": "T22.122A — Burn of first degree 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": "Flood, initial encounter"}, {"role": "assistant", "content": "X38.XXXA — Flood, initial encounter"}]}
{"messages": [{"role": "system", "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 back of unspecified hand, sequela"}, {"role": "assistant", "content": "T23.569S — Corrosion of first degree of back 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": "Burn of first degree of left forearm, sequela"}, {"role": "assistant", "content": "T22.112S — Burn of first degree 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": "Gammaherpesviral mononucleosis with meningitis"}, {"role": "assistant", "content": "B27.02 — Gammaherpesviral 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": "Accidental malfunction of hunting rifle, subsequent encounter"}, {"role": "assistant", "content": "W33.12XD — Accidental malfunction of hunting rifle, subsequent encounter"}]}
{"messages": [{"role": "system", "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 bilateral orbits"}, {"role": "assistant", "content": "H05.033 — Periostitis of bilateral orbits"}]}
{"messages": [{"role": "system", "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 pre-eclampsia, third trimester"}, {"role": "assistant", "content": "O14.13 — Severe pre-eclampsia, 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 comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.456P — Nondisplaced comminuted 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": "Displaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.121J — Displaced fracture of lateral condyle 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": "Rheumatoid arthritis without rheumatoid factor, left knee"}, {"role": "assistant", "content": "M06.062 — Rheumatoid arthritis without rheumatoid factor, 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": "Familial chondrocalcinosis, left shoulder"}, {"role": "assistant", "content": "M11.112 — Familial chondrocalcinosis, 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": "Infantile and juvenile cortical, lamellar, or zonular cataract, right eye"}, {"role": "assistant", "content": "H26.011 — Infantile and juvenile cortical, lamellar, or zonular cataract, 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 other malpresentation of fetus, fetus 2"}, {"role": "assistant", "content": "O32.8XX2 — Maternal care for other malpresentation of 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": "Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V74.6XXA — Passenger on bus 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": "Local infection due to central venous catheter, subsequent encounter"}, {"role": "assistant", "content": "T80.212D — Local infection due to central venous 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 acute nonsuppurative otitis media, recurrent, right ear"}, {"role": "assistant", "content": "H65.194 — Other acute nonsuppurative otitis media, recurrent, 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 superficial bite of unspecified knee, sequela"}, {"role": "assistant", "content": "S80.279S — Other superficial bite of 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": "War operations involving firearms pellets, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.420A — War operations involving firearms pellets, 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": "Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side"}, {"role": "assistant", "content": "I69.134 — Monoplegia of upper limb following nontraumatic intracerebral 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": "Unspecified physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.201K — Unspecified physeal fracture of lower end of radius, 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": "Traumatic rupture of unspecified ligament of right index finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.400S — Traumatic rupture of unspecified 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": "Congenital ureterocele, orthotopic"}, {"role": "assistant", "content": "Q62.31 — Congenital ureterocele, orthotopic"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.011D — Displaced fracture of body 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": "Fracture of other specified skull and facial bones, right side, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.81XD — Fracture of other specified skull and facial bones, 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": "Corrosion of unspecified degree of multiple sites of left lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.492S — Corrosion of unspecified 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": "Poisoning by fluoroquinolone antibiotics, assault, subsequent encounter"}, {"role": "assistant", "content": "T36.AX3D — Poisoning by fluoroquinolone antibiotics, 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": "Unilateral primary osteoarthritis, unspecified knee"}, {"role": "assistant", "content": "M17.10 — Unilateral primary osteoarthritis, 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": "Changes in retinal vascular appearance, unspecified eye"}, {"role": "assistant", "content": "H35.019 — Changes in retinal vascular appearance, 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": "Contusion of right breast, subsequent encounter"}, {"role": "assistant", "content": "S20.01XD — Contusion of right 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": "Meningococcal carditis, unspecified"}, {"role": "assistant", "content": "A39.50 — Meningococcal 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": "Stable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.061K — Stable 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": "Unspecified disorder of synovium and tendon, left ankle and foot"}, {"role": "assistant", "content": "M67.972 — Unspecified disorder of synovium and tendon, 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": "Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2351 — Coma scale, best motor response, localizes pain, 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": "Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture"}, {"role": "assistant", "content": "M80.811A — Other osteoporosis with current pathological fracture, right shoulder, 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": "Disorder of ligament, right elbow"}, {"role": "assistant", "content": "M24.221 — Disorder of ligament, 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 comminuted supracondylar fracture without intercondylar fracture of right humerus, sequela"}, {"role": "assistant", "content": "S42.424S — Nondisplaced 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": "Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter"}, {"role": "assistant", "content": "S06.814A — Injury of right 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 second metatarsal bone, right foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.324B — Nondisplaced fracture of second metatarsal bone, 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": "Oligohydramnios, first trimester, fetus 2"}, {"role": "assistant", "content": "O41.01X2 — Oligohydramnios, 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": "Minor laceration of head of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.240D — Minor laceration of head 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": "Inflammatory disease of cervix uteri"}, {"role": "assistant", "content": "N72 — Inflammatory disease 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": "Rheumatoid vasculitis with rheumatoid arthritis of left wrist"}, {"role": "assistant", "content": "M05.232 — Rheumatoid vasculitis 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": "Arthropathies in other specified diseases classified elsewhere, left hip"}, {"role": "assistant", "content": "M14.852 — Arthropathies in other specified diseases classified elsewhere, 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": "Person injured in collision between heavy transport vehicle and bus, nontraffic, initial encounter"}, {"role": "assistant", "content": "V88.5XXA — Person injured in collision between heavy transport vehicle and bus, 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": "Toxic effect of soaps, undetermined, sequela"}, {"role": "assistant", "content": "T55.0X4S — Toxic effect of soaps, 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 amnesia"}, {"role": "assistant", "content": "R41.3 — Other 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": "Nondisplaced fracture of distal phalanx of unspecified thumb, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.526G — Nondisplaced fracture of distal phalanx of unspecified 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": "Displaced unspecified fracture of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S92.503S — Displaced 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": "Unspecified contusion of spleen, initial encounter"}, {"role": "assistant", "content": "S36.029A — Unspecified contusion 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": "Spondylolysis, cervical region"}, {"role": "assistant", "content": "M43.02 — Spondylolysis, 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": "Poisoning by tetracyclic antidepressants, intentional self-harm, sequela"}, {"role": "assistant", "content": "T43.022S — Poisoning by tetracyclic antidepressants, 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": "Poisoning by other antihypertensive drugs, assault, sequela"}, {"role": "assistant", "content": "T46.5X3S — Poisoning by other antihypertensive 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": "Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.315 — Non-pressure chronic ulcer of right ankle 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": "Underdosing of iron and its compounds, sequela"}, {"role": "assistant", "content": "T45.4X6S — Underdosing of iron and its compounds, sequela"}]}
{"messages": [{"role": "system", "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, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y37.6X1D — Military operations involving biological weapons, 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": "Salter-Harris Type I physeal fracture of upper end of unspecified femur, sequela"}, {"role": "assistant", "content": "S79.019S — Salter-Harris Type I 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": "Nondisplaced fracture of greater trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.114C — Nondisplaced fracture of greater trochanter 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": "Stress fracture, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.311G — Stress fracture, 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": "Sprain of metacarpophalangeal joint of right ring finger, sequela"}, {"role": "assistant", "content": "S63.654S — Sprain of metacarpophalangeal joint 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": "Puncture wound with foreign body of nose, sequela"}, {"role": "assistant", "content": "S01.24XS — Puncture wound with foreign body 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": "Displaced fracture of right ulna styloid process, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.611G — Displaced fracture of right ulna styloid process, 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": "Non-pressure chronic ulcer of back with unspecified severity"}, {"role": "assistant", "content": "L98.429 — Non-pressure chronic ulcer of back 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": "Traumatic rupture of collateral ligament of other finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.418A — Traumatic rupture of collateral 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": "Unspecified injury of axillary or brachial vein, right side, subsequent encounter"}, {"role": "assistant", "content": "S45.201D — Unspecified injury of axillary or brachial vein, 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": "Non-pressure chronic ulcer of unspecified upper arm with necrosis of bone"}, {"role": "assistant", "content": "L98.A194 — Non-pressure chronic ulcer of unspecified upper arm 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": "Displaced fracture of cuboid bone of left foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.212A — Displaced fracture of cuboid bone of left 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": "Halitosis"}, {"role": "assistant", "content": "R19.6 — Halitosis"}]}
{"messages": [{"role": "system", "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 specified systemic anti-infectives and antiparasitics, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T37.8X4D — Poisoning by other specified systemic anti-infectives and antiparasitics, 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 fracture of lower epiphysis (separation) of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.444K — Nondisplaced fracture of lower epiphysis (separation) 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": "Occupant (driver) (passenger) of three-wheeled motor vehicle injured in unspecified nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V39.3XXD — Occupant (driver) (passenger) of three-wheeled motor vehicle 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": "Melanocytic nevi of left upper limb, including shoulder"}, {"role": "assistant", "content": "D22.62 — Melanocytic nevi 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": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.353M — Displaced comminuted 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": "Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], undetermined, sequela"}, {"role": "assistant", "content": "T48.1X4S — Poisoning by skeletal muscle relaxants [neuromuscular blocking 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": "Underdosing of keratolytics, keratoplastics, and other hair treatment drugs and preparations, subsequent encounter"}, {"role": "assistant", "content": "T49.4X6D — Underdosing of keratolytics, keratoplastics, and other hair treatment 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": "Thoracogenic scoliosis, thoracolumbar region"}, {"role": "assistant", "content": "M41.35 — Thoracogenic scoliosis, 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": "Bitten by horse, sequela"}, {"role": "assistant", "content": "W55.11XS — Bitten by horse, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other anemias due to enzyme disorders"}, {"role": "assistant", "content": "D55.8 — Other anemias due to enzyme 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 specified abnormal findings of blood chemistry"}, {"role": "assistant", "content": "R79.89 — Other specified abnormal findings of blood chemistry"}]}
{"messages": [{"role": "system", "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 muscle strengthening exercises"}, {"role": "assistant", "content": "Y93.B9 — Activity, other involving muscle strengthening exercises"}]}
{"messages": [{"role": "system", "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 IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.539F — Colles' fracture 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": "Salter-Harris Type IV physeal fracture of lower end of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.149A — Salter-Harris Type IV physeal 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": "Blister (nonthermal) of right eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.221D — Blister (nonthermal) 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 Usher syndrome"}, {"role": "assistant", "content": "Q99.818 — Other Usher 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": "Other injury of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.495A — Other 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": "Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V27.91XD — Unspecified electric (assisted) bicycle rider 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": "Breakdown (mechanical) of cranial or spinal infusion catheter, sequela"}, {"role": "assistant", "content": "T85.610S — Breakdown (mechanical) 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": "Puncture wound of abdominal wall without foreign body, left flank with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.637A — Puncture wound of abdominal wall without foreign body, left flank 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": "Corrosion of first degree of multiple right fingers (nail), including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.541D — Corrosion of first 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": "Pedestrian on skateboard injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V02.02XD — Pedestrian on skateboard 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": "Primary central nervous system lymphoma"}, {"role": "assistant", "content": "C83.390 — Primary central nervous system lymphoma"}]}
{"messages": [{"role": "system", "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 disease, unspecified"}, {"role": "assistant", "content": "I73.9 — Peripheral vascular 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": "Displaced fracture of medial cuneiform of left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.242G — Displaced fracture of medial cuneiform 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": "Other transitory neonatal disorders of calcium and magnesium metabolism"}, {"role": "assistant", "content": "P71.8 — Other transitory neonatal disorders of calcium and magnesium 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": "Corrosion of first degree of head, face, and neck, unspecified site, sequela"}, {"role": "assistant", "content": "T20.50XS — Corrosion of first degree of head, face, and neck, 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": "Corrosion of unspecified degree of left palm, initial encounter"}, {"role": "assistant", "content": "T23.452A — Corrosion of unspecified 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": "Unspecified disorder of synovium and tendon, left hand"}, {"role": "assistant", "content": "M67.942 — Unspecified disorder of synovium and tendon, 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": "Pathological fracture, right fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.463P — Pathological fracture, 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": "Fracture of unspecified carpal bone, left wrist, sequela"}, {"role": "assistant", "content": "S62.102S — Fracture of unspecified carpal 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": "Other injury of unspecified muscles, fascia and tendons at forearm level, left arm, initial encounter"}, {"role": "assistant", "content": "S56.992A — Other injury of unspecified muscles, fascia and tendons 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": "Unspecified fracture of shaft of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.302P — Unspecified fracture of shaft 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": "Injury of facial nerve, left side, subsequent encounter"}, {"role": "assistant", "content": "S04.52XD — Injury of facial nerve, 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": "Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.436J — Nondisplaced 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": "Post-osseointegration mechanical failure of dental implant"}, {"role": "assistant", "content": "M27.63 — Post-osseointegration mechanical failure of dental implant"}]}
{"messages": [{"role": "system", "content": "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 middle and inner ear, sequela"}, {"role": "assistant", "content": "S09.391S — Other specified injury of right 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": "Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.052G — Unstable burst fracture of fifth 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": "Other meningococcal infections"}, {"role": "assistant", "content": "A39.89 — Other meningococcal 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": "Legal intervention, means unspecified, law enforcement official injured, initial encounter"}, {"role": "assistant", "content": "Y35.91XA — Legal intervention, means unspecified, 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": "Cor pulmonale (chronic)"}, {"role": "assistant", "content": "I27.81 — Cor pulmonale (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": "Rheumatoid myopathy with rheumatoid arthritis of unspecified knee"}, {"role": "assistant", "content": "M05.469 — Rheumatoid myopathy 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": "Acute hematogenous osteomyelitis, left humerus"}, {"role": "assistant", "content": "M86.022 — Acute hematogenous 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": "Traumatic spondylopathy, lumbar region"}, {"role": "assistant", "content": "M48.36 — Traumatic spondylopathy, 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 open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.104S — Unspecified open wound of abdominal wall, left lower 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": "Malignant neoplasm of labium majus"}, {"role": "assistant", "content": "C51.0 — Malignant neoplasm of labium majus"}]}
{"messages": [{"role": "system", "content": "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 closed fracture"}, {"role": "assistant", "content": "S52.559A — Other extraarticular fracture of lower end 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": "Partial traumatic amputation of left hand at wrist level, sequela"}, {"role": "assistant", "content": "S68.422S — Partial traumatic amputation of left hand at wrist 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 complications of foreign body accidentally left in body following kidney dialysis, sequela"}, {"role": "assistant", "content": "T81.592S — Other complications of foreign body accidentally left in body following kidney dialysis, sequela"}]}
{"messages": [{"role": "system", "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 disorder, unspecified"}, {"role": "assistant", "content": "I36.9 — Nonrheumatic tricuspid valve 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": "Pregnancy with inconclusive fetal viability, not applicable or unspecified"}, {"role": "assistant", "content": "O36.80X0 — Pregnancy with inconclusive fetal viability, 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 unspecified degree of unspecified toe(s) (nail), sequela"}, {"role": "assistant", "content": "T25.439S — Corrosion of unspecified degree of unspecified 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": "Osteolysis, right ankle and foot"}, {"role": "assistant", "content": "M89.571 — Osteolysis, 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": "Struck by turkey, initial encounter"}, {"role": "assistant", "content": "W61.42XA — Struck by turkey, initial encounter"}]}
{"messages": [{"role": "system", "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 joint"}, {"role": "assistant", "content": "M25.70 — Osteophyte, 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": "Exposure to other inanimate mechanical forces, sequela"}, {"role": "assistant", "content": "W49.9XXS — Exposure to other inanimate mechanical forces, sequela"}]}
{"messages": [{"role": "system", "content": "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, first trimester, other fetus"}, {"role": "assistant", "content": "O41.8X19 — Other specified disorders of amniotic fluid and membranes, 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": "Poisoning by coronary vasodilators, assault, subsequent encounter"}, {"role": "assistant", "content": "T46.3X3D — Poisoning by coronary vasodilators, 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 unspecified part of head, initial encounter"}, {"role": "assistant", "content": "S00.94XA — External constriction of unspecified 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": "Osteopathy after poliomyelitis, right thigh"}, {"role": "assistant", "content": "M89.651 — Osteopathy after poliomyelitis, 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": "Malformation of placenta, unspecified, unspecified trimester"}, {"role": "assistant", "content": "O43.109 — Malformation of placenta, 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": "Insect bite (nonvenomous) of right middle finger, initial encounter"}, {"role": "assistant", "content": "S60.462A — Insect bite (nonvenomous) 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": "Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter"}, {"role": "assistant", "content": "T81.508A — Unspecified complication of foreign body accidentally left in body following other 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": "Laceration without foreign body of right breast, initial encounter"}, {"role": "assistant", "content": "S21.011A — Laceration without foreign body of 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": "Choroidal rupture, bilateral"}, {"role": "assistant", "content": "H31.323 — Choroidal rupture, 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 places as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.89 — Other specified places 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": "Cervical disc disorder with myelopathy, cervicothoracic region"}, {"role": "assistant", "content": "M50.03 — Cervical disc disorder with myelopathy, 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": "Burn of third degree of right toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.331A — Burn 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": "Unspecified injury of right middle and inner ear, subsequent encounter"}, {"role": "assistant", "content": "S09.301D — Unspecified injury of right 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": "Inhalant abuse with inhalant-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F18.159 — Inhalant abuse 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": "Underdosing of antineoplastic and immunosuppressive drugs, subsequent encounter"}, {"role": "assistant", "content": "T45.1X6D — Underdosing 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": "Displaced fracture of lateral end of unspecified clavicle, sequela"}, {"role": "assistant", "content": "S42.033S — Displaced fracture of lateral end of unspecified 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": "Rheumatoid bursitis, unspecified hip"}, {"role": "assistant", "content": "M06.259 — Rheumatoid bursitis, 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 segmental fracture of shaft of unspecified fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.466A — Nondisplaced segmental fracture of shaft 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": "Unspecified injury of intrinsic muscle and tendon at ankle and foot level, left foot, sequela"}, {"role": "assistant", "content": "S96.202S — Unspecified injury 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": "Superficial foreign body of right front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.351D — Superficial foreign body 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": "Drug-induced gout, vertebrae"}, {"role": "assistant", "content": "M10.28 — Drug-induced gout, 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": "Burn of unspecified degree of right ankle, sequela"}, {"role": "assistant", "content": "T25.011S — Burn of unspecified degree 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": "Aggressive periodontitis, unspecified"}, {"role": "assistant", "content": "K05.20 — Aggressive periodontitis, 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": "Neuromuscular scoliosis, thoracolumbar region"}, {"role": "assistant", "content": "M41.45 — Neuromuscular scoliosis, 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": "Open bite, left thigh, initial encounter"}, {"role": "assistant", "content": "S71.152A — Open bite, 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": "Malignant neoplasm of unspecified olfactory nerve"}, {"role": "assistant", "content": "C72.20 — Malignant neoplasm of unspecified olfactory 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": "Displaced Maisonneuve's fracture of unspecified leg, sequela"}, {"role": "assistant", "content": "S82.863S — Displaced Maisonneuve's fracture of 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": "Exposure to other specified factors, subsequent encounter"}, {"role": "assistant", "content": "X58.XXXD — Exposure to other specified factors, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C84.Z3 — Other mature T/NK-cell lymphomas, 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": "Puncture wound with foreign body of penis, subsequent encounter"}, {"role": "assistant", "content": "S31.24XD — Puncture wound 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": "Underdosing of calcium-channel blockers, subsequent encounter"}, {"role": "assistant", "content": "T46.1X6D — Underdosing of calcium-channel blockers, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.481G — Displaced dome 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": "Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T43.3X2S — Poisoning by phenothiazine antipsychotics and 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": "Other dislocation of left knee, initial encounter"}, {"role": "assistant", "content": "S83.195A — Other dislocation of 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": "Unspecified superficial injury of right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.934D — Unspecified superficial injury 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": "Poisoning by antineoplastic and immunosuppressive drugs, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T45.1X1S — Poisoning by antineoplastic and immunosuppressive drugs, 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 segmental fracture of shaft of radius, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.362C — Displaced 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": "Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.110G — Type I occipital condyle fracture, 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": "Infection and inflammatory reaction due to internal left hip prosthesis, sequela"}, {"role": "assistant", "content": "T84.52XS — Infection and inflammatory reaction due to 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": "Quintuplets, some liveborn"}, {"role": "assistant", "content": "Z37.63 — Quintuplets, some 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": "Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S45.892A — Other specified 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": "Nondisplaced fracture of middle third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.024P — Nondisplaced fracture of middle third 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": "Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.311A — Strain of extensor or abductor muscles, fascia and tendons 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": "Unspecified fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.301R — Unspecified fracture of shaft 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": "Poisoning by unspecified hormones and synthetic substitutes, assault, subsequent encounter"}, {"role": "assistant", "content": "T38.803D — Poisoning by unspecified hormones and synthetic substitutes, 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": "Tropical spastic paraplegia"}, {"role": "assistant", "content": "G04.1 — Tropical spastic paraplegia"}]}
{"messages": [{"role": "system", "content": "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 ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.236B — Nondisplaced oblique fracture of shaft 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": "Laceration of unspecified blood vessel at lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.919D — Laceration of unspecified blood vessel 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": "Open bite of unspecified great toe without damage to nail, sequela"}, {"role": "assistant", "content": "S91.153S — Open bite 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": "Dislocation of T12/L1 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.171D — Dislocation of T12/L1 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": "Amebic nondysenteric colitis"}, {"role": "assistant", "content": "A06.2 — Amebic nondysenteric colitis"}]}
{"messages": [{"role": "system", "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, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.212D — Salter-Harris Type I 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": "Tuberculous meningoencephalitis"}, {"role": "assistant", "content": "A17.82 — Tuberculous meningoencephalitis"}]}
{"messages": [{"role": "system", "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), subsequent encounter"}, {"role": "assistant", "content": "T58.11XD — Toxic effect of carbon monoxide from utility gas, 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 segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.261E — Displaced segmental 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": "Unspecified fracture of fourth metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.304P — Unspecified fracture of fourth 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": "Displaced longitudinal fracture of right patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.021H — Displaced longitudinal 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": "Other cyst of bone, unspecified site"}, {"role": "assistant", "content": "M85.60 — Other cyst of bone, 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": "Pedestrian on standing electric scooter injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V01.931A — Pedestrian on standing electric scooter 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": "Neonatal rectal hemorrhage"}, {"role": "assistant", "content": "P54.2 — Neonatal rectal 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": "Segmental and somatic dysfunction of pelvic region"}, {"role": "assistant", "content": "M99.05 — Segmental and somatic dysfunction of pelvic 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 laceration of right pulmonary blood vessels, sequela"}, {"role": "assistant", "content": "S25.411S — Minor laceration of right 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": "Unspecified superficial injury of right ear, subsequent encounter"}, {"role": "assistant", "content": "S00.401D — Unspecified superficial injury of right 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 left hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.302A — Burn of third 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": "Secondary vitreoretinal degeneration, unspecified eye"}, {"role": "assistant", "content": "H35.469 — Secondary vitreoretinal degeneration, 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": "Oppositional defiant disorder"}, {"role": "assistant", "content": "F91.3 — Oppositional defiant 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": "Displaced intertrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.143C — Displaced intertrochanteric 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": "Exposure to other natural radiation, sequela"}, {"role": "assistant", "content": "X39.08XS — Exposure to other natural 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": "Menstrual migraine, intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.839 — Menstrual migraine, 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 simple supracondylar fracture without intercondylar fracture of unspecified humerus, sequela"}, {"role": "assistant", "content": "S42.413S — Displaced simple supracondylar fracture without intercondylar fracture 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": "Unspecified injury of left carotid artery, initial encounter"}, {"role": "assistant", "content": "S15.002A — Unspecified 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": "Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.001K — Unspecified physeal fracture of upper 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": "Person on outside of special construction vehicle injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V85.7XXS — Person on outside 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": "Unspecified dislocation of left ring finger, initial encounter"}, {"role": "assistant", "content": "S63.255A — Unspecified dislocation 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": "Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 1"}, {"role": "assistant", "content": "O31.32X1 — Continuing pregnancy after elective fetal reduction of one fetus or more, 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": "Laceration of intercostal blood vessels, right side, sequela"}, {"role": "assistant", "content": "S25.511S — Laceration of intercostal blood vessels, 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": "Vitreous abscess (chronic), bilateral"}, {"role": "assistant", "content": "H44.023 — Vitreous abscess (chronic), 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 right cerebrum with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.319D — Contusion and laceration of right cerebrum 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": "Legal intervention involving manhandling, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.813D — Legal intervention involving manhandling, 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": "Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.116A — Strain of flexor muscle, fascia and tendon of left 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": "Unspecified physeal fracture of lower end of radius, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.202A — Unspecified 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": "Hemophilic arthropathy"}, {"role": "assistant", "content": "M36.2 — Hemophilic 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": "Triplet pregnancy with two or more monoamniotic fetuses, unspecified trimester"}, {"role": "assistant", "content": "O30.129 — Triplet pregnancy with two or more monoamniotic fetuses, 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": "Toxic effect of rodenticides, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T60.4X1S — Toxic effect of rodenticides, 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": "Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, sequela"}, {"role": "assistant", "content": "T40.902S — Poisoning by unspecified 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": "Personal history of latent tuberculosis infection"}, {"role": "assistant", "content": "Z86.15 — Personal history of 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": "Military operations involving biological weapons, civilian, sequela"}, {"role": "assistant", "content": "Y37.6X1S — Military operations involving biological weapons, 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": "Person boarding or alighting a three-wheeled motor vehicle injured in collision with pedestrian or animal, subsequent encounter"}, {"role": "assistant", "content": "V30.4XXD — Person boarding or alighting a three-wheeled motor vehicle injured in collision with pedestrian or animal, subsequent encounter"}]}
{"messages": [{"role": "system", "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 0% to 9% third degree burns"}, {"role": "assistant", "content": "T31.60 — Burns involving 60-69% 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": "Nondisplaced spiral fracture of shaft of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.244B — Nondisplaced spiral 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": "Injury of axillary nerve, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S44.30XD — Injury of axillary nerve, 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": "Post-traumatic stress disorder, chronic"}, {"role": "assistant", "content": "F43.12 — Post-traumatic stress disorder, 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 physeal fracture of unspecified calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.099B — Other 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": "Asymptomatic premature menopause"}, {"role": "assistant", "content": "E28.319 — Asymptomatic premature menopause"}]}
{"messages": [{"role": "system", "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, unspecified site"}, {"role": "assistant", "content": "C84.60 — Anaplastic large cell lymphoma, ALK-positive, 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": "Retinal vasculitis, bilateral"}, {"role": "assistant", "content": "H35.063 — Retinal vasculitis, 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 triquetrum [cuneiform] bone, right wrist, sequela"}, {"role": "assistant", "content": "S62.114S — Nondisplaced fracture of triquetrum [cuneiform] 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": "Unspecified fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.409G — Unspecified 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": "Nondisplaced trimalleolar fracture of unspecified lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.856C — Nondisplaced trimalleolar 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": "Other specified injury of left vertebral artery, sequela"}, {"role": "assistant", "content": "S15.192S — Other specified injury of left 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": "Chronic embolism and thrombosis of left calf muscular vein"}, {"role": "assistant", "content": "I82.562 — Chronic embolism and thrombosis of left 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": "Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.080G — Wedge compression fracture of T11-T12 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 oblique fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.435R — Nondisplaced oblique 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": "Burn of unspecified degree of chest wall, initial encounter"}, {"role": "assistant", "content": "T21.01XA — Burn of unspecified 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": "Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V04.131A — Pedestrian on standing electric scooter 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": "Drowning and submersion due to merchant ship sinking, sequela"}, {"role": "assistant", "content": "V90.10XS — Drowning and submersion due to merchant ship sinking, sequela"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "S68.124D — Partial traumatic metacarpophalangeal 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": "Diffuse follicle center lymphoma, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C82.51 — Diffuse follicle center 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": "Burn of third degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, initial encounter"}, {"role": "assistant", "content": "T22.399A — Burn of third degree of multiple sites of unspecified 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": "Contact with and (suspected) exposure to noise"}, {"role": "assistant", "content": "Z77.122 — Contact with and (suspected) exposure to noise"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hyphema, bilateral"}, {"role": "assistant", "content": "H21.03 — Hyphema, 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": "Displacement of other nervous system device, implant or graft, subsequent encounter"}, {"role": "assistant", "content": "T85.625D — Displacement of other nervous system device, implant or 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": "Acquired absence of unspecified hand"}, {"role": "assistant", "content": "Z89.119 — Acquired absence of 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": "Displaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.871N — Displaced pilon fracture 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": "Foreign body in conjunctival sac, unspecified eye, initial encounter"}, {"role": "assistant", "content": "T15.10XA — Foreign body in 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": "Malignant neoplasm of overlapping sites of bladder"}, {"role": "assistant", "content": "C67.8 — Malignant neoplasm of overlapping sites 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": "Unspecified physeal fracture of lower end of ulna, left arm, sequela"}, {"role": "assistant", "content": "S59.002S — Unspecified 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": "Acute myringitis, unspecified ear"}, {"role": "assistant", "content": "H73.009 — Acute myringitis, 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": "Poisoning by succinimides and oxazolidinediones, undetermined, initial encounter"}, {"role": "assistant", "content": "T42.2X4A — Poisoning by succinimides and oxazolidinediones, 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": "Explosion of blasting material, subsequent encounter"}, {"role": "assistant", "content": "W40.0XXD — Explosion of blasting 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": "Other specified malignant neoplasm of skin of lip"}, {"role": "assistant", "content": "C44.09 — Other specified malignant neoplasm 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": "Fall from skateboard, initial encounter"}, {"role": "assistant", "content": "V00.131A — Fall from skateboard, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 I or II with routine healing"}, {"role": "assistant", "content": "S72.134E — Nondisplaced apophyseal 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": "Other injury of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.590S — Other 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": "Cytomegaloviral mononucleosis with other complication"}, {"role": "assistant", "content": "B27.19 — Cytomegaloviral mononucleosis 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": "Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.121D — Laceration of muscle and tendon of long extensor muscle of toe 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": "Other specified congenital malformations of stomach"}, {"role": "assistant", "content": "Q40.2 — Other specified congenital malformations of 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": "Burn due to water-skis on fire, initial encounter"}, {"role": "assistant", "content": "V91.07XA — Burn due to water-skis 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": "Idiopathic chronic gout, unspecified elbow, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0290 — Idiopathic 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": "Toxic effect of unspecified inorganic substance, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T57.92XD — Toxic effect of unspecified inorganic substance, 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": "Pedal cycle driver injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V18.4XXD — Pedal cycle driver 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": "Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequela"}, {"role": "assistant", "content": "T85.731S — Infection and inflammatory reaction due to 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": "Stenosis of left lacrimal canaliculi"}, {"role": "assistant", "content": "H04.542 — Stenosis of left 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": "Person on outside of bus injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V76.7XXS — Person on outside 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": "Cochlear implant status"}, {"role": "assistant", "content": "Z96.21 — Cochlear implant 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 neck of right femur, sequela"}, {"role": "assistant", "content": "S72.044S — Nondisplaced fracture of base of 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": "Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.199K — Other fracture of upper end 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": "Burn of esophagus, subsequent encounter"}, {"role": "assistant", "content": "T28.1XXD — Burn of 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1"}, {"role": "assistant", "content": "O31.13X1 — Continuing pregnancy after spontaneous abortion 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": "Other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.397P — Other fracture 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": "Salter-Harris Type IV physeal fracture of lower end of radius, left arm, sequela"}, {"role": "assistant", "content": "S59.242S — Salter-Harris Type IV 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": "Postural lordosis, site unspecified"}, {"role": "assistant", "content": "M40.40 — Postural lordosis, 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": "Adverse effect of immunoglobulin, initial encounter"}, {"role": "assistant", "content": "T50.Z15A — Adverse effect of immunoglobulin, initial encounter"}]}
{"messages": [{"role": "system", "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, other specified site"}, {"role": "assistant", "content": "M19.29 — Secondary osteoarthritis, 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": "Cutaneous follicle center lymphoma, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C82.63 — Cutaneous follicle center 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": "Pressure ulcer of right upper back, stage 3"}, {"role": "assistant", "content": "L89.113 — Pressure ulcer of right upper back, 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": "Diverticulum of esophagus, acquired"}, {"role": "assistant", "content": "K22.5 — Diverticulum of esophagus, acquired"}]}
{"messages": [{"role": "system", "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 forearm, initial encounter"}, {"role": "assistant", "content": "T22.412A — Corrosion of unspecified degree 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": "Person boarding or alighting from bus injured in collision with car, pick-up truck or van, sequela"}, {"role": "assistant", "content": "V73.4XXS — Person boarding or alighting from bus injured in collision with car, pick-up truck or van, sequela"}]}
{"messages": [{"role": "system", "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 forced labor exploitation, confirmed, sequela"}, {"role": "assistant", "content": "T74.61XS — Adult forced labor exploitation, confirmed, sequela"}]}
{"messages": [{"role": "system", "content": "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 malunion"}, {"role": "assistant", "content": "S82.891Q — Other 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": "Poisoning by pertussis vaccine, including combinations with a pertussis component, undetermined, initial encounter"}, {"role": "assistant", "content": "T50.A14A — Poisoning by pertussis vaccine, including combinations with a pertussis component, 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": "Meniere's disease, left ear"}, {"role": "assistant", "content": "H81.02 — Meniere's disease, 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 electric (assisted) bicycle rider injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V29.691A — Unspecified electric (assisted) bicycle rider 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": "Laceration with foreign body of unspecified lesser toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.226A — Laceration with 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": "Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V04.931D — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, 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": "Poisoning by unspecified drugs acting on muscles, assault, subsequent encounter"}, {"role": "assistant", "content": "T48.203D — Poisoning by unspecified drugs acting on muscles, 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": "Poisoning by unspecified primarily systemic and hematological agent, assault, initial encounter"}, {"role": "assistant", "content": "T45.93XA — Poisoning by unspecified primarily systemic and hematological agent, 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": "Postinfective urethral stricture, not elsewhere classified, male, unspecified"}, {"role": "assistant", "content": "N35.119 — Postinfective urethral stricture, not elsewhere classified, 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": "Cochlear otosclerosis, unspecified ear"}, {"role": "assistant", "content": "H80.20 — Cochlear otosclerosis, 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": "Puncture wound with foreign body of right ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.244S — Puncture wound with foreign body 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": "Superficial foreign body of left ear, sequela"}, {"role": "assistant", "content": "S00.452S — Superficial foreign body 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": "Displaced fracture of base of third metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.313G — Displaced 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": "Crushing injury of left wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "S67.42XD — Crushing injury of left 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": "Displacement of cystostomy catheter, subsequent encounter"}, {"role": "assistant", "content": "T83.020D — Displacement of cystostomy 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": "Follicular lymphoma, unspecified, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C82.98 — Follicular 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": "Salter-Harris Type I physeal fracture of phalanx of unspecified toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.219B — Salter-Harris Type I 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": "Other benign neoplasm of corpus uteri"}, {"role": "assistant", "content": "D26.1 — Other benign neoplasm of corpus 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": "Legal intervention involving other firearm discharge, law enforcement official injured, initial encounter"}, {"role": "assistant", "content": "Y35.091A — Legal intervention involving other firearm discharge, 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": "Other viral diseases complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.512 — Other viral 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": "Diffuse large B-cell lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C83.38 — Diffuse large B-cell 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": "Presence of right artificial hip joint"}, {"role": "assistant", "content": "Z96.641 — Presence of right 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": "Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S86.902S — Unspecified injury of unspecified muscle(s) and tendon(s) 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 burn on board merchant vessel, initial encounter"}, {"role": "assistant", "content": "V93.10XA — Other burn on board merchant vessel, initial encounter"}]}
{"messages": [{"role": "system", "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 hand, sequela"}, {"role": "assistant", "content": "S61.452S — Open bite 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 injury of descending [left] colon, subsequent encounter"}, {"role": "assistant", "content": "S36.592D — Other injury of descending [left] 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": "Displaced trimalleolar fracture of left lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.852R — Displaced trimalleolar fracture of left lower leg, 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": "Lymphocyte-rich Hodgkin lymphoma, unspecified site"}, {"role": "assistant", "content": "C81.40 — Lymphocyte-rich 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": "Superficial foreign body, left foot, initial encounter"}, {"role": "assistant", "content": "S90.852A — Superficial 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": "Occlusion and stenosis of other precerebral arteries"}, {"role": "assistant", "content": "I65.8 — Occlusion and 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": "Non-pressure chronic ulcer of back limited to breakdown of skin"}, {"role": "assistant", "content": "L98.421 — Non-pressure chronic ulcer of back 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": "Car passenger injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V41.6XXA — Car passenger 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": "Complete physeal arrest, left distal humerus"}, {"role": "assistant", "content": "M89.126 — Complete physeal arrest, left distal 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": "Low vision right eye category 2, blindness left eye category 3"}, {"role": "assistant", "content": "H54.1223 — Low vision right eye category 2, 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": "Contact with hot toaster, initial encounter"}, {"role": "assistant", "content": "X15.1XXA — Contact with hot toaster, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S42.114K — Nondisplaced fracture of body of scapula, 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": "Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 2"}, {"role": "assistant", "content": "O35.3XX2 — Maternal care for (suspected) damage to fetus from viral disease in mother, 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": "Crushing injury of shoulder and upper arm, unspecified arm, sequela"}, {"role": "assistant", "content": "S47.9XXS — Crushing injury of shoulder and upper arm, 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": "Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye"}, {"role": "assistant", "content": "E13.3492 — Other specified diabetes mellitus 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": "Open bite of abdominal wall, unspecified flank without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.15AA — Open bite of abdominal wall, unspecified 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": "Contusion of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S60.229D — Contusion 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": "Low level blast overpressure in war operations, initial encounter"}, {"role": "assistant", "content": "Y36.A1XA — Low level blast overpressure in war operations, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Epithelial (juvenile) corneal dystrophy, left eye"}, {"role": "assistant", "content": "H18.522 — Epithelial (juvenile) corneal dystrophy, 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 body of hamate [unciform] bone, unspecified wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.146B — Nondisplaced fracture of body of hamate [unciform] bone, unspecified 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": "Superficial foreign body of left elbow, sequela"}, {"role": "assistant", "content": "S50.352S — Superficial 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": "Legal intervention involving injury by handgun, suspect injured, sequela"}, {"role": "assistant", "content": "Y35.023S — Legal intervention involving injury by handgun, 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": "Other superficial bite of right thigh, initial encounter"}, {"role": "assistant", "content": "S70.371A — Other superficial bite 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": "Pathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.559P — Pathological fracture in neoplastic disease, hip, 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": "Activity, splitting wood"}, {"role": "assistant", "content": "Y93.L1 — Activity, splitting wood"}]}
{"messages": [{"role": "system", "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 C4/C5 cervical vertebrae, subsequent encounter"}, {"role": "assistant", "content": "S13.151D — Dislocation of C4/C5 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": "Passenger in three-wheeled motor vehicle injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V37.6XXD — Passenger in three-wheeled motor vehicle 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 fracture of left tibial tuberosity, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.152K — Displaced fracture of left 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": "Large plaque parapsoriasis"}, {"role": "assistant", "content": "L41.4 — Large plaque parapsoriasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Chagas' disease with nervous system involvement, unspecified"}, {"role": "assistant", "content": "B57.40 — Chagas' disease with nervous system involvement, 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 Maisonneuve's fracture of right leg, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.861M — Displaced Maisonneuve's fracture of right 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": "Car passenger injured in collision with other type car in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V43.12XA — Car passenger injured in collision with other type car 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 antifungal antibiotics, systemically used, undetermined, initial encounter"}, {"role": "assistant", "content": "T36.7X4A — Poisoning by antifungal antibiotics, systemically used, 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": "Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter"}, {"role": "assistant", "content": "S06.811A — Injury of right internal carotid artery, intracranial portion, not elsewhere classified 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": "Superficial frostbite of left toe(s), initial encounter"}, {"role": "assistant", "content": "T33.832A — Superficial frostbite 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": "Injury of unspecified nerve at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S84.91XS — Injury of unspecified nerve 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": "Puncture wound with foreign body of other finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.248S — Puncture wound with foreign body of other 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 fluoroquinolone antibiotics, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T36.AX4D — Poisoning by fluoroquinolone antibiotics, 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": "Trigger finger, right index finger"}, {"role": "assistant", "content": "M65.321 — Trigger finger, right index 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": "Corrosion of third degree of unspecified axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.749D — Corrosion of third 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": "Other motorcycle driver injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V21.49XS — Other motorcycle 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": "Displaced fracture of lesser tuberosity of right humerus, sequela"}, {"role": "assistant", "content": "S42.261S — Displaced fracture of lesser 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": "Mumps hepatitis"}, {"role": "assistant", "content": "B26.81 — Mumps hepatitis"}]}
{"messages": [{"role": "system", "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 sport utility vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V43.71XS — Person on outside of car injured in collision with sport utility 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": "Open bite of unspecified finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.259D — Open bite 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": "Hepatic sclerosis"}, {"role": "assistant", "content": "K74.1 — Hepatic 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": "Abscess of thymus"}, {"role": "assistant", "content": "E32.1 — Abscess of 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": "Corneal transplant rejection, unspecified eye"}, {"role": "assistant", "content": "T86.8409 — Corneal transplant rejection, 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": "Burn of unspecified degree of unspecified forearm, sequela"}, {"role": "assistant", "content": "T22.019S — Burn of unspecified 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": "Encounter for examination for adolescent development state"}, {"role": "assistant", "content": "Z00.3 — Encounter for examination for adolescent development state"}]}
{"messages": [{"role": "system", "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 other specified male genital organs"}, {"role": "assistant", "content": "D40.8 — Neoplasm of uncertain behavior 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": "Laceration of heart, unspecified with or without hemopericardium, subsequent encounter"}, {"role": "assistant", "content": "S26.92XD — Laceration 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": "Nondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.865K — Nondisplaced Maisonneuve's fracture of left 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": "Occupant of streetcar injured in collision with motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V82.1XXA — Occupant of streetcar injured in collision with 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": "Displaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.031A — Displaced fracture of olecranon process with intraarticular extension 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": "Displaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.132J — Displaced fracture of medial condyle 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": "Other forms of scoliosis, site unspecified"}, {"role": "assistant", "content": "M41.80 — Other forms of 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": "Hypersplenism"}, {"role": "assistant", "content": "D73.1 — Hypersplenism"}]}
{"messages": [{"role": "system", "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 social environment, unspecified"}, {"role": "assistant", "content": "Z60.9 — Problem related to social environment, 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 right wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "S63.004D — Unspecified dislocation 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": "Passenger in pick-up truck or van injured in collision with pedestrian or animal in traffic accident, sequela"}, {"role": "assistant", "content": "V50.6XXS — Passenger in 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": "Unspecified injury of muscle, fascia and tendon of left hip, subsequent encounter"}, {"role": "assistant", "content": "S76.002D — Unspecified injury of muscle, fascia and tendon 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": "Salter-Harris Type II physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.122K — Salter-Harris Type II 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": "Other mechanical complication of internal fixation device of bone of right forearm, sequela"}, {"role": "assistant", "content": "T84.192S — Other mechanical complication of internal fixation device of bone 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": "Typhoid meningitis"}, {"role": "assistant", "content": "A01.01 — Typhoid 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": "Osteitis condensans, right forearm"}, {"role": "assistant", "content": "M85.331 — Osteitis condensans, 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": "Laceration without foreign body of unspecified thumb with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.119D — Laceration without 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": "Poisoning by unspecified antidepressants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.202D — Poisoning by unspecified antidepressants, 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": "Complete traumatic amputation of female external genital organs, sequela"}, {"role": "assistant", "content": "S38.211S — Complete traumatic amputation of female external genital 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": "Cocaine dependence with other cocaine-induced disorder"}, {"role": "assistant", "content": "F14.288 — Cocaine dependence with other 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": "Salter-Harris Type II physeal fracture of unspecified metatarsal, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.129B — Salter-Harris Type II physeal fracture of unspecified metatarsal, 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 needle (sewing), subsequent encounter"}, {"role": "assistant", "content": "W27.3XXD — Contact with needle (sewing), subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 closed fracture"}, {"role": "assistant", "content": "S42.363A — Displaced segmental 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": "Injury of digital nerve of left thumb, sequela"}, {"role": "assistant", "content": "S64.32XS — Injury of digital nerve 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": "Other superficial bite of lip, initial encounter"}, {"role": "assistant", "content": "S00.571A — Other superficial bite 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": "Other fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.492J — Other 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": "Traumatic rupture of unspecified ligament of left middle finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.403S — Traumatic rupture of unspecified ligament of left 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": "Displacement of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter"}, {"role": "assistant", "content": "T85.120D — Displacement of implanted electronic neurostimulator of brain 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": "Nondisplaced fracture of base of other metacarpal bone, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.348D — Nondisplaced fracture of base of other metacarpal bone, 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": "Small cell B-cell lymphoma, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C83.03 — Small cell 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": "Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter"}, {"role": "assistant", "content": "S06.360A — Traumatic hemorrhage of cerebrum, unspecified, 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": "Gonococcal peritonitis"}, {"role": "assistant", "content": "A54.85 — Gonococcal 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": "Fall due to collision between other powered watercraft and other watercraft or other object, subsequent encounter"}, {"role": "assistant", "content": "V91.23XD — Fall due to collision between other powered watercraft 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": "War operations involving other explosions and fragments, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.291D — War operations involving other explosions 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": "Fracture of unspecified phalanx of unspecified thumb, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.509D — Fracture of unspecified phalanx of unspecified 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": "Postviral fatigue syndrome"}, {"role": "assistant", "content": "G93.31 — Postviral 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": "Rheumatoid nodule, left elbow"}, {"role": "assistant", "content": "M06.322 — Rheumatoid nodule, 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": "Nondisplaced transverse fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.036F — Nondisplaced 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": "Contact with sword or dagger, undetermined intent, sequela"}, {"role": "assistant", "content": "Y28.2XXS — Contact with sword or dagger, 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": "Maternal care for other (suspected) fetal abnormality and damage, fetal genitourinary anomalies, fetus 5"}, {"role": "assistant", "content": "O35.EXX5 — Maternal care for other (suspected) fetal abnormality and damage, fetal genitourinary anomalies, 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 subtrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.24XD — Nondisplaced subtrochanteric 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": "Other specified arthritis, right shoulder"}, {"role": "assistant", "content": "M13.811 — Other specified 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": "Poisoning by pertussis vaccine, including combinations with a pertussis component, assault, initial encounter"}, {"role": "assistant", "content": "T50.A13A — Poisoning by pertussis vaccine, including combinations with a pertussis component, 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": "Hydroxyapatite deposition disease, unspecified shoulder"}, {"role": "assistant", "content": "M11.019 — Hydroxyapatite deposition disease, 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": "Laceration of posterior tibial artery, right leg, subsequent encounter"}, {"role": "assistant", "content": "S85.171D — Laceration of posterior 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": "Nonspecific mesenteric lymphadenitis"}, {"role": "assistant", "content": "I88.0 — Nonspecific mesenteric lymphadenitis"}]}
{"messages": [{"role": "system", "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 acromioclavicular joint, initial encounter"}, {"role": "assistant", "content": "S43.159A — Posterior dislocation of unspecified acromioclavicular 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": "Von Willebrand disease, type 2A"}, {"role": "assistant", "content": "D68.020 — Von Willebrand disease, type 2A"}]}
{"messages": [{"role": "system", "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 thigh, sequela"}, {"role": "assistant", "content": "T24.111S — Burn of first degree of 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": "Nondisplaced fracture of head of right radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.124G — Nondisplaced fracture of head of right 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 osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.80XD — Other osteoporosis with current pathological fracture, unspecified site, 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 other part of unspecified foot with fat layer exposed"}, {"role": "assistant", "content": "L97.502 — Non-pressure chronic ulcer of other part of unspecified 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": "Myringotomy tube(s) status"}, {"role": "assistant", "content": "Z96.22 — Myringotomy tube(s) 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 fracture of lateral malleolus of unspecified fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.63XD — Displaced fracture of lateral malleolus of unspecified 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": "Dislocation of distal radioulnar joint of left wrist, initial encounter"}, {"role": "assistant", "content": "S63.015A — Dislocation of distal radioulnar 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": "Rheumatoid nodule, vertebrae"}, {"role": "assistant", "content": "M06.38 — Rheumatoid nodule, 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": "Anterior synechiae (iris), bilateral"}, {"role": "assistant", "content": "H21.513 — Anterior synechiae (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": "Enterobiasis"}, {"role": "assistant", "content": "B80 — Enterobiasis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Carbuncle of right hand"}, {"role": "assistant", "content": "L02.531 — Carbuncle 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": "Other injury of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.196D — Other 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": "Other magnetic metal objects entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.D9XD — Other magnetic metal objects 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": "Congenital leukonychia"}, {"role": "assistant", "content": "Q84.4 — Congenital leukonychia"}]}
{"messages": [{"role": "system", "content": "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 index finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.660B — Nondisplaced fracture of distal 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": "Toxic effect of lead and its compounds, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T56.0X2A — Toxic effect of lead and its compounds, 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": "Dislocation of left acromioclavicular joint, 100%-200% displacement, initial encounter"}, {"role": "assistant", "content": "S43.122A — Dislocation of left acromioclavicular joint, 100%-200% displacement, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.041N — Displaced fracture of base of neck 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": "Unspecified purulent endophthalmitis, bilateral"}, {"role": "assistant", "content": "H44.003 — Unspecified purulent endophthalmitis, 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": "Fatigue fracture of vertebra, lumbosacral region, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M48.47XD — Fatigue fracture of vertebra, lumbosacral region, 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 acquired deformity of hand, left hand"}, {"role": "assistant", "content": "M21.942 — Unspecified acquired deformity of hand, 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": "Superficial foreign body of left shoulder, initial encounter"}, {"role": "assistant", "content": "S40.252A — Superficial 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": "Nontraumatic subdural hemorrhage, unspecified"}, {"role": "assistant", "content": "I62.00 — Nontraumatic subdural 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": "Meibomian gland dysfunction right lower eyelid"}, {"role": "assistant", "content": "H02.882 — Meibomian gland dysfunction 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": "Non-ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter"}, {"role": "assistant", "content": "T80.A11A — Non-ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter"}]}
{"messages": [{"role": "system", "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 pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V41.6XXS — Car passenger 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": "Displaced transverse fracture of right patella, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.031K — Displaced transverse 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": "Unspecified sprain of left ring finger, subsequent encounter"}, {"role": "assistant", "content": "S63.615D — Unspecified sprain 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": "Underdosing of anticoagulants, subsequent encounter"}, {"role": "assistant", "content": "T45.516D — Underdosing of anticoagulants, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 hip"}, {"role": "assistant", "content": "M71.359 — Other bursal cyst, 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": "Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E11.3291 — Type 2 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": "Acute respiratory distress"}, {"role": "assistant", "content": "R06.03 — Acute respiratory distress"}]}
{"messages": [{"role": "system", "content": "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 unspecified clavicle, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.026B — Nondisplaced fracture of shaft of unspecified 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": "Corrosion of second degree of unspecified multiple fingers (nail), not including thumb, initial encounter"}, {"role": "assistant", "content": "T23.639A — Corrosion of second degree of unspecified multiple 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": "Laceration of lesser saphenous vein at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S85.411S — Laceration of lesser saphenous vein 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": "Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V33.3XXS — Unspecified occupant 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": "Adverse effect of iminostilbenes, subsequent encounter"}, {"role": "assistant", "content": "T42.1X5D — Adverse effect of iminostilbenes, subsequent encounter"}]}
{"messages": [{"role": "system", "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 right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.533 — Eyelid retraction 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 GM2 gangliosidosis"}, {"role": "assistant", "content": "E75.09 — Other GM2 gangliosidosis"}]}
{"messages": [{"role": "system", "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, bilateral"}, {"role": "assistant", "content": "H33.333 — Multiple defects of retina without detachment, 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 extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.325S — Laceration 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 foreign object in trachea causing other injury, subsequent encounter"}, {"role": "assistant", "content": "T17.498D — Other foreign object 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": "Displaced fracture of medial malleolus of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.51XB — Displaced fracture of medial malleolus 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": "Nondisplaced trimalleolar fracture of left lower leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.855P — Nondisplaced trimalleolar fracture of left 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": "Term delivery with preterm labor, third trimester, other fetus"}, {"role": "assistant", "content": "O60.23X9 — Term delivery with preterm labor, 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": "Encounter for childcare instruction"}, {"role": "assistant", "content": "Z32.3 — Encounter for childcare instruction"}]}
{"messages": [{"role": "system", "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 Achilles tendon, sequela"}, {"role": "assistant", "content": "S86.012S — Strain of left Achilles 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": "Displaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.111F — Displaced fracture of right tibial spine, 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) chromosomal abnormality in fetus, Turner Syndrome, fetus 5"}, {"role": "assistant", "content": "O35.14X5 — Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome, 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": "Laceration without foreign body, left ankle, subsequent encounter"}, {"role": "assistant", "content": "S91.012D — Laceration without foreign body, 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": "Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, fetus 3"}, {"role": "assistant", "content": "O35.12X3 — Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18, 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 distal phalanx of left little finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.637P — Displaced 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": "Other drug induced secondary parkinsonism"}, {"role": "assistant", "content": "G21.19 — Other drug induced secondary 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": "Ankylosis, right foot"}, {"role": "assistant", "content": "M24.674 — Ankylosis, 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": "Congenital chordee"}, {"role": "assistant", "content": "Q54.4 — Congenital chordee"}]}
{"messages": [{"role": "system", "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 on bus injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V77.1XXA — Passenger on bus 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": "Disease of pericardium, unspecified"}, {"role": "assistant", "content": "I31.9 — Disease of pericardium, 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": "Idiopathic hypotension"}, {"role": "assistant", "content": "I95.0 — Idiopathic 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": "Toxic effect of rodenticides, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T60.4X4D — Toxic effect of rodenticides, 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": "Driver of dirt bike or motor/cross bike injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.56XD — Driver of dirt bike or motor/cross bike 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": "Nondisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.045B — Nondisplaced fracture of coronoid process 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": "Other specified injuries of right ankle, initial encounter"}, {"role": "assistant", "content": "S99.811A — Other specified injuries 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": "Arthritis of unspecified temporomandibular joint"}, {"role": "assistant", "content": "M26.649 — Arthritis of unspecified 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": "Unspecified acute lower respiratory infection"}, {"role": "assistant", "content": "J22 — Unspecified acute lower respiratory 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": "Endothelial corneal dystrophy, right eye"}, {"role": "assistant", "content": "H18.511 — Endothelial 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": "Maternal care for other specified fetal problems, first trimester, fetus 3"}, {"role": "assistant", "content": "O36.8913 — Maternal care for other specified fetal problems, 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": "Family history of APOL1-mediated kidney disease [AMKD]"}, {"role": "assistant", "content": "Z84.11 — Family history of APOL1-mediated kidney disease [AMKD]"}]}
{"messages": [{"role": "system", "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 with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.131D — Puncture wound without foreign body of right 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": "Other fracture of right great toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.491D — Other fracture 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": "Displaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.431R — Displaced oblique fracture of shaft of right 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": "Acetonuria"}, {"role": "assistant", "content": "R82.4 — Acetonuria"}]}
{"messages": [{"role": "system", "content": "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 second metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.350P — Nondisplaced fracture of shaft of second 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": "Poisoning by caffeine, undetermined, sequela"}, {"role": "assistant", "content": "T43.614S — Poisoning by caffeine, 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": "Endometriosis of the uterus, unspecified"}, {"role": "assistant", "content": "N80.00 — Endometriosis of the uterus, 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": "Maternal care for disproportion due to other fetal deformities, other fetus"}, {"role": "assistant", "content": "O33.7XX9 — Maternal care for disproportion due to other fetal deformities, 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": "Fatigue fracture of vertebra, site unspecified, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M48.40XD — Fatigue fracture of vertebra, site 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": "Intentional self-harm by sword or dagger, initial encounter"}, {"role": "assistant", "content": "X78.2XXA — Intentional self-harm by sword or dagger, initial encounter"}]}
{"messages": [{"role": "system", "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 ring finger, initial encounter"}, {"role": "assistant", "content": "S63.634A — Sprain of 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": "Burn of first degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.109A — Burn of first degree of unspecified site 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": "Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.121G — Displaced fracture of acromial process, 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": "Unspecified superficial injury of left ring finger, initial encounter"}, {"role": "assistant", "content": "S60.945A — Unspecified superficial 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": "Unspecified kyphosis, cervicothoracic region"}, {"role": "assistant", "content": "M40.203 — Unspecified kyphosis, 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": "Other cervical disc disorders at C4-C5 level"}, {"role": "assistant", "content": "M50.821 — Other cervical disc disorders at C4-C5 level"}]}
{"messages": [{"role": "system", "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, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.607B — Fracture of unspecified phalanx of left little 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": "Adverse effect of other vaccines and biological substances, subsequent encounter"}, {"role": "assistant", "content": "T50.Z95D — Adverse effect of other vaccines 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": "Venous engorgement, right eye"}, {"role": "assistant", "content": "H34.821 — Venous engorgement, 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": "Aneurysmal bone cyst, right upper arm"}, {"role": "assistant", "content": "M85.521 — Aneurysmal bone cyst, 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 accident with motorized mobility scooter, subsequent encounter"}, {"role": "assistant", "content": "V00.838D — Other accident with motorized mobility 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": "Salter-Harris Type I physeal fracture of lower end of right fibula, sequela"}, {"role": "assistant", "content": "S89.311S — Salter-Harris Type I physeal fracture of lower 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": "Open bite of left back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.452A — Open bite of left 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": "Helicopter explosion injuring occupant, sequela"}, {"role": "assistant", "content": "V95.05XS — Helicopter 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": "Failure of sterile precautions during injection or immunization"}, {"role": "assistant", "content": "Y62.3 — Failure of sterile precautions during injection or immunization"}]}
{"messages": [{"role": "system", "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 front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.359A — Superficial foreign body of unspecified 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": "Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter"}, {"role": "assistant", "content": "T85.190D — Other mechanical complication of implanted electronic neurostimulator of brain 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": "Lambdoid craniosynostosis, bilateral"}, {"role": "assistant", "content": "Q75.042 — Lambdoid 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": "Zoster meningitis"}, {"role": "assistant", "content": "B02.1 — Zoster 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": "Laceration of lung, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S27.332D — Laceration 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": "Maternal care for intrauterine death, fetus 2"}, {"role": "assistant", "content": "O36.4XX2 — Maternal care for intrauterine death, 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": "Traumatic rupture of collateral ligament of left little finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.417S — Traumatic rupture of collateral 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": "Poisoning by methadone, assault, initial encounter"}, {"role": "assistant", "content": "T40.3X3A — Poisoning by methadone, 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": "Subluxation complex (vertebral) of thoracic region"}, {"role": "assistant", "content": "M99.12 — Subluxation complex (vertebral) 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": "Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.013K — Anterior displaced fracture of sternal end of unspecified 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": "Poisoning by chloramphenicol group, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T36.2X4D — Poisoning by chloramphenicol group, 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 diabetes mellitus in pregnancy, third trimester"}, {"role": "assistant", "content": "O24.913 — Unspecified diabetes mellitus 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": "Localized gingival recession, severe"}, {"role": "assistant", "content": "K06.013 — Localized gingival recession, severe"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other cause of strike by thrown, projected or falling object, initial encounter"}, {"role": "assistant", "content": "W20.8XXA — Other cause of strike by thrown, projected or falling 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 heart failure"}, {"role": "assistant", "content": "I50.89 — Other 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": "Secondary vitreoretinal degeneration, left eye"}, {"role": "assistant", "content": "H35.462 — Secondary vitreoretinal degeneration, 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": "Visual distortions of shape and size"}, {"role": "assistant", "content": "H53.15 — Visual distortions of shape and size"}]}
{"messages": [{"role": "system", "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 systemic antibiotics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T36.8X2A — Poisoning by other systemic antibiotics, 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": "Contusion of sigmoid colon, initial encounter"}, {"role": "assistant", "content": "S36.523A — Contusion of sigmoid 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": "Gout due to renal impairment, right hip"}, {"role": "assistant", "content": "M10.351 — Gout due to renal impairment, 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": "Labor and delivery complicated by prolapse of cord, fetus 2"}, {"role": "assistant", "content": "O69.0XX2 — Labor and delivery complicated by prolapse of cord, 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 (suspected) fetal abnormality and damage, unspecified, fetus 1"}, {"role": "assistant", "content": "O35.9XX1 — Maternal care for (suspected) fetal abnormality and damage, unspecified, 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": "Burn of first degree of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "T22.152D — Burn of first degree 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": "Unspecified rider of other motorcycle injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V29.608S — Unspecified rider of other motorcycle 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 bus occupant injured in collision with other motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V79.29XS — Unspecified bus occupant 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": "Other forms of acute ischemic heart disease"}, {"role": "assistant", "content": "I24.89 — Other forms of acute ischemic heart 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 incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.159D — Other incomplete lesion 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": "Subluxation of lens, left eye"}, {"role": "assistant", "content": "H27.112 — Subluxation of lens, 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": "Ectopic tissue in lung"}, {"role": "assistant", "content": "Q33.5 — Ectopic tissue in 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": "Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.341S — Puncture wound with foreign body of right 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": "Displaced fracture of anterior column [iliopubic] of unspecified acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.433D — Displaced fracture of anterior column [iliopubic] 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": "Zoological garden (Zoo) as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.834 — Zoological garden (Zoo) 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": "Encounter for other orthopedic aftercare"}, {"role": "assistant", "content": "Z47.89 — Encounter for other orthopedic 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": "Patient's noncompliance with renal dialysis due to financial hardship"}, {"role": "assistant", "content": "Z91.151 — Patient's noncompliance with renal dialysis due to financial hardship"}]}
{"messages": [{"role": "system", "content": "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, initial encounter"}, {"role": "assistant", "content": "S63.256A — Unspecified dislocation 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": "Toxic effect of ingested berries, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T62.1X2D — Toxic effect of ingested berries, 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": "Underdosing of otorhinolaryngological drugs and preparations, sequela"}, {"role": "assistant", "content": "T49.6X6S — Underdosing of otorhinolaryngological drugs and preparations, sequela"}]}
{"messages": [{"role": "system", "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 forearm, initial encounter"}, {"role": "assistant", "content": "T22.511A — Corrosion of first degree 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": "Poisoning by therapeutic gases, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T41.5X1A — Poisoning by therapeutic gases, 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 metacarpophalangeal joint of left index finger, initial encounter"}, {"role": "assistant", "content": "S63.261A — Dislocation of metacarpophalangeal 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": "Unspecified fracture of facial bones, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.92XK — Unspecified fracture of facial bones, 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 coronary artery bypass graft(s) with refractory angina pectoris"}, {"role": "assistant", "content": "I25.732 — Atherosclerosis of nonautologous biological coronary artery bypass graft(s) 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": "Superficial foreign body of flank, initial encounter"}, {"role": "assistant", "content": "S30.85AA — Superficial foreign body 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": "Other specified injury of unspecified quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.199S — Other specified injury 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": "Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.551A — Other traumatic nondisplaced spondylolisthesis 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": "Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter"}, {"role": "assistant", "content": "S24.149A — Brown-Sequard syndrome at unspecified 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": "Hypertrophy of kidney"}, {"role": "assistant", "content": "N28.81 — Hypertrophy of kidney"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other underimmunization status"}, {"role": "assistant", "content": "Z28.39 — Other underimmunization 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": "Unspecified displaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.000D — Unspecified displaced 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": "Sprain of other part of right wrist and hand, initial encounter"}, {"role": "assistant", "content": "S63.8X1A — Sprain of other part 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": "Struck by alligator, initial encounter"}, {"role": "assistant", "content": "W58.02XA — Struck by alligator, initial encounter"}]}
{"messages": [{"role": "system", "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 ulceration and xerosis"}, {"role": "assistant", "content": "E50.3 — Vitamin A deficiency with corneal ulceration and 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": "Central subluxation of right hip, subsequent encounter"}, {"role": "assistant", "content": "S73.041D — Central 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": "Suspiciousness and marked evasiveness"}, {"role": "assistant", "content": "R46.5 — Suspiciousness and marked evasiveness"}]}
{"messages": [{"role": "system", "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, intentional self-harm, sequela"}, {"role": "assistant", "content": "T45.512S — Poisoning by anticoagulants, 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 place in single-family (private) house as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.018 — Other place in single-family (private) 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": "Fibrous dysplasia (monostotic), unspecified shoulder"}, {"role": "assistant", "content": "M85.019 — Fibrous dysplasia (monostotic), 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": "Person injured while boarding or alighting from snowmobile, sequela"}, {"role": "assistant", "content": "V86.42XS — Person injured while boarding or alighting from snowmobile, sequela"}]}
{"messages": [{"role": "system", "content": "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 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.35XD — Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) 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": "Salter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.149K — Salter-Harris Type IV physeal fracture of lower end of unspecified 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 proximal phalanx of right little finger, sequela"}, {"role": "assistant", "content": "S62.616S — Displaced 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": "Salter-Harris Type IV physeal fracture of left calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.042P — Salter-Harris Type IV physeal 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": "Fall on same level from slipping, tripping and stumbling with subsequent striking against sharp glass, subsequent encounter"}, {"role": "assistant", "content": "W01.110D — Fall on same level from slipping, tripping and stumbling with subsequent striking against sharp glass, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.099A — Other fracture of head and 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": "Toxic effect of carbon tetrachloride, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T53.0X1S — Toxic effect of carbon tetrachloride, 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": "Fetal anemia and thrombocytopenia, first trimester, other fetus"}, {"role": "assistant", "content": "O36.8219 — Fetal anemia and thrombocytopenia, 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": "Cystic meniscus, unspecified medial meniscus, right knee"}, {"role": "assistant", "content": "M23.003 — Cystic meniscus, unspecified 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": "Forced landing of glider (nonpowered) injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V96.22XD — Forced landing of glider (nonpowered) 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": "Papillomavirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.7 — Papillomavirus 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": "Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.357D — Nondisplaced fracture of shaft 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": "Toxic effect of venom of brown recluse spider, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.332D — Toxic effect of venom of brown recluse spider, 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 fracture of unspecified metacarpal bone, sequela"}, {"role": "assistant", "content": "S62.399S — Other fracture of unspecified 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": "Cervical shortening, second trimester"}, {"role": "assistant", "content": "O26.872 — Cervical shortening, 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": "Juvenile osteochondrosis of humerus, left arm"}, {"role": "assistant", "content": "M92.02 — Juvenile osteochondrosis of humerus, 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": "Actinomycosis, unspecified"}, {"role": "assistant", "content": "A42.9 — Actinomycosis, 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 distal phalanx of left middle finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.633K — Displaced fracture of distal phalanx of left middle 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": "Nondisplaced pilon fracture of right tibia, sequela"}, {"role": "assistant", "content": "S82.874S — Nondisplaced pilon fracture 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": "Unspecified car occupant injured in collision with sport utility vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V43.31XD — Unspecified car occupant injured in collision with sport utility 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": "Poisoning by monoamine-oxidase-inhibitor antidepressants, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T43.1X1S — Poisoning by monoamine-oxidase-inhibitor 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": "Corrosion of unspecified degree of unspecified foot, initial encounter"}, {"role": "assistant", "content": "T25.429A — Corrosion of unspecified degree 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": "Unspecified fracture of third metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.303K — Unspecified fracture of third 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": "Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder"}, {"role": "assistant", "content": "M62.519 — Muscle wasting and atrophy, not elsewhere classified, 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 proximal phalanx of left thumb, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.512D — Displaced fracture of proximal phalanx of left 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": "Unilateral post-traumatic osteoarthritis, left hip"}, {"role": "assistant", "content": "M16.52 — Unilateral post-traumatic osteoarthritis, 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 Zone III fracture of sacrum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.130K — Nondisplaced Zone III 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": "Osteopathy in diseases classified elsewhere, unspecified site"}, {"role": "assistant", "content": "M90.80 — Osteopathy in diseases classified elsewhere, 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 superficial bite of vagina and vulva, sequela"}, {"role": "assistant", "content": "S30.874S — Other superficial bite of vagina and vulva, sequela"}]}
{"messages": [{"role": "system", "content": "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 merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V93.80XD — Other injury due to other accident 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": "Nondisplaced fracture of middle phalanx of right ring finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.654D — Nondisplaced fracture of middle phalanx of right ring 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": "Spontaneous rupture of flexor tendons, other site"}, {"role": "assistant", "content": "M66.38 — Spontaneous rupture of flexor tendons, 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": "Corrosion of third degree of right scapular region, initial encounter"}, {"role": "assistant", "content": "T22.761A — Corrosion of third degree of right 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": "Pathological fracture in neoplastic disease, unspecified foot, initial encounter for fracture"}, {"role": "assistant", "content": "M84.576A — Pathological fracture in neoplastic disease, 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": "Nondisplaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.336B — Nondisplaced oblique 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": "Other stimulant abuse with stimulant-induced psychotic disorder with delusions"}, {"role": "assistant", "content": "F15.150 — Other stimulant abuse 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": "Corrosion of second degree back of unspecified hand, sequela"}, {"role": "assistant", "content": "T23.669S — Corrosion of second degree back 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": "Nondisplaced fracture of middle phalanx of unspecified finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.659G — Nondisplaced fracture of middle phalanx of unspecified 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": "Abrasion of left ear, sequela"}, {"role": "assistant", "content": "S00.412S — Abrasion 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": "Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, sequela"}, {"role": "assistant", "content": "S49.141S — Salter-Harris Type IV physeal fracture of lower end 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": "Vitreous hemorrhage, right eye"}, {"role": "assistant", "content": "H43.11 — Vitreous hemorrhage, 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 left tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.232P — Displaced 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": "Partial physeal arrest, left distal humerus"}, {"role": "assistant", "content": "M89.128 — Partial physeal arrest, left distal 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": "Left sided colitis without complications"}, {"role": "assistant", "content": "K51.50 — Left sided colitis 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": "Salter-Harris Type II physeal fracture of lower end of unspecified femur, sequela"}, {"role": "assistant", "content": "S79.129S — Salter-Harris Type II physeal 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": "Fracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.102A — Fracture of unspecified part 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": "Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.091D — Other injury of muscle and tendon of long flexor muscle of toe 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": "Other congenital deformities of chest"}, {"role": "assistant", "content": "Q67.8 — Other congenital deformities of chest"}]}
{"messages": [{"role": "system", "content": "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 C6 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.156A — Other incomplete lesion at C6 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 fracture of unspecified metacarpal bone, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.399P — Other 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": "Postprocedural hemorrhage of a genitourinary system organ or structure following other procedure"}, {"role": "assistant", "content": "N99.821 — Postprocedural hemorrhage of a genitourinary system organ or 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": "Terrorism, secondary effects, public safety official injured, sequela"}, {"role": "assistant", "content": "Y38.9X1S — Terrorism, secondary effects, public safety official 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": "Malignant neoplasm of major salivary gland, unspecified"}, {"role": "assistant", "content": "C08.9 — Malignant 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": "Food entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.F3XS — Food 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": "Pathological fracture, left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.422G — Pathological fracture, 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": "Superficial frostbite of abdominal wall, lower back and pelvis, initial encounter"}, {"role": "assistant", "content": "T33.3XXA — Superficial frostbite 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": "Phlebitis and thrombophlebitis of unspecified site"}, {"role": "assistant", "content": "I80.9 — Phlebitis and thrombophlebitis 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": "Hypertrophy of adenoids"}, {"role": "assistant", "content": "J35.2 — Hypertrophy of adenoids"}]}
{"messages": [{"role": "system", "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 hormones and synthetic substitutes, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T38.892A — Poisoning by other hormones and synthetic substitutes, 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 pre-existing diabetes mellitus in childbirth"}, {"role": "assistant", "content": "O24.82 — Other pre-existing diabetes mellitus in 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": "Abscess of tendon sheath, right upper arm"}, {"role": "assistant", "content": "M65.021 — Abscess of tendon sheath, 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": "Poisoning by lysergide [LSD], accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T40.8X1D — Poisoning by lysergide [LSD], 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": "Solitary bone cyst, left humerus"}, {"role": "assistant", "content": "M85.422 — Solitary bone cyst, 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": "Cornea donor"}, {"role": "assistant", "content": "Z52.5 — Cornea 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": "Bitten by crocodile, sequela"}, {"role": "assistant", "content": "W58.11XS — Bitten by crocodile, sequela"}]}
{"messages": [{"role": "system", "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 ankle and foot"}, {"role": "assistant", "content": "M85.579 — Aneurysmal bone 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": "Atrioventricular septal defect, unspecified as to partial or complete"}, {"role": "assistant", "content": "Q21.20 — Atrioventricular septal defect, unspecified as to partial or complete"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.024B — Nondisplaced fracture of middle third of navicular [scaphoid] bone of 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": "Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.333J — Displaced oblique 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 specified injuries of right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S89.81XD — Other specified injuries 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": "Unspecified injury of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.401A — Unspecified injury 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": "Displaced segmental fracture of shaft of radius, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.361G — Displaced segmental 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": "Occupant of railway train or railway vehicle injured due to collision with military vehicle, initial encounter"}, {"role": "assistant", "content": "V81.83XA — Occupant of railway train or railway vehicle injured due to collision 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": "Chronic gout due to renal impairment, unspecified ankle and foot, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3791 — Chronic gout due to renal impairment, unspecified 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": "Other osteonecrosis, unspecified toe(s)"}, {"role": "assistant", "content": "M87.879 — Other osteonecrosis, 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": "Residual hemorrhoidal skin tags"}, {"role": "assistant", "content": "K64.4 — Residual hemorrhoidal skin tags"}]}
{"messages": [{"role": "system", "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 congenital syphilitic osteochondropathy"}, {"role": "assistant", "content": "A50.02 — Early congenital syphilitic osteochondropathy"}]}
{"messages": [{"role": "system", "content": "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 shoulder joint, initial encounter"}, {"role": "assistant", "content": "S43.499A — Other sprain 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": "Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter"}, {"role": "assistant", "content": "T81.597A — Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter"}]}
{"messages": [{"role": "system", "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 therapeutic drug level monitoring"}, {"role": "assistant", "content": "Z51.81 — Encounter for therapeutic drug level monitoring"}]}
{"messages": [{"role": "system", "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 ureter"}, {"role": "assistant", "content": "N80.A59 — Deep endometriosis 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": "Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy"}, {"role": "assistant", "content": "E10.43 — Type 1 diabetes mellitus with diabetic autonomic (poly)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": "External nasal valve collapse, unspecified"}, {"role": "assistant", "content": "J34.8210 — External nasal valve collapse, 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": "Barrett's esophagus with dysplasia, unspecified"}, {"role": "assistant", "content": "K22.719 — Barrett's esophagus with dysplasia, 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 homologues of benzene, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T52.2X1D — Toxic effect of homologues of benzene, 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": "Myositis ossificans progressiva, left finger(s)"}, {"role": "assistant", "content": "M61.145 — Myositis ossificans progressiva, left 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": "Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.029D — Salter-Harris Type II 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": "Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.446B — Nondisplaced fracture of lower epiphysis (separation) 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 fracture of distal phalanx of right great toe, sequela"}, {"role": "assistant", "content": "S92.424S — Nondisplaced fracture of distal phalanx 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": "Traumatic rupture of left ulnar collateral ligament, subsequent encounter"}, {"role": "assistant", "content": "S53.32XD — Traumatic rupture of left ulnar 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": "Complete traumatic amputation of left foot, level unspecified, sequela"}, {"role": "assistant", "content": "S98.912S — Complete traumatic amputation of left 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": "Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela"}, {"role": "assistant", "content": "T83.714S — Erosion of implanted ureteral bulking agent to surrounding 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": "Insect bite (nonvenomous) of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S60.369A — Insect bite (nonvenomous) 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": "Anaplastic large cell lymphoma, ALK-negative, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C84.73 — Anaplastic large cell lymphoma, ALK-negative, 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": "Unspecified physeal fracture of lower end of right tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.101A — Unspecified physeal fracture of lower end 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": "Nondisplaced fracture of medial condyle of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.465B — Nondisplaced fracture of medial condyle 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": "Unspecified fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.209H — Unspecified 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": "Diverticulitis of large intestine with perforation and abscess without bleeding"}, {"role": "assistant", "content": "K57.20 — Diverticulitis of large intestine with perforation and abscess 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": "Flat anterior chamber hypotony of right eye"}, {"role": "assistant", "content": "H44.411 — Flat anterior chamber 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": "Fistula, unspecified foot"}, {"role": "assistant", "content": "M25.176 — Fistula, 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": "Osseous and subluxation stenosis of intervertebral foramina of pelvic region"}, {"role": "assistant", "content": "M99.65 — Osseous and subluxation stenosis of intervertebral foramina of pelvic 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 obstructive and reflux uropathy"}, {"role": "assistant", "content": "N13.8 — Other obstructive and reflux uropathy"}]}
{"messages": [{"role": "system", "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 closed fracture"}, {"role": "assistant", "content": "S02.651A — Fracture of angle of right 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": "Laceration of other flexor muscle, fascia and tendon at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S56.229D — Laceration of other flexor muscle, fascia and tendon 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": "Other fracture of fifth metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.397B — Other fracture of fifth 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": "Extrinsic cartilagenous obstruction of Eustachian tube, right ear"}, {"role": "assistant", "content": "H68.131 — Extrinsic cartilagenous 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": "Unspecified injury of blood vessel of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S65.502D — Unspecified injury 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": "Fracture of subcondylar process of left mandible, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.622B — Fracture of subcondylar 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": "Drowning and submersion due to being washed overboard from unspecified watercraft, subsequent encounter"}, {"role": "assistant", "content": "V92.29XD — Drowning and submersion due to being washed overboard from 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": "Congenital hernia of bladder"}, {"role": "assistant", "content": "Q79.51 — Congenital hernia 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": "Displaced apophyseal fracture of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.131D — Displaced apophyseal 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": "Injury of radial nerve at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S54.21XS — Injury of radial 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": "Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.391A — Other 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": "Intentional self-harm by other larger firearm discharge, subsequent encounter"}, {"role": "assistant", "content": "X73.8XXD — Intentional self-harm by other larger firearm 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": "Laceration with foreign body of right shoulder, sequela"}, {"role": "assistant", "content": "S41.021S — Laceration with foreign body 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": "Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]"}, {"role": "assistant", "content": "A84.0 — Far Eastern tick-borne encephalitis [Russian spring-summer 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": "Poisoning by expectorants, assault, initial encounter"}, {"role": "assistant", "content": "T48.4X3A — Poisoning by expectorants, 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": "Superficial foreign body of scalp, sequela"}, {"role": "assistant", "content": "S00.05XS — Superficial foreign body 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": "Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.352A — Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 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 fracture of greater tuberosity of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.252P — Displaced fracture of greater tuberosity 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": "Displaced fracture of lesser trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.122C — Displaced fracture of lesser trochanter 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": "Puckering of macula, left eye"}, {"role": "assistant", "content": "H35.372 — Puckering of macula, 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 pilon fracture of left tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.872G — Displaced pilon fracture 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": "Stable burst fracture of second thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.021G — Stable 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": "Primary blast injury of fallopian tube, unspecified, subsequent encounter"}, {"role": "assistant", "content": "S37.519D — Primary blast injury of fallopian tube, 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": "Plasmodium malariae malaria with nephropathy"}, {"role": "assistant", "content": "B52.0 — Plasmodium malariae malaria with 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": "Corrosion of unspecified degree of left axilla, initial encounter"}, {"role": "assistant", "content": "T22.442A — Corrosion of unspecified degree of left 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": "Pressure ulcer of right heel, unstageable"}, {"role": "assistant", "content": "L89.610 — Pressure ulcer of right 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": "Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter"}, {"role": "assistant", "content": "T83.592A — Infection and inflammatory reaction due to indwelling ureteral 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": "Encounter for fitting and adjustment of partial artificial right arm"}, {"role": "assistant", "content": "Z44.021 — Encounter for fitting and adjustment of partial artificial 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": "Nondisplaced fracture of anterior process of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.024K — Nondisplaced fracture of anterior process 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": "Other specific joint derangements of unspecified wrist, not elsewhere classified"}, {"role": "assistant", "content": "M24.839 — Other specific joint derangements of unspecified 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": "Nondisplaced fracture of left tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.115R — Nondisplaced fracture of left tibial spine, 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 fracture of unspecified ischium, sequela"}, {"role": "assistant", "content": "S32.699S — Other specified fracture of unspecified ischium, sequela"}]}
{"messages": [{"role": "system", "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 left little finger, sequela"}, {"role": "assistant", "content": "S63.267S — Dislocation 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": "Fall from motorized mobility scooter, sequela"}, {"role": "assistant", "content": "V00.831S — Fall from motorized mobility scooter, sequela"}]}
{"messages": [{"role": "system", "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 digestive system complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.613 — Diseases of the digestive 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": "Major laceration of branches of celiac and mesenteric artery, sequela"}, {"role": "assistant", "content": "S35.292S — Major laceration of branches of celiac and mesenteric 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": "Other motorcycle driver injured in collision with pedestrian or animal in traffic accident, initial encounter"}, {"role": "assistant", "content": "V20.49XA — Other motorcycle driver 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": "Serous retinal detachment, right eye"}, {"role": "assistant", "content": "H33.21 — Serous 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": "Laceration of unspecified blood vessel at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S85.911A — Laceration of unspecified blood vessel 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": "Polymyositis with respiratory involvement"}, {"role": "assistant", "content": "M33.21 — Polymyositis with respiratory 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 proximal phalanx of left little finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.617B — Displaced fracture of proximal phalanx of left little 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": "Melanoma in situ of left lower limb, including hip"}, {"role": "assistant", "content": "D03.72 — Melanoma in situ of left 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": "Contusion of middle back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.224D — Contusion of middle 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": "Acquired absence of unspecified foot"}, {"role": "assistant", "content": "Z89.439 — Acquired absence 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": "Osteitis deformans of unspecified bone"}, {"role": "assistant", "content": "M88.9 — Osteitis deformans of unspecified 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": "Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]"}, {"role": "assistant", "content": "D59.5 — Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]"}]}
{"messages": [{"role": "system", "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 leg below knee"}, {"role": "assistant", "content": "Z89.512 — Acquired absence of left leg below 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 cuneiform of right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.221P — Displaced 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": "Unspecified juvenile rheumatoid arthritis, right knee"}, {"role": "assistant", "content": "M08.061 — Unspecified 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": "Displaced fracture of trapezium [larger multangular], unspecified wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.173B — Displaced fracture of trapezium [larger multangular], unspecified 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": "Other rupture of muscle (nontraumatic), right lower leg"}, {"role": "assistant", "content": "M62.161 — Other rupture of muscle (nontraumatic), 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 (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.446P — Nondisplaced fracture (avulsion) of medial 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": "Fall (on) (from) other stairs and steps, initial encounter"}, {"role": "assistant", "content": "W10.8XXA — Fall (on) (from) other stairs and steps, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, shoulder"}, {"role": "assistant", "content": "M89.8X1 — Other specified disorders of bone, 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 incomplete lesion at C7 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.157A — Other incomplete lesion at C7 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": "Person on outside of heavy transport vehicle injured in collision with pedal cycle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V61.2XXD — Person on outside of 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": "Conjunctival pigmentations, left eye"}, {"role": "assistant", "content": "H11.132 — Conjunctival pigmentations, 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": "29 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.29 — 29 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": "Toxic effect of rattlesnake venom, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.012A — Toxic effect of rattlesnake venom, 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": "Posterior dislocation of proximal end of tibia, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.126D — Posterior 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": "Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S96.029D — Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, 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": "Newborn affected by maternal nutritional disorders"}, {"role": "assistant", "content": "P00.4 — Newborn affected by maternal nutritional 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": "Fall from non-moving nonmotorized scooter, initial encounter"}, {"role": "assistant", "content": "W05.1XXA — Fall from non-moving nonmotorized scooter, initial encounter"}]}
{"messages": [{"role": "system", "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, right foot"}, {"role": "assistant", "content": "M25.774 — Osteophyte, 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": "Sprain of other part of left wrist and hand, sequela"}, {"role": "assistant", "content": "S63.8X2S — Sprain of other part 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 segmental fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.266D — Nondisplaced segmental 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": "Nasofrontal encephalocele"}, {"role": "assistant", "content": "Q01.1 — Nasofrontal encephalocele"}]}
{"messages": [{"role": "system", "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 childbirth"}, {"role": "assistant", "content": "O98.12 — Syphilis 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": "Other specified acquired deformities of right forearm"}, {"role": "assistant", "content": "M21.831 — Other specified acquired deformities of 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": "Nondisplaced transverse fracture of right patella, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.034M — Nondisplaced transverse 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": "Maternal care for hydrops fetalis, first trimester, fetus 1"}, {"role": "assistant", "content": "O36.21X1 — Maternal care for hydrops fetalis, 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 specified leukemias not having achieved remission"}, {"role": "assistant", "content": "C94.80 — Other specified leukemias 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": "18 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.18 — 18 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 rupture of muscle (nontraumatic), other site"}, {"role": "assistant", "content": "M62.18 — Other rupture of muscle (nontraumatic), 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": "Nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.65XD — Nondisplaced 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": "Unspecified fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.201Q — Unspecified 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": "Traumatic rupture of palmar ligament of left middle finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.423S — Traumatic rupture of palmar ligament of left 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": "Nondisplaced fracture of coronoid process of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.044F — Nondisplaced fracture of coronoid process 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": "Presence of cerebrospinal fluid drainage device"}, {"role": "assistant", "content": "Z98.2 — Presence of cerebrospinal fluid drainage 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": "Laceration with foreign body of left little finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.227S — Laceration with foreign body 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": "Penetrating wound of orbit with or without foreign body, unspecified eye, subsequent encounter"}, {"role": "assistant", "content": "S05.40XD — Penetrating wound of orbit with or without foreign body, 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": "Other superficial bite of unspecified part of head, sequela"}, {"role": "assistant", "content": "S00.97XS — Other superficial bite 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": "Displaced fracture of shaft of third metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.322G — Displaced fracture of shaft 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": "Alcohol use, unspecified with alcohol-induced persisting amnestic disorder"}, {"role": "assistant", "content": "F10.96 — Alcohol use, unspecified 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": "Nondisplaced segmental fracture of shaft of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.366A — Nondisplaced segmental 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": "Laceration of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.126A — Laceration of flexor muscle, fascia and tendon of left 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": "Poisoning by oral contraceptives, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.4X2S — Poisoning by oral contraceptives, 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": "Cicatricial ectropion of left lower eyelid"}, {"role": "assistant", "content": "H02.115 — Cicatricial ectropion 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": "Other fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.491H — Other fracture of lower end 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": "Toxic effect of venom of centipedes and venomous millipedes, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.412A — Toxic effect of venom of centipedes and venomous millipedes, 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": "Struck by golf club, initial encounter"}, {"role": "assistant", "content": "W21.13XA — Struck by golf club, initial encounter"}]}
{"messages": [{"role": "system", "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 unspecified thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.002K — Unstable burst 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": "Hypopyon, right eye"}, {"role": "assistant", "content": "H20.051 — 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": "Kissing spine, lumbar region"}, {"role": "assistant", "content": "M48.26 — Kissing spine, 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": "Pathological fracture in neoplastic disease, left fibula, sequela"}, {"role": "assistant", "content": "M84.564S — Pathological fracture in neoplastic disease, left 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": "Transient synovitis, right knee"}, {"role": "assistant", "content": "M67.361 — Transient synovitis, 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": "Poisoning by unspecified drugs acting on muscles, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T48.204D — Poisoning by unspecified drugs acting on muscles, 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": "Poisoning by antiasthmatics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T48.6X2A — Poisoning by antiasthmatics, 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": "Urgent care center as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.532 — Urgent care 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": "Nail entering through skin, sequela"}, {"role": "assistant", "content": "W45.0XXS — Nail entering through skin, sequela"}]}
{"messages": [{"role": "system", "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, unspecified thigh, sequela"}, {"role": "assistant", "content": "S71.159S — Open bite, 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 segmental fracture of shaft of radius, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.365A — Nondisplaced segmental fracture of shaft 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": "Poisoning by unspecified topical agent, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T49.92XD — Poisoning by unspecified topical agent, 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 specified diseases of left inner ear"}, {"role": "assistant", "content": "H83.8X2 — Other specified diseases of left inner 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 fracture of shaft of fourth metacarpal bone, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.355D — Nondisplaced fracture of shaft 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": "Displaced transverse fracture of shaft of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.223C — Displaced transverse fracture of shaft 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": "Instability of internal right knee prosthesis, sequela"}, {"role": "assistant", "content": "T84.022S — Instability of internal right 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": "Burn of unspecified degree of right axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.041D — Burn of unspecified degree of right 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": "39 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.39 — 39 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": "Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.426A — Nondisplaced comminuted supracondylar fracture without intercondylar fracture 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": "Poisoning by benzodiazepines, assault, sequela"}, {"role": "assistant", "content": "T42.4X3S — Poisoning by benzodiazepines, 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": "Rosacea conjunctivitis, unspecified eye"}, {"role": "assistant", "content": "H10.829 — Rosacea 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": "Delayed hemolytic transfusion reaction, unspecified incompatibility, sequela"}, {"role": "assistant", "content": "T80.911S — Delayed hemolytic transfusion reaction, unspecified incompatibility, sequela"}]}
{"messages": [{"role": "system", "content": "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 shoulder joint, initial encounter"}, {"role": "assistant", "content": "S43.005A — Unspecified dislocation 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": "Encounter for screening for other viral diseases"}, {"role": "assistant", "content": "Z11.59 — Encounter for screening for other viral 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": "Pedestrian on foot injured in collision with rider of other standing micro-mobility pedestrian conveyance, sequela"}, {"role": "assistant", "content": "V00.038S — Pedestrian on foot injured in collision with rider of other standing micro-mobility 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": "Magnetic metal toy entering into or through a natural orifice, initial encounter"}, {"role": "assistant", "content": "W44.D3XA — Magnetic metal toy 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": "Legal intervention involving injury by machine gun, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.013D — Legal intervention involving injury by machine gun, 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": "Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction"}, {"role": "assistant", "content": "G71.0341 — Limb girdle muscular dystrophy due to alpha sarcoglycan 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": "Other specified injury of unspecified muscle and tendon at ankle and foot level, left foot, subsequent encounter"}, {"role": "assistant", "content": "S96.992D — Other specified injury of unspecified muscle and tendon 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 transverse fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.223N — Displaced transverse 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": "Nondisplaced segmental fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.464N — Nondisplaced segmental 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": "Synovial hypertrophy, not elsewhere classified, unspecified thigh"}, {"role": "assistant", "content": "M67.259 — Synovial hypertrophy, 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": "Left tubal pregnancy without intrauterine pregnancy"}, {"role": "assistant", "content": "O00.102 — Left tubal pregnancy without intrauterine 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": "Herpes gestationis, second trimester"}, {"role": "assistant", "content": "O26.42 — Herpes gestationis, 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 olecranon process without intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.024J — Nondisplaced fracture of olecranon process without intraarticular extension 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": "Other specified dyspareunia"}, {"role": "assistant", "content": "N94.19 — Other specified dyspareunia"}]}
{"messages": [{"role": "system", "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 acoustic nerve, right side, subsequent encounter"}, {"role": "assistant", "content": "S04.61XD — Injury of acoustic 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": "Chronic salpingitis and oophoritis"}, {"role": "assistant", "content": "N70.13 — Chronic salpingitis and 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": "Arhinencephaly"}, {"role": "assistant", "content": "Q04.1 — Arhinencephaly"}]}
{"messages": [{"role": "system", "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, third trimester"}, {"role": "assistant", "content": "O13.3 — Gestational [pregnancy-induced] hypertension without significant proteinuria, 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": "Abdominal migraine, not intractable"}, {"role": "assistant", "content": "G43.D0 — Abdominal migraine, 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 allergic rhinitis"}, {"role": "assistant", "content": "J30.89 — Other allergic 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": "Unspecified injury of blood vessel of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S65.409A — Unspecified injury of blood vessel 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": "Displaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.242E — Displaced spiral 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": "Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O36.5992 — Maternal care for other known or suspected poor fetal growth, 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 left tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.155N — Nondisplaced 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": "Unspecified fracture of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.92XA — Unspecified 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": "Corrosion of third degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.799D — Corrosion of third degree of multiple sites of unspecified 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": "War operations involving fragments of improvised explosive device [IED], civilian, sequela"}, {"role": "assistant", "content": "Y36.261S — War operations involving fragments of improvised explosive device [IED], 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 fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.202C — Unspecified fracture of shaft 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": "Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter"}, {"role": "assistant", "content": "S06.364A — Traumatic hemorrhage of cerebrum, unspecified, 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": "Unspecified injury of axillary artery, right side, sequela"}, {"role": "assistant", "content": "S45.001S — Unspecified injury of axillary artery, 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": "Encounter for mental health services for perpetrator of spousal or partner abuse"}, {"role": "assistant", "content": "Z69.12 — Encounter for mental health services for perpetrator of spousal or partner 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": "Blister (nonthermal) of left thumb, subsequent encounter"}, {"role": "assistant", "content": "S60.322D — Blister (nonthermal) 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": "Burn of left eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "T26.02XD — Burn 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": "Chalazion right lower eyelid"}, {"role": "assistant", "content": "H00.12 — Chalazion 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": "Bilateral post-traumatic osteoarthritis of first carpometacarpal joints"}, {"role": "assistant", "content": "M18.2 — Bilateral post-traumatic osteoarthritis of first carpometacarpal 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": "Displaced transverse fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.031F — Displaced transverse fracture of right 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": "Other motorcycle driver injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V26.49XA — Other motorcycle driver 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": "Complete traumatic amputation of unspecified hand at wrist level, subsequent encounter"}, {"role": "assistant", "content": "S68.419D — Complete traumatic amputation of unspecified hand at wrist 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": "Isolated proteinuria with focal and segmental glomerular lesions"}, {"role": "assistant", "content": "N06.1 — Isolated proteinuria with focal and segmental glomerular lesions"}]}
{"messages": [{"role": "system", "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 hip and thigh, level unspecified, initial encounter"}, {"role": "assistant", "content": "S78.912A — Complete traumatic amputation of left 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": "Nondisplaced fracture of distal phalanx of right little finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.666D — Nondisplaced fracture of distal phalanx of right little 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": "NIHSS score 20"}, {"role": "assistant", "content": "R29.720 — NIHSS score 20"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.452D — Displaced supracondylar fracture without 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": "Fracture of nasal bones, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.2XXG — Fracture of nasal bones, 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": "Intermittent exophthalmos, left eye"}, {"role": "assistant", "content": "H05.252 — Intermittent exophthalmos, 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 unspecified toe(s) with damage to nail, sequela"}, {"role": "assistant", "content": "S91.209S — Unspecified open wound of unspecified 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": "Malar fracture, unspecified side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.400G — Malar fracture, 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": "Displaced comminuted fracture of shaft of left fibula, sequela"}, {"role": "assistant", "content": "S82.452S — Displaced comminuted fracture of shaft of left 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": "Frostbite with tissue necrosis of unspecified foot, initial encounter"}, {"role": "assistant", "content": "T34.829A — Frostbite with tissue necrosis 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": "Unspecified injury of greater saphenous vein at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S75.201S — Unspecified injury of greater saphenous vein 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": "Other injury of extensor muscle, fascia and tendon of left little finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.397S — Other injury of extensor 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": "Corrosion of third degree of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.729D — Corrosion of third 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": "Subluxation of proximal interphalangeal joint of right middle finger, initial encounter"}, {"role": "assistant", "content": "S63.232A — Subluxation of proximal 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": "Other fracture of unspecified metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.399B — Other 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": "Partial traumatic transmetacarpal amputation of right hand, subsequent encounter"}, {"role": "assistant", "content": "S68.721D — Partial traumatic transmetacarpal amputation 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": "Pathological fracture in other disease, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.641K — Pathological fracture in other disease, 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": "Sprain of thyroid region, subsequent encounter"}, {"role": "assistant", "content": "S13.5XXD — Sprain of thyroid 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": "Scooter (nonmotorized) colliding with stationary object, subsequent encounter"}, {"role": "assistant", "content": "V00.142D — Scooter (nonmotorized) colliding with stationary 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": "Other fish poisoning, assault, sequela"}, {"role": "assistant", "content": "T61.773S — Other fish poisoning, 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": "Parkinson's disease with dyskinesia, without mention of fluctuations"}, {"role": "assistant", "content": "G20.B1 — Parkinson's disease with dyskinesia, without mention of fluctuations"}]}
{"messages": [{"role": "system", "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 motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V69.19XS — Passenger in 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": "Corrosion of second degree of unspecified site of left lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.602S — Corrosion of second 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": "Legal intervention involving injury by tear gas, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.219A — Legal intervention involving injury by tear gas, 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": "Torsion of ovary, ovarian pedicle and fallopian tube"}, {"role": "assistant", "content": "N83.53 — Torsion of ovary, ovarian pedicle and 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": "Person on outside of pick-up truck or van injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V58.7XXD — Person on outside 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": "Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere"}, {"role": "assistant", "content": "G07 — Intracranial and intraspinal abscess and granuloma 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": "Desmoid tumor of lower extremity and pelvic girdle"}, {"role": "assistant", "content": "D48.116 — Desmoid tumor of lower extremity and pelvic girdle"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "V63.1XXD — Passenger in heavy transport vehicle 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": "Infection and inflammatory reaction due to internal fixation device of unspecified bone of arm, sequela"}, {"role": "assistant", "content": "T84.619S — Infection and inflammatory reaction due to internal fixation device of unspecified bone of 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": "Preterm labor with preterm delivery, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O60.10X4 — Preterm labor with preterm delivery, 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": "Postprocedural seroma of a nervous system organ or structure following a nervous system procedure"}, {"role": "assistant", "content": "G97.63 — Postprocedural seroma of a nervous system organ or structure following 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": "Poisoning by local astringents and local detergents, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T49.2X2A — Poisoning by local astringents and local detergents, 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": "Torus fracture of lower end of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.482G — Torus fracture of lower end 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": "Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side"}, {"role": "assistant", "content": "I69.843 — Monoplegia of lower 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": "Salter-Harris Type I physeal fracture of upper end of right tibia, sequela"}, {"role": "assistant", "content": "S89.011S — Salter-Harris Type I physeal fracture of upper 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": "Inflammatory disease of prostate, unspecified"}, {"role": "assistant", "content": "N41.9 — Inflammatory disease of prostate, 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 left lower leg, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.892K — Other fracture of left 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": "Coma scale, best motor response, extension, at hospital admission"}, {"role": "assistant", "content": "R40.2323 — Coma scale, best motor response, extension, 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": "Infection and inflammatory reaction due to internal fixation device of right ulna, subsequent encounter"}, {"role": "assistant", "content": "T84.614D — Infection and inflammatory reaction due to internal fixation device of right ulna, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lepromatous leprosy"}, {"role": "assistant", "content": "A30.5 — Lepromatous 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": "Corrosion of unspecified degree of chin, subsequent encounter"}, {"role": "assistant", "content": "T20.43XD — Corrosion of unspecified 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": "Unspecified occupant of heavy transport vehicle injured in collision with other motor vehicles in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V69.29XA — Unspecified occupant of heavy transport vehicle 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": "Nondisplaced fracture of shaft of unspecified metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.359B — Nondisplaced fracture of shaft 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": "Displaced longitudinal fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.023C — Displaced longitudinal 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": "Villonodular synovitis (pigmented), other specified site"}, {"role": "assistant", "content": "M12.28 — Villonodular synovitis (pigmented), 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": "Drowning and submersion due to being washed overboard from other unpowered watercraft, initial encounter"}, {"role": "assistant", "content": "V92.28XA — Drowning and submersion due to being washed overboard from other unpowered 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": "Displaced fracture of left tibial spine, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.112P — Displaced fracture of left 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": "Rupture of papillary muscle, not elsewhere classified"}, {"role": "assistant", "content": "I51.2 — Rupture of papillary muscle, 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": "Blister (nonthermal) of bilateral front wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.323D — Blister (nonthermal) 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": "Medial subluxation of proximal end of tibia, right knee, sequela"}, {"role": "assistant", "content": "S83.131S — Medial 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": "Partial traumatic amputation of right breast, subsequent encounter"}, {"role": "assistant", "content": "S28.221D — Partial traumatic amputation of right 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": "Unspecified physeal fracture of right metatarsal, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.101B — Unspecified physeal fracture of right metatarsal, 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 superficial injury of left lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.935D — Unspecified superficial injury 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": "Contusion of right little finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.051D — Contusion of right 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": "Adverse effect of therapeutic gases, subsequent encounter"}, {"role": "assistant", "content": "T41.5X5D — Adverse effect of therapeutic gases, subsequent encounter"}]}
{"messages": [{"role": "system", "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 lesser toe(s) with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.234D — Puncture wound without 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": "Puncture wound without foreign body, left foot, sequela"}, {"role": "assistant", "content": "S91.332S — Puncture wound without foreign body, 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": "Contusion of right index finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.121D — Contusion of right index 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": "Lymphoblastic (diffuse) lymphoma, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C83.54 — Lymphoblastic (diffuse) 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": "Peroneal tendinitis, left leg"}, {"role": "assistant", "content": "M76.72 — Peroneal 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": "Unspecified mastoiditis, bilateral"}, {"role": "assistant", "content": "H70.93 — Unspecified 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": "Other secondary osteonecrosis of right carpus"}, {"role": "assistant", "content": "M87.337 — Other secondary osteonecrosis of right carpus"}]}
{"messages": [{"role": "system", "content": "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, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.809D — Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm 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": "Toxic effect of venom of centipedes and venomous millipedes, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.414D — Toxic effect of venom of centipedes and venomous millipedes, 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 transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.222P — Displaced transverse 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": "Postprocedural subglottic stenosis"}, {"role": "assistant", "content": "J95.5 — Postprocedural subglottic 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 unspecified degree of unspecified foot, sequela"}, {"role": "assistant", "content": "T25.429S — Corrosion 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": "Generalized anxiety disorder"}, {"role": "assistant", "content": "F41.1 — Generalized 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": "Contusion of head of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.220A — Contusion of head 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": "Recurrent pregnancy loss"}, {"role": "assistant", "content": "N96 — Recurrent pregnancy 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": "Major contusion of left kidney, initial encounter"}, {"role": "assistant", "content": "S37.022A — Major contusion of left 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": "Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement"}, {"role": "assistant", "content": "M05.721 — Rheumatoid arthritis with rheumatoid factor of right elbow 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 injury of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.399D — Other injury of extensor or abductor muscles, fascia and tendons of unspecified 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": "Conjunctival deposits, left eye"}, {"role": "assistant", "content": "H11.112 — Conjunctival deposits, 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 shaft of unspecified ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.209P — Unspecified 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": "Monteggia's fracture of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.272N — Monteggia's fracture 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": "Military operations involving combat using blunt or piercing object, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.450A — Military operations involving combat using blunt or piercing object, 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": "Nondisplaced transverse fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.424G — Nondisplaced transverse 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": "Strabismic amblyopia, bilateral"}, {"role": "assistant", "content": "H53.033 — Strabismic 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": "Displacement of other prosthetic devices, implants and grafts of genital tract, sequela"}, {"role": "assistant", "content": "T83.428S — Displacement of other prosthetic devices, implants and grafts of genital 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": "Anterior dislocation of left sternoclavicular joint, initial encounter"}, {"role": "assistant", "content": "S43.215A — Anterior 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": "Laceration with foreign body of unspecified cheek and temporomandibular area, initial encounter"}, {"role": "assistant", "content": "S01.429A — Laceration with foreign body of unspecified cheek and temporomandibular 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": "Unstable burst fracture of first thoracic vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.012B — Unstable burst fracture of first 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": "Poisoning by immune checkpoint inhibitors and immunostimulant drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T45.AX4A — Poisoning by immune checkpoint inhibitors and immunostimulant 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": "Heat cramp, sequela"}, {"role": "assistant", "content": "T67.2XXS — Heat cramp, sequela"}]}
{"messages": [{"role": "system", "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 heart"}, {"role": "assistant", "content": "I25.3 — Aneurysm of heart"}]}
{"messages": [{"role": "system", "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 thalassemia, unspecified, with acute chest syndrome"}, {"role": "assistant", "content": "D57.411 — Sickle-cell thalassemia, unspecified, with acute chest 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": "Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side"}, {"role": "assistant", "content": "I69.144 — Monoplegia of lower limb following nontraumatic intracerebral 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": "Wedge compression fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.000G — Wedge compression 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": "Complete traumatic amputation of right forearm, level unspecified, initial encounter"}, {"role": "assistant", "content": "S58.911A — Complete traumatic amputation of right 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": "Car as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.810 — Car 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": "Adverse effect of other antiprotozoal drugs, subsequent encounter"}, {"role": "assistant", "content": "T37.3X5D — Adverse effect of other antiprotozoal 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": "Smith's fracture of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.549Q — Smith's fracture 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 sprain of left thumb, sequela"}, {"role": "assistant", "content": "S63.602S — Unspecified 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": "Corrosion of cornea and conjunctival sac, unspecified eye, subsequent encounter"}, {"role": "assistant", "content": "T26.60XD — Corrosion of cornea and conjunctival sac, 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": "Unspecified fracture of third lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.039B — Unspecified 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": "Striking against sports equipment with subsequent fall, subsequent encounter"}, {"role": "assistant", "content": "W18.01XD — Striking against sports equipment with subsequent fall, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 the posterior muscle group at thigh level, right thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.301D — Unspecified injury 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": "Displaced osteochondral fracture of right patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.011P — Displaced osteochondral 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": "Complete traumatic transphalangeal amputation of right ring finger, initial encounter"}, {"role": "assistant", "content": "S68.614A — Complete traumatic transphalangeal 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": "Displaced 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": "S72.463F — Displaced 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": "Osseous stenosis of neural canal of cervical region"}, {"role": "assistant", "content": "M99.31 — Osseous stenosis of neural canal 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": "Laceration of adductor muscle, fascia and tendon of right thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.221D — Laceration of adductor muscle, fascia and tendon of 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": "Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.5930 — Maternal care for other known or suspected poor fetal growth, 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": "Dislocation of unspecified part of thorax, initial encounter"}, {"role": "assistant", "content": "S23.20XA — Dislocation 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": "Nondisplaced transverse fracture of shaft of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.325A — Nondisplaced transverse 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": "Extramedullary plasmacytoma in remission"}, {"role": "assistant", "content": "C90.21 — Extramedullary 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 injury of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.9XXD — Unspecified injury 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 boarding or alighting a pick-up truck or van injured in collision with other nonmotor vehicle, initial encounter"}, {"role": "assistant", "content": "V56.4XXA — Person boarding or alighting a pick-up truck or van injured in collision with other nonmotor 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": "War operations involving destruction of aircraft due to onboard fire, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.130A — War operations involving destruction of aircraft due to onboard fire, 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": "Chilblains, initial encounter"}, {"role": "assistant", "content": "T69.1XXA — Chilblains, initial encounter"}]}
{"messages": [{"role": "system", "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 polyneuropathy"}, {"role": "assistant", "content": "E11.42 — Type 2 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": "Unspecified injury of other flexor muscle, fascia and tendon at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S56.209D — Unspecified injury of other flexor muscle, fascia and tendon 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": "Fall from standing electric scooter, initial encounter"}, {"role": "assistant", "content": "V00.841A — Fall from standing electric scooter, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 head of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.200A — Unspecified injury of head 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": "Corrosions involving 30-39% of body surface with 20-29% third degree corrosion"}, {"role": "assistant", "content": "T32.32 — Corrosions involving 30-39% of body surface with 20-29% 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 navicular [scaphoid] bone of unspecified wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.009A — Unspecified fracture of navicular [scaphoid] bone of 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": "Localized vascularization of cornea, bilateral"}, {"role": "assistant", "content": "H16.433 — Localized vascularization 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": "Corrosion of third degree of back of right hand, initial encounter"}, {"role": "assistant", "content": "T23.761A — Corrosion of third degree of back 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": "Other displaced fracture of sixth cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.590D — Other displaced fracture of sixth 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": "Unspecified dislocation of left ring finger, sequela"}, {"role": "assistant", "content": "S63.255S — Unspecified dislocation 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": "Pedestrian on skateboard injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V05.02XS — Pedestrian on skateboard 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": "Poisoning by pertussis vaccine, including combinations with a pertussis component, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T50.A14D — Poisoning by pertussis vaccine, including combinations with a pertussis component, 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": "Bitten by other mammals, sequela"}, {"role": "assistant", "content": "W55.81XS — Bitten by 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": "Other fracture of shaft of radius, right arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.391D — Other fracture of shaft of radius, right 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": "Displaced fracture of lateral condyle of unspecified humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.453B — Displaced fracture of lateral condyle 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 injury of superficial palmar arch of unspecified hand, sequela"}, {"role": "assistant", "content": "S65.209S — Unspecified injury of superficial 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": "Muscle wasting and atrophy, not elsewhere classified, right lower leg"}, {"role": "assistant", "content": "M62.561 — Muscle wasting and atrophy, not elsewhere classified, 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": "Corrosion of unspecified degree of unspecified forearm, initial encounter"}, {"role": "assistant", "content": "T22.419A — Corrosion of unspecified 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": "Other specified sprain of right wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.591D — Other specified sprain 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": "Person on outside of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V66.7XXA — Person on outside 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": "Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S49.042A — Salter-Harris Type IV 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": "Other developmental disorders of scholastic skills"}, {"role": "assistant", "content": "F81.89 — Other developmental disorders of scholastic skills"}]}
{"messages": [{"role": "system", "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 vascular dialysis catheter, sequela"}, {"role": "assistant", "content": "T82.42XS — Displacement of vascular 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": "Unspecified physeal fracture of lower end of humerus, right arm, sequela"}, {"role": "assistant", "content": "S49.101S — Unspecified physeal fracture of lower end 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": "Unspecified superficial injury of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S60.939A — Unspecified superficial injury 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": "Subluxation of distal radioulnar joint of left wrist, sequela"}, {"role": "assistant", "content": "S63.012S — Subluxation of distal radioulnar joint 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": "Other ossification of muscle, right upper arm"}, {"role": "assistant", "content": "M61.521 — Other ossification of muscle, 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": "Person boarding or alighting a three-wheeled motor vehicle injured in collision with car, pick-up truck or van, sequela"}, {"role": "assistant", "content": "V33.4XXS — Person boarding or alighting a three-wheeled motor vehicle injured in collision with car, pick-up truck or van, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye"}, {"role": "assistant", "content": "H16.261 — Vernal keratoconjunctivitis, with limbar and corneal involvement, 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 lump in the left breast, lower outer quadrant"}, {"role": "assistant", "content": "N63.23 — Unspecified lump in the left breast, lower outer quadrant"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other malformation of placenta, unspecified trimester"}, {"role": "assistant", "content": "O43.199 — Other malformation of placenta, 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": "Unspecified type of carcinoma in situ of right breast"}, {"role": "assistant", "content": "D05.91 — Unspecified type of carcinoma in situ 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": "Malignant neoplasm of short bones of left upper limb"}, {"role": "assistant", "content": "C40.12 — Malignant neoplasm of short 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": "Toxic effect of aflatoxin, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T64.01XS — Toxic effect of aflatoxin, 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": "Connective tissue and disc stenosis of intervertebral foramina of cervical region"}, {"role": "assistant", "content": "M99.71 — Connective tissue and disc stenosis of intervertebral foramina 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": "Displaced fracture of pisiform, left wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.162G — Displaced fracture of pisiform, 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": "Unspecified physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.109K — Unspecified physeal fracture of lower end of unspecified 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 dislocation of right middle finger, sequela"}, {"role": "assistant", "content": "S63.252S — Unspecified dislocation 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": "Idiopathic pulmonary hemosiderosis"}, {"role": "assistant", "content": "J84.03 — Idiopathic pulmonary hemosiderosis"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with malunion"}, {"role": "assistant", "content": "S82.156P — Nondisplaced fracture of unspecified 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": "Burn of first degree of female genital region, sequela"}, {"role": "assistant", "content": "T21.17XS — Burn 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": "Injury of unspecified nerve at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S54.90XA — Injury of unspecified 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": "Maternal care for hydrops fetalis, third trimester, fetus 5"}, {"role": "assistant", "content": "O36.23X5 — Maternal care for hydrops fetalis, 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": "Other acute nonsuppurative otitis media recurrent, unspecified ear"}, {"role": "assistant", "content": "H65.197 — Other acute nonsuppurative otitis media recurrent, 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": "Protanomaly"}, {"role": "assistant", "content": "H53.54 — Protanomaly"}]}
{"messages": [{"role": "system", "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 anterior wall"}, {"role": "assistant", "content": "I22.0 — Subsequent ST elevation (STEMI) myocardial infarction of anterior 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 ossification of muscle, right forearm"}, {"role": "assistant", "content": "M61.531 — Other ossification 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": "Subluxation of metatarsophalangeal joint of unspecified lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.146D — Subluxation of metatarsophalangeal joint 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": "Unspecified open wound of unspecified hand, sequela"}, {"role": "assistant", "content": "S61.409S — Unspecified open wound 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": "Nondisplaced fracture of distal phalanx of unspecified great toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.426A — Nondisplaced fracture of distal phalanx of unspecified 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": "Toxic effect of contact with other venomous amphibian, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.832A — Toxic effect of contact with other venomous amphibian, 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 specified injuries of cervical trachea, subsequent encounter"}, {"role": "assistant", "content": "S19.82XD — Other specified injuries of cervical trachea, subsequent encounter"}]}
{"messages": [{"role": "system", "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 foot, initial encounter"}, {"role": "assistant", "content": "T33.822A — Superficial frostbite 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": "Malignant neoplasm of middle third of esophagus"}, {"role": "assistant", "content": "C15.4 — Malignant neoplasm of middle third of esophagus"}]}
{"messages": [{"role": "system", "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 back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.219D — Laceration without 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": "Displaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.031K — Displaced avulsion fracture of tuberosity 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": "Traumatic hemopneumothorax, sequela"}, {"role": "assistant", "content": "S27.2XXS — Traumatic hemopneumothorax, sequela"}]}
{"messages": [{"role": "system", "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 Type II dens fracture, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.110K — Anterior displaced Type II dens fracture, 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 muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.101D — Unspecified injury of other muscle(s) and tendon(s) of posterior 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": "Lateral subluxation of proximal end of tibia, unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.143A — Lateral subluxation 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": "Corrosion of third degree of forehead and cheek, initial encounter"}, {"role": "assistant", "content": "T20.76XA — Corrosion of third 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": "Burn of first degree of left lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.132D — Burn of first 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": "Other specified dermatitis"}, {"role": "assistant", "content": "L30.8 — Other specified 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": "Mismatched blood in transfusion"}, {"role": "assistant", "content": "Y65.0 — Mismatched blood in transfusion"}]}
{"messages": [{"role": "system", "content": "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 upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.929D — Unspecified superficial injury 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": "Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S68.719D — Complete traumatic transmetacarpal amputation 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": "Contusion of unspecified middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.139A — Contusion of unspecified 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": "Toxic effect of venom of other snake, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.092A — Toxic effect of venom of other snake, 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": "Person on outside of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V62.7XXD — Person on outside of heavy transport vehicle 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": "Pathological fracture in neoplastic disease, left fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.564P — Pathological fracture in neoplastic disease, left 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": "Polyp of middle ear, bilateral"}, {"role": "assistant", "content": "H74.43 — Polyp of middle 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": "Poisoning by antithrombotic drugs, assault, initial encounter"}, {"role": "assistant", "content": "T45.523A — Poisoning by antithrombotic 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": "Salter-Harris Type I physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.019D — Salter-Harris Type I 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 foreign body in trachea causing asphyxiation, initial encounter"}, {"role": "assistant", "content": "T17.400A — Unspecified foreign body in trachea 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": "Congenital absence, atresia and stenosis of other specified parts of small intestine"}, {"role": "assistant", "content": "Q41.8 — Congenital absence, atresia and stenosis of other specified parts 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": "Passenger of special industrial vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V83.1XXS — Passenger 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 intraarticular fracture of lower end of left radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.572E — Other intraarticular fracture of lower end 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": "Juxtarenal abdominal aortic aneurysm, without rupture"}, {"role": "assistant", "content": "I71.42 — Juxtarenal abdominal aortic aneurysm, 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": "Other mechanical complication of internal fixation device of vertebrae, initial encounter"}, {"role": "assistant", "content": "T84.296A — Other mechanical complication of internal fixation device of 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": "Traumatic rupture of other ligament of right little finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.496S — Traumatic rupture of other ligament 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": "Maternal care for known or suspected placental insufficiency, third trimester, fetus 1"}, {"role": "assistant", "content": "O36.5131 — Maternal care for known or suspected placental insufficiency, 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 injury due to other accident to unspecified watercraft, sequela"}, {"role": "assistant", "content": "V91.89XS — Other injury 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": "Military operations involving incendiary bullet, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.320D — Military operations involving incendiary bullet, 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": "Other specified disorders of ear in diseases classified elsewhere, unspecified ear"}, {"role": "assistant", "content": "H94.80 — Other specified disorders of ear in diseases classified elsewhere, 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": "Spondylopathy in diseases classified elsewhere, cervical region"}, {"role": "assistant", "content": "M49.82 — Spondylopathy in diseases classified elsewhere, 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": "Crushing injury of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "S57.00XD — Crushing injury 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": "Psychological abuse complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O9A.512 — Psychological abuse 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": "Salter-Harris Type II physeal fracture of lower end of unspecified fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.329P — Salter-Harris Type II physeal fracture of lower end of unspecified 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": "Other meniscus derangements, other medial meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.339 — Other meniscus derangements, 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": "Partial traumatic amputation of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S08.129D — Partial traumatic amputation 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": "Age-related osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.072P — Age-related osteoporosis with current pathological fracture, left ankle and 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": "Lumbar spina bifida without hydrocephalus"}, {"role": "assistant", "content": "Q05.7 — Lumbar spina bifida without hydrocephalus"}]}
{"messages": [{"role": "system", "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, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1211 — Lead-induced chronic gout, right 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": "Severe pre-eclampsia, complicating the puerperium"}, {"role": "assistant", "content": "O14.15 — Severe pre-eclampsia, 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 face, brow and chin presentation, fetus 4"}, {"role": "assistant", "content": "O32.3XX4 — Maternal care for face, brow and chin presentation, 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 mechanical complication of intrauterine contraceptive device, subsequent encounter"}, {"role": "assistant", "content": "T83.39XD — Other mechanical complication 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": "Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.90XP — Unspecified 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": "Instability of internal left knee prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T84.023D — Instability of internal left knee 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": "Abnormal histological findings in specimens from male genital organs"}, {"role": "assistant", "content": "R86.7 — Abnormal histological findings 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": "Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T45.0X2A — Poisoning by antiallergic and antiemetic 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": "Fistula, left shoulder"}, {"role": "assistant", "content": "M25.112 — Fistula, 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": "Insect bite (nonvenomous) of left middle finger, sequela"}, {"role": "assistant", "content": "S60.463S — Insect bite (nonvenomous) 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": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.235F — Nondisplaced 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": "Colles' fracture of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.539G — Colles' fracture 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": "Contact with dry ice, subsequent encounter"}, {"role": "assistant", "content": "W93.01XD — Contact with dry ice, subsequent encounter"}]}
{"messages": [{"role": "system", "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 entropion of unspecified eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.039 — Senile 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": "Bent bone of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.389B — Bent bone 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": "Anterior subcapsular polar infantile and juvenile cataract, left eye"}, {"role": "assistant", "content": "H26.042 — Anterior subcapsular polar infantile and juvenile 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": "Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.88XP — Other osteoporosis with current pathological fracture, vertebra(e), 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 unspecified metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.369B — Nondisplaced fracture of neck 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": "Laceration of blood vessel of other finger, subsequent encounter"}, {"role": "assistant", "content": "S65.518D — Laceration of blood vessel 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": "Other keratitis"}, {"role": "assistant", "content": "H16.8 — Other keratitis"}]}
{"messages": [{"role": "system", "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 hallucinations"}, {"role": "assistant", "content": "F11.251 — Opioid dependence with opioid-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": "Neonatal hematemesis and melena due to swallowed maternal blood"}, {"role": "assistant", "content": "P78.2 — Neonatal hematemesis and melena due to swallowed maternal blood"}]}
{"messages": [{"role": "system", "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 right pelvic brim"}, {"role": "assistant", "content": "N80.361 — Superficial 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": "Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, unspecified hand, initial encounter"}, {"role": "assistant", "content": "S66.809A — Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level, 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": "Sprain of carpal joint of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.519D — Sprain of carpal joint 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": "Torus fracture of upper end of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.272P — Torus fracture of upper 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": "Subacute osteomyelitis, unspecified shoulder"}, {"role": "assistant", "content": "M86.219 — Subacute osteomyelitis, 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": "Injury of sciatic nerve at hip and thigh level, right leg, initial encounter"}, {"role": "assistant", "content": "S74.01XA — Injury of sciatic nerve 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": "Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.434K — Nondisplaced fracture (avulsion) of lateral epicondyle 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": "Cervical disc disorder with radiculopathy, high cervical region"}, {"role": "assistant", "content": "M50.11 — Cervical disc disorder with radiculopathy, 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": "Person on outside of special construction vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V85.2XXS — Person on outside 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": "Other contact with rat, initial encounter"}, {"role": "assistant", "content": "W53.19XA — Other contact with rat, initial encounter"}]}
{"messages": [{"role": "system", "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 and observation following work accident"}, {"role": "assistant", "content": "Z04.2 — Encounter for examination and observation following work accident"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S72.334S — Nondisplaced oblique 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": "Superficial foreign body, right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.454D — Superficial foreign body, 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": "Traumatic amputation (partial) of part of thorax, except breast, subsequent encounter"}, {"role": "assistant", "content": "S28.1XXD — Traumatic amputation (partial) of part of thorax, except 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": "Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S86.222D — Laceration 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": "Burn of unspecified degree of single left finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.022A — Burn of unspecified degree of single left 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": "Injury of optic nerve, unspecified eye, subsequent encounter"}, {"role": "assistant", "content": "S04.019D — Injury of optic nerve, 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": "Other injury of heart with hemopericardium, initial encounter"}, {"role": "assistant", "content": "S26.09XA — Other injury of heart with 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": "Hydroxyapatite deposition disease, left knee"}, {"role": "assistant", "content": "M11.062 — Hydroxyapatite deposition disease, 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": "Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue"}, {"role": "assistant", "content": "Z48.817 — Encounter for surgical aftercare following surgery on the 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": "Unspecified physeal fracture of upper end of radius, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.101G — Unspecified physeal fracture of upper 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": "Burn of third degree of left axilla, initial encounter"}, {"role": "assistant", "content": "T22.342A — Burn of third degree of left 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": "Preterm labor with preterm delivery, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O60.10X1 — Preterm labor with preterm delivery, 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": "Other specified injuries of left foot, sequela"}, {"role": "assistant", "content": "S99.822S — Other specified injuries 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": "Superficial foreign body, unspecified great toe, subsequent encounter"}, {"role": "assistant", "content": "S90.453D — Superficial foreign body, 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": "Maternal care for unstable lie, other fetus"}, {"role": "assistant", "content": "O32.0XX9 — Maternal care for unstable lie, 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": "Cysticercosis of central nervous system"}, {"role": "assistant", "content": "B69.0 — Cysticercosis 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": "Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter"}, {"role": "assistant", "content": "T81.534A — Perforation due to 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": "Ring or other jewelry causing external constriction, subsequent encounter"}, {"role": "assistant", "content": "W49.04XD — Ring or other jewelry causing external constriction, subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified trimester"}, {"role": "assistant", "content": "O24.019 — Pre-existing type 1 diabetes mellitus, 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": "Unspecified fracture of shaft of left tibia, sequela"}, {"role": "assistant", "content": "S82.202S — Unspecified 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": "Nondisplaced fracture of cuboid bone of right foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.214P — Nondisplaced fracture of cuboid bone 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": "Chlamydia psittaci infections"}, {"role": "assistant", "content": "A70 — Chlamydia psittaci 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": "Benign neoplasm of unspecified lacrimal gland and duct"}, {"role": "assistant", "content": "D31.50 — Benign neoplasm of unspecified lacrimal gland and 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": "Contusion of prostate, sequela"}, {"role": "assistant", "content": "S37.822S — Contusion 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": "Other intrapartum hemorrhage"}, {"role": "assistant", "content": "O67.8 — Other intrapartum 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 proximal third of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.032A — Displaced fracture of proximal third of navicular [scaphoid] bone of 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": "Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter"}, {"role": "assistant", "content": "T85.110D — Breakdown (mechanical) of implanted electronic neurostimulator of brain 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": "Displaced oblique fracture of shaft of right radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.331G — Displaced oblique fracture of shaft of right 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": "Dislocation of distal radioulnar joint of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.016D — Dislocation of distal radioulnar joint 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": "Minor laceration of greater saphenous vein at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S75.211S — Minor laceration of greater saphenous vein 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": "Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side"}, {"role": "assistant", "content": "I69.963 — Other paralytic syndrome following unspecified 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": "Osteitis condensans, left thigh"}, {"role": "assistant", "content": "M85.352 — Osteitis condensans, 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": "Nondisplaced trimalleolar fracture of right lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.854J — Nondisplaced trimalleolar 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": "Insect bite (nonvenomous) of breast, unspecified breast, sequela"}, {"role": "assistant", "content": "S20.169S — Insect bite (nonvenomous) of breast, 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": "Injury of other nerves at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S84.802A — Injury of other nerves 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": "Mild laceration of heart with hemopericardium, sequela"}, {"role": "assistant", "content": "S26.020S — Mild laceration of heart with 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": "Corrosion of third degree of unspecified single finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.729S — Corrosion of third 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": "Puncture wound with foreign body of left lesser toe(s) with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.245D — Puncture wound with foreign body of left 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": "Ankylosing hyperostosis [Forestier], cervicothoracic region"}, {"role": "assistant", "content": "M48.13 — Ankylosing hyperostosis [Forestier], 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 occupant of bus injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V71.9XXD — Unspecified occupant of bus 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": "Open bite of pharynx and cervical esophagus, subsequent encounter"}, {"role": "assistant", "content": "S11.25XD — Open bite 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": "Greenstick fracture of shaft of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.319A — Greenstick 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": "Drug use complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O99.320 — Drug use 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": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.466G — Nondisplaced supracondylar fracture with intracondylar extension 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 physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.292G — Other physeal fracture of lower end of radius, 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": "Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.434D — Nondisplaced fracture of anterior column [iliopubic] 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": "Toxic effect of fiberglass, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T65.832A — Toxic effect of fiberglass, 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 comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.254E — Nondisplaced comminuted 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": "Fall through floor, subsequent encounter"}, {"role": "assistant", "content": "W13.3XXD — Fall through floor, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cardiovascular syphilis, unspecified"}, {"role": "assistant", "content": "A52.00 — Cardiovascular syphilis, 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 heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V63.3XXD — Unspecified occupant of heavy transport vehicle 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 open wound of left lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S91.105S — Unspecified open wound 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": "Anterior subluxation of left sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.212D — Anterior subluxation of left 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": "Traumatic rupture of unspecified ligament of other finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.408D — Traumatic rupture of unspecified ligament of other 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": "Episcleritis periodica fugax, bilateral"}, {"role": "assistant", "content": "H15.113 — Episcleritis periodica fugax, 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": "Primary iridocyclitis, left eye"}, {"role": "assistant", "content": "H20.012 — Primary iridocyclitis, 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 chronic viral hepatitis"}, {"role": "assistant", "content": "B18.8 — Other chronic viral hepatitis"}]}
{"messages": [{"role": "system", "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 testis, unspecified whether descended or undescended"}, {"role": "assistant", "content": "C62.92 — Malignant neoplasm of left testis, unspecified whether descended or undescended"}]}
{"messages": [{"role": "system", "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 radioulnar joint of unspecified wrist, sequela"}, {"role": "assistant", "content": "S63.016S — Dislocation of distal radioulnar joint 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": "Hyperparathyroidism, unspecified"}, {"role": "assistant", "content": "E21.3 — Hyperparathyroidism, 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": "Balanced translocation and insertion in normal individual"}, {"role": "assistant", "content": "Q95.0 — Balanced translocation and insertion in normal individual"}]}
{"messages": [{"role": "system", "content": "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 end of right clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.031A — Displaced fracture of lateral 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": "Unspecified physeal fracture of right calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.001B — Unspecified 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": "Acute infection following transfusion, infusion, or injection of blood and blood products, subsequent encounter"}, {"role": "assistant", "content": "T80.22XD — Acute infection following transfusion, infusion, or injection of blood and 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": "Intermittent exophthalmos, bilateral"}, {"role": "assistant", "content": "H05.253 — Intermittent 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": "Nondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.415H — Nondisplaced unspecified condyle 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": "Diffuse large B-cell lymphoma, intrathoracic lymph nodes"}, {"role": "assistant", "content": "C83.32 — Diffuse large B-cell lymphoma, 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": "Adult neglect or abandonment, confirmed, initial encounter"}, {"role": "assistant", "content": "T74.01XA — Adult neglect or abandonment, 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": "Monteggia's fracture of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.279H — Monteggia's fracture 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 fracture of upper end of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.109G — Unspecified fracture of upper end 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": "Burn of third degree of unspecified ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.319D — Burn of third 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": "Nondisplaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.135D — Nondisplaced 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": "Fall (on)(from) escalator, subsequent encounter"}, {"role": "assistant", "content": "W10.0XXD — Fall (on)(from) escalator, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, unspecified shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.126P — Nondisplaced fracture of acromial process, 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": "Neoplasm of uncertain behavior of left adrenal gland"}, {"role": "assistant", "content": "D44.12 — Neoplasm of uncertain behavior of left 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": "Other injury of unspecified body region, subsequent encounter"}, {"role": "assistant", "content": "T14.8XXD — Other injury of unspecified body 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": "Unspecified pedal cyclist injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V14.2XXD — Unspecified pedal cyclist 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": "Bone donor, unspecified"}, {"role": "assistant", "content": "Z52.20 — Bone donor, 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": "Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis"}, {"role": "assistant", "content": "N01.3 — Rapidly progressive nephritic syndrome with diffuse mesangial 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": "Nondisplaced comminuted fracture of right patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.044G — Nondisplaced comminuted 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": "Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, other fetus"}, {"role": "assistant", "content": "O35.06X9 — Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, 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": "Schmorl's nodes, thoracic region"}, {"role": "assistant", "content": "M51.44 — Schmorl's nodes, 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": "Pathological fracture, unspecified finger(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.446D — Pathological fracture, unspecified 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": "Nondisplaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.144D — Nondisplaced 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": "Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.331S — Unspecified traumatic nondisplaced spondylolisthesis of fourth 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": "Torus fracture of upper end of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.272D — Torus fracture of upper end 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": "Other shoulder lesions, left shoulder"}, {"role": "assistant", "content": "M75.82 — Other shoulder lesions, 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 injury of rectum, sequela"}, {"role": "assistant", "content": "S36.69XS — Other injury of rectum, sequela"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "V43.74XD — Person on outside of car injured in collision with 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": "Interstitial myositis of unspecified site"}, {"role": "assistant", "content": "M60.10 — Interstitial myositis 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": "2-part displaced fracture of surgical neck of unspecified humerus, sequela"}, {"role": "assistant", "content": "S42.223S — 2-part displaced fracture of surgical neck 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": "Nondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.355J — Nondisplaced comminuted fracture of shaft 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": "Disorder of penis, unspecified"}, {"role": "assistant", "content": "N48.9 — Disorder 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": "Polyglandular hyperfunction"}, {"role": "assistant", "content": "E31.1 — Polyglandular hyperfunction"}]}
{"messages": [{"role": "system", "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 persistent asthma, uncomplicated"}, {"role": "assistant", "content": "J45.40 — Moderate persistent asthma, 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": "Effect of deprivation, unspecified, initial encounter"}, {"role": "assistant", "content": "T73.9XXA — Effect of deprivation, 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": "Unspecified injury of posterior tibial artery, left leg, sequela"}, {"role": "assistant", "content": "S85.162S — Unspecified injury of posterior 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": "Other fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.299R — Other 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": "Other displaced fracture of fourth cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.390G — Other displaced fracture of fourth 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": "Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, fetus 5"}, {"role": "assistant", "content": "O35.11X5 — Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13, 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": "Complete lesion at T1 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.111S — Complete lesion at T1 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": "Primary blast injury of unspecified part of small intestine, subsequent encounter"}, {"role": "assistant", "content": "S36.419D — Primary blast 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": "Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.117S — Strain 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": "Melanocytic nevi of unspecified lower limb, including hip"}, {"role": "assistant", "content": "D22.70 — Melanocytic nevi of unspecified 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": "Nondisplaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.244J — Nondisplaced spiral fracture of shaft of ulna, 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": "Other fracture of unspecified foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.819A — Other fracture of unspecified 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": "Other degenerative disorders of globe, left eye"}, {"role": "assistant", "content": "H44.392 — Other degenerative disorders of globe, 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 foreign body of oral cavity, initial encounter"}, {"role": "assistant", "content": "S00.552A — Superficial foreign body of oral 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 third degree of neck, subsequent encounter"}, {"role": "assistant", "content": "T20.37XD — Burn of third 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": "Poisoning by glucocorticoids and synthetic analogues, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T38.0X4D — Poisoning by glucocorticoids and synthetic analogues, 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, right hip, subsequent encounter"}, {"role": "assistant", "content": "S70.211D — Abrasion, 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": "Sprain of other specified parts of left knee, initial encounter"}, {"role": "assistant", "content": "S83.8X2A — Sprain of other specified parts of 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": "Spinal enthesopathy, multiple sites in spine"}, {"role": "assistant", "content": "M46.09 — Spinal enthesopathy, 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": "Nondisplaced avulsion fracture (chip fracture) of right talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.154G — Nondisplaced avulsion fracture (chip fracture) of right 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": "Complete traumatic amputation of right hand at wrist level, sequela"}, {"role": "assistant", "content": "S68.411S — Complete traumatic amputation of right hand at wrist 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": "Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.142S — Brown-Sequard syndrome 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": "Other specified rheumatoid arthritis, left elbow"}, {"role": "assistant", "content": "M06.822 — Other specified rheumatoid 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": "Unspecified foreign body in bronchus causing asphyxiation, subsequent encounter"}, {"role": "assistant", "content": "T17.500D — Unspecified foreign body in bronchus 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": "Underdosing of antivaricose drugs, including sclerosing agents, subsequent encounter"}, {"role": "assistant", "content": "T46.8X6D — Underdosing of antivaricose drugs, including sclerosing 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": "Frostbite with tissue necrosis of left hand, sequela"}, {"role": "assistant", "content": "T34.522S — Frostbite with tissue necrosis 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": "Hemarthrosis, left elbow"}, {"role": "assistant", "content": "M25.022 — Hemarthrosis, 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 injury of other part of small intestine, subsequent encounter"}, {"role": "assistant", "content": "S36.498D — Other injury of other 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": "Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, left hand, initial encounter"}, {"role": "assistant", "content": "S66.902A — Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, 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": "Congenital malformations of intestinal fixation"}, {"role": "assistant", "content": "Q43.3 — Congenital malformations of intestinal fixation"}]}
{"messages": [{"role": "system", "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 floor of mouth"}, {"role": "assistant", "content": "C04.8 — Malignant neoplasm of overlapping sites of floor of mouth"}]}
{"messages": [{"role": "system", "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 stenosis, lumbar region without neurogenic claudication"}, {"role": "assistant", "content": "M48.061 — Spinal stenosis, lumbar region without neurogenic claudication"}]}
{"messages": [{"role": "system", "content": "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 right little finger at forearm level, sequela"}, {"role": "assistant", "content": "S56.197S — Other injury 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": "Paralytic ptosis of bilateral eyelids"}, {"role": "assistant", "content": "H02.433 — Paralytic ptosis of bilateral 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": "Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.455D — Nondisplaced fracture of lateral condyle 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": "Chronic superficial gastritis without bleeding"}, {"role": "assistant", "content": "K29.30 — Chronic superficial gastritis 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": "Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.021D — Laceration of muscle(s) and tendon(s) of the rotator cuff 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": "Other recreation area as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.838 — Other recreation area 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": "Newborn affected by intrauterine (fetal) blood loss from ruptured cord"}, {"role": "assistant", "content": "P50.1 — Newborn affected by intrauterine (fetal) blood loss from ruptured 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": "Fetal anemia and thrombocytopenia, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O36.8291 — Fetal anemia and thrombocytopenia, 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": "Sprain of metacarpophalangeal joint of right index finger, subsequent encounter"}, {"role": "assistant", "content": "S63.650D — Sprain of metacarpophalangeal joint 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": "Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.026P — Nondisplaced fracture of epiphysis (separation) (upper) 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": "Smith's fracture of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.549G — Smith's fracture 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": "Unspecified injury at C3 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.103S — Unspecified injury 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": "Open bite of unspecified part of head, subsequent encounter"}, {"role": "assistant", "content": "S01.95XD — Open 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": "Toxic effect of petroleum products, assault, subsequent encounter"}, {"role": "assistant", "content": "T52.0X3D — Toxic effect of petroleum products, 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": "Open bite of vocal cord, subsequent encounter"}, {"role": "assistant", "content": "S11.035D — Open bite of vocal 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": "Displacement of other internal orthopedic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T84.428S — Displacement of other internal orthopedic 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": "Maternal care for hydrops fetalis, second trimester, fetus 4"}, {"role": "assistant", "content": "O36.22X4 — Maternal care for hydrops fetalis, 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": "Laceration of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.229D — Laceration 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": "Legal intervention involving a conducted energy device, bystander injured, sequela"}, {"role": "assistant", "content": "Y35.832S — Legal intervention involving a conducted energy device, 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": "Pigmented purpuric dermatosis"}, {"role": "assistant", "content": "L81.7 — Pigmented purpuric dermatosis"}]}
{"messages": [{"role": "system", "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 acute necrotizing hemorrhagic encephalopathy"}, {"role": "assistant", "content": "G04.32 — Postimmunization acute necrotizing hemorrhagic 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": "Underdosing of drugs affecting uric acid metabolism, sequela"}, {"role": "assistant", "content": "T50.4X6S — Underdosing of drugs affecting uric acid metabolism, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Inflammatory polyps of colon with intestinal obstruction"}, {"role": "assistant", "content": "K51.412 — Inflammatory polyps of colon with 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": "Traumatic compartment syndrome of right upper extremity, subsequent encounter"}, {"role": "assistant", "content": "T79.A11D — Traumatic compartment syndrome of right upper extremity, subsequent encounter"}]}
{"messages": [{"role": "system", "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 of unspecified site"}, {"role": "assistant", "content": "D48.119 — Desmoid tumor 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": "Chronic gout due to renal impairment, left hip, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3521 — Chronic gout due to renal impairment, 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": "Insect bite (nonvenomous) of left ear, initial encounter"}, {"role": "assistant", "content": "S00.462A — Insect bite (nonvenomous) 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": "Superficial foreign body of breast, unspecified breast, sequela"}, {"role": "assistant", "content": "S20.159S — Superficial foreign body of breast, 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": "Other injury of esophagus (thoracic part), sequela"}, {"role": "assistant", "content": "S27.818S — Other injury of esophagus (thoracic 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": "Traumatic spondylopathy, thoracic region"}, {"role": "assistant", "content": "M48.34 — Traumatic spondylopathy, 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": "Contusion of right ear, sequela"}, {"role": "assistant", "content": "S00.431S — Contusion 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": "Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T82.858A — Stenosis of other vascular 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": "Fall (on)(from) sidewalk curb, sequela"}, {"role": "assistant", "content": "W10.1XXS — Fall (on)(from) sidewalk curb, sequela"}]}
{"messages": [{"role": "system", "content": "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 femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.199K — Other physeal fracture of lower end of unspecified 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": "Partial traumatic amputation at elbow level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S58.029A — Partial traumatic amputation at elbow 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": "Toxic effect of corrosive acids and acid-like substances, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T54.2X1S — Toxic effect of corrosive acids and acid-like 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": "Adverse effect of electrolytic, caloric and water-balance agents, sequela"}, {"role": "assistant", "content": "T50.3X5S — Adverse effect of electrolytic, caloric and water-balance 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": "Dissection of artery of upper extremity"}, {"role": "assistant", "content": "I77.76 — Dissection of artery 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": "Poisoning by iron and its compounds, intentional self-harm, sequela"}, {"role": "assistant", "content": "T45.4X2S — Poisoning by iron 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 subluxation of left ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.102D — Unspecified subluxation 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": "Burn of unspecified degree of unspecified thumb (nail), initial encounter"}, {"role": "assistant", "content": "T23.019A — Burn of unspecified degree of unspecified 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": "Other injury of flexor muscle, fascia and tendon of other finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.198D — Other injury of flexor muscle, fascia and tendon of other 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": "Person boarding or alighting a pedal cycle injured in collision with pedestrian or animal, initial encounter"}, {"role": "assistant", "content": "V10.3XXA — Person boarding or alighting a pedal cycle 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": "Bitten by turtle, sequela"}, {"role": "assistant", "content": "W59.21XS — Bitten by turtle, sequela"}]}
{"messages": [{"role": "system", "content": "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, unspecified arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.246Q — Nondisplaced spiral fracture of shaft of ulna, 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": "Drowning and submersion while in bathtub, undetermined intent, subsequent encounter"}, {"role": "assistant", "content": "Y21.0XXD — Drowning and submersion while in bathtub, 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": "Other fracture of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.394G — Other fracture 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": "Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V18.2XXA — Unspecified pedal cyclist 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": "Primary blast injury of rectum, subsequent encounter"}, {"role": "assistant", "content": "S36.61XD — Primary blast 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": "Adverse effect of unspecified topical agent, subsequent encounter"}, {"role": "assistant", "content": "T49.95XD — Adverse effect of unspecified topical 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": "Corrosion of third degree of trunk, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T21.70XD — Corrosion 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": "Obstructed labor due to compound presentation, fetus 3"}, {"role": "assistant", "content": "O64.5XX3 — Obstructed labor due to compound 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": "Threat of job loss"}, {"role": "assistant", "content": "Z56.2 — Threat of job 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": "Tuberculoid leprosy"}, {"role": "assistant", "content": "A30.1 — Tuberculoid 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": "Toxic effect of unspecified substance, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T65.91XA — Toxic effect of unspecified substance, 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": "Frostbite with tissue necrosis of nose, subsequent encounter"}, {"role": "assistant", "content": "T34.02XD — Frostbite with tissue necrosis 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": "Lead-induced chronic gout, unspecified site, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.10X1 — Lead-induced chronic gout, unspecified site, 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": "Villonodular synovitis (pigmented), right hip"}, {"role": "assistant", "content": "M12.251 — Villonodular synovitis (pigmented), 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": "Displaced fracture of capitate [os magnum] bone, right wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.131P — Displaced fracture of capitate [os magnum] 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 pilon fracture of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.874H — Nondisplaced pilon fracture 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": "Non-Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C85.95 — Non-Hodgkin lymphoma, unspecified, 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": "Pedestrian on roller-skates injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V06.01XA — Pedestrian on roller-skates 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": "Laceration without foreign body of left thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.112S — Laceration without 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": "Burn of unspecified degree of multiple right fingers (nail), not including thumb, initial encounter"}, {"role": "assistant", "content": "T23.031A — Burn of unspecified 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": "Dacryolith of right lacrimal passage"}, {"role": "assistant", "content": "H04.511 — Dacryolith of right 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": "Acute nephritic syndrome with unspecified morphologic changes"}, {"role": "assistant", "content": "N00.9 — Acute nephritic syndrome with unspecified morphologic changes"}]}
{"messages": [{"role": "system", "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 elbow"}, {"role": "assistant", "content": "M19.122 — Post-traumatic osteoarthritis, 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": "Toxic effect of other organic solvents, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T52.8X1D — Toxic effect of other organic solvents, 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 injury of other blood vessels at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S75.801D — Unspecified injury of other blood vessels 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": "Laceration without foreign body of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S01.319D — Laceration without 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": "Terrorism involving firearms, terrorist injured, initial encounter"}, {"role": "assistant", "content": "Y38.4X3A — Terrorism involving firearms, terrorist 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": "Burn of unspecified degree of unspecified multiple fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.049A — Burn of unspecified 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": "Other injury of other specified muscles, fascia and tendons at wrist and hand level, unspecified hand, sequela"}, {"role": "assistant", "content": "S66.899S — Other injury of other specified muscles, fascia and tendons at wrist and hand level, 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": "Air embolism following infusion, transfusion and therapeutic injection, subsequent encounter"}, {"role": "assistant", "content": "T80.0XXD — Air embolism 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 extraarticular fracture of lower end of right radius, sequela"}, {"role": "assistant", "content": "S52.551S — Other extraarticular fracture of lower end of right 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": "Traumatic secondary and recurrent hemorrhage and seroma, sequela"}, {"role": "assistant", "content": "T79.2XXS — Traumatic secondary and recurrent hemorrhage and seroma, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Villonodular synovitis (pigmented), left shoulder"}, {"role": "assistant", "content": "M12.212 — Villonodular synovitis (pigmented), 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": "Acute embolism and thrombosis of left internal jugular vein"}, {"role": "assistant", "content": "I82.C12 — Acute embolism and thrombosis of left 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": "Terrorism involving destruction of aircraft, civilian injured, initial encounter"}, {"role": "assistant", "content": "Y38.1X2A — Terrorism involving destruction of aircraft, 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": "Rheumatoid nodule, unspecified elbow"}, {"role": "assistant", "content": "M06.329 — Rheumatoid nodule, 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": "Abnormal blood-gas level"}, {"role": "assistant", "content": "R79.81 — Abnormal blood-gas level"}]}
{"messages": [{"role": "system", "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 ankle and foot, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.2721 — Drug-induced 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": "Unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.21XD — Unspecified electric (assisted) bicycle rider 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": "Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm"}, {"role": "assistant", "content": "I25.711 — Atherosclerosis of autologous vein 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": "Poisoning by other systemic antibiotics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T36.8X1A — Poisoning by other systemic 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": "Laceration of unspecified muscles, fascia and tendons at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S56.921S — Laceration of unspecified muscles, fascia and tendons 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": "Toxic effect of paints and dyes, not elsewhere classified, assault, initial encounter"}, {"role": "assistant", "content": "T65.6X3A — Toxic effect of paints and dyes, not elsewhere classified, 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": "Laceration with foreign body of right thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.021S — Laceration with 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": "Transient synovitis, left hip"}, {"role": "assistant", "content": "M67.352 — Transient 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": "Unspecified tear of unspecified meniscus, current injury, right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.206D — Unspecified tear of unspecified 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": "Pathological fracture, right femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.451G — 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": "Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.8B1G — Other osteoporosis with current pathological fracture, right 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": "Sixth [abducent] nerve palsy, right eye"}, {"role": "assistant", "content": "H49.21 — Sixth [abducent] nerve palsy, 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 specified injuries of right lower leg, sequela"}, {"role": "assistant", "content": "S89.81XS — Other specified injuries 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": "Reactive perforating collagenosis"}, {"role": "assistant", "content": "L87.1 — Reactive perforating collagenosis"}]}
{"messages": [{"role": "system", "content": "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, unspecified hip"}, {"role": "assistant", "content": "M06.859 — Other specified rheumatoid arthritis, 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": "Bus occupant (driver) (passenger) injured in unspecified traffic accident, sequela"}, {"role": "assistant", "content": "V79.9XXS — Bus occupant (driver) (passenger) injured in unspecified 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": "Palindromic rheumatism, right hip"}, {"role": "assistant", "content": "M12.351 — Palindromic rheumatism, 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": "Glaucoma secondary to drugs, bilateral, moderate stage"}, {"role": "assistant", "content": "H40.63X2 — Glaucoma secondary to drugs, 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": "Person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter"}, {"role": "assistant", "content": "V81.4XXD — Person injured while boarding or alighting from railway train or railway 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 burn on board passenger vessel, subsequent encounter"}, {"role": "assistant", "content": "V93.11XD — Other burn on board passenger 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": "Fracture of unspecified part of unspecified clavicle, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.009B — Fracture of unspecified part of unspecified 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": "Laceration without foreign body of right thumb without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.011A — Laceration without foreign body of right 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": "Strain of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter"}, {"role": "assistant", "content": "S76.912A — Strain of unspecified 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": "Non-ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, sequela"}, {"role": "assistant", "content": "T80.A0XS — Non-ABO incompatibility reaction due to transfusion of blood or blood products, 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 extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.551Q — Other extraarticular fracture of lower end 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": "Other fractures of lower end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.592F — Other fractures of lower end of left 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": "Open bite of right breast, subsequent encounter"}, {"role": "assistant", "content": "S21.051D — Open bite of right 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": "Injury of optic nerve, left eye, sequela"}, {"role": "assistant", "content": "S04.012S — Injury of optic nerve, 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": "Fracture of unspecified part of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.002C — Fracture of unspecified part 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": "Laceration of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.423D — Laceration 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": "Non-pressure chronic ulcer of unspecified forearm with necrosis of muscle"}, {"role": "assistant", "content": "L98.A293 — Non-pressure chronic ulcer of unspecified forearm 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": "Nondisplaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.845Q — Nondisplaced bimalleolar fracture of left 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": "Other specified diseases of right inner ear"}, {"role": "assistant", "content": "H83.8X1 — Other specified diseases of right inner 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": "Salter-Harris Type IV physeal fracture of upper end of radius, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.141G — Salter-Harris Type IV physeal fracture of upper 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": "Temporary auditory threshold shift, bilateral"}, {"role": "assistant", "content": "H93.243 — Temporary auditory threshold shift, 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 right great toe with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.241D — Puncture wound 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": "Coma scale, eyes open, spontaneous, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2141 — Coma scale, eyes open, spontaneous, 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": "Corrosion of third degree of unspecified upper arm, sequela"}, {"role": "assistant", "content": "T22.739S — Corrosion of third degree of unspecified 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": "Displaced fracture of medial condyle of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.133E — Displaced fracture of medial condyle 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": "Other parachutist accident, initial encounter"}, {"role": "assistant", "content": "V97.29XA — Other parachutist 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 occupant of bus injured in collision with railway train or railway vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V75.3XXS — Unspecified occupant of bus 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 trimalleolar fracture of right lower leg, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.851B — Displaced 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": "Personal history of malignant neoplasm of pancreas"}, {"role": "assistant", "content": "Z85.07 — Personal history of malignant neoplasm of pancreas"}]}
{"messages": [{"role": "system", "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 middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.253S — Open bite 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": "Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.56XG — Nondisplaced fracture of medial malleolus 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": "Monoplegia of lower limb following cerebral infarction affecting left non-dominant side"}, {"role": "assistant", "content": "I69.344 — Monoplegia of lower limb following cerebral infarction 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": "Open bite, right knee, sequela"}, {"role": "assistant", "content": "S81.051S — Open bite, 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": "Unspecified superficial injury of unspecified parts of thorax, initial encounter"}, {"role": "assistant", "content": "S20.90XA — Unspecified superficial injury 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": "Nondisplaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.126M — Nondisplaced fracture of lesser trochanter 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": "Displaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.333A — Displaced oblique 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": "Extranodal NK/T-cell lymphoma, nasal type not having achieved remission"}, {"role": "assistant", "content": "C86.00 — Extranodal NK/T-cell lymphoma, nasal type 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": "Exposure of implanted ureteral bulking agent into ureter, initial encounter"}, {"role": "assistant", "content": "T83.724A — Exposure of implanted ureteral bulking agent into ureter, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Borderline lepromatous leprosy"}, {"role": "assistant", "content": "A30.4 — Borderline lepromatous 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": "Sjogren syndrome with other organ involvement"}, {"role": "assistant", "content": "M35.09 — Sjogren syndrome with other organ 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": "Lattice corneal dystrophy, unspecified eye"}, {"role": "assistant", "content": "H18.549 — Lattice corneal dystrophy, 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 anuria, sequela"}, {"role": "assistant", "content": "T79.5XXS — Traumatic anuria, sequela"}]}
{"messages": [{"role": "system", "content": "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 pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V20.09XA — Other motorcycle driver 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": "Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.202G — Unspecified fracture of upper end 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": "Congenital malformation of nervous system, unspecified"}, {"role": "assistant", "content": "Q07.9 — Congenital malformation of 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": "Superficial foreign body of unspecified upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.859D — Superficial foreign body 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": "War operations involving destruction of aircraft due to collision with other aircraft, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.120D — War operations involving destruction of aircraft due to collision with other aircraft, 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": "Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.5X7A — Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before 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": "Traumatic rupture of unspecified ligament of right wrist, sequela"}, {"role": "assistant", "content": "S63.301S — Traumatic rupture of unspecified ligament 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": "Pathological fracture in other disease, unspecified tibia and fibula, sequela"}, {"role": "assistant", "content": "M84.669S — Pathological fracture in other disease, unspecified tibia and 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": "Fracture of unspecified phalanx of right middle finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.602D — Fracture of unspecified phalanx of right 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": "Person on outside of ambulance or fire engine injured in nontraffic accident, sequela"}, {"role": "assistant", "content": "V86.71XS — Person on outside of ambulance or fire engine 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": "Other osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.839D — Other osteoporosis with current pathological fracture, unspecified forearm, 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 unspecified degree of unspecified axilla, initial encounter"}, {"role": "assistant", "content": "T22.449A — Corrosion of unspecified 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": "Osteoarthritis of knee, unspecified"}, {"role": "assistant", "content": "M17.9 — Osteoarthritis of knee, 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": "Kaschin-Beck disease, unspecified knee"}, {"role": "assistant", "content": "M12.169 — Kaschin-Beck disease, 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 transport accident, subsequent encounter"}, {"role": "assistant", "content": "V99.XXXD — 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": "Other fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.8X1C — Other 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": "Encounter for initial prescription of implantable subdermal contraceptive"}, {"role": "assistant", "content": "Z30.017 — Encounter for initial prescription of implantable subdermal contraceptive"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.116P — Nondisplaced fracture of body 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": "Corrosion of unspecified degree of left knee, subsequent encounter"}, {"role": "assistant", "content": "T24.422D — Corrosion 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": "Frostbite with tissue necrosis of unspecified knee and lower leg, subsequent encounter"}, {"role": "assistant", "content": "T34.70XD — Frostbite with tissue necrosis of unspecified knee and 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": "Arthritis due to other bacteria, left shoulder"}, {"role": "assistant", "content": "M00.812 — Arthritis due to other bacteria, 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": "Scombroid fish poisoning, undetermined, initial encounter"}, {"role": "assistant", "content": "T61.14XA — Scombroid fish poisoning, 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 postprocedural complications and disorders of eye and adnexa, not elsewhere classified"}, {"role": "assistant", "content": "H59.89 — Other postprocedural complications and disorders of eye and adnexa, 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": "Fishing hook entering through skin, sequela"}, {"role": "assistant", "content": "W45.3XXS — Fishing hook entering through skin, sequela"}]}
{"messages": [{"role": "system", "content": "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 greater saphenous vein at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S75.201D — Unspecified injury of greater saphenous 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 subluxation of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.003D — Unspecified 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": "Displaced dome fracture of left acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.482A — Displaced dome 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": "Underdosing of unspecified hormones and synthetic substitutes, sequela"}, {"role": "assistant", "content": "T38.806S — Underdosing 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": "Toxic effect of venom of other reptiles, undetermined, sequela"}, {"role": "assistant", "content": "T63.194S — Toxic effect of venom of other reptiles, 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 fracture of shaft of right clavicle, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.021D — Displaced fracture of shaft of right 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": "Infective dermatitis"}, {"role": "assistant", "content": "L30.3 — Infective 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": "Other ectopic pregnancy without intrauterine pregnancy"}, {"role": "assistant", "content": "O00.80 — Other ectopic pregnancy without intrauterine 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": "Public park as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.830 — Public park 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 phalanx of unspecified toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.299G — Other physeal fracture of phalanx of unspecified 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 pancreatic duct"}, {"role": "assistant", "content": "C25.3 — Malignant neoplasm of pancreatic 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": "Unspecified fracture of third thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.039K — Unspecified 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": "Degenerative myopia, bilateral"}, {"role": "assistant", "content": "H44.23 — Degenerative myopia, 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": "Sprain of other specified parts of left shoulder girdle, subsequent encounter"}, {"role": "assistant", "content": "S43.82XD — Sprain of other specified parts of left 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": "Puncture wound with foreign body of unspecified shoulder, sequela"}, {"role": "assistant", "content": "S41.049S — Puncture wound with foreign body 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": "Dislocation of metatarsophalangeal joint of left great toe, subsequent encounter"}, {"role": "assistant", "content": "S93.122D — Dislocation of metatarsophalangeal joint of left 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": "Resistance to unspecified beta lactam antibiotics"}, {"role": "assistant", "content": "Z16.10 — Resistance to unspecified beta lactam antibiotics"}]}
{"messages": [{"role": "system", "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, bilateral"}, {"role": "assistant", "content": "H43.23 — Crystalline deposits in vitreous 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": "Benign neoplasm of right kidney"}, {"role": "assistant", "content": "D30.01 — Benign neoplasm of right kidney"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S72.114K — Nondisplaced fracture of greater trochanter 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": "Poisoning by other anti-common-cold drugs, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T48.5X1D — Poisoning by other anti-common-cold drugs, 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": "Sprain of metacarpophalangeal joint of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.652D — Sprain of metacarpophalangeal 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": "Civilian injured by military aircraft, sequela"}, {"role": "assistant", "content": "V97.811S — Civilian injured by military aircraft, sequela"}]}
{"messages": [{"role": "system", "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 lower eyelid"}, {"role": "assistant", "content": "H02.875 — Vascular anomalies 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": "Unspecified Zone III fracture of sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.139G — Unspecified 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": "Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0791 — Idiopathic chronic gout, unspecified 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": "Burn of third degree of unspecified thigh, initial encounter"}, {"role": "assistant", "content": "T24.319A — Burn of third 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": "Maternal care for Anti-A sensitization, third trimester, fetus 4"}, {"role": "assistant", "content": "O36.1134 — Maternal care for Anti-A sensitization, 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": "Burn of third degree of left upper arm, sequela"}, {"role": "assistant", "content": "T22.332S — Burn of third degree 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": "Nondisplaced fracture of neck of right radius, sequela"}, {"role": "assistant", "content": "S52.134S — Nondisplaced fracture of neck of right 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": "Nondisplaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.034P — Nondisplaced avulsion fracture of tuberosity 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": "Corrosion of second degree of right ankle, subsequent encounter"}, {"role": "assistant", "content": "T25.611D — Corrosion 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": "Other physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.291P — Other 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": "Arthropathy of right temporomandibular joint"}, {"role": "assistant", "content": "M26.651 — Arthropathy 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": "Other sprain of unspecified shoulder joint, subsequent encounter"}, {"role": "assistant", "content": "S43.499D — Other sprain 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": "Toxic effect of venom of gila monster, assault, sequela"}, {"role": "assistant", "content": "T63.113S — Toxic effect of venom of gila monster, 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 pisiform, left wrist, sequela"}, {"role": "assistant", "content": "S62.165S — Nondisplaced fracture of pisiform, 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": "Other chronic nonsuppurative otitis media, left ear"}, {"role": "assistant", "content": "H65.492 — Other chronic nonsuppurative 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": "Maternal care for excessive fetal growth, second trimester, fetus 3"}, {"role": "assistant", "content": "O36.62X3 — Maternal care for excessive fetal growth, 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": "Displaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.033G — Displaced fracture of proximal third 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": "Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, sequela"}, {"role": "assistant", "content": "S05.30XS — Ocular laceration without 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": "Papulosquamous disorders in diseases classified elsewhere"}, {"role": "assistant", "content": "L45 — Papulosquamous 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": "Congenital lordosis, thoracolumbar region"}, {"role": "assistant", "content": "Q76.425 — Congenital lordosis, 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": "Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.379D — Contusion, laceration, and hemorrhage of cerebellum 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": "Poisoning by anticholinesterase agents, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T44.0X2D — Poisoning by anticholinesterase agents, 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 sprain of right foot, sequela"}, {"role": "assistant", "content": "S93.691S — Other sprain 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": "Anterior subluxation of unspecified humerus, subsequent encounter"}, {"role": "assistant", "content": "S43.013D — Anterior subluxation 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 membranous urethral stricture, male"}, {"role": "assistant", "content": "N35.813 — Other membranous urethral stricture, 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": "Nondisplaced fracture of head of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.125B — Nondisplaced fracture of head 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": "Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, assault, subsequent encounter"}, {"role": "assistant", "content": "T44.3X3D — Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, 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": "Livedoid vasculitis"}, {"role": "assistant", "content": "L95.0 — Livedoid vasculitis"}]}
{"messages": [{"role": "system", "content": "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 lacerations and hemorrhages due to birth injury"}, {"role": "assistant", "content": "P10.8 — Other intracranial lacerations and hemorrhages 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": "Esophagostomy hemorrhage"}, {"role": "assistant", "content": "K94.31 — Esophagostomy 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": "Contusion of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.011D — Contusion 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": "Military operations involving explosion of torpedo, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.040D — Military operations involving explosion of torpedo, 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": "Adverse effect of unspecified agents primarily affecting the gastrointestinal system, initial encounter"}, {"role": "assistant", "content": "T47.95XA — Adverse effect of unspecified agents primarily affecting the gastrointestinal 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": "Other restrictive cardiomyopathy"}, {"role": "assistant", "content": "I42.5 — Other restrictive cardiomyopathy"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S62.125K — Nondisplaced fracture of lunate [semilunar], 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": "Displaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.322P — Displaced 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": "Unspecified open wound of unspecified wrist, sequela"}, {"role": "assistant", "content": "S61.509S — Unspecified open wound 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": "Burn of third degree of buttock, subsequent encounter"}, {"role": "assistant", "content": "T21.35XD — Burn 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": "Nondisplaced avulsion fracture of unspecified ilium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.316B — Nondisplaced avulsion 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": "Occlusion and stenosis of bilateral anterior cerebral arteries"}, {"role": "assistant", "content": "I66.13 — Occlusion and stenosis of bilateral anterior 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": "Dislocation of internal right hip prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T84.020D — Dislocation of internal right hip 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": "Other specified injury of unspecified vertebral artery, initial encounter"}, {"role": "assistant", "content": "S15.199A — Other specified injury of unspecified 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": "Other injury of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.594A — Other 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": "Passenger in three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V36.6XXA — Passenger in three-wheeled motor 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": "Unequal limb length (acquired), left fibula"}, {"role": "assistant", "content": "M21.764 — Unequal limb length (acquired), left 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": "Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.243D — Displaced spiral 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": "Partial traumatic transphalangeal amputation of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S68.626D — Partial traumatic transphalangeal amputation 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": "Disorders of visual pathways in (due to) inflammatory disorders, right side"}, {"role": "assistant", "content": "H47.511 — Disorders of visual pathways in (due to) inflammatory disorders, 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": "Pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V02.11XA — Pedestrian on roller-skates 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": "Other fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.299Q — Other 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": "Puncture wound without foreign body of right middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.232S — Puncture wound without foreign body of right 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": "Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation"}, {"role": "assistant", "content": "M96.A3 — Multiple fractures of ribs 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": "Fracture of angle of left mandible, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.652K — Fracture of angle of left mandible, 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 upper end of left tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.012P — Salter-Harris Type I 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": "Injury of olfactory [1st ] nerve, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S04.819D — Injury of olfactory [1st ] 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": "Nondisplaced fracture of base of second metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.340K — Nondisplaced fracture of base 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": "Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.263P — Displaced segmental 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": "Acquired atrophy of right ovary"}, {"role": "assistant", "content": "N83.311 — Acquired atrophy 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": "Encounter for adjustment and management of other implanted devices"}, {"role": "assistant", "content": "Z45.89 — Encounter for adjustment and management of other implanted 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": "Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, undetermined, sequela"}, {"role": "assistant", "content": "T65.3X4S — Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, 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": "Carrier of other streptococcus"}, {"role": "assistant", "content": "Z22.338 — Carrier of other streptococcus"}]}
{"messages": [{"role": "system", "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 uterine vein, sequela"}, {"role": "assistant", "content": "S35.534S — Injury of right uterine 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": "Acute hematogenous osteomyelitis, left radius and ulna"}, {"role": "assistant", "content": "M86.032 — Acute 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": "Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.032M — Displaced 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": "Maternal care for (suspected) damage to fetus by other medical procedures, fetus 3"}, {"role": "assistant", "content": "O35.7XX3 — Maternal care for (suspected) damage to fetus by other medical procedures, 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": "Breakdown (mechanical) of internal fixation device of left humerus, sequela"}, {"role": "assistant", "content": "T84.111S — Breakdown (mechanical) of internal fixation device 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": "Colles' fracture of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.539Q — Colles' fracture 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": "Oligomenorrhea, unspecified"}, {"role": "assistant", "content": "N91.5 — Oligomenorrhea, 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 distal phalanx of other finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.668G — Nondisplaced 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": "Unspecified open wound of vagina and vulva, sequela"}, {"role": "assistant", "content": "S31.40XS — Unspecified open wound of vagina and vulva, sequela"}]}
{"messages": [{"role": "system", "content": "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 humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.456D — Nondisplaced fracture of lateral condyle 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": "Skeletal fluorosis, unspecified thigh"}, {"role": "assistant", "content": "M85.159 — Skeletal fluorosis, 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": "Nondisplaced fracture of proximal phalanx of unspecified thumb, sequela"}, {"role": "assistant", "content": "S62.516S — Nondisplaced fracture of proximal phalanx 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": "Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, not applicable or unspecified"}, {"role": "assistant", "content": "O35.13X0 — Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21, 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 temporal lobe"}, {"role": "assistant", "content": "C71.2 — Malignant neoplasm of temporal lobe"}]}
{"messages": [{"role": "system", "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 opacity of cornea, left eye"}, {"role": "assistant", "content": "H17.822 — Peripheral opacity of cornea, 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 left tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.122M — Displaced fracture of lateral condyle of left 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": "Toxic effect of strychnine and its salts, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T65.1X1D — Toxic effect of strychnine and its salts, 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": "Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5"}, {"role": "assistant", "content": "O36.72X5 — Maternal care for viable fetus in abdominal pregnancy, 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": "Female acute pelvic peritonitis"}, {"role": "assistant", "content": "N73.3 — Female acute 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": "Acute eczematoid otitis externa, left ear"}, {"role": "assistant", "content": "H60.542 — Acute eczematoid 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": "Chronic tonsillitis and adenoiditis"}, {"role": "assistant", "content": "J35.03 — Chronic tonsillitis and adenoiditis"}]}
{"messages": [{"role": "system", "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, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T50.B91D — Poisoning by other viral vaccines, 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 osteochondral fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.012R — Displaced osteochondral fracture of left patella, 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": "Peripheral tear of lateral meniscus, current injury, right knee, sequela"}, {"role": "assistant", "content": "S83.261S — Peripheral tear of lateral meniscus, current injury, 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 superficial bite of right great toe, sequela"}, {"role": "assistant", "content": "S90.471S — Other superficial bite 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": "Open bite of oral cavity, sequela"}, {"role": "assistant", "content": "S01.552S — Open bite of oral 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": "Adverse effect of other antiepileptic and sedative-hypnotic drugs, sequela"}, {"role": "assistant", "content": "T42.6X5S — Adverse effect of other antiepileptic and sedative-hypnotic 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": "Underdosing of unspecified psychotropic drug, sequela"}, {"role": "assistant", "content": "T43.96XS — Underdosing of unspecified psychotropic drug, sequela"}]}
{"messages": [{"role": "system", "content": "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 shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.271D — Other superficial bite 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": "Burn of unspecified internal organ, subsequent encounter"}, {"role": "assistant", "content": "T28.40XD — Burn of unspecified internal organ, subsequent encounter"}]}
{"messages": [{"role": "system", "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 pain, 24 hours or more after hospital admission"}, {"role": "assistant", "content": "R40.2124 — Coma scale, eyes open, to pain, 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": "Tachypnea, not elsewhere classified"}, {"role": "assistant", "content": "R06.82 — Tachypnea, 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 fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.54XQ — Nondisplaced fracture of medial malleolus 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": "Cervical disc disorder, unspecified, cervicothoracic region"}, {"role": "assistant", "content": "M50.93 — Cervical disc disorder, unspecified, 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": "Herpesviral hepatitis"}, {"role": "assistant", "content": "B00.81 — Herpesviral hepatitis"}]}
{"messages": [{"role": "system", "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, right elbow"}, {"role": "assistant", "content": "M24.421 — Recurrent dislocation, 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": "Bunion of left foot"}, {"role": "assistant", "content": "M21.612 — Bunion 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": "Dislocation of interphalangeal joint of unspecified great toe, sequela"}, {"role": "assistant", "content": "S93.113S — Dislocation of interphalangeal joint 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": "Contusion of bronchus, unilateral, sequela"}, {"role": "assistant", "content": "S27.421S — Contusion of bronchus, 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": "Unspecified pedal cyclist injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V14.9XXD — Unspecified pedal cyclist 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": "Injury of ulnar nerve at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S54.01XS — Injury of ulnar 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": "Displaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.362P — Displaced segmental 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": "Osteonecrosis due to drugs of unspecified radius"}, {"role": "assistant", "content": "M87.133 — Osteonecrosis due to drugs 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": "Salter-Harris Type IV physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.249G — Salter-Harris Type IV physeal fracture of phalanx of unspecified 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 pleura"}, {"role": "assistant", "content": "C38.4 — Malignant neoplasm 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": "Saddle embolus of pulmonary artery with acute cor pulmonale"}, {"role": "assistant", "content": "I26.02 — Saddle embolus 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": "Displaced fracture of neck of other metacarpal bone, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.338B — Displaced 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": "Toxic effect of 2-Propanol, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T51.2X1S — Toxic effect of 2-Propanol, 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": "Other specified disorders of tendon, left elbow"}, {"role": "assistant", "content": "M67.824 — Other specified disorders of tendon, 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": "Non-pressure chronic ulcer of face limited to breakdown of skin"}, {"role": "assistant", "content": "L98.461 — Non-pressure chronic ulcer of face 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 malpresentation of fetus, unspecified, not applicable or unspecified"}, {"role": "assistant", "content": "O32.9XX0 — Maternal care for malpresentation of fetus, unspecified, 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": "Nondisplaced fracture of middle phalanx of left ring finger, sequela"}, {"role": "assistant", "content": "S62.655S — Nondisplaced fracture of middle phalanx 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": "Decreased fetal movements, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O36.8195 — Decreased fetal movements, 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": "Subluxation of interphalangeal joint of left thumb, initial encounter"}, {"role": "assistant", "content": "S63.122A — Subluxation of interphalangeal 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": "Military operations involving explosion of guided missile, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.220A — Military operations involving explosion of guided missile, 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": "Nondisplaced fracture of right tibial tuberosity, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.154G — Nondisplaced fracture of right tibial tuberosity, 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 benign neoplasm of skin of right upper limb, including shoulder"}, {"role": "assistant", "content": "D23.61 — Other benign 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": "Stiffness of unspecified hip, not elsewhere classified"}, {"role": "assistant", "content": "M25.659 — Stiffness of unspecified hip, 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": "Mechanical strabismus, unspecified"}, {"role": "assistant", "content": "H50.60 — Mechanical strabismus, 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 other specified nerves of neck, sequela"}, {"role": "assistant", "content": "S14.8XXS — Injury of other specified nerves of 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": "Poisoning by caffeine, undetermined, initial encounter"}, {"role": "assistant", "content": "T43.614A — Poisoning by caffeine, 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 specified injury of unspecified muscles, fascia and tendons at thigh level, right thigh, sequela"}, {"role": "assistant", "content": "S76.991S — Other specified injury of unspecified 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": "Unspecified physeal fracture of left calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.002K — Unspecified physeal 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": "Osteolysis, left thigh"}, {"role": "assistant", "content": "M89.552 — Osteolysis, 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": "Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive system procedure"}, {"role": "assistant", "content": "K91.61 — Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating 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": "Poisoning by unspecified systemic antibiotic, intentional self-harm, sequela"}, {"role": "assistant", "content": "T36.92XS — Poisoning by unspecified systemic antibiotic, 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": "Shock due to being struck by lightning, sequela"}, {"role": "assistant", "content": "T75.01XS — Shock due to being struck by 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": "Osseous stenosis of neural canal of abdomen and other regions"}, {"role": "assistant", "content": "M99.39 — Osseous stenosis of neural canal of abdomen and other regions"}]}
{"messages": [{"role": "system", "content": "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 hip and thigh level, left leg, sequela"}, {"role": "assistant", "content": "S75.802S — Unspecified injury of other blood vessels 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": "Unspecified physeal fracture of left calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.002P — Unspecified physeal 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": "Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.032K — Salter-Harris Type III 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": "Minor laceration of unspecified innominate or subclavian vein, sequela"}, {"role": "assistant", "content": "S25.319S — Minor laceration of unspecified innominate or subclavian 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 intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.502S — Unspecified 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": "Poisoning by other general anesthetics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T41.291A — Poisoning by other general anesthetics, 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": "Corrosion of second degree back of right hand, initial encounter"}, {"role": "assistant", "content": "T23.661A — Corrosion of second degree back 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": "Avulsion of scalp, subsequent encounter"}, {"role": "assistant", "content": "S08.0XXD — Avulsion 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": "Partial traumatic transmetacarpal amputation of right hand, sequela"}, {"role": "assistant", "content": "S68.721S — Partial traumatic transmetacarpal amputation 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": "Insect bite (nonvenomous) of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "S50.369D — Insect bite (nonvenomous) 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": "Burn of second degree of multiple right fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.231D — Burn of second 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": "Postimmunization arthropathy, right hip"}, {"role": "assistant", "content": "M02.251 — Postimmunization arthropathy, 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 disorders of bone development and growth, unspecified shoulder"}, {"role": "assistant", "content": "M89.219 — Other disorders of bone development and growth, 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": "Occupational exposure to vibration"}, {"role": "assistant", "content": "Z57.7 — Occupational exposure to vibration"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hyphema, left eye"}, {"role": "assistant", "content": "H21.02 — Hyphema, 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 shaft of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.202N — Unspecified fracture of shaft 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": "Encounter for screening for unspecified developmental delays"}, {"role": "assistant", "content": "Z13.40 — Encounter for screening for unspecified developmental delays"}]}
{"messages": [{"role": "system", "content": "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 femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.344F — Nondisplaced spiral 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": "Avalanche, landslide, or mudslide, subsequent encounter"}, {"role": "assistant", "content": "X36.1XXD — Avalanche, landslide, or mudslide, subsequent encounter"}]}
{"messages": [{"role": "system", "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), sequela"}, {"role": "assistant", "content": "T63.121S — Toxic effect of venom of other venomous lizard, 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 pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.012G — Displaced fracture of distal pole of navicular [scaphoid] bone of 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": "Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.244G — Nondisplaced spiral fracture of shaft 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": "Algoneurodystrophy, unspecified upper arm"}, {"role": "assistant", "content": "M89.029 — Algoneurodystrophy, 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": "Disease of anus and rectum, unspecified"}, {"role": "assistant", "content": "K62.9 — Disease of anus and rectum, 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 right index finger, sequela"}, {"role": "assistant", "content": "S63.610S — Unspecified sprain 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": "Passenger in three-wheeled motor vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V35.1XXD — Passenger in three-wheeled motor vehicle 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": "Electric (assisted) bicycle driver injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V24.41XA — Electric (assisted) bicycle driver 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": "Acute myringitis, bilateral"}, {"role": "assistant", "content": "H73.003 — Acute 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": "Nondisplaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.246G — Nondisplaced spiral 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": "Vascular abnormalities of conjunctiva, right eye"}, {"role": "assistant", "content": "H11.411 — Vascular abnormalities of conjunctiva, 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 index finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.221A — Laceration with foreign body of left 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": "Child psychological abuse, suspected, initial encounter"}, {"role": "assistant", "content": "T76.32XA — Child psychological 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": "Unspecified superficial injury of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S00.409D — Unspecified superficial 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": "Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg"}, {"role": "assistant", "content": "I70.791 — Other atherosclerosis of other type of bypass graft(s) of the 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": "Strain of extensor or abductor muscles, fascia and tendons of unspecified thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.319A — Strain 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": "Laceration of superficial vein at shoulder and upper arm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S45.319D — Laceration of superficial vein at shoulder and upper arm 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": "Miscellaneous general hospital and personal-use devices associated with adverse incidents, not elsewhere classified"}, {"role": "assistant", "content": "Y74.8 — Miscellaneous general hospital and personal-use 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": "Cachexia"}, {"role": "assistant", "content": "R64 — Cachexia"}]}
{"messages": [{"role": "system", "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, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T54.3X1S — Toxic effect of corrosive alkalis and alkali-like 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": "Displaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.431G — Displaced fracture of medial condyle 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 physeal fracture of lower end of left femur, sequela"}, {"role": "assistant", "content": "S79.192S — Other physeal 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": "Maternal care for breech presentation, fetus 5"}, {"role": "assistant", "content": "O32.1XX5 — Maternal care for breech presentation, 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": "Myositis ossificans progressiva, left foot"}, {"role": "assistant", "content": "M61.175 — Myositis ossificans progressiva, 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": "Puncture wound without foreign body of left thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.032S — Puncture wound without 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": "Salter-Harris Type I physeal fracture of lower end of unspecified fibula, sequela"}, {"role": "assistant", "content": "S89.319S — Salter-Harris Type I physeal fracture of 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": "Bus as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.811 — Bus 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": "Conjunctivochalasis, bilateral"}, {"role": "assistant", "content": "H11.823 — Conjunctivochalasis, 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 methylphenidate, assault, sequela"}, {"role": "assistant", "content": "T43.633S — Poisoning by methylphenidate, 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": "Galeazzi's fracture of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.371F — Galeazzi's fracture 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": "Type 1 diabetes mellitus with other diabetic kidney complication"}, {"role": "assistant", "content": "E10.29 — Type 1 diabetes mellitus 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": "Nondisplaced fracture of neck of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.367K — Nondisplaced fracture of neck 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": "Ocular hypertension, bilateral"}, {"role": "assistant", "content": "H40.053 — Ocular hypertension, 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": "Corrosion of second degree of multiple sites of head, face, and neck, sequela"}, {"role": "assistant", "content": "T20.69XS — Corrosion 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": "Pre-existing type 2 diabetes mellitus, in the puerperium"}, {"role": "assistant", "content": "O24.13 — Pre-existing type 2 diabetes mellitus, 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": "Displaced fracture of pisiform, unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.163K — Displaced fracture of pisiform, 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": "Obturator dislocation of left hip, initial encounter"}, {"role": "assistant", "content": "S73.025A — Obturator 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": "Displaced fracture of proximal phalanx of right ring finger, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.614G — Displaced fracture of proximal 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": "Bent bone of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.281B — Bent bone 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": "Adverse effect of antiparkinsonism drugs and other central muscle-tone depressants, initial encounter"}, {"role": "assistant", "content": "T42.8X5A — Adverse effect of antiparkinsonism drugs and other central muscle-tone depressants, initial encounter"}]}
{"messages": [{"role": "system", "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 forearm, initial encounter"}, {"role": "assistant", "content": "S50.862A — Insect bite (nonvenomous) 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": "Chronic follicular conjunctivitis, right eye"}, {"role": "assistant", "content": "H10.431 — Chronic follicular 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": "Major laceration of left vertebral artery, initial encounter"}, {"role": "assistant", "content": "S15.122A — Major laceration 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": "Other secondary syphilitic conditions"}, {"role": "assistant", "content": "A51.49 — Other secondary syphilitic 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": "Fall into swimming pool striking water surface causing drowning and submersion, sequela"}, {"role": "assistant", "content": "W16.011S — Fall into swimming pool striking water surface 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": "Stereotyped movement disorders"}, {"role": "assistant", "content": "F98.4 — Stereotyped movement 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 second degree of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "T23.679A — Corrosion of second 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": "Abnormal microbiological findings in specimens from male genital organs"}, {"role": "assistant", "content": "R86.5 — Abnormal microbiological findings 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": "Other hypertrophic osteoarthropathy, unspecified thigh"}, {"role": "assistant", "content": "M89.459 — Other hypertrophic osteoarthropathy, 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": "Toxic effect of fusel oil, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T51.3X1D — Toxic effect of fusel oil, 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": "Person on outside of pick-up truck or van injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V56.7XXA — Person on outside of pick-up truck or van 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": "Strain of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela"}, {"role": "assistant", "content": "S46.119S — Strain of muscle, fascia and tendon of long head 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": "Poisoning by intravenous anesthetics, undetermined, initial encounter"}, {"role": "assistant", "content": "T41.1X4A — Poisoning by intravenous 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": "Other specified injury of right vertebral artery, subsequent encounter"}, {"role": "assistant", "content": "S15.191D — Other specified injury of right 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": "Acute hematogenous osteomyelitis, unspecified site"}, {"role": "assistant", "content": "M86.00 — Acute hematogenous osteomyelitis, 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 other specified blood vessels at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S45.809A — Unspecified injury of other specified blood vessels 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": "Post-traumatic osteoarthritis, left hand"}, {"role": "assistant", "content": "M19.142 — Post-traumatic osteoarthritis, 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": "Laceration without foreign body of right lesser toe(s) with damage to nail, sequela"}, {"role": "assistant", "content": "S91.214S — Laceration without 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": "Displaced fracture of third metatarsal bone, right foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.331K — Displaced fracture of third 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": "Adverse effect of antihyperlipidemic and antiarteriosclerotic drugs, sequela"}, {"role": "assistant", "content": "T46.6X5S — Adverse effect of antihyperlipidemic and antiarteriosclerotic 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": "Other physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.099G — Other physeal fracture of upper 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": "Legal intervention involving other gas, law enforcement official injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.291D — Legal intervention involving other gas, 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": "Toxic effect of other mycotoxin food contaminants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T64.82XD — Toxic effect of other mycotoxin food contaminants, 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 coronoid process of right ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.041K — Displaced fracture of coronoid process 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": "Osteonecrosis due to drugs of unspecified carpus"}, {"role": "assistant", "content": "M87.139 — Osteonecrosis due to drugs of unspecified carpus"}]}
{"messages": [{"role": "system", "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 sciatic nerve"}, {"role": "assistant", "content": "N80.D4 — Endometriosis of the sciatic 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": "Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.105S — Unspecified open wound of abdominal wall, periumbilic region 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": "Toxic effect of venom of other snake, assault, initial encounter"}, {"role": "assistant", "content": "T63.093A — Toxic effect of venom of other snake, 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": "Fracture of other specified skull and facial bones, right side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.81XB — Fracture of other specified skull and facial bones, 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": "Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V86.35XA — Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) 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": "Congenital methemoglobinemia"}, {"role": "assistant", "content": "D74.0 — Congenital methemoglobinemia"}]}
{"messages": [{"role": "system", "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 skin of breast"}, {"role": "assistant", "content": "C43.52 — Malignant melanoma 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": "Follicular lymphoma grade I, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C82.04 — Follicular lymphoma grade I, 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": "Injury of acoustic nerve, unspecified side, initial encounter"}, {"role": "assistant", "content": "S04.60XA — Injury of acoustic nerve, 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": "Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.125G — Nondisplaced fracture of acromial process, left 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": "Nondisplaced pilon fracture of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.875A — Nondisplaced pilon fracture 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": "Unspecified amblyopia, unspecified eye"}, {"role": "assistant", "content": "H53.009 — Unspecified 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": "Non-pressure chronic ulcer of unspecified thigh with necrosis of bone"}, {"role": "assistant", "content": "L97.104 — Non-pressure chronic ulcer of unspecified thigh 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": "Subluxation of metacarpal (bone), proximal end of left hand, subsequent encounter"}, {"role": "assistant", "content": "S63.062D — Subluxation of metacarpal (bone), proximal end 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": "Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.469G — Pathological fracture, unspecified tibia and 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": "Toxic effect of sulfur dioxide, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T59.1X2A — Toxic effect of sulfur dioxide, 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": "Accessory breast"}, {"role": "assistant", "content": "Q83.1 — Accessory 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": "Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), left hip"}, {"role": "assistant", "content": "M93.032 — Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), 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": "Partial traumatic amputation of unspecified foot at ankle level, initial encounter"}, {"role": "assistant", "content": "S98.029A — Partial traumatic amputation of unspecified 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": "Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter"}, {"role": "assistant", "content": "T82.319D — Breakdown (mechanical) of unspecified 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": "Insect bite (nonvenomous) of right middle finger, sequela"}, {"role": "assistant", "content": "S60.462S — Insect bite (nonvenomous) 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": "Partial loss of teeth due to caries, class I"}, {"role": "assistant", "content": "K08.431 — Partial loss of teeth due to caries, 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": "Subperiosteal abscess of mastoid, left ear"}, {"role": "assistant", "content": "H70.012 — Subperiosteal abscess of mastoid, 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 flexor muscle, fascia and tendon of left middle finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.104A — Unspecified injury of flexor 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": "Fistula, right knee"}, {"role": "assistant", "content": "M25.161 — Fistula, 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": "Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.109S — Unspecified injury of flexor muscle, fascia and tendon of unspecified 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": "Toxic effect of venom of other reptiles, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.192A — Toxic effect of venom of other reptiles, 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 fracture of neck of third metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.332P — Displaced fracture of neck 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": "Sprain of tarsal ligament of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S93.619A — Sprain of tarsal 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": "Moderate cervical dysplasia"}, {"role": "assistant", "content": "N87.1 — Moderate 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": "Displaced fracture of third metatarsal bone, right foot, sequela"}, {"role": "assistant", "content": "S92.331S — Displaced fracture of third 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": "Assault by drowning and submersion while in bathtub, subsequent encounter"}, {"role": "assistant", "content": "X92.0XXD — Assault by drowning and submersion while in bathtub, subsequent encounter"}]}
{"messages": [{"role": "system", "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 umbrella device, subsequent encounter"}, {"role": "assistant", "content": "T82.515D — Breakdown (mechanical) of umbrella 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": "Displaced bimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.843H — Displaced bimalleolar fracture of unspecified 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": "Toxic effect of unspecified snake venom, undetermined, sequela"}, {"role": "assistant", "content": "T63.004S — Toxic effect of unspecified snake venom, 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": "Complete traumatic metacarpophalangeal amputation of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S68.117D — Complete 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": "Rheumatoid lung disease with rheumatoid arthritis of unspecified knee"}, {"role": "assistant", "content": "M05.169 — Rheumatoid lung disease 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": "Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.042K — Unstable burst fracture of fourth 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": "Displaced associated transverse-posterior fracture of left acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.462G — Displaced associated transverse-posterior 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": "Displaced fracture of medial cuneiform of left foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.242A — Displaced fracture of medial cuneiform of left 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": "Other physeal fracture of right metatarsal, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.191P — Other 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": "Other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.397G — Other fracture 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": "Other specified injury of ulnar artery at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.091D — Other specified injury of ulnar 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": "Laceration of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.525S — Laceration of intrinsic 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 distal phalanx of right middle finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.632P — Displaced fracture of distal 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": "Displaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.441A — Displaced fracture of posterior column [ilioischial] 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": "Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.132D — Anterior cord 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": "Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.061H — Displaced articular fracture of head 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 spiral fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.346D — Nondisplaced spiral 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": "Insufficient welfare support"}, {"role": "assistant", "content": "Z59.72 — Insufficient welfare support"}]}
{"messages": [{"role": "system", "content": "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, left hand"}, {"role": "assistant", "content": "M89.442 — Other hypertrophic osteoarthropathy, 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 osteoporosis with current pathological fracture, right forearm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.831P — Other osteoporosis with current pathological fracture, right forearm, 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 foreign body in other parts of respiratory tract causing other injury, sequela"}, {"role": "assistant", "content": "T17.808S — Unspecified foreign body 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": "Fall on board canoe or kayak, subsequent encounter"}, {"role": "assistant", "content": "V93.35XD — Fall on board canoe or kayak, subsequent encounter"}]}
{"messages": [{"role": "system", "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 T4/T5 thoracic vertebra, initial encounter"}, {"role": "assistant", "content": "S23.130A — Subluxation of T4/T5 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": "Neonatal aspiration of blood without respiratory symptoms"}, {"role": "assistant", "content": "P24.20 — Neonatal aspiration of blood 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": "Injury of ulnar nerve at wrist and hand level of unspecified arm, sequela"}, {"role": "assistant", "content": "S64.00XS — Injury of ulnar nerve at wrist and hand level of 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 fracture of left lower leg, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.92XP — Unspecified fracture of left 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": "Malignant carcinoid tumor of the small intestine, unspecified portion"}, {"role": "assistant", "content": "C7A.019 — Malignant 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": "Cleft lip, median"}, {"role": "assistant", "content": "Q36.1 — Cleft lip, median"}]}
{"messages": [{"role": "system", "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 index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.521S — Laceration of intrinsic muscle, fascia and tendon of left 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": "Corrosion of second degree of lip(s), subsequent encounter"}, {"role": "assistant", "content": "T20.62XD — Corrosion of second 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": "Explosion of bicycle tire, initial encounter"}, {"role": "assistant", "content": "W37.0XXA — Explosion of bicycle tire, initial encounter"}]}
{"messages": [{"role": "system", "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 internal jugular vein"}, {"role": "assistant", "content": "I82.C21 — Chronic embolism and thrombosis of right 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": "Maternal care for other abnormalities of pelvic organs, second trimester"}, {"role": "assistant", "content": "O34.82 — Maternal care for other abnormalities of pelvic organs, 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 coracoid process, right shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.134D — Nondisplaced fracture of coracoid process, 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": "Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.042K — Displaced fracture of base of neck 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 biomechanical lesions of lumbar region"}, {"role": "assistant", "content": "M99.83 — Other biomechanical lesions of 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": "Toxic effect of carbon monoxide from utility gas, undetermined, initial encounter"}, {"role": "assistant", "content": "T58.14XA — Toxic effect of carbon monoxide from utility gas, 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": "Unspecified occupant of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V31.9XXS — Unspecified occupant of three-wheeled motor vehicle 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": "Toxic effect of venom of ants, assault, sequela"}, {"role": "assistant", "content": "T63.423S — Toxic effect of venom of ants, 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": "Exertional heatstroke, initial encounter"}, {"role": "assistant", "content": "T67.02XA — Exertional heatstroke, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with malunion"}, {"role": "assistant", "content": "S82.223P — Displaced transverse 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": "Asphyxiation due to hanging, assault, sequela"}, {"role": "assistant", "content": "T71.163S — Asphyxiation due to hanging, 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": "Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.011P — Anterior 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": "Mycosis fungoides, extranodal and solid organ sites"}, {"role": "assistant", "content": "C84.09 — Mycosis fungoides, 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 specified disorders of synovium, left knee"}, {"role": "assistant", "content": "M67.862 — Other specified disorders of synovium, 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": "Primary blast injury of lung, unilateral, sequela"}, {"role": "assistant", "content": "S27.311S — Primary blast injury of lung, 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": "Dislocation of proximal interphalangeal joint of left middle finger, initial encounter"}, {"role": "assistant", "content": "S63.283A — Dislocation of proximal interphalangeal 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": "Military operations involving other fires, conflagrations and hot substances, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.390D — Military operations involving other fires, conflagrations and hot substances, 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": "Toxic effect of other tobacco and nicotine, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T65.291D — Toxic effect of other tobacco and nicotine, 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": "Laceration of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter"}, {"role": "assistant", "content": "S66.822D — Laceration 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": "Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.522K — Displaced fracture of middle 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": "Unspecified fracture of lower end of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.401G — Unspecified fracture of lower end 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 other systemic antibiotics, assault, initial encounter"}, {"role": "assistant", "content": "T36.8X3A — Poisoning by other systemic antibiotics, 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 physeal fracture of upper end of right tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.001G — Unspecified physeal fracture of upper 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": "Cystic meniscus, posterior horn of lateral meniscus, right knee"}, {"role": "assistant", "content": "M23.051 — Cystic meniscus, 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": "Diastrophic dysplasia"}, {"role": "assistant", "content": "Q77.5 — Diastrophic 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": "Other fracture of right lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.591G — Other fracture 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": "Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T53.6X4D — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, 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": "Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), sequela"}, {"role": "assistant", "content": "T40.991S — Poisoning by other psychodysleptics [hallucinogens], 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 lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S84.22XS — Injury of cutaneous sensory nerve 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 right kidney, unspecified degree, subsequent encounter"}, {"role": "assistant", "content": "S37.031D — Laceration of right 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": "Fibrous dysplasia (monostotic), unspecified lower leg"}, {"role": "assistant", "content": "M85.069 — Fibrous dysplasia (monostotic), 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": "Osteonecrosis due to drugs, right shoulder"}, {"role": "assistant", "content": "M87.111 — Osteonecrosis due to drugs, 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": "Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation"}, {"role": "assistant", "content": "I60.01 — Nontraumatic subarachnoid hemorrhage from right 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": "Toxic effect of smoke, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T59.814D — Toxic effect of smoke, 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": "Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounter"}, {"role": "assistant", "content": "V65.4XXD — Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway 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": "Alcohol abuse with intoxication, unspecified"}, {"role": "assistant", "content": "F10.129 — Alcohol abuse with intoxication, 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": "Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow"}, {"role": "assistant", "content": "M05.529 — Rheumatoid polyneuropathy with rheumatoid arthritis of 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": "Displaced spiral fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.342D — Displaced spiral 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": "Infection of intervertebral disc (pyogenic), thoracic region"}, {"role": "assistant", "content": "M46.34 — Infection of intervertebral disc (pyogenic), 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": "Retained (old) magnetic foreign body in vitreous body, unspecified eye"}, {"role": "assistant", "content": "H44.659 — Retained (old) magnetic foreign body in vitreous 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": "Benign neoplasm of left retina"}, {"role": "assistant", "content": "D31.22 — Benign neoplasm of left 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": "Other specified rheumatoid arthritis, multiple sites"}, {"role": "assistant", "content": "M06.89 — Other specified rheumatoid arthritis, 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": "Unspecified injury of left middle and inner ear, sequela"}, {"role": "assistant", "content": "S09.302S — Unspecified injury of left 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": "Other specified injury of unspecified blood vessel at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S55.992S — Other specified injury of unspecified blood vessel 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 reduction defects of left lower limb"}, {"role": "assistant", "content": "Q72.892 — Other reduction defects 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": "Toxic effect of zinc and its compounds, assault, sequela"}, {"role": "assistant", "content": "T56.5X3S — Toxic effect of zinc and its compounds, 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 xerosis, unspecified, unspecified eye"}, {"role": "assistant", "content": "H11.149 — Conjunctival xerosis, unspecified, 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 hook process of hamate [unciform] bone, left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.152P — Displaced fracture of hook process of hamate [unciform] 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": "Adverse effect of otorhinolaryngological drugs and preparations, initial encounter"}, {"role": "assistant", "content": "T49.6X5A — Adverse effect 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": "Displaced oblique fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.232C — Displaced oblique fracture of shaft 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": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.256N — Nondisplaced comminuted 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": "Other specified congenital malformations of skin"}, {"role": "assistant", "content": "Q82.8 — Other specified congenital malformations 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": "Car occupant (driver) (passenger) injured in unspecified traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V49.9XXD — Car occupant (driver) (passenger) injured in unspecified 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 spiral fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.244E — Nondisplaced spiral 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": "Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter"}, {"role": "assistant", "content": "S06.895A — Other specified 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": "Dermato(poly)myositis in neoplastic disease"}, {"role": "assistant", "content": "M36.0 — Dermato(poly)myositis 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": "Displaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.042N — Displaced comminuted 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": "Displaced fracture of base of fourth metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.315B — Displaced fracture of base 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": "Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.443C — Displaced fracture of lower epiphysis (separation) 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 foreign body in esophagus causing other injury, initial encounter"}, {"role": "assistant", "content": "T18.108A — Unspecified foreign body 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": "Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter"}, {"role": "assistant", "content": "T82.111A — Breakdown (mechanical) 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": "Other bursitis, not elsewhere classified, unspecified wrist"}, {"role": "assistant", "content": "M71.539 — Other bursitis, 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": "Subluxation of unspecified interphalangeal joint of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.227D — Subluxation of unspecified interphalangeal joint 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": "Sprain of unspecified parts of thorax, subsequent encounter"}, {"role": "assistant", "content": "S23.9XXD — Sprain 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 intraarticular fracture of lower end of left radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.572P — Other intraarticular 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": "Family history of polycystic kidney"}, {"role": "assistant", "content": "Z82.71 — Family history of polycystic kidney"}]}
{"messages": [{"role": "system", "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 shoulder"}, {"role": "assistant", "content": "M66.211 — Spontaneous rupture of extensor tendons, 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": "Displaced spiral fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.443G — Displaced spiral 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": "Other specified industrial and construction area as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.69 — Other specified industrial and construction area 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 open wound of thyroid gland, initial encounter"}, {"role": "assistant", "content": "S11.10XA — Unspecified open wound 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": "Avulsion of left eye, initial encounter"}, {"role": "assistant", "content": "S05.72XA — Avulsion 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": "Dislocation of right acromioclavicular joint, 100%-200% displacement, initial encounter"}, {"role": "assistant", "content": "S43.121A — Dislocation of right acromioclavicular joint, 100%-200% displacement, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S92.333S — Displaced fracture of third metatarsal bone, 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": "Open bite of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.659S — Open bite 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": "Displaced fracture of neck of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.133Q — Displaced fracture of neck 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 harmful algae and algae toxins, undetermined, initial encounter"}, {"role": "assistant", "content": "T65.824A — Toxic effect of harmful algae and algae toxins, 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 left lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.532K — Displaced 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": "Poisoning by otorhinolaryngological drugs and preparations, undetermined, initial encounter"}, {"role": "assistant", "content": "T49.6X4A — Poisoning by otorhinolaryngological drugs and preparations, 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": "Single live birth"}, {"role": "assistant", "content": "Z37.0 — Single live birth"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hyperplasia of appendix"}, {"role": "assistant", "content": "K38.0 — Hyperplasia 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": "Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.343G — Displaced 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": "Injury of unspecified iliac artery, sequela"}, {"role": "assistant", "content": "S35.513S — Injury of unspecified 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": "Postural kyphosis, cervicothoracic region"}, {"role": "assistant", "content": "M40.03 — Postural kyphosis, 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": "Pressure ulcer of left lower back, stage 1"}, {"role": "assistant", "content": "L89.141 — Pressure ulcer of left lower back, 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": "Primary blast injury of bronchus, unilateral, sequela"}, {"role": "assistant", "content": "S27.411S — Primary blast injury of bronchus, 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": "Primary open-angle glaucoma, bilateral, severe stage"}, {"role": "assistant", "content": "H40.1133 — Primary open-angle glaucoma, 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": "Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cord"}, {"role": "assistant", "content": "P50.5 — Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's 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": "Unspecified injury of other specified blood vessels at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S45.801D — Unspecified injury of other specified blood vessels at shoulder and upper arm 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": "Cannabis dependence with cannabis-induced anxiety disorder"}, {"role": "assistant", "content": "F12.280 — Cannabis dependence with cannabis-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": "Laceration without foreign body of unspecified toe without damage to nail, sequela"}, {"role": "assistant", "content": "S91.119S — Laceration without foreign body of unspecified 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": "Superficial foreign body, unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "S80.859A — Superficial foreign body, 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": "Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.201D — Unspecified fracture 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": "Unspecified fracture of first metacarpal bone, unspecified hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.209G — Unspecified fracture of first metacarpal bone, 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": "Brawny scleritis, left eye"}, {"role": "assistant", "content": "H15.022 — Brawny scleritis, 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": "Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.92XD — Fracture of left shoulder girdle, part 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": "Autoinflammatory syndrome, unspecified"}, {"role": "assistant", "content": "M04.9 — Autoinflammatory 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": "Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.244N — Nondisplaced spiral fracture of shaft 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": "Unspecified open wound of unspecified breast, initial encounter"}, {"role": "assistant", "content": "S21.009A — Unspecified open wound 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": "Fall (on)(from) escalator, sequela"}, {"role": "assistant", "content": "W10.0XXS — Fall (on)(from) escalator, sequela"}]}
{"messages": [{"role": "system", "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 other specified severity"}, {"role": "assistant", "content": "L98.418 — Non-pressure chronic ulcer of buttock 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": "Legal intervention involving unspecified explosives, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.103D — Legal intervention involving unspecified explosives, 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": "Fall on board other unpowered watercraft, initial encounter"}, {"role": "assistant", "content": "V93.38XA — Fall on board other unpowered 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 fracture of lateral condyle of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.454A — Nondisplaced fracture of lateral condyle 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": "Superficial foreign body, unspecified knee, sequela"}, {"role": "assistant", "content": "S80.259S — Superficial 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": "Osteitis condensans, unspecified forearm"}, {"role": "assistant", "content": "M85.339 — Osteitis condensans, 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": "Toxic effect of unspecified snake venom, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.004D — Toxic effect of unspecified snake venom, 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 unspecified organic solvent, intentional self-harm, sequela"}, {"role": "assistant", "content": "T52.92XS — Toxic effect of unspecified organic solvent, 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": "Poisoning by other anti-common-cold drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T48.5X4A — Poisoning by other anti-common-cold 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": "Laceration of thoracic trachea, initial encounter"}, {"role": "assistant", "content": "S27.53XA — Laceration 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": "Other specified fracture of left pubis, sequela"}, {"role": "assistant", "content": "S32.592S — Other specified fracture of left 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": "Crushing injury of right foot, initial encounter"}, {"role": "assistant", "content": "S97.81XA — Crushing injury 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 chorioretinal scars, unspecified eye"}, {"role": "assistant", "content": "H31.099 — Other chorioretinal scars, 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": "Salter-Harris Type III physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.039P — Salter-Harris Type III 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": "Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone"}, {"role": "assistant", "content": "L97.424 — Non-pressure chronic ulcer of left heel and midfoot 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": "Laceration of ulnar artery at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.011D — Laceration of ulnar 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": "Papyraceous fetus, third trimester, other fetus"}, {"role": "assistant", "content": "O31.03X9 — Papyraceous fetus, 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": "Displaced fracture of distal phalanx of right index finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.630K — Displaced fracture of distal phalanx of right index 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 injury of unspecified carotid artery, sequela"}, {"role": "assistant", "content": "S15.099S — Other specified 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": "Salter-Harris Type I physeal fracture of lower end of radius, left arm, sequela"}, {"role": "assistant", "content": "S59.212S — Salter-Harris Type I 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": "Cerebral arteritis in other diseases classified elsewhere"}, {"role": "assistant", "content": "I68.2 — Cerebral arteritis 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": "Nummular dermatitis"}, {"role": "assistant", "content": "L30.0 — Nummular 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": "Major contusion of unspecified kidney, initial encounter"}, {"role": "assistant", "content": "S37.029A — Major contusion of unspecified 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": "Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.346N — Nondisplaced spiral 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": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, sequela"}, {"role": "assistant", "content": "S72.464S — Nondisplaced supracondylar fracture with intracondylar extension 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": "Microcephaly"}, {"role": "assistant", "content": "Q02 — Microcephaly"}]}
{"messages": [{"role": "system", "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 nervous system"}, {"role": "assistant", "content": "Z48.811 — Encounter for surgical aftercare following surgery on 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": "Mammographic extreme density, right breast"}, {"role": "assistant", "content": "R92.341 — Mammographic extreme density, 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": "Postimmunization arthropathy, unspecified hand"}, {"role": "assistant", "content": "M02.249 — Postimmunization arthropathy, 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": "Displaced segmental fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.361Q — Displaced segmental fracture of shaft of radius, 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": "Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery"}, {"role": "assistant", "content": "I63.212 — Cerebral infarction due to unspecified occlusion or stenosis 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": "Fall from bed, subsequent encounter"}, {"role": "assistant", "content": "W06.XXXD — Fall from bed, subsequent encounter"}]}
{"messages": [{"role": "system", "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 water surface causing drowning and submersion, subsequent encounter"}, {"role": "assistant", "content": "W16.311D — Fall into other water striking water surface 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": "Other nondisplaced fracture of base of first metacarpal bone, left hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.235A — Other nondisplaced fracture of base of first 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": "Maternal care for (suspected) other central nervous system malformation or damage in fetus, fetus 5"}, {"role": "assistant", "content": "O35.09X5 — Maternal care for (suspected) other central nervous system malformation or damage in fetus, 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": "Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure"}, {"role": "assistant", "content": "I50.43 — Acute on chronic combined systolic (congestive) and diastolic (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": "Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.011P — Displaced fracture of distal pole 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": "Radiculopathy, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M54.18 — 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 lesions of median nerve, right upper limb"}, {"role": "assistant", "content": "G56.11 — Other lesions of median nerve, 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": "Laceration of uterus, not elsewhere classified"}, {"role": "assistant", "content": "O71.81 — Laceration of uterus, 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 rider of other motorcycle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V25.99XD — Unspecified rider of other motorcycle 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": "Displaced dome fracture of left talus, sequela"}, {"role": "assistant", "content": "S92.142S — Displaced dome fracture of left 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 motorcycle driver injured in collision with car, pick-up truck or van in traffic accident, initial encounter"}, {"role": "assistant", "content": "V23.49XA — Other motorcycle driver 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": "Monofixation syndrome"}, {"role": "assistant", "content": "H50.42 — Monofixation 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": "Contusion of left upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.022D — Contusion 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 nondisplaced fracture of base of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.234D — Other nondisplaced fracture of base 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": "Postprocedural hematoma of a circulatory system organ or structure following other procedure"}, {"role": "assistant", "content": "I97.621 — Postprocedural hematoma of a circulatory system organ or 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": "Nondisplaced fracture of head of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.124K — Nondisplaced fracture of head 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": "Congenital absence, atresia and stenosis of anus without fistula"}, {"role": "assistant", "content": "Q42.3 — Congenital absence, atresia and stenosis of anus without 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": "Tarsal tunnel syndrome, bilateral lower limbs"}, {"role": "assistant", "content": "G57.53 — Tarsal tunnel syndrome, 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": "Unspecified injury of intercostal blood vessels, left side, initial encounter"}, {"role": "assistant", "content": "S25.502A — Unspecified injury of intercostal blood vessels, 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": "Injury of cutaneous sensory nerve at hip and thigh level, right leg, initial encounter"}, {"role": "assistant", "content": "S74.21XA — Injury of cutaneous sensory nerve 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": "Underdosing of other antacids and anti-gastric-secretion drugs, subsequent encounter"}, {"role": "assistant", "content": "T47.1X6D — Underdosing of other antacids and anti-gastric-secretion 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": "Endometriosis of lung"}, {"role": "assistant", "content": "N80.B2 — Endometriosis 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": "Superficial foreign body of other specified part of neck, sequela"}, {"role": "assistant", "content": "S10.85XS — Superficial foreign body of other specified part of 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": "Pathological dislocation of unspecified joint, not elsewhere classified"}, {"role": "assistant", "content": "M24.30 — Pathological dislocation of unspecified joint, 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": "Occupant of animal-drawn vehicle injured by fall from or being thrown from animal-drawn vehicle in noncollision accident, subsequent encounter"}, {"role": "assistant", "content": "V80.02XD — Occupant of animal-drawn vehicle injured by fall from or being thrown from animal-drawn vehicle in noncollision 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": "Osseous and subluxation stenosis of intervertebral foramina of sacral region"}, {"role": "assistant", "content": "M99.64 — Osseous and subluxation stenosis of intervertebral foramina 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": "Nondisplaced fracture of neck of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.135B — Nondisplaced fracture of neck 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": "Poisoning by other general anesthetics, assault, subsequent encounter"}, {"role": "assistant", "content": "T41.293D — Poisoning by other general 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": "Trigger finger, left ring finger"}, {"role": "assistant", "content": "M65.342 — Trigger finger, left ring 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": "Barton's fracture of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.561P — Barton'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": "Insect bite (nonvenomous), left foot, initial encounter"}, {"role": "assistant", "content": "S90.862A — Insect bite (nonvenomous), 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": "Displaced fracture of head of right radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.121B — Displaced fracture of head 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": "Cannabis dependence with intoxication, uncomplicated"}, {"role": "assistant", "content": "F12.220 — Cannabis dependence 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": "Supervision of other high risk pregnancies, unspecified trimester"}, {"role": "assistant", "content": "O09.899 — Supervision of other high risk pregnancies, 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": "Contusion of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S60.229A — Contusion 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": "Obstructive hydrocephalus"}, {"role": "assistant", "content": "G91.1 — Obstructive hydrocephalus"}]}
{"messages": [{"role": "system", "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 pedestrian or animal in traffic accident, sequela"}, {"role": "assistant", "content": "V30.5XXS — Driver of three-wheeled motor vehicle 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": "Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter"}, {"role": "assistant", "content": "T82.9XXA — Unspecified complication of cardiac and vascular 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": "Social pragmatic communication disorder"}, {"role": "assistant", "content": "F80.82 — Social pragmatic communication 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 bimalleolar fracture of left lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.845F — Nondisplaced bimalleolar fracture of left lower 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": "Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.6X7A — Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury 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": "Poisoning by antitussives, intentional self-harm, sequela"}, {"role": "assistant", "content": "T48.3X2S — Poisoning by antitussives, 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 of unspecified index finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.029A — Contusion of unspecified 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": "Fall from playground swing, sequela"}, {"role": "assistant", "content": "W09.1XXS — Fall from playground swing, sequela"}]}
{"messages": [{"role": "system", "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 pressurized tire, pipe or hose, subsequent encounter"}, {"role": "assistant", "content": "W37.8XXD — Explosion and rupture of other pressurized tire, pipe or hose, subsequent encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S36.63XS — Laceration of rectum, sequela"}]}
{"messages": [{"role": "system", "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 forearm, sequela"}, {"role": "assistant", "content": "S57.80XS — Crushing injury 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": "Other mechanical complication of internal right knee prosthesis, initial encounter"}, {"role": "assistant", "content": "T84.092A — Other mechanical complication of internal right knee 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": "Burn of third degree of left scapular region, sequela"}, {"role": "assistant", "content": "T22.362S — Burn of third degree of left 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 specified injury of femoral vein at hip and thigh level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S75.192D — Other specified injury of femoral vein 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": "Drowning and submersion due to falling or jumping from burning water-skis, subsequent encounter"}, {"role": "assistant", "content": "V90.27XD — Drowning and submersion due to falling or jumping from burning water-skis, subsequent encounter"}]}
{"messages": [{"role": "system", "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 antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, initial encounter"}, {"role": "assistant", "content": "T38.6X5A — Adverse effect 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": "Nondisplaced comminuted fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.044R — Nondisplaced comminuted fracture of right patella, 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": "Urban rabies"}, {"role": "assistant", "content": "A82.1 — Urban rabies"}]}
{"messages": [{"role": "system", "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 tibial nerve at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S84.01XA — Injury of tibial 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": "Burn of first degree of unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "T24.139A — Burn of first degree 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": "Flail chest, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.5XXD — Flail chest, 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": "Periprosthetic fracture around internal prosthetic left knee joint, sequela"}, {"role": "assistant", "content": "M97.12XS — Periprosthetic fracture around internal prosthetic left 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": "Other specified injury of left internal jugular vein, sequela"}, {"role": "assistant", "content": "S15.392S — Other specified injury of left 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": "Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.026P — Nondisplaced fracture of olecranon process without 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": "Deficiency of other specified nutrient elements"}, {"role": "assistant", "content": "E61.8 — Deficiency of other specified nutrient elements"}]}
{"messages": [{"role": "system", "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 cholesteatoma of postmastoidectomy cavity, right ear"}, {"role": "assistant", "content": "H95.01 — Recurrent cholesteatoma of postmastoidectomy cavity, 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": "Unstable burst fracture of T5-T6 vertebra, sequela"}, {"role": "assistant", "content": "S22.052S — Unstable burst fracture of T5-T6 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": "Subluxation of C0/C1 cervical vertebrae, subsequent encounter"}, {"role": "assistant", "content": "S13.110D — Subluxation 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": "Subluxation of interphalangeal joint of left great toe, subsequent encounter"}, {"role": "assistant", "content": "S93.132D — Subluxation of interphalangeal joint of left 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": "Other place in mobile home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.028 — Other place 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": "Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, subsequent encounter"}, {"role": "assistant", "content": "T44.3X5D — Adverse effect 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": "Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S96.099D — Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, 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 physeal fracture of upper end of right femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.001P — Unspecified 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": "Pneumonia due to Escherichia coli"}, {"role": "assistant", "content": "J15.5 — Pneumonia 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": "Nondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.126G — Nondisplaced fracture of head 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": "Unspecified subluxation of unspecified ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.103S — Unspecified subluxation 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": "Other injury of unspecified muscle(s) and tendon(s) at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.991A — Other injury of unspecified 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": "Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye"}, {"role": "assistant", "content": "E08.3522 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, 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": "Disorders of muscle in diseases classified elsewhere, other site"}, {"role": "assistant", "content": "M63.88 — Disorders of muscle in diseases classified elsewhere, 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": "Complete physeal arrest, right distal radius"}, {"role": "assistant", "content": "M89.131 — Complete physeal arrest, right distal 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": "Poisoning by other drugs, medicaments and biological substances, assault, subsequent encounter"}, {"role": "assistant", "content": "T50.993D — Poisoning by other drugs, medicaments and biological substances, 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": "Person boarding or alighting an electric (assisted) bicycle injured in collision with fixed or stationary object, subsequent encounter"}, {"role": "assistant", "content": "V27.31XD — Person boarding or alighting an electric (assisted) bicycle injured in collision with fixed or stationary 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": "Other specified injury of other blood vessels at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S55.899A — Other specified injury of other blood vessels 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": "Fetal anemia and thrombocytopenia, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8230 — Fetal anemia and thrombocytopenia, 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": "Disease of thymus, unspecified"}, {"role": "assistant", "content": "E32.9 — Disease of thymus, 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 lesser tuberosity of right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.261D — Displaced fracture of lesser 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": "Staphylococcal arthritis, vertebrae"}, {"role": "assistant", "content": "M00.08 — Staphylococcal arthritis, 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": "Unspecified injury of left foot, sequela"}, {"role": "assistant", "content": "S99.922S — Unspecified 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": "Sprain of interphalangeal joint of right lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S93.514A — Sprain of interphalangeal joint of right 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": "Activity, rugby"}, {"role": "assistant", "content": "Y93.63 — Activity, rugby"}]}
{"messages": [{"role": "system", "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 births, unspecified, all liveborn"}, {"role": "assistant", "content": "Z37.50 — Multiple births, unspecified, all 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": "Displacement of implanted electronic neurostimulator, generator, sequela"}, {"role": "assistant", "content": "T85.123S — Displacement of implanted electronic neurostimulator, generator, sequela"}]}
{"messages": [{"role": "system", "content": "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 dolphin, sequela"}, {"role": "assistant", "content": "W56.09XS — Other contact with dolphin, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other therapeutic (nonsurgical) and rehabilitative ophthalmic devices associated with adverse incidents"}, {"role": "assistant", "content": "Y77.19 — Other therapeutic (nonsurgical) and rehabilitative ophthalmic 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": "Nondisplaced fracture of proximal phalanx of other finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.648A — Nondisplaced fracture of proximal 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": "Fascioliasis"}, {"role": "assistant", "content": "B66.3 — Fascioliasis"}]}
{"messages": [{"role": "system", "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 3"}, {"role": "assistant", "content": "O35.06X3 — Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, 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": "Dystonia, unspecified"}, {"role": "assistant", "content": "G24.9 — Dystonia, 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": "Misplaced ear"}, {"role": "assistant", "content": "Q17.4 — Misplaced 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": "Nicotine dependence, other tobacco product, with withdrawal"}, {"role": "assistant", "content": "F17.293 — Nicotine dependence, other tobacco product, 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": "Acute follicular conjunctivitis, unspecified eye"}, {"role": "assistant", "content": "H10.019 — Acute follicular 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 unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.499A — Corrosion of unspecified 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": "Unspecified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.401A — Unspecified injury of intrinsic 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": "Displaced fracture of proximal phalanx of right little finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.616D — Displaced fracture of proximal phalanx of right little 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": "Osseous obstruction of Eustachian tube, bilateral"}, {"role": "assistant", "content": "H68.113 — Osseous obstruction of Eustachian tube, 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, other fetus"}, {"role": "assistant", "content": "O31.13X9 — Continuing pregnancy after spontaneous abortion of one fetus or more, 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": "Glaucoma secondary to drugs, left eye, indeterminate stage"}, {"role": "assistant", "content": "H40.62X4 — Glaucoma secondary to drugs, 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": "Complications of reattached (part of) left upper extremity"}, {"role": "assistant", "content": "T87.0X2 — Complications of reattached (part of) 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": "Burn of third degree of male genital region, initial encounter"}, {"role": "assistant", "content": "T21.36XA — Burn of third degree of male genital 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": "Nondisplaced bicondylar fracture of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.145Q — Nondisplaced bicondylar 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": "Chronic gout due to renal impairment, unspecified wrist, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3391 — Chronic gout due to renal impairment, unspecified 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": "Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.112G — Severely 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": "Displaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.421P — Displaced 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": "Explosion and rupture of boiler, subsequent encounter"}, {"role": "assistant", "content": "W35.XXXD — Explosion and rupture of boiler, subsequent encounter"}]}
{"messages": [{"role": "system", "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 ankle and foot, sequela"}, {"role": "assistant", "content": "M80.071S — Age-related osteoporosis with current pathological fracture, 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, unspecified hip, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.3591 — Chronic gout due to renal impairment, unspecified 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": "Laceration of extensor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.320D — Laceration of extensor muscle, fascia and tendon of right 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": "Puncture wound without foreign body of other specified part of neck, sequela"}, {"role": "assistant", "content": "S11.83XS — Puncture wound without foreign body of other specified part of 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": "Synovial hypertrophy, not elsewhere classified, left shoulder"}, {"role": "assistant", "content": "M67.212 — Synovial hypertrophy, not elsewhere classified, 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 base of second metacarpal bone, left hand, sequela"}, {"role": "assistant", "content": "S62.341S — Nondisplaced fracture of base 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": "Toxic effect of other halogen derivatives of aromatic hydrocarbons, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T53.7X1S — Toxic effect of other halogen derivatives of aromatic hydrocarbons, 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": "Other injury of heart without hemopericardium, sequela"}, {"role": "assistant", "content": "S26.19XS — Other injury 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": "Laceration of lung, unilateral, initial encounter"}, {"role": "assistant", "content": "S27.331A — Laceration of lung, 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": "Laceration without foreign body, unspecified ankle, subsequent encounter"}, {"role": "assistant", "content": "S91.019D — Laceration 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": "Toxic effect of venom of other venomous lizard, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T63.121D — Toxic effect of venom of other venomous lizard, 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": "Malocclusion, Angle's class II"}, {"role": "assistant", "content": "M26.212 — Malocclusion, Angle's 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": "Insect bite (nonvenomous), unspecified ankle, subsequent encounter"}, {"role": "assistant", "content": "S90.569D — Insect bite (nonvenomous), 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": "Sprain of interphalangeal joint of left little finger, sequela"}, {"role": "assistant", "content": "S63.637S — Sprain of 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": "Pathological fracture in other disease, right ulna, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.631K — Pathological fracture in other disease, right ulna, 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 right tibial tuberosity, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.154E — Nondisplaced fracture of right tibial tuberosity, 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": "Person boarding or alighting a car injured in collision with heavy transport vehicle or bus, initial encounter"}, {"role": "assistant", "content": "V44.4XXA — Person boarding or alighting a car injured in collision with heavy transport vehicle or bus, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 type car in traffic accident, initial encounter"}, {"role": "assistant", "content": "V43.92XA — Unspecified car occupant injured in collision with other type car 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": "Central auditory processing disorder"}, {"role": "assistant", "content": "H93.25 — Central auditory processing 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 cyst of jaw"}, {"role": "assistant", "content": "M27.40 — Unspecified cyst of jaw"}]}
{"messages": [{"role": "system", "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 pharynx and cervical esophagus, sequela"}, {"role": "assistant", "content": "S11.23XS — Puncture wound without foreign body of pharynx and cervical esophagus, sequela"}]}
{"messages": [{"role": "system", "content": "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 open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.401J — Unspecified 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": "Laceration with foreign body of unspecified part of neck, initial encounter"}, {"role": "assistant", "content": "S11.92XA — Laceration with foreign body of unspecified 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": "Triplets, some liveborn"}, {"role": "assistant", "content": "Z37.61 — Triplets, some 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": "Military operations involving explosion of aerial bomb, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.210D — Military 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": "Other fracture of upper and lower end of right fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.831Q — Other fracture of upper and lower end of right 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": "Pedestrian on foot injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident, sequela"}, {"role": "assistant", "content": "V03.90XS — Pedestrian on foot injured in collision with car, pick-up truck or van, 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": "Hemiplegic migraine, intractable, with status migrainosus"}, {"role": "assistant", "content": "G43.411 — Hemiplegic 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": "Laceration with foreign body, unspecified lower leg, initial encounter"}, {"role": "assistant", "content": "S81.829A — Laceration with foreign body, 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": "Sprain of the superior tibiofibular joint and ligament, left knee, sequela"}, {"role": "assistant", "content": "S83.62XS — Sprain of the superior tibiofibular joint and ligament, 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 oblique fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.334F — Nondisplaced oblique 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": "Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.001F — Unspecified fracture of right 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": "Salter-Harris Type IV physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.041P — Salter-Harris Type IV physeal fracture of lower end of ulna, 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": "Displaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.431C — Displaced fracture of medial condyle 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 comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.355M — Nondisplaced comminuted fracture of shaft of radius, left arm, 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": "24 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.24 — 24 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": "Occupant of streetcar injured in unspecified traffic accident, sequela"}, {"role": "assistant", "content": "V82.9XXS — Occupant of streetcar injured in unspecified 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": "Dementia in other diseases classified elsewhere, moderate, with mood disturbance"}, {"role": "assistant", "content": "F02.B3 — Dementia in other diseases classified elsewhere, 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": "Unspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.002K — Unspecified fracture of upper end 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": "Displaced fracture of right tibial tuberosity, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.151J — Displaced fracture of right tibial tuberosity, 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": "Exposure to bed fire due to unspecified burning material, sequela"}, {"role": "assistant", "content": "X08.00XS — Exposure to bed fire due to unspecified burning material, sequela"}]}
{"messages": [{"role": "system", "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 premature depolarization"}, {"role": "assistant", "content": "I49.3 — Ventricular premature depolarization"}]}
{"messages": [{"role": "system", "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 right orbit"}, {"role": "assistant", "content": "H05.311 — Atrophy 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": "Spontaneous rupture of extensor tendons, right upper arm"}, {"role": "assistant", "content": "M66.221 — Spontaneous rupture of extensor tendons, 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": "Otitis externa in other diseases classified elsewhere, left ear"}, {"role": "assistant", "content": "H62.42 — Otitis externa in other 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": "Deep vascularization of cornea, left eye"}, {"role": "assistant", "content": "H16.442 — Deep vascularization of cornea, 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 right ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.691K — Other fracture of lower end 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": "Assault by other specified explosive, initial encounter"}, {"role": "assistant", "content": "X96.8XXA — Assault by other specified 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": "Nondisplaced fracture of fifth metatarsal bone, left foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.355B — Nondisplaced fracture of fifth metatarsal bone, 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": "Poisoning by mineralocorticoids and their antagonists, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T50.0X2A — Poisoning by mineralocorticoids and their 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": "Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter"}, {"role": "assistant", "content": "T81.537A — Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Herniation of continent stoma of urinary tract"}, {"role": "assistant", "content": "N99.533 — Herniation 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": "Nondisplaced segmental fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.265C — Nondisplaced segmental fracture of shaft 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": "Displaced unspecified fracture of right lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.501A — Displaced unspecified 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": "Degenerative myopia with retinal detachment, unspecified eye"}, {"role": "assistant", "content": "H44.2C9 — Degenerative myopia with retinal detachment, 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 shortening of left upper limb"}, {"role": "assistant", "content": "Q71.812 — Congenital shortening 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": "Retinal detachment with single break, left eye"}, {"role": "assistant", "content": "H33.012 — Retinal detachment with single break, 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 complication of bone graft"}, {"role": "assistant", "content": "T86.839 — Unspecified complication of bone graft"}]}
{"messages": [{"role": "system", "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 pushing or placing victim in front of other moving object, initial encounter"}, {"role": "assistant", "content": "Y02.8XXA — Assault by pushing or placing victim in front of other moving 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": "Breakdown (mechanical) of surgically created arteriovenous fistula, sequela"}, {"role": "assistant", "content": "T82.510S — Breakdown (mechanical) of surgically created arteriovenous fistula, sequela"}]}
{"messages": [{"role": "system", "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 unspecified internal joint prosthesis, initial encounter"}, {"role": "assistant", "content": "T84.50XA — Infection and inflammatory reaction due to unspecified internal joint 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 epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.025Q — Nondisplaced fracture of epiphysis (separation) (upper) 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": "Cardiac arrhythmia, unspecified"}, {"role": "assistant", "content": "I49.9 — Cardiac arrhythmia, 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": "Tonic pupil, left eye"}, {"role": "assistant", "content": "H57.052 — Tonic pupil, 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": "Cellulitis of right finger"}, {"role": "assistant", "content": "L03.011 — Cellulitis of right 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": "Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery"}, {"role": "assistant", "content": "I63.59 — Cerebral infarction due to unspecified occlusion or stenosis of other 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": "Cellulitis of flank"}, {"role": "assistant", "content": "L03.31A — Cellulitis of flank"}]}
{"messages": [{"role": "system", "content": "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 pelvis, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.8B2P — Other osteoporosis with current pathological fracture, left 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": "Complete lesion of L2 level of lumbar spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.112A — Complete 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": "Cutis laxa senilis"}, {"role": "assistant", "content": "L57.4 — Cutis laxa senilis"}]}
{"messages": [{"role": "system", "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 infusion catheter, sequela"}, {"role": "assistant", "content": "T82.524S — Displacement of 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": "Injury of cauda equina, sequela"}, {"role": "assistant", "content": "S34.3XXS — Injury of cauda equina, sequela"}]}
{"messages": [{"role": "system", "content": "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 penis, subsequent encounter"}, {"role": "assistant", "content": "S31.20XD — Unspecified open wound 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": "Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.463C — Displaced supracondylar fracture with intracondylar extension of lower end 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": "Displaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.032C — Displaced midcervical fracture 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": "Other fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.399H — Other 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": "Displaced fracture of capitate [os magnum] bone, left wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.132K — Displaced fracture of capitate [os magnum] bone, 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": "Other reactive arthropathies, right hip"}, {"role": "assistant", "content": "M02.851 — Other reactive arthropathies, 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": "Displaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.411A — Displaced unspecified condyle 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": "Unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V21.29XS — Unspecified rider of other motorcycle 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": "Isosporiasis"}, {"role": "assistant", "content": "A07.3 — Isosporiasis"}]}
{"messages": [{"role": "system", "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 scorpion, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.2X4D — Toxic effect of venom of scorpion, 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 specified diseases of liver"}, {"role": "assistant", "content": "K76.89 — Other specified diseases 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": "Displaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.462B — Displaced supracondylar fracture with intracondylar extension of lower end 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": "Exposure to sofa fire due to other burning material, initial encounter"}, {"role": "assistant", "content": "X08.19XA — Exposure to sofa fire due to other burning material, initial encounter"}]}
{"messages": [{"role": "system", "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 foot at ankle level, sequela"}, {"role": "assistant", "content": "S98.022S — Partial traumatic amputation of left 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 unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S41.009D — Unspecified open wound 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": "Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.253J — Displaced comminuted fracture of shaft of ulna, unspecified 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": "Complication to newborn due to (fetal) intrauterine procedure"}, {"role": "assistant", "content": "P96.5 — Complication to newborn due to (fetal) intrauterine 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": "Pedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V04.10XS — Pedestrian on foot 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2"}, {"role": "assistant", "content": "O31.12X2 — Continuing pregnancy after spontaneous abortion 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": "Unspecified lump in axillary tail of the right breast"}, {"role": "assistant", "content": "N63.31 — Unspecified lump in axillary tail of the 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": "Intestinal malabsorption, unspecified"}, {"role": "assistant", "content": "K90.9 — Intestinal malabsorption, 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 spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.342K — Displaced spiral fracture of shaft 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": "Partial traumatic amputation at level between left hip and knee, sequela"}, {"role": "assistant", "content": "S78.122S — Partial traumatic amputation at level between left hip and 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": "Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter"}, {"role": "assistant", "content": "S46.821A — Laceration of other muscles, fascia and tendons 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": "Contusion of left foot, sequela"}, {"role": "assistant", "content": "S90.32XS — Contusion 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": "Legal intervention involving unspecified gas, suspect injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.203D — Legal intervention involving unspecified gas, 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": "Other contact with macaw, initial encounter"}, {"role": "assistant", "content": "W61.19XA — Other contact with macaw, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vitiligo of left upper eyelid and periocular area"}, {"role": "assistant", "content": "H02.734 — Vitiligo of left upper eyelid and periocular area"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Medullary cystic kidney"}, {"role": "assistant", "content": "Q61.5 — Medullary cystic kidney"}]}
{"messages": [{"role": "system", "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 disorder with related psychological factors"}, {"role": "assistant", "content": "F45.42 — Pain disorder with related psychological factors"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other antepartum hemorrhage, third trimester"}, {"role": "assistant", "content": "O46.8X3 — Other antepartum hemorrhage, 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": "Enophthalmos due to atrophy of orbital tissue, unspecified eye"}, {"role": "assistant", "content": "H05.419 — Enophthalmos due to atrophy of orbital tissue, 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": "Toxic effect of other halogen derivatives of aliphatic hydrocarbons, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T53.6X1S — Toxic effect of other halogen derivatives of aliphatic hydrocarbons, 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": "Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.08XG — Age-related osteoporosis with current pathological fracture, vertebra(e), 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": "Post therapeutic collapse of lung status"}, {"role": "assistant", "content": "Z98.3 — Post therapeutic collapse of lung 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 other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.042K — Displaced other fracture of tuberosity 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": "Salter-Harris Type III physeal fracture of upper end of right tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.031K — Salter-Harris Type III physeal fracture of upper 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": "Person on outside of military vehicle injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.74XD — Person on outside of military 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": "Poisoning by digestants, assault, subsequent encounter"}, {"role": "assistant", "content": "T47.5X3D — Poisoning by digestants, 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": "Infection and inflammatory reaction due to internal fixation device of unspecified site, sequela"}, {"role": "assistant", "content": "T84.60XS — Infection and inflammatory reaction due to internal fixation device of 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 fracture of unspecified patella, sequela"}, {"role": "assistant", "content": "S82.099S — Other fracture 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": "Benign neoplasm of spinal cord"}, {"role": "assistant", "content": "D33.4 — Benign 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": "Other fracture of lower end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.692N — Other fracture of lower 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": "Fall on board merchant ship, sequela"}, {"role": "assistant", "content": "V93.30XS — Fall 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": "Traumatic brain compression without herniation, subsequent encounter"}, {"role": "assistant", "content": "S06.A0XD — Traumatic brain compression without herniation, subsequent encounter"}]}
{"messages": [{"role": "system", "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 left ankle and foot, sequela"}, {"role": "assistant", "content": "T25.792S — Corrosion of third 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": "External constriction of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.841D — External constriction 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": "Unspecified dislocation of right hip, sequela"}, {"role": "assistant", "content": "S73.004S — Unspecified dislocation of 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": "Other fracture of right lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.891C — Other fracture of right 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": "Fracture of other parts of pelvis, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.89XK — Fracture of other parts of 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": "Burn of unspecified degree of unspecified scapular region, sequela"}, {"role": "assistant", "content": "T22.069S — Burn 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": "Toxic effect of phenol and phenol homologues, assault, initial encounter"}, {"role": "assistant", "content": "T54.0X3A — Toxic effect of phenol and phenol homologues, 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": "Carcinoma in situ of other female genital organs"}, {"role": "assistant", "content": "D07.39 — Carcinoma in situ of other 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": "Transient visual loss, left eye"}, {"role": "assistant", "content": "H53.122 — Transient visual loss, 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 bus injured in collision with pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V71.7XXS — Person on outside of bus 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": "Activated protein C resistance"}, {"role": "assistant", "content": "D68.51 — Activated protein C resistance"}]}
{"messages": [{"role": "system", "content": "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 abdomen, lower back and pelvis level, sequela"}, {"role": "assistant", "content": "S35.90XS — Unspecified injury of unspecified blood vessel at abdomen, lower back and pelvis 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": "Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T37.2X2A — Poisoning by antimalarials and drugs acting on other blood protozoa, 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 upper and lower end of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.831A — Other fracture of upper and 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": "Open bite of right eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S01.151A — Open bite 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": "Lateral subluxation of unspecified ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.143A — Lateral 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": "Struck by cow, subsequent encounter"}, {"role": "assistant", "content": "W55.22XD — Struck 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": "Strain of unspecified muscle and tendon at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.911D — Strain of unspecified 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": "Congenital malformations of adrenal gland"}, {"role": "assistant", "content": "Q89.1 — Congenital malformations 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": "Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye"}, {"role": "assistant", "content": "E10.37X1 — Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, 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 middle third of navicular [scaphoid] bone of left wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.022B — Displaced fracture of middle third of navicular [scaphoid] bone of 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": "Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, sequela"}, {"role": "assistant", "content": "S96.021S — Laceration of muscle and tendon of long flexor muscle of toe 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": "Pathological fracture, left finger(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.445D — Pathological fracture, left 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": "Nondisplaced fracture of base of third metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.342A — Nondisplaced fracture of base 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": "Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S49.019S — Salter-Harris Type I physeal fracture of upper 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": "Other bursitis, not elsewhere classified, right hip"}, {"role": "assistant", "content": "M71.551 — Other bursitis, not elsewhere classified, 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 metacarpophalangeal amputation of left index finger, sequela"}, {"role": "assistant", "content": "S68.111S — Complete traumatic metacarpophalangeal amputation 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": "Pedestrian on skateboard injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V06.92XD — Pedestrian on skateboard injured in collision with other nonmotor 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": "Displaced fracture of distal phalanx of left little finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.637K — Displaced fracture of distal 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": "Derangement of unspecified meniscus due to old tear or injury, left knee"}, {"role": "assistant", "content": "M23.207 — Derangement of unspecified 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": "Supervision of pregnancy with grand multiparity, third trimester"}, {"role": "assistant", "content": "O09.43 — Supervision of pregnancy with grand multiparity, 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": "Infection and inflammatory reaction due to unspecified internal joint prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T84.50XD — Infection and inflammatory reaction due to unspecified internal joint 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": "Military operations involving flamethrower, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.330D — Military operations involving flamethrower, 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": "Other fracture of shaft of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.291C — Other fracture of shaft 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 occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela"}, {"role": "assistant", "content": "V34.3XXS — Unspecified occupant of three-wheeled motor vehicle 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": "Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder"}, {"role": "assistant", "content": "F13.24 — Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-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": "Other physeal fracture of lower end of humerus, left arm, sequela"}, {"role": "assistant", "content": "S49.192S — Other 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": "Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.131A — Puncture wound of abdominal wall without 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": "Laceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.614A — Laceration without foreign body of abdominal wall, left 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": "Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye"}, {"role": "assistant", "content": "E08.3541 — Diabetes mellitus due to underlying condition 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": "Other superficial bite of unspecified back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.479D — Other superficial bite 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": "Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.1X2D — Poisoning by monoamine-oxidase-inhibitor antidepressants, 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": "Accidental hit or strike by another person, initial encounter"}, {"role": "assistant", "content": "W50.0XXA — Accidental hit or strike by another person, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.865J — Nondisplaced 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": "Toxic effect of venom of caterpillars, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.434D — Toxic effect of venom of caterpillars, 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, left forearm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.032K — Age-related osteoporosis with current pathological fracture, left 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": "Nondisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.434H — Nondisplaced oblique fracture of shaft 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": "Glaucoma secondary to eye inflammation, bilateral, severe stage"}, {"role": "assistant", "content": "H40.43X3 — Glaucoma secondary to eye inflammation, 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": "Unspecified open wound of left middle finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.203A — Unspecified open wound 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": "Slipping, tripping and stumbling without falling, unspecified, sequela"}, {"role": "assistant", "content": "W18.40XS — Slipping, tripping and stumbling without falling, 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": "Laceration of other specified muscles and tendons at ankle and foot level, left foot, sequela"}, {"role": "assistant", "content": "S96.822S — Laceration 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": "Malignant neoplasm of unspecified cranial nerve"}, {"role": "assistant", "content": "C72.50 — Malignant neoplasm of unspecified cranial 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": "Type III occipital condyle fracture, left side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.11FB — Type III occipital condyle fracture, 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": "Salter-Harris Type IV physeal fracture of right metatarsal, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.141B — Salter-Harris Type IV physeal fracture of right metatarsal, 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 of anterior tibial artery, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.149A — Laceration of anterior tibial 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": "Displacement of unspecified cardiac and vascular devices and implants, initial encounter"}, {"role": "assistant", "content": "T82.529A — Displacement of unspecified cardiac and vascular 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": "Nondisplaced fracture of neck of fifth metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.366P — Nondisplaced fracture of neck of fifth 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": "Primary progressive multiple sclerosis, unspecified"}, {"role": "assistant", "content": "G35.B0 — Primary progressive multiple sclerosis, 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": "Beta thalassemia"}, {"role": "assistant", "content": "D56.1 — Beta thalassemia"}]}
{"messages": [{"role": "system", "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 C7/T1 cervical vertebrae, subsequent encounter"}, {"role": "assistant", "content": "S13.180D — Subluxation of C7/T1 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": "Other specified spondylopathies, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M48.8X8 — Other specified spondylopathies, 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": "Maternal care for fetal problem, unspecified, first trimester, fetus 2"}, {"role": "assistant", "content": "O36.91X2 — Maternal care for fetal problem, unspecified, 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 mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter"}, {"role": "assistant", "content": "T84.196D — Other mechanical complication of internal fixation device of bone 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": "Other rheumatoid arthritis with rheumatoid factor of right elbow"}, {"role": "assistant", "content": "M05.821 — Other rheumatoid arthritis with rheumatoid factor 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": "Laceration of other flexor muscle, fascia and tendon at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S56.222D — Laceration of other flexor 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": "Major laceration of unspecified internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.329A — Major laceration of unspecified 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": "Nondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.366F — Nondisplaced segmental 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": "Corrosion of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter"}, {"role": "assistant", "content": "T24.709A — Corrosion of third degree of unspecified site 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": "Goniosynechiae, unspecified eye"}, {"role": "assistant", "content": "H21.529 — Goniosynechiae, 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": "Poisoning by other anti-common-cold drugs, assault, initial encounter"}, {"role": "assistant", "content": "T48.5X3A — Poisoning by other anti-common-cold 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 direct blast effect of nuclear weapon, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.511D — War operations involving direct blast effect of nuclear weapon, 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": "Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.473P — Displaced transcondylar fracture 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 specified fracture of unspecified pubis, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.599A — Other specified fracture of unspecified pubis, 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 heavy transport vehicle injured in collision with car, pick-up truck or van in traffic accident, initial encounter"}, {"role": "assistant", "content": "V63.7XXA — Person on outside of 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": "Laceration without foreign body of thyroid gland, subsequent encounter"}, {"role": "assistant", "content": "S11.11XD — Laceration without foreign body of thyroid gland, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monocytic leukemia, unspecified, not having achieved remission"}, {"role": "assistant", "content": "C93.90 — Monocytic leukemia, unspecified, 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": "Respiratory arrest"}, {"role": "assistant", "content": "R09.2 — Respiratory arrest"}]}
{"messages": [{"role": "system", "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 upper arm, initial encounter"}, {"role": "assistant", "content": "T22.431A — Corrosion of unspecified degree 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": "Displaced bicondylar fracture of unspecified tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.143K — Displaced bicondylar fracture 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": "Displaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.52XN — Displaced fracture of medial malleolus 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": "Unspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.309R — Unspecified fracture of shaft 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": "Corrosion of unspecified degree of left thumb (nail), subsequent encounter"}, {"role": "assistant", "content": "T23.412D — Corrosion of unspecified 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": "Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.263R — Displaced 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": "Nondisplaced other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.045K — Nondisplaced other fracture of tuberosity 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": "Displaced fracture of middle phalanx of right ring finger, sequela"}, {"role": "assistant", "content": "S62.624S — Displaced fracture of middle 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": "Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.495G — Other nondisplaced fracture of lower end 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 third metatarsal bone, right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.334G — Nondisplaced fracture of third 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": "Nondisplaced spiral fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.246A — Nondisplaced spiral 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": "Cicatricial lagophthalmos left eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.21B — Cicatricial lagophthalmos 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": "Corrosion of unspecified degree of left wrist, sequela"}, {"role": "assistant", "content": "T23.472S — Corrosion of unspecified degree 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": "Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S46.999A — Other injury of unspecified muscle, fascia and tendon 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": "Toxic effect of venom of bees, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.444D — Toxic effect of venom of bees, 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 infective (teno)synovitis, unspecified hand"}, {"role": "assistant", "content": "M65.149 — Other infective (teno)synovitis, 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 articular fracture of head of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.066P — Nondisplaced 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": "Puncture wound without foreign body of other part of head, subsequent encounter"}, {"role": "assistant", "content": "S01.83XD — Puncture wound without 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": "Asymptomatic varicose veins of right lower extremity"}, {"role": "assistant", "content": "I83.91 — Asymptomatic varicose veins 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": "Superficial frostbite of abdominal wall, lower back and pelvis, subsequent encounter"}, {"role": "assistant", "content": "T33.3XXD — Superficial frostbite of abdominal wall, 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": "Other specified disorders of middle ear and mastoid, bilateral"}, {"role": "assistant", "content": "H74.8X3 — Other specified disorders of middle ear and mastoid, 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": "Ankylosis of teeth"}, {"role": "assistant", "content": "K03.5 — Ankylosis of 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": "Other rheumatoid arthritis with rheumatoid factor of right wrist"}, {"role": "assistant", "content": "M05.831 — Other rheumatoid arthritis with rheumatoid factor 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": "Adverse effect of coronary vasodilators, sequela"}, {"role": "assistant", "content": "T46.3X5S — Adverse effect of coronary vasodilators, sequela"}]}
{"messages": [{"role": "system", "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, right eye"}, {"role": "assistant", "content": "H49.01 — Third [oculomotor] nerve palsy, 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 injury of vein at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S55.201D — Unspecified injury of vein 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 unspecified fracture of right lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.504B — Nondisplaced unspecified fracture of right 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": "Calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction"}, {"role": "assistant", "content": "K80.61 — Calculus of gallbladder and bile duct with cholecystitis, unspecified, 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": "Person boarding or alighting an electric (assisted) bicycle injured in collision with other nonmotor vehicle, initial encounter"}, {"role": "assistant", "content": "V26.31XA — Person boarding or alighting an electric (assisted) bicycle injured in collision with other nonmotor 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": "Poisoning by other psychostimulants, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T43.692A — Poisoning by other psychostimulants, 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 specified disorders of pigmentation"}, {"role": "assistant", "content": "L81.8 — Other specified disorders of pigmentation"}]}
{"messages": [{"role": "system", "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 shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.312P — Stress fracture, 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": "Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.516P — Nondisplaced fracture of proximal phalanx of unspecified 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": "External constriction of left front wall of thorax, sequela"}, {"role": "assistant", "content": "S20.342S — External constriction 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": "Partial traumatic amputation at level between knee and ankle, right lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.121D — Partial 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": "Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V86.96XA — Unspecified occupant of dirt bike or motor/cross bike 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": "Unspecified retinoschisis, bilateral"}, {"role": "assistant", "content": "H33.103 — Unspecified retinoschisis, 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": "Passenger on bus injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V71.1XXS — Passenger on 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": "Nondisplaced transverse fracture of shaft of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.326B — Nondisplaced transverse fracture of shaft 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": "Stable burst fracture of T5-T6 vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.051A — Stable burst fracture of T5-T6 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": "Pressure-induced deep tissue damage of left buttock"}, {"role": "assistant", "content": "L89.326 — Pressure-induced deep tissue damage of left 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": "Other displaced fracture of base of first metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.232G — Other displaced fracture of base of first 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": "Pressure ulcer of left upper back, stage 2"}, {"role": "assistant", "content": "L89.122 — Pressure ulcer of left upper back, stage 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 injury of ear, sequela"}, {"role": "assistant", "content": "S09.91XS — Unspecified injury of 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": "Displaced fracture of left ulna styloid process, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.612B — Displaced fracture of left ulna styloid process, 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 oblique fracture of shaft of right radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.331D — Displaced oblique fracture of shaft of right 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": "Unspecified injury of popliteal vein, left leg, subsequent encounter"}, {"role": "assistant", "content": "S85.502D — Unspecified injury of popliteal vein, 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": "Exudative age-related macular degeneration, unspecified eye, stage unspecified"}, {"role": "assistant", "content": "H35.3290 — Exudative 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": "Other secondary chronic gout, right hip, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.4510 — Other secondary chronic gout, 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": "External constriction of right hand, subsequent encounter"}, {"role": "assistant", "content": "S60.541D — External constriction 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": "Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.012N — Unspecified intracapsular 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": "Unspecified subluxation of left foot, subsequent encounter"}, {"role": "assistant", "content": "S93.302D — Unspecified subluxation 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": "Unspecified fracture of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.91XG — Unspecified fracture 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": "Paralytic calcification and ossification of muscle, left lower leg"}, {"role": "assistant", "content": "M61.262 — Paralytic calcification and ossification of muscle, 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": "Fluency disorder following cerebral infarction"}, {"role": "assistant", "content": "I69.323 — Fluency disorder 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": "Activity, boxing"}, {"role": "assistant", "content": "Y93.71 — Activity, boxing"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.365D — Nondisplaced segmental fracture of shaft 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": "Memory deficit following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.211 — Memory 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": "Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot"}, {"role": "assistant", "content": "I70.634 — Atherosclerosis of nonbiological 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": "Meconium ileus in cystic fibrosis"}, {"role": "assistant", "content": "E84.11 — Meconium ileus in cystic 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": "Injury of cutaneous sensory nerve at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S74.21XD — Injury of cutaneous sensory nerve 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": "Osseous stenosis of neural canal of rib cage"}, {"role": "assistant", "content": "M99.38 — Osseous stenosis of neural canal of rib cage"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.231A — Other displaced fracture of base 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": "Nondisplaced transverse fracture of shaft of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.324C — Nondisplaced 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": "Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T85.79XS — Infection and inflammatory reaction due to other internal 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": "Cicatricial lagophthalmos right lower eyelid"}, {"role": "assistant", "content": "H02.212 — Cicatricial lagophthalmos 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": "Burn of unspecified degree of right scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.061D — Burn 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": "Endometriosis of the sacral splanchnic nerves"}, {"role": "assistant", "content": "N80.D1 — Endometriosis of the sacral splanchnic 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": "Other specified injuries of unspecified elbow, sequela"}, {"role": "assistant", "content": "S59.809S — Other specified injuries 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": "Burn of third degree of back of right hand, sequela"}, {"role": "assistant", "content": "T23.361S — Burn of third 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": "Other specified injury of unspecified renal vein, subsequent encounter"}, {"role": "assistant", "content": "S35.496D — Other specified injury of unspecified renal 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": "Other complications of heart-lung transplant"}, {"role": "assistant", "content": "T86.39 — Other complications of heart-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": "Acute vulvitis"}, {"role": "assistant", "content": "N76.2 — Acute vulvitis"}]}
{"messages": [{"role": "system", "content": "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 IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.035N — Nondisplaced fracture of olecranon process with intraarticular extension 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": "Retained (old) magnetic foreign body in iris or ciliary body, bilateral"}, {"role": "assistant", "content": "H44.623 — Retained (old) magnetic 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": "Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T40.991D — Poisoning by other 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": "Malignant neoplasm of uvula"}, {"role": "assistant", "content": "C05.2 — Malignant neoplasm of uvula"}]}
{"messages": [{"role": "system", "content": "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 routine healing"}, {"role": "assistant", "content": "S52.091D — Other 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": "Presence of insulin pump (external) (internal)"}, {"role": "assistant", "content": "Z96.41 — Presence of insulin pump (external) (internal)"}]}
{"messages": [{"role": "system", "content": "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 malunion"}, {"role": "assistant", "content": "S92.522P — Displaced fracture of middle phalanx 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": "Laceration without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.610A — Laceration without foreign body of abdominal wall, right upper 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 upper end of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.101E — Unspecified fracture of upper 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": "Puncture wound without foreign body of right eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S01.131D — Puncture wound without 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": "Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.002G — Unstable burst 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": "Pressure ulcer of contiguous site of back, buttock and hip, stage 2"}, {"role": "assistant", "content": "L89.42 — Pressure ulcer of contiguous site of back, buttock and hip, stage 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": "Corrosion of second degree of multiple sites of right shoulder and upper limb, except wrist and hand, initial encounter"}, {"role": "assistant", "content": "T22.691A — Corrosion of second 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": "Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.012Q — Unspecified intracapsular 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": "Paralytic calcification and ossification of muscle, unspecified ankle and foot"}, {"role": "assistant", "content": "M61.279 — Paralytic calcification and ossification of muscle, 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": "Nondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.426G — Nondisplaced fracture of lateral condyle 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": "Adverse effect of antipruritics, initial encounter"}, {"role": "assistant", "content": "T49.1X5A — Adverse effect of antipruritics, initial encounter"}]}
{"messages": [{"role": "system", "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 acute pancreatitis without necrosis or infection"}, {"role": "assistant", "content": "K85.30 — Drug induced acute pancreatitis without necrosis or 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": "Otalgia, left ear"}, {"role": "assistant", "content": "H92.02 — Otalgia, 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": "Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.810A — Multiple fractures of pelvis with stable disruption of pelvic ring, 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 extensor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.301D — Unspecified injury of extensor 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": "Injury of lumbosacral plexus, subsequent encounter"}, {"role": "assistant", "content": "S34.4XXD — Injury of lumbosacral plexus, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 lumbar vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.018A — Other fracture of first 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": "Fatigue fracture of vertebra, occipito-atlanto-axial region, sequela of fracture"}, {"role": "assistant", "content": "M48.41XS — Fatigue fracture of vertebra, occipito-atlanto-axial 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": "Spastic entropion of left upper eyelid"}, {"role": "assistant", "content": "H02.044 — Spastic entropion 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": "Person on outside of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V68.2XXD — Person on outside of heavy transport vehicle 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": "Maternal care for incarceration of gravid uterus, first trimester"}, {"role": "assistant", "content": "O34.511 — Maternal care for incarceration of gravid uterus, 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": "Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb"}, {"role": "assistant", "content": "C40.81 — Malignant neoplasm of overlapping sites of bone and articular cartilage of right 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 medial cuneiform of right foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.244D — Nondisplaced fracture of medial cuneiform of 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": "Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.091P — Other physeal fracture of upper end 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": "Circadian rhythm sleep disorder, free running type"}, {"role": "assistant", "content": "G47.24 — Circadian rhythm sleep disorder, free running 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": "Contact with dry ice, initial encounter"}, {"role": "assistant", "content": "W93.01XA — Contact with dry ice, initial encounter"}]}
{"messages": [{"role": "system", "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 bacterial vaccines, sequela"}, {"role": "assistant", "content": "T50.A96S — Underdosing 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": "Nondisplaced fracture of medial wall of unspecified acetabulum, sequela"}, {"role": "assistant", "content": "S32.476S — Nondisplaced fracture of medial wall of unspecified 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": "Senile ectropion of right lower eyelid"}, {"role": "assistant", "content": "H02.132 — Senile ectropion of 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 unspecified great toe, sequela"}, {"role": "assistant", "content": "S92.499S — Other 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": "Other specified diseases of pancreas"}, {"role": "assistant", "content": "K86.89 — Other specified diseases of pancreas"}]}
{"messages": [{"role": "system", "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 left tibial vein"}, {"role": "assistant", "content": "I80.232 — Phlebitis and thrombophlebitis 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": "Nondisplaced fracture of lateral condyle of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.124H — Nondisplaced fracture of lateral condyle 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": "Acute stress reaction"}, {"role": "assistant", "content": "F43.0 — Acute stress reaction"}]}
{"messages": [{"role": "system", "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 other bones, subsequent encounter"}, {"role": "assistant", "content": "T84.228D — Displacement of internal fixation device of other bones, subsequent encounter"}]}
{"messages": [{"role": "system", "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 unspecified wrist, initial encounter"}, {"role": "assistant", "content": "S63.399A — Traumatic rupture of other ligament 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": "Albinism, unspecified"}, {"role": "assistant", "content": "E70.30 — 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": "Other specified injury of axillary artery, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S45.099D — Other specified injury of axillary 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": "Accident to, on or involving cable-car, not on rails, subsequent encounter"}, {"role": "assistant", "content": "V98.0XXD — Accident to, on or involving cable-car, not on rails, subsequent encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "X03.0XXS — Exposure to flames in controlled fire, not in building or structure, sequela"}]}
{"messages": [{"role": "system", "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 site"}, {"role": "assistant", "content": "M65.00 — Abscess of tendon sheath, 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": "Fall from other rolling-type pedestrian conveyance, sequela"}, {"role": "assistant", "content": "V00.181S — Fall from other rolling-type 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": "Other disorders of muscle tone of newborn"}, {"role": "assistant", "content": "P94.8 — Other disorders of muscle tone 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": "Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral"}, {"role": "assistant", "content": "E09.3493 — Drug or chemical induced 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": "Other malignant immunoproliferative diseases, in remission"}, {"role": "assistant", "content": "C88.81 — Other malignant immunoproliferative diseases, 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": "Nondisplaced comminuted fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.256B — Nondisplaced comminuted 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": "Aggressive periodontitis, generalized, slight"}, {"role": "assistant", "content": "K05.221 — Aggressive periodontitis, generalized, slight"}]}
{"messages": [{"role": "system", "content": "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 fourth cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.350D — Other traumatic displaced spondylolisthesis 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": "Accident to, on or involving land-yacht, subsequent encounter"}, {"role": "assistant", "content": "V98.1XXD — Accident to, on or involving land-yacht, subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified"}, {"role": "assistant", "content": "E50.9 — Vitamin A deficiency, 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": "Osteophyte, left wrist"}, {"role": "assistant", "content": "M25.732 — Osteophyte, 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 injury of flexor muscle, fascia and tendon of right index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.100S — Unspecified injury of flexor 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": "Dislocation of unspecified parts of left shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.305A — Dislocation of unspecified parts of left 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": "Nondisplaced transverse fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.036R — Nondisplaced transverse fracture of unspecified patella, 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 vocal cord, sequela"}, {"role": "assistant", "content": "S11.035S — Open bite 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": "Insect bite of unspecified part of neck, initial encounter"}, {"role": "assistant", "content": "S10.96XA — Insect bite of unspecified 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": "Primary progressive apraxia of speech"}, {"role": "assistant", "content": "G31.87 — Primary progressive apraxia of speech"}]}
{"messages": [{"role": "system", "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 status unknown, initial encounter"}, {"role": "assistant", "content": "S06.33AA — Contusion and laceration of cerebrum, unspecified, 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": "Other pulmonary embolism without acute cor pulmonale"}, {"role": "assistant", "content": "I26.99 — Other pulmonary embolism without 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": "Labor and delivery complicated by vascular lesion of cord, other fetus"}, {"role": "assistant", "content": "O69.5XX9 — Labor and delivery complicated by vascular lesion 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": "Derangement of anterior horn of lateral meniscus due to old tear or injury, left knee"}, {"role": "assistant", "content": "M23.242 — Derangement of anterior horn of 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": "Other specified injury of left internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.392A — Other specified 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": "Syphilis complicating pregnancy, first trimester"}, {"role": "assistant", "content": "O98.111 — Syphilis 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": "Malignant neoplasm of body of penis"}, {"role": "assistant", "content": "C60.2 — Malignant neoplasm of body 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": "Corrosion of third degree of unspecified foot, initial encounter"}, {"role": "assistant", "content": "T25.729A — Corrosion of third degree 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 nondisplaced fracture of base of first metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.235P — Other nondisplaced 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": "Osteochondropathy, unspecified, right upper arm"}, {"role": "assistant", "content": "M93.921 — Osteochondropathy, unspecified, 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": "Fibrous dysplasia (monostotic), right shoulder"}, {"role": "assistant", "content": "M85.011 — Fibrous dysplasia (monostotic), 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": "Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.412K — Displaced unspecified condyle fracture 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": "Abscess of bursa, right hip"}, {"role": "assistant", "content": "M71.051 — Abscess of bursa, 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": "Displaced transverse fracture of right acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.451D — Displaced transverse fracture 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": "Other fracture of second metacarpal bone, right hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.390A — Other fracture 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 open wound of other finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.308D — Unspecified open wound of other 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 fracture of navicular [scaphoid] of left foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.255P — Nondisplaced fracture of navicular [scaphoid] 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": "Nondisplaced dome fracture of left acetabulum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.485B — Nondisplaced dome fracture 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": "Stress fracture, right radius, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.333D — Stress fracture, right radius, 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 antithyroid drugs, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T38.2X1S — Poisoning by antithyroid drugs, 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": "Puncture wound with foreign body of right thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.041S — Puncture wound with 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": "Corrosion of first degree of right hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.501D — Corrosion of first degree of right 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": "Person on outside of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V36.7XXA — Person on outside of three-wheeled motor 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": "Disseminated intravascular coagulation [defibrination syndrome]"}, {"role": "assistant", "content": "D65 — Disseminated intravascular coagulation [defibrination 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": "Contusion of unspecified part of colon, initial encounter"}, {"role": "assistant", "content": "S36.529A — Contusion 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": "Leakage of other nervous system device, implant or graft, sequela"}, {"role": "assistant", "content": "T85.635S — Leakage 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": "Toxic effect of paints and dyes, not elsewhere classified, undetermined, sequela"}, {"role": "assistant", "content": "T65.6X4S — Toxic effect of paints and dyes, 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": "Other specified injury of radial artery at forearm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S55.192D — Other specified injury of radial artery 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": "Other superficial bite of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.279D — Other superficial bite 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": "Stress fracture, right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.351D — Stress fracture, 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": "Resistance to single antimycobacterial drug"}, {"role": "assistant", "content": "Z16.341 — Resistance to single antimycobacterial 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": "Toxic effect of thallium, assault, subsequent encounter"}, {"role": "assistant", "content": "T56.813D — Toxic effect of thallium, 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": "Enlargement of bilateral orbits"}, {"role": "assistant", "content": "H05.343 — Enlargement of bilateral orbits"}]}
{"messages": [{"role": "system", "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 20-39 mg/100 ml"}, {"role": "assistant", "content": "Y90.1 — Blood alcohol level of 20-39 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": "Car occupant (driver) (passenger) injured in unspecified nontraffic accident, sequela"}, {"role": "assistant", "content": "V49.3XXS — Car occupant (driver) (passenger) 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": "Pathological fracture, unspecified humerus, sequela"}, {"role": "assistant", "content": "M84.429S — Pathological fracture, 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": "Other osteoporosis with current pathological fracture, unspecified hand, sequela"}, {"role": "assistant", "content": "M80.849S — Other osteoporosis with current pathological 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": "Displaced comminuted fracture of shaft of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.352A — Displaced comminuted 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": "Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.231S — Unspecified traumatic nondisplaced 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": "Poisoning by mixed antiepileptics, undetermined, sequela"}, {"role": "assistant", "content": "T42.5X4S — Poisoning by mixed antiepileptics, 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": "Birth injury, unspecified"}, {"role": "assistant", "content": "P15.9 — Birth injury, 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 firearms pellets, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.421A — War operations involving firearms pellets, 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": "Accident to, on or involving ice yacht, initial encounter"}, {"role": "assistant", "content": "V98.2XXA — Accident to, on or involving ice yacht, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 head, sequela"}, {"role": "assistant", "content": "S09.90XS — Unspecified injury 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": "Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, subsequent encounter"}, {"role": "assistant", "content": "S43.129D — Dislocation of unspecified 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": "Nondisplaced oblique fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.334H — Nondisplaced oblique fracture of shaft 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": "War operations involving destruction of aircraft due to accidental detonation of onboard munitions and explosives, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.141A — War operations involving destruction of aircraft due to accidental detonation of onboard munitions and explosives, 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": "Sarcoidosis of lung"}, {"role": "assistant", "content": "D86.0 — Sarcoidosis 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": "Coronary artery dissection"}, {"role": "assistant", "content": "I25.42 — Coronary artery dissection"}]}
{"messages": [{"role": "system", "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 left clavicle, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.002B — Fracture of unspecified part of left 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": "Morquio B mucopolysaccharidoses"}, {"role": "assistant", "content": "E76.211 — Morquio B mucopolysaccharidoses"}]}
{"messages": [{"role": "system", "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 calf with unspecified severity"}, {"role": "assistant", "content": "L97.229 — Non-pressure chronic ulcer of left 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": "Other specified congenital deformities of feet"}, {"role": "assistant", "content": "Q66.89 — Other specified congenital 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": "Corrosion of first degree of unspecified thigh, initial encounter"}, {"role": "assistant", "content": "T24.519A — Corrosion of first 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": "Anterior cord syndrome at unspecified level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.139S — Anterior cord syndrome at unspecified 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": "Poisoning by saline and osmotic laxatives, undetermined, initial encounter"}, {"role": "assistant", "content": "T47.3X4A — Poisoning by saline and osmotic laxatives, 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": "Occupant (driver) (passenger) of pick-up truck or van injured in unspecified traffic accident, sequela"}, {"role": "assistant", "content": "V59.9XXS — Occupant (driver) (passenger) of pick-up truck or van injured in unspecified 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": "Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter"}, {"role": "assistant", "content": "S88.111A — Complete traumatic amputation at level between knee and ankle, 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 injury of urethra, initial encounter"}, {"role": "assistant", "content": "S37.39XA — Other injury of urethra, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V23.21XS — Unspecified electric (assisted) bicycle rider 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": "Other specified inflammation of left lower eyelid"}, {"role": "assistant", "content": "H01.85 — Other specified inflammation 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": "Congenital malformations of other endocrine glands"}, {"role": "assistant", "content": "Q89.2 — Congenital malformations of other endocrine 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": "Toxic effect of latex, assault, initial encounter"}, {"role": "assistant", "content": "T65.813A — Toxic effect of latex, 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": "Acute interstitial pneumonitis"}, {"role": "assistant", "content": "J84.114 — Acute interstitial pneumonitis"}]}
{"messages": [{"role": "system", "content": "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 procedures, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T81.89XD — Other complications of procedures, 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": "Endometriosis of the posterior cul-de-sac, unspecified depth"}, {"role": "assistant", "content": "N80.329 — Endometriosis of the posterior cul-de-sac, 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": "Displaced transverse fracture of shaft of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.222B — Displaced 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": "Corrosion of unspecified degree of multiple left fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.442A — Corrosion of unspecified 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": "Other sprain of left index finger, subsequent encounter"}, {"role": "assistant", "content": "S63.691D — Other sprain 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": "Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.111S — Strain of flexor muscle, fascia and tendon of left 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, other fetus"}, {"role": "assistant", "content": "O31.12X9 — Continuing pregnancy after spontaneous abortion of one fetus or more, 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": "Salter-Harris Type II physeal fracture of lower end of unspecified tibia, sequela"}, {"role": "assistant", "content": "S89.129S — Salter-Harris Type II physeal fracture of lower 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": "Other atherosclerosis of native arteries of extremities, left leg"}, {"role": "assistant", "content": "I70.292 — Other atherosclerosis of native arteries of extremities, 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": "Major laceration of left external jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.222A — Major laceration 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": "Injury of trigeminal nerve, left side, initial encounter"}, {"role": "assistant", "content": "S04.32XA — Injury of trigeminal 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": "Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.0B2P — Age-related osteoporosis with current pathological fracture, left 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": "Nondisplaced fracture of medial condyle of right humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.464G — Nondisplaced fracture of medial condyle 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": "Nondisplaced fracture of proximal phalanx of right lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.514B — Nondisplaced fracture of proximal phalanx of right 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": "Occupant of railway train or railway vehicle injured in collision with other object, subsequent encounter"}, {"role": "assistant", "content": "V81.3XXD — Occupant of railway train or railway vehicle injured in collision with 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": "Fall in (into) bucket of water causing drowning and submersion, initial encounter"}, {"role": "assistant", "content": "W16.221A — Fall in (into) bucket of water 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": "Pathological fracture, unspecified finger(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.446G — Pathological fracture, unspecified finger(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": "Disseminated chorioretinal inflammation of posterior pole, bilateral"}, {"role": "assistant", "content": "H30.113 — Disseminated chorioretinal inflammation of posterior pole, 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": "Dislocation of jaw, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S03.00XD — Dislocation of jaw, 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": "Burn of third degree of left ear [any part, except ear drum], sequela"}, {"role": "assistant", "content": "T20.312S — Burn of third degree of left ear [any part, except ear drum], sequela"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "T37.0X3D — Poisoning by sulfonamides, 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, unspecified knee, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0691 — Idiopathic 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": "Abscess of right external ear"}, {"role": "assistant", "content": "H60.01 — Abscess of right 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": "Unspecified injury of urethra, subsequent encounter"}, {"role": "assistant", "content": "S37.30XD — Unspecified 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 spiral fracture of shaft of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S42.346S — Nondisplaced 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": "Toxic effect of carbon disulfide, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T65.4X4D — Toxic effect of carbon disulfide, 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 vagina and vulva, initial encounter"}, {"role": "assistant", "content": "S30.814A — Abrasion 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": "Poisoning by antipruritics, assault, subsequent encounter"}, {"role": "assistant", "content": "T49.1X3D — Poisoning by antipruritics, 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": "Insect bite (nonvenomous) of lip, subsequent encounter"}, {"role": "assistant", "content": "S00.561D — Insect bite (nonvenomous) 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": "Accidental malfunction of paintball gun, subsequent encounter"}, {"role": "assistant", "content": "W34.111D — Accidental malfunction of 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": "Underdosing of propionic acid derivatives, sequela"}, {"role": "assistant", "content": "T39.316S — Underdosing of propionic acid derivatives, sequela"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "T23.462A — Corrosion of unspecified 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": "Maternal care for other abnormalities of cervix, unspecified trimester"}, {"role": "assistant", "content": "O34.40 — Maternal care for other abnormalities of cervix, 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 methamphetamines, assault, initial encounter"}, {"role": "assistant", "content": "T43.653A — Poisoning by methamphetamines, 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": "Mid-cervical disc disorder, unspecified level"}, {"role": "assistant", "content": "M50.120 — Mid-cervical disc disorder, unspecified level"}]}
{"messages": [{"role": "system", "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 with foreign body of unspecified eyeball, initial encounter"}, {"role": "assistant", "content": "S05.50XA — Penetrating wound with foreign body 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": "Toxic effect of zinc and its compounds, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.5X1A — Toxic effect of zinc 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": "Unspecified physeal fracture of lower end of right fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.301G — Unspecified physeal fracture of lower 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": "Nondisplaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.456M — Nondisplaced comminuted 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": "Superficial foreign body of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S60.359A — Superficial foreign body 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": "Non-pressure chronic ulcer of right hand limited to breakdown of skin"}, {"role": "assistant", "content": "L98.A311 — Non-pressure chronic ulcer of right hand 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": "Malignant neoplasm of long bones of right lower limb"}, {"role": "assistant", "content": "C40.21 — Malignant neoplasm of long bones 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": "Crushing injury of shoulder and upper arm, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S47.9XXD — Crushing injury of shoulder and upper arm, 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": "Cervical stump prolapse"}, {"role": "assistant", "content": "N81.85 — Cervical stump 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 retinoschisis and retinal cysts, right eye"}, {"role": "assistant", "content": "H33.191 — Other retinoschisis and retinal 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": "Contact with powered kitchen appliance, initial encounter"}, {"role": "assistant", "content": "W29.0XXA — Contact with powered kitchen appliance, initial encounter"}]}
{"messages": [{"role": "system", "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 intellectual disabilities"}, {"role": "assistant", "content": "F71 — Moderate intellectual disabilities"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter"}, {"role": "assistant", "content": "S56.309D — Unspecified injury of extensor or abductor muscles, fascia and tendons of unspecified 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": "Poisoning by other laxatives, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T47.4X2D — Poisoning by other laxatives, 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": "Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, sequela"}, {"role": "assistant", "content": "T81.516S — Adhesions due to foreign body accidentally left in body following aspiration, puncture or other 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": "Unspecified malaria"}, {"role": "assistant", "content": "B54 — Unspecified malaria"}]}
{"messages": [{"role": "system", "content": "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 right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.451P — Displaced supracondylar fracture without 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": "Subluxation of unspecified interphalangeal joint of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S63.229A — Subluxation of unspecified interphalangeal joint 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": "Genetic susceptibility to malignant neoplasm of urinary tract"}, {"role": "assistant", "content": "Z15.07 — Genetic susceptibility to malignant neoplasm 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 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S22.009S — Unspecified fracture of unspecified 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": "Other cyst of bone, unspecified shoulder"}, {"role": "assistant", "content": "M85.619 — Other cyst of bone, 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": "Balantidiasis"}, {"role": "assistant", "content": "A07.0 — Balantidiasis"}]}
{"messages": [{"role": "system", "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 fibula"}, {"role": "assistant", "content": "M87.266 — Osteonecrosis due to previous trauma, 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": "Salter-Harris Type I physeal fracture of upper end of left fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.212G — Salter-Harris Type I 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": "Partial traumatic amputation of unspecified foot, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S98.929D — Partial traumatic amputation of unspecified foot, 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": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter"}, {"role": "assistant", "content": "S06.385A — Contusion, laceration, and hemorrhage of brainstem 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": "Chronic postrheumatic arthropathy [Jaccoud], unspecified site"}, {"role": "assistant", "content": "M12.00 — Chronic postrheumatic arthropathy [Jaccoud], 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": "Adverse effect of unspecified general anesthetics, sequela"}, {"role": "assistant", "content": "T41.205S — Adverse effect of unspecified general anesthetics, sequela"}]}
{"messages": [{"role": "system", "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, spleen"}, {"role": "assistant", "content": "C84.17 — Sezary disease, 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": "Intrauterine synechiae"}, {"role": "assistant", "content": "N85.6 — Intrauterine synechiae"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "T83.420S — Displacement of implanted penile 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": "Hallucinogen abuse with intoxication, unspecified"}, {"role": "assistant", "content": "F16.129 — Hallucinogen abuse with intoxication, 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 on outside of pick-up truck or van injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V50.7XXD — Person on outside of pick-up truck or van 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 middle phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.521G — Displaced fracture of middle 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": "Myoneural disorder, unspecified"}, {"role": "assistant", "content": "G70.9 — Myoneural 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 other fracture of tuberosity of unspecified calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.046A — Nondisplaced other fracture of tuberosity 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": "Other specified injury of femoral vein at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S75.191D — Other specified 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": "War operation involving other effects of nuclear weapons, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.590A — War operation involving other effects of nuclear 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": "Recurrent dislocation, right finger"}, {"role": "assistant", "content": "M24.444 — Recurrent dislocation, right 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 soft tissue disorder related to use, overuse and pressure multiple sites"}, {"role": "assistant", "content": "M70.99 — Unspecified soft tissue disorder related to use, overuse and pressure 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 fracture of anterior process of left calcaneus, sequela"}, {"role": "assistant", "content": "S92.022S — Displaced fracture of anterior process 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": "Displaced fracture of greater trochanter of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.113G — Displaced fracture of greater trochanter 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": "Complete traumatic amputation of female external genital organs, initial encounter"}, {"role": "assistant", "content": "S38.211A — Complete 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": "Fracture of lateral orbital wall, left side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.842K — Fracture of lateral orbital wall, 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": "Diffuse 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": "S06.2X6S — Diffuse 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": "Encounter for screening for other nervous system disorders"}, {"role": "assistant", "content": "Z13.858 — Encounter for screening for other nervous 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": "Maternal care for other specified fetal problems, first trimester, fetus 1"}, {"role": "assistant", "content": "O36.8911 — Maternal care for other specified fetal problems, 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": "Encounter for initial prescription of vaginal ring hormonal contraceptive"}, {"role": "assistant", "content": "Z30.015 — Encounter for initial prescription of vaginal ring hormonal contraceptive"}]}
{"messages": [{"role": "system", "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 lower leg, subsequent encounter"}, {"role": "assistant", "content": "S80.829D — Blister (nonthermal), 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": "Salter-Harris Type I physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.112G — Salter-Harris Type I physeal fracture of upper end of radius, 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": "Exudative age-related macular degeneration, left eye, stage unspecified"}, {"role": "assistant", "content": "H35.3220 — Exudative 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": "Nondisplaced fracture of lesser trochanter of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.125A — Nondisplaced fracture of lesser trochanter 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 in other disease, unspecified hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.649D — Pathological fracture in other disease, 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": "Laceration of diaphragm, sequela"}, {"role": "assistant", "content": "S27.803S — Laceration of diaphragm, sequela"}]}
{"messages": [{"role": "system", "content": "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 hearing loss, left ear"}, {"role": "assistant", "content": "H91.8X2 — Other specified hearing loss, 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": "Acute rheumatic pericarditis"}, {"role": "assistant", "content": "I01.0 — Acute rheumatic 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": "Other displaced fracture of upper end of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.292B — Other displaced fracture of upper end 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": "Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)"}, {"role": "assistant", "content": "E09.00 — Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)"}]}
{"messages": [{"role": "system", "content": "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 protozoal intestinal diseases"}, {"role": "assistant", "content": "A07.8 — Other specified protozoal intestinal 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": "Puncture wound without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.635S — Puncture wound without foreign body of abdominal wall, periumbilic region 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": "Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.200A — Unspecified displaced fracture of third 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": "Unspecified fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.209K — Unspecified fracture of shaft of unspecified 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": "Unspecified fracture of unspecified toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.919K — Unspecified fracture of unspecified 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 unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T39.92XD — Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, 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 with foreign body, right knee, subsequent encounter"}, {"role": "assistant", "content": "S81.021D — Laceration with foreign body, 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": "Overexertion from repetitive movements, sequela"}, {"role": "assistant", "content": "X50.3XXS — Overexertion from repetitive movements, sequela"}]}
{"messages": [{"role": "system", "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 gum"}, {"role": "assistant", "content": "C03.0 — Malignant neoplasm of upper gum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Binge eating disorder, mild"}, {"role": "assistant", "content": "F50.810 — Binge eating disorder, 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": "Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.00XP — Age-related osteoporosis with current pathological fracture, unspecified 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": "War operations involving other firearms discharge, civilian, sequela"}, {"role": "assistant", "content": "Y36.431S — War operations involving other firearms discharge, 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": "Accidental malfunction of other gas, air or spring-operated gun, sequela"}, {"role": "assistant", "content": "W34.118S — Accidental malfunction of other gas, air or spring-operated gun, sequela"}]}
{"messages": [{"role": "system", "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 reactive otitis externa, unspecified ear"}, {"role": "assistant", "content": "H60.559 — Acute reactive 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": "Nondisplaced fracture of body of unspecified talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.126P — Nondisplaced fracture of body 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": "Underdosing of other opioids, subsequent encounter"}, {"role": "assistant", "content": "T40.2X6D — Underdosing of other opioids, subsequent encounter"}]}
{"messages": [{"role": "system", "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 ear [any part, except ear drum], sequela"}, {"role": "assistant", "content": "T20.412S — Corrosion of unspecified degree of left ear [any part, except ear drum], sequela"}]}
{"messages": [{"role": "system", "content": "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 right ankle, not elsewhere classified"}, {"role": "assistant", "content": "M24.871 — Other specific joint derangements of right ankle, 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 of ovary, unilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.431D — Laceration 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": "Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.451B — Other traumatic nondisplaced 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": "Dysphagia, pharyngoesophageal phase"}, {"role": "assistant", "content": "R13.14 — Dysphagia, pharyngoesophageal 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": "Retained (nonmagnetic) (old) foreign body in lens, unspecified eye"}, {"role": "assistant", "content": "H44.739 — Retained (nonmagnetic) (old) foreign body in lens, 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 specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye"}, {"role": "assistant", "content": "E13.3212 — Other specified 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": "Toxic effect of chromium and its compounds, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T56.2X4D — Toxic effect of chromium 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": "Adverse effect of other hormone antagonists, subsequent encounter"}, {"role": "assistant", "content": "T38.995D — Adverse effect of other hormone antagonists, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with routine healing"}, {"role": "assistant", "content": "S52.365D — Nondisplaced segmental 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 specified injury of blood vessel of right ring finger, sequela"}, {"role": "assistant", "content": "S65.594S — Other specified injury 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": "Gout due to renal impairment, right elbow"}, {"role": "assistant", "content": "M10.321 — Gout due to renal impairment, 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": "Encounter for screening for other disorder"}, {"role": "assistant", "content": "Z13.89 — Encounter for screening for other 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": "Epiphora due to insufficient drainage, bilateral"}, {"role": "assistant", "content": "H04.223 — Epiphora due to insufficient drainage, 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": "Pre-existing essential hypertension complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O10.013 — Pre-existing essential hypertension 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 special construction vehicle injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V85.9XXD — Unspecified occupant 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": "Pedestrian injured in traffic accident involving military vehicle, subsequent encounter"}, {"role": "assistant", "content": "V09.21XD — Pedestrian injured in traffic accident involving 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": "Puncture wound without foreign body of right ring finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.234A — Puncture wound without foreign body of right 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": "Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.001N — Unspecified fracture of right 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 with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.625S — Laceration with foreign body of abdominal wall, periumbilic region 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": "Cocaine use, unspecified with cocaine-induced sleep disorder"}, {"role": "assistant", "content": "F14.982 — Cocaine use, unspecified with cocaine-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": "Fracture of unspecified part of neck of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.001A — Fracture of unspecified part of neck 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": "Ultralight, microlight or powered-glider fire injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.14XA — Ultralight, microlight or powered-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": "Other specified diseases of intestine"}, {"role": "assistant", "content": "K63.89 — Other specified diseases 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": "Other epidermolysis bullosa"}, {"role": "assistant", "content": "Q81.8 — Other epidermolysis bullosa"}]}
{"messages": [{"role": "system", "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 heel, stage 2"}, {"role": "assistant", "content": "L89.622 — Pressure ulcer of left heel, stage 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": "Pneumonia due to other specified bacteria"}, {"role": "assistant", "content": "J15.8 — Pneumonia due to other specified bacteria"}]}
{"messages": [{"role": "system", "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 5"}, {"role": "assistant", "content": "O35.19X5 — Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, 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 longitudinal fracture of left patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.022B — Displaced 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": "Other infective bursitis, right knee"}, {"role": "assistant", "content": "M71.161 — Other infective 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": "Poisoning by other hormones and synthetic substitutes, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T38.892D — Poisoning by other hormones and synthetic substitutes, 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": "Puncture wound without foreign body of left upper arm, initial encounter"}, {"role": "assistant", "content": "S41.132A — Puncture wound without 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 traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.531K — Unspecified traumatic nondisplaced spondylolisthesis of sixth 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": "Displaced fracture of medial cuneiform of unspecified foot, sequela"}, {"role": "assistant", "content": "S92.243S — Displaced fracture of medial 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": "Salter-Harris Type II physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.229K — Salter-Harris Type II physeal fracture of phalanx of unspecified 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": "Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B96.1 — Klebsiella pneumoniae [K. pneumoniae] 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": "Complete doubling of uterus"}, {"role": "assistant", "content": "Q51.21 — Complete doubling 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": "Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, unspecified foot, sequela"}, {"role": "assistant", "content": "S96.119S — Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, 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 specified crystal arthropathies, left ankle and foot"}, {"role": "assistant", "content": "M11.872 — Other specified crystal arthropathies, 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 unspecified fracture of left lesser toe(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.505D — Nondisplaced unspecified fracture 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": "Low vision right eye category 2, blindness left eye category 5"}, {"role": "assistant", "content": "H54.1225 — Low vision right eye category 2, blindness left eye category 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 traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.550B — Other traumatic displaced 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": "Gestational edema, second trimester"}, {"role": "assistant", "content": "O12.02 — Gestational edema, 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 unspecified humerus, sequela"}, {"role": "assistant", "content": "S42.409S — Unspecified fracture of lower end 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": "Displaced intertrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.143N — Displaced intertrochanteric 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": "Motorized mobility scooter colliding with stationary object, initial encounter"}, {"role": "assistant", "content": "V00.832A — Motorized mobility scooter 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": "Open bite of left great toe with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.252D — Open bite of left 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": "Toxic effect of unspecified substance, assault, initial encounter"}, {"role": "assistant", "content": "T65.93XA — Toxic effect of unspecified substance, 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": "Burn of first degree of left toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.132D — Burn 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": "Other infective (teno)synovitis, right ankle and foot"}, {"role": "assistant", "content": "M65.171 — Other infective (teno)synovitis, 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": "Benign carcinoid tumor of the bronchus and lung"}, {"role": "assistant", "content": "D3A.090 — Benign carcinoid tumor of the 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": "Fracture of medial orbital wall, right side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.831A — Fracture of medial orbital wall, 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": "Other mechanical complication of artificial skin graft and decellularized allodermis, sequela"}, {"role": "assistant", "content": "T85.693S — Other mechanical complication of artificial skin graft and decellularized allodermis, sequela"}]}
{"messages": [{"role": "system", "content": "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 internal jugular vein, sequela"}, {"role": "assistant", "content": "S15.399S — Other specified injury of unspecified 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": "Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter"}, {"role": "assistant", "content": "T83.591D — Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter"}]}
{"messages": [{"role": "system", "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 left elbow"}, {"role": "assistant", "content": "M24.022 — Loose body in 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": "Pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V12.0XXS — Pedal cycle driver 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": "Displaced fracture of middle phalanx of other finger, sequela"}, {"role": "assistant", "content": "S62.628S — Displaced fracture of middle phalanx 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 lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.409M — Unspecified fracture of lower end 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": "Nondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.064G — Nondisplaced articular fracture of head 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": "Nondisplaced fracture of lesser trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.124F — Nondisplaced 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": "Unspecified injury of superior vena cava, initial encounter"}, {"role": "assistant", "content": "S25.20XA — Unspecified injury of superior vena cava, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 ankle and foot level, right leg, sequela"}, {"role": "assistant", "content": "S95.891S — Other specified injury 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": "Unspecified sprain of right middle finger, sequela"}, {"role": "assistant", "content": "S63.612S — Unspecified sprain 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": "Occupant of streetcar injured in collision with or hit by rolling stock, subsequent encounter"}, {"role": "assistant", "content": "V82.2XXD — Occupant of streetcar 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": "Cannabis abuse with intoxication, uncomplicated"}, {"role": "assistant", "content": "F12.120 — Cannabis 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": "Other shellfish poisoning, intentional self-harm, sequela"}, {"role": "assistant", "content": "T61.782S — Other shellfish poisoning, 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 segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.264C — Nondisplaced segmental fracture of shaft of ulna, right 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": "Laceration of anterior tibial artery, left leg, initial encounter"}, {"role": "assistant", "content": "S85.142A — Laceration of anterior tibial artery, 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 balloon accident injuring occupant, initial encounter"}, {"role": "assistant", "content": "V96.09XA — Other balloon 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": "Dislocation of unspecified interphalangeal joint of unspecified finger, sequela"}, {"role": "assistant", "content": "S63.279S — Dislocation of unspecified 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": "Unspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.201G — Unspecified fracture 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": "Stress fracture, left fibula, sequela"}, {"role": "assistant", "content": "M84.364S — Stress fracture, left 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": "Nondisplaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.256M — Nondisplaced comminuted 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": "Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela"}, {"role": "assistant", "content": "S06.301S — Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela"}]}
{"messages": [{"role": "system", "content": "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 third cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.291S — Other 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": "Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.463D — Displaced 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": "Traumatic rupture of collateral ligament of right index finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.410S — Traumatic rupture of collateral 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": "Pathological fracture in other disease, other site, initial encounter for fracture"}, {"role": "assistant", "content": "M84.68XA — Pathological fracture in other disease, other 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": "Displaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.513K — Displaced 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 local anesthetics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.3X2A — Poisoning by local 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": "Postradiation kyphosis"}, {"role": "assistant", "content": "M96.2 — Postradiation 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": "Syphilis, unspecified"}, {"role": "assistant", "content": "A53.9 — Syphilis, 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 on outside of car injured in collision with other type car in traffic accident, initial encounter"}, {"role": "assistant", "content": "V43.72XA — Person on outside of car injured in collision with other type car 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 shaft of first metacarpal bone, unspecified hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.243D — Displaced fracture of shaft of first metacarpal bone, 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": "Other physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.299G — Other 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": "Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O10.312 — Pre-existing hypertensive heart and chronic kidney 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": "Postprocedural hemorrhage of skin and subcutaneous tissue following a dermatologic procedure"}, {"role": "assistant", "content": "L76.21 — Postprocedural hemorrhage 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": "Torus fracture of lower end of left ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.622A — Torus fracture of lower 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": "Unspecified fracture of lower end of right ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.601B — Unspecified fracture of lower 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": "Other bursitis, not elsewhere classified, right wrist"}, {"role": "assistant", "content": "M71.531 — Other bursitis, not elsewhere classified, 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 supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.464A — Nondisplaced supracondylar fracture with 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": "Other osteoporosis with current pathological fracture, unspecified ankle and foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.879G — Other osteoporosis with current pathological fracture, unspecified ankle and 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": "Nondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.616J — Nondisplaced fracture of unspecified ulna styloid process, 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 upper end of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.199H — Other 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": "Unspecified pedal cyclist injured in collision with other pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V11.2XXS — Unspecified pedal cyclist injured in collision with other 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": "Poisoning by otorhinolaryngological drugs and preparations, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T49.6X1D — Poisoning by otorhinolaryngological drugs and preparations, 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 injury of right upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.921D — Unspecified superficial injury 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": "Salter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.249D — Salter-Harris Type IV 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": "Scotoma of blind spot area, bilateral"}, {"role": "assistant", "content": "H53.423 — Scotoma of blind spot area, 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": "Shock following complete or unspecified spontaneous abortion"}, {"role": "assistant", "content": "O03.81 — Shock 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": "Myopathy due to other toxic agents"}, {"role": "assistant", "content": "G72.2 — Myopathy due to other toxic agents"}]}
{"messages": [{"role": "system", "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 metacarpal (bone), proximal end of left hand, sequela"}, {"role": "assistant", "content": "S63.065S — Dislocation of metacarpal (bone), proximal end 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": "Corrosion of first degree of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "T22.551D — Corrosion of first degree 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": "Open bite of penis, subsequent encounter"}, {"role": "assistant", "content": "S31.25XD — Open bite 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": "Unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.60AS — Unspecified open wound of abdominal wall, unspecified 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": "Nondisplaced transverse fracture of shaft of right femur, sequela"}, {"role": "assistant", "content": "S72.324S — Nondisplaced transverse 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": "Fetal anemia and thrombocytopenia, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O36.8293 — Fetal anemia and thrombocytopenia, 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": "Chronic migraine without aura, not intractable, with status migrainosus"}, {"role": "assistant", "content": "G43.701 — Chronic migraine without aura, not 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": "Other age-related incipient cataract, left eye"}, {"role": "assistant", "content": "H25.092 — Other age-related incipient 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": "Displaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.433R — Displaced oblique 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": "Visceral leishmaniasis"}, {"role": "assistant", "content": "B55.0 — Visceral 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": "Toxic effect of halogenated insecticides, assault, initial encounter"}, {"role": "assistant", "content": "T60.1X3A — Toxic effect of halogenated insecticides, 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": "Complete oblique atypical femoral fracture, right leg, sequela"}, {"role": "assistant", "content": "M84.757S — Complete oblique atypical femoral fracture, 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": "Mild vulvar dysplasia"}, {"role": "assistant", "content": "N90.0 — Mild vulvar 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": "Disturbances in tooth eruption"}, {"role": "assistant", "content": "K00.6 — Disturbances in tooth 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": "Toxic effect of venom of other venomous lizard, assault, initial encounter"}, {"role": "assistant", "content": "T63.123A — Toxic effect of venom of other venomous lizard, 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": "Insect bite (nonvenomous) of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S60.569D — Insect bite (nonvenomous) 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": "Jumping or diving into other water striking water surface causing other injury, sequela"}, {"role": "assistant", "content": "W16.812S — Jumping or diving into other water 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": "Medial dislocation of proximal end of tibia, left knee, subsequent encounter"}, {"role": "assistant", "content": "S83.135D — Medial dislocation of proximal end of tibia, 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": "Obstructed labor due to breech presentation, fetus 5"}, {"role": "assistant", "content": "O64.1XX5 — Obstructed labor due to breech presentation, 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": "Pathological fracture in other disease, right hand, sequela"}, {"role": "assistant", "content": "M84.641S — Pathological fracture in other disease, 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 left lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.892C — Other fracture of left 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": "Other specified injuries of left ankle, subsequent encounter"}, {"role": "assistant", "content": "S99.812D — Other specified injuries 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": "Unspecified fracture of shaft of right ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.201D — Unspecified fracture of shaft 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": "Blister (nonthermal) of penis, initial encounter"}, {"role": "assistant", "content": "S30.822A — Blister (nonthermal) 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": "Corrosion of third degree of left elbow, initial encounter"}, {"role": "assistant", "content": "T22.722A — Corrosion of third degree 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 specified injury of left quadriceps muscle, fascia and tendon, initial encounter"}, {"role": "assistant", "content": "S76.192A — Other specified injury of left 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": "Displaced transverse fracture of left patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.032D — Displaced transverse 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": "Displaced transverse fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.033G — Displaced 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": "Underdosing of anticholinesterase agents, subsequent encounter"}, {"role": "assistant", "content": "T44.0X6D — Underdosing of anticholinesterase 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": "Infection of bladder following delivery"}, {"role": "assistant", "content": "O86.22 — Infection of bladder 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": "Cicatricial entropion of right upper eyelid"}, {"role": "assistant", "content": "H02.011 — Cicatricial entropion 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": "Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C82.44 — Follicular lymphoma grade IIIb, 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 open wound of left ear, sequela"}, {"role": "assistant", "content": "S01.302S — Unspecified open wound 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": "Contact with unspecified agricultural machinery, subsequent encounter"}, {"role": "assistant", "content": "W30.9XXD — Contact with unspecified 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": "Displaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.141A — Displaced fracture of glenoid cavity of scapula, right 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": "Fall on board fishing boat, subsequent encounter"}, {"role": "assistant", "content": "V93.32XD — Fall on board 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": "Passenger in pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V55.6XXS — Passenger in pick-up truck or van 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": "Fracture of body of sternum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.22XD — Fracture of body of sternum, 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 laser radiation, initial encounter"}, {"role": "assistant", "content": "W90.2XXA — Exposure to laser radiation, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.90XK — Unspecified fracture of unspecified 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": "Blister (nonthermal) of left shoulder, sequela"}, {"role": "assistant", "content": "S40.222S — Blister (nonthermal) 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": "Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F16.151 — Hallucinogen abuse with hallucinogen-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": "Burn of first degree of unspecified single finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.129A — Burn of first degree of unspecified single 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": "Q fever"}, {"role": "assistant", "content": "A78 — Q 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": "Laceration of adrenal gland, initial encounter"}, {"role": "assistant", "content": "S37.813A — Laceration 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": "Barton's fracture of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.569C — Barton's fracture 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 cholesteatoma, bilateral"}, {"role": "assistant", "content": "H71.93 — Unspecified cholesteatoma, 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 shaft of unspecified clavicle, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.023B — Displaced fracture of shaft of unspecified 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": "Unspecified injury of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S56.201A — Unspecified injury 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": "Insect bite (nonvenomous) of bilateral front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.363A — Insect bite (nonvenomous) 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": "Other burn on board merchant vessel, sequela"}, {"role": "assistant", "content": "V93.10XS — Other burn on board merchant vessel, sequela"}]}
{"messages": [{"role": "system", "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 right hand, initial encounter"}, {"role": "assistant", "content": "S68.711A — Complete traumatic transmetacarpal amputation 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": "Nondisplaced bicondylar fracture of unspecified tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.146D — Nondisplaced bicondylar fracture 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": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter"}, {"role": "assistant", "content": "S06.821D — Injury of left internal carotid artery, intracranial portion, not elsewhere classified 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": "Poisoning by other antidepressants, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T43.294D — Poisoning by other 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": "Displaced comminuted fracture of shaft of radius, right arm, sequela"}, {"role": "assistant", "content": "S52.351S — Displaced comminuted fracture of shaft of radius, 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": "Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene"}, {"role": "assistant", "content": "E10.52 — Type 1 diabetes mellitus with diabetic peripheral angiopathy with 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": "Non-pressure chronic ulcer of right thigh with fat layer exposed"}, {"role": "assistant", "content": "L97.112 — Non-pressure chronic ulcer of right thigh 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": "Flatback syndrome, lumbar region"}, {"role": "assistant", "content": "M40.36 — Flatback syndrome, 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 lower end of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.601N — Unspecified fracture of lower end of right 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 streptococcal arthritis, left knee"}, {"role": "assistant", "content": "M00.262 — Other streptococcal 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": "Burn of unspecified degree of unspecified site of left lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.002D — Burn of unspecified 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 injury of unspecified wrist, hand and finger(s), initial encounter"}, {"role": "assistant", "content": "S69.90XA — Unspecified injury of unspecified wrist, hand and 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 internal fixation device of left femur, initial encounter"}, {"role": "assistant", "content": "T84.115A — Breakdown (mechanical) of internal fixation device of left 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": "War operations involving unspecified explosion and fragments, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.201A — War operations involving unspecified explosion and fragments, 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": "Military operations involving direct blast effect of nuclear weapon, civilian, initial encounter"}, {"role": "assistant", "content": "Y37.511A — Military operations involving direct blast effect of nuclear weapon, 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": "Toxic effect of harmful algae and algae toxins, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T65.824D — Toxic effect of harmful algae and algae toxins, 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 vulva"}, {"role": "assistant", "content": "N76.4 — Abscess 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": "Open bite of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.159D — Open bite 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": "Carrier of other intestinal infectious diseases"}, {"role": "assistant", "content": "Z22.1 — Carrier of other 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": "Complete lesion at C7 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.117A — Complete lesion at C7 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 congenital malformations of eye"}, {"role": "assistant", "content": "Q15.8 — Other specified congenital malformations 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": "Displaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.122J — Displaced fracture of head 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": "Poisoning by other bacterial vaccines, undetermined, sequela"}, {"role": "assistant", "content": "T50.A94S — Poisoning by other bacterial vaccines, 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 injury of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.595A — Other injury of intrinsic 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": "Other fractures of lower end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.592J — Other fractures of lower 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": "Helicopter fire injuring occupant, sequela"}, {"role": "assistant", "content": "V95.04XS — Helicopter 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": "Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T58.2X1D — Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, 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": "Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter"}, {"role": "assistant", "content": "S06.6X6A — Traumatic subarachnoid hemorrhage 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": "Pathological fracture in neoplastic disease, unspecified tibia and fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.569P — Pathological fracture in neoplastic disease, unspecified tibia and 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": "Benign neoplasm of uterine tubes and ligaments"}, {"role": "assistant", "content": "D28.2 — Benign neoplasm of uterine tubes and ligaments"}]}
{"messages": [{"role": "system", "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 unspecified thigh, sequela"}, {"role": "assistant", "content": "S76.229S — Laceration of adductor muscle, fascia and tendon 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": "Other specified injury of unspecified blood vessel at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S85.992S — Other specified injury of unspecified blood vessel 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 without foreign body of unspecified great toe with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.213D — Laceration without foreign body of unspecified 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": "Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.026S — Nondisplaced fracture of epiphysis (separation) (upper) 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 injury of unspecified muscle and tendon at ankle and foot level, unspecified foot, sequela"}, {"role": "assistant", "content": "S96.909S — Unspecified injury of unspecified muscle and tendon at ankle and foot level, 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": "Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf"}, {"role": "assistant", "content": "I70.432 — Atherosclerosis of autologous vein 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": "Crushing injury of left foot, subsequent encounter"}, {"role": "assistant", "content": "S97.82XD — Crushing injury 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 chest wall, initial encounter"}, {"role": "assistant", "content": "T21.21XA — Burn of second 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": "Other central nervous system complications of anesthesia during pregnancy, first trimester"}, {"role": "assistant", "content": "O29.291 — Other central nervous system 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": "Person on outside of pick-up truck or van injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V51.7XXA — Person on outside of pick-up truck or van 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 neck of unspecified radius, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.133D — Displaced fracture of neck 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": "Displaced fracture of shaft of fourth metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.325B — Displaced fracture of shaft 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": "Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O41.1030 — Infection of amniotic sac and membranes, unspecified, 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": "Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems"}, {"role": "assistant", "content": "M05.619 — Rheumatoid arthritis of unspecified shoulder 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": "Pathological dislocation of left ankle, not elsewhere classified"}, {"role": "assistant", "content": "M24.372 — Pathological dislocation of left ankle, 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 fall from one level to another due to ice and snow, subsequent encounter"}, {"role": "assistant", "content": "W00.2XXD — Other fall from one level to another due to ice and snow, subsequent encounter"}]}
{"messages": [{"role": "system", "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-relative guardian-child conflict"}, {"role": "assistant", "content": "Z62.832 — Non-relative guardian-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": "Stable burst fracture of T5-T6 vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S22.051B — Stable burst fracture of T5-T6 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": "Other specified injury of right innominate or subclavian vein, sequela"}, {"role": "assistant", "content": "S25.391S — Other specified injury of right innominate or subclavian 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": "Laceration without foreign body of left wrist, subsequent encounter"}, {"role": "assistant", "content": "S61.512D — Laceration without foreign body 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": "Unspecified hereditary corneal dystrophies, left eye"}, {"role": "assistant", "content": "H18.502 — Unspecified hereditary corneal dystrophies, 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": "Pathological fracture in other disease, unspecified femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.653K — Pathological fracture in other disease, unspecified 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 aircraft accident injuring occupant, sequela"}, {"role": "assistant", "content": "V95.9XXS — Unspecified aircraft 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 right forearm, subsequent encounter"}, {"role": "assistant", "content": "S59.911D — Unspecified injury 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": "Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.021P — Salter-Harris Type II physeal fracture of upper end 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 pleura"}, {"role": "assistant", "content": "D38.2 — Neoplasm of uncertain behavior 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": "Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.901S — Poisoning by unspecified drugs, medicaments and biological 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": "Poisoning by other opioids, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T40.2X2A — Poisoning by other opioids, 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 IV physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.042G — Salter-Harris Type IV 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": "Male infertility, unspecified"}, {"role": "assistant", "content": "N46.9 — Male infertility, 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": "ABO incompatibility with delayed hemolytic transfusion reaction, subsequent encounter"}, {"role": "assistant", "content": "T80.311D — ABO incompatibility with delayed hemolytic 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": "Myalgia of auxiliary muscles, head and neck"}, {"role": "assistant", "content": "M79.12 — Myalgia of auxiliary muscles, head 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": "Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of unspecified site"}, {"role": "assistant", "content": "I70.539 — Atherosclerosis of nonautologous biological bypass graft(s) of the right 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": "Insect bite (nonvenomous) of unspecified shoulder, initial encounter"}, {"role": "assistant", "content": "S40.269A — Insect bite (nonvenomous) 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": "Failure to introduce or to remove other tube or instrument"}, {"role": "assistant", "content": "Y65.4 — Failure to introduce or to remove other tube or instrument"}]}
{"messages": [{"role": "system", "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 motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V19.19XS — Pedal cycle passenger 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": "Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral"}, {"role": "assistant", "content": "I82.5Y3 — Chronic embolism and thrombosis of unspecified deep veins of proximal lower 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": "Drug use complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O99.322 — Drug 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": "Wedge compression fracture of third thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.030G — Wedge compression fracture of third 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": "Idiopathic gout, unspecified hand"}, {"role": "assistant", "content": "M10.049 — Idiopathic 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": "Bitten by other nonvenomous marine animals, sequela"}, {"role": "assistant", "content": "W56.81XS — Bitten by 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": "Other non-follicular lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C83.88 — Other non-follicular 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": "Gerstmann-Straussler-Scheinker syndrome"}, {"role": "assistant", "content": "A81.82 — Gerstmann-Straussler-Scheinker 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": "Contusion of left shoulder, sequela"}, {"role": "assistant", "content": "S40.012S — Contusion 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": "Displaced fracture of posterior column [ilioischial] of left acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.442G — Displaced fracture of posterior column [ilioischial] 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": "Anterior subluxation of left humerus, initial encounter"}, {"role": "assistant", "content": "S43.012A — Anterior subluxation 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": "Nondisplaced transverse fracture of shaft of right radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.324Q — Nondisplaced transverse 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": "Postprocedural adrenocortical (-medullary) hypofunction"}, {"role": "assistant", "content": "E89.6 — Postprocedural adrenocortical (-medullary) hypofunction"}]}
{"messages": [{"role": "system", "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 buttock, sequela"}, {"role": "assistant", "content": "S31.823S — Puncture wound without 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": "Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.125P — Nondisplaced fracture of acromial process, 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": "Abrasion of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S60.319A — Abrasion 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": "Laceration without foreign body of right little finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.316S — Laceration without foreign body of right 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 osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture"}, {"role": "assistant", "content": "M80.849A — Other osteoporosis with current pathological fracture, unspecified 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": "Puncture wound with foreign body of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S41.042D — Puncture wound with foreign body 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": "Nondisplaced fracture of sternal end of left clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.018A — Nondisplaced 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": "Extreme immaturity of newborn, gestational age 24 completed weeks"}, {"role": "assistant", "content": "P07.23 — Extreme immaturity of newborn, gestational age 24 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": "Unspecified dislocation of left sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.205D — Unspecified dislocation of left 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": "Displaced fracture of body of hamate [unciform] bone, right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.141A — Displaced fracture of body of hamate [unciform] bone, 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": "Poisoning by anticoagulant antagonists, vitamin K and other coagulants, assault, sequela"}, {"role": "assistant", "content": "T45.7X3S — Poisoning by anticoagulant antagonists, vitamin K and other coagulants, 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": "Allergy, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T78.40XD — Allergy, 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": "Central serous chorioretinopathy, unspecified eye"}, {"role": "assistant", "content": "H35.719 — Central serous chorioretinopathy, 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": "Injury of lateral plantar nerve, right leg, initial encounter"}, {"role": "assistant", "content": "S94.01XA — Injury of lateral plantar nerve, 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": "Other specified female pelvic inflammatory diseases"}, {"role": "assistant", "content": "N73.8 — Other specified female pelvic inflammatory 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": "Nondisplaced fracture of body of hamate [unciform] bone, unspecified wrist, sequela"}, {"role": "assistant", "content": "S62.146S — Nondisplaced fracture of body of hamate [unciform] bone, 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": "Displaced fracture of distal phalanx of right ring finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.634P — Displaced fracture of distal phalanx of right 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": "Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.132S — Anterior cord syndrome 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": "Toxic effect of fusel oil, undetermined, sequela"}, {"role": "assistant", "content": "T51.3X4S — Toxic effect of fusel oil, 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": "Periprosthetic osteolysis of other internal prosthetic joint, sequela"}, {"role": "assistant", "content": "T84.058S — Periprosthetic osteolysis of other 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": "Other injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.193D — Other injury of flexor 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": "Nondisplaced fracture of proximal phalanx of left index finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.641P — Nondisplaced fracture of proximal phalanx of left 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": "Cicatricial entropion of left eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.016 — Cicatricial entropion of 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": "Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T44.3X1A — Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, 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 physeal fracture of right metatarsal, sequela"}, {"role": "assistant", "content": "S99.191S — Other physeal fracture of right 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": "Other mechanical complication of other internal joint prosthesis, initial encounter"}, {"role": "assistant", "content": "T84.098A — Other mechanical complication of other internal joint 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": "Benign neoplasm of pharynx, unspecified"}, {"role": "assistant", "content": "D10.9 — Benign neoplasm of pharynx, 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": "Puncture wound with foreign body of left lesser toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.245A — Puncture wound with foreign body of left 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": "Contusion of ureter, initial encounter"}, {"role": "assistant", "content": "S37.12XA — Contusion of ureter, initial encounter"}]}
{"messages": [{"role": "system", "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 incompatibility with delayed hemolytic transfusion reaction, initial encounter"}, {"role": "assistant", "content": "T80.311A — ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Problems related to unwanted pregnancy"}, {"role": "assistant", "content": "Z64.0 — Problems related to unwanted 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": "Nondisplaced osteochondral fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.015R — Nondisplaced osteochondral fracture of left patella, 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 sacrum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.10XG — Unspecified 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": "Age-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.011D — Age-related osteoporosis with current 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": "Pregnancy related exhaustion and fatigue, first trimester"}, {"role": "assistant", "content": "O26.811 — Pregnancy related exhaustion and fatigue, 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": "Child psychological abuse, suspected, sequela"}, {"role": "assistant", "content": "T76.32XS — Child psychological abuse, 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": "Human epidermal growth factor receptor 2 negative status"}, {"role": "assistant", "content": "Z17.32 — 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": "Injury of other nerves at hip and thigh level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S74.8X9A — Injury of other nerves 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": "Adverse effect of tetracyclic antidepressants, sequela"}, {"role": "assistant", "content": "T43.025S — Adverse effect of tetracyclic 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": "Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.331G — Displaced oblique 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 fracture of medial malleolus of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.55XH — Nondisplaced fracture of medial malleolus 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": "Other stimulant use, unspecified with stimulant-induced anxiety disorder"}, {"role": "assistant", "content": "F15.980 — Other stimulant use, unspecified with stimulant-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": "Greenstick fracture of shaft of right ulna, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S52.211G — Greenstick fracture of shaft 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": "Other psychoactive substance dependence with intoxication delirium"}, {"role": "assistant", "content": "F19.221 — Other psychoactive substance 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": "Encounter for fitting and adjustment of complete artificial leg, unspecified leg"}, {"role": "assistant", "content": "Z44.119 — Encounter for fitting and adjustment of complete 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": "Corrosion of unspecified degree of right forearm, subsequent encounter"}, {"role": "assistant", "content": "T22.411D — Corrosion of unspecified 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": "Toxic effect of contact with other venomous plant, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.794A — Toxic effect of contact with other venomous plant, 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": "Iliac crest spur, right hip"}, {"role": "assistant", "content": "M76.21 — Iliac crest spur, 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": "Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.009G — Unspecified 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": "Adverse effect of sulfonamides, initial encounter"}, {"role": "assistant", "content": "T37.0X5A — Adverse effect 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": "Corrosions involving 90% or more of body surface with 40-49% third degree corrosion"}, {"role": "assistant", "content": "T32.94 — Corrosions involving 90% or more 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": "Calcium deposit in bursa, unspecified ankle and foot"}, {"role": "assistant", "content": "M71.479 — Calcium deposit in bursa, 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": "Type I occipital condyle fracture, right side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.11AB — Type I 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": "Other infective bursitis, unspecified wrist"}, {"role": "assistant", "content": "M71.139 — Other infective bursitis, 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": "Retinal detachment with multiple breaks, right eye"}, {"role": "assistant", "content": "H33.021 — Retinal detachment with multiple breaks, 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": "Stress fracture, unspecified ulna and radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.339K — Stress fracture, unspecified ulna and 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": "Strain of other specified muscles, fascia and tendons at thigh level, left thigh, sequela"}, {"role": "assistant", "content": "S76.812S — Strain 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": "Pseudosarcomatous fibromatosis"}, {"role": "assistant", "content": "M72.4 — Pseudosarcomatous fibromatosis"}]}
{"messages": [{"role": "system", "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 malignant neoplasm of prostate"}, {"role": "assistant", "content": "Z15.03 — Genetic susceptibility to 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": "Lead-induced chronic gout, right shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.1110 — Lead-induced chronic gout, 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": "Underdosing of unspecified drugs primarily affecting the autonomic nervous system, initial encounter"}, {"role": "assistant", "content": "T44.906A — Underdosing of unspecified drugs primarily affecting the autonomic 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 malleolus of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.51XE — Displaced fracture of medial malleolus 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": "Burns involving 30-39% of body surface with 10-19% third degree burns"}, {"role": "assistant", "content": "T31.31 — Burns involving 30-39% 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": "Open bite of scalp, initial encounter"}, {"role": "assistant", "content": "S01.05XA — Open bite 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": "Exudative cysts of iris or anterior chamber, right eye"}, {"role": "assistant", "content": "H21.311 — Exudative cysts of iris 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": "Injury of radial nerve at wrist and hand level of right arm, sequela"}, {"role": "assistant", "content": "S64.21XS — Injury of radial 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": "Sylvatic rabies"}, {"role": "assistant", "content": "A82.0 — Sylvatic rabies"}]}
{"messages": [{"role": "system", "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 right patella, sequela"}, {"role": "assistant", "content": "S83.014S — Lateral 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": "Unspecified injury of blood vessel of left little finger, initial encounter"}, {"role": "assistant", "content": "S65.507A — Unspecified injury of blood vessel 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": "Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.043M — Displaced fracture of coronoid process of unspecified 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": "Posterior subluxation of unspecified sternoclavicular joint, sequela"}, {"role": "assistant", "content": "S43.223S — Posterior subluxation 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": "Displaced bimalleolar fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.843R — Displaced bimalleolar fracture of unspecified lower leg, 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 atherosclerosis of nonautologous biological bypass graft(s) of the extremities, unspecified extremity"}, {"role": "assistant", "content": "I70.599 — Other atherosclerosis of nonautologous biological 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": "Poisoning by unspecified hormone antagonists, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T38.902D — Poisoning by unspecified hormone 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": "Displaced spiral fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.341J — Displaced 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": "Displaced transverse fracture of unspecified patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.033B — Displaced transverse 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": "Complete traumatic amputation at knee level, left lower leg, subsequent encounter"}, {"role": "assistant", "content": "S88.012D — Complete 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": "Laceration of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.329D — Laceration of muscle, fascia and tendon of triceps, 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": "Dislocation of metacarpophalangeal joint of right little finger, initial encounter"}, {"role": "assistant", "content": "S63.266A — Dislocation of metacarpophalangeal 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": "Balanced rearrangement and structural marker, unspecified"}, {"role": "assistant", "content": "Q95.9 — Balanced rearrangement and structural marker, 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 physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.209D — Unspecified 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": "Papyraceous fetus, second trimester, fetus 4"}, {"role": "assistant", "content": "O31.02X4 — Papyraceous fetus, 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": "Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.011E — Unspecified intracapsular 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": "Other specified injury of unspecified blood vessel at hip and thigh level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.999D — Other specified 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": "Partial traumatic amputation of unspecified foot, level unspecified, sequela"}, {"role": "assistant", "content": "S98.929S — Partial traumatic amputation of unspecified 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 fracture of first metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.201B — Unspecified fracture of first 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": "Nondisplaced fracture of body of hamate [unciform] bone, left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.145P — Nondisplaced fracture of body of hamate [unciform] 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": "Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.416B — Nondisplaced unspecified condyle 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": "Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy"}, {"role": "assistant", "content": "O02.81 — Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early 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": "Drug-induced headache, not elsewhere classified, intractable"}, {"role": "assistant", "content": "G44.41 — Drug-induced headache, not elsewhere classified, 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": "Myositis ossificans progressiva, multiple sites"}, {"role": "assistant", "content": "M61.19 — Myositis ossificans progressiva, 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 fracture of posterior column [ilioischial] of right acetabulum, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.441D — Displaced fracture of posterior column [ilioischial] 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": "Nondisplaced spiral fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.244J — Nondisplaced spiral fracture of shaft 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": "Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.0990 — Maternal care for other rhesus isoimmunization, 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": "Driver of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V31.5XXA — Driver 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": "Frostbite with tissue necrosis of unspecified finger(s), subsequent encounter"}, {"role": "assistant", "content": "T34.539D — Frostbite with tissue necrosis of unspecified 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": "Non-pressure chronic ulcer of unspecified upper arm with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A196 — Non-pressure chronic ulcer of unspecified 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 injury of right middle and inner ear, initial encounter"}, {"role": "assistant", "content": "S09.301A — Unspecified injury of right middle and inner 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": "Nondisplaced fracture of middle phalanx of right little finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.656D — Nondisplaced fracture of middle phalanx of right little 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": "Contusion of unspecified ear, subsequent encounter"}, {"role": "assistant", "content": "S00.439D — Contusion 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": "Exposure to smoke in controlled fire in building or structure, sequela"}, {"role": "assistant", "content": "X02.1XXS — Exposure to smoke in controlled fire in building or structure, sequela"}]}
{"messages": [{"role": "system", "content": "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 seventh cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.630A — Unspecified traumatic displaced spondylolisthesis 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": "Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.246M — Nondisplaced spiral 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": "Toxic effect of other specified noxious substances eaten as food, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T62.8X1A — Toxic effect of other specified noxious substances eaten as food, 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": "Decreased fetal movements, third trimester, other fetus"}, {"role": "assistant", "content": "O36.8139 — Decreased fetal movements, 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": "Nondisplaced fracture of distal phalanx of left ring finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.665D — Nondisplaced fracture of distal phalanx of left ring 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": "Lobster-claw left hand"}, {"role": "assistant", "content": "Q71.62 — Lobster-claw 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 dome fracture of right talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.144P — Nondisplaced dome 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": "Fall from snow-skis, sequela"}, {"role": "assistant", "content": "V00.321S — Fall from snow-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": "Nondisplaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.126D — Nondisplaced fracture of acromial process, unspecified 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": "Bitten by macaw, subsequent encounter"}, {"role": "assistant", "content": "W61.11XD — Bitten by macaw, subsequent encounter"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "T73.2XXA — Exhaustion due to exposure, initial encounter"}]}
{"messages": [{"role": "system", "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 C2/C3 cervical vertebrae, subsequent encounter"}, {"role": "assistant", "content": "S13.130D — Subluxation of C2/C3 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": "Otosclerosis involving oval window, obliterative, left ear"}, {"role": "assistant", "content": "H80.12 — Otosclerosis involving oval window, obliterative, 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": "Burn of second degree of right elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.221D — Burn of second degree 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": "Aneurysm of artery of lower extremity"}, {"role": "assistant", "content": "I72.4 — Aneurysm of artery 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": "Poisoning by barbiturates, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T42.3X1D — Poisoning by barbiturates, 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 Hodgkin lymphoma, unspecified site"}, {"role": "assistant", "content": "C81.70 — Other 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": "Unspecified injury of portal vein, subsequent encounter"}, {"role": "assistant", "content": "S35.319D — Unspecified injury of portal 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": "Nondisplaced fracture of unspecified radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.516J — Nondisplaced fracture of unspecified radial styloid process, 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 open wound of left index finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.201S — Unspecified open wound of left index 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": "Neonatal cerebral depression"}, {"role": "assistant", "content": "P91.4 — Neonatal cerebral 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": "Unspecified occupant of special agricultural vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V84.9XXA — Unspecified occupant of special agricultural 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": "Subluxation of interphalangeal joint of left lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.135D — Subluxation of interphalangeal 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": "Corrosion of second degree of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.629D — Corrosion of second 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": "Laceration with foreign body of unspecified buttock, subsequent encounter"}, {"role": "assistant", "content": "S31.802D — Laceration with foreign body of unspecified 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": "Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.402J — Unspecified 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": "Salter-Harris Type II physeal fracture of lower end of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S79.122A — Salter-Harris Type II 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": "Open bite of lower back and pelvis with penetration into retroperitoneum, initial encounter"}, {"role": "assistant", "content": "S31.051A — Open bite 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": "Unspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V15.2XXA — Unspecified pedal cyclist 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": "Warm autoimmune hemolytic anemia"}, {"role": "assistant", "content": "D59.11 — Warm 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": "Other disorders of optic nerve, not elsewhere classified, right eye"}, {"role": "assistant", "content": "H47.091 — Other disorders of optic nerve, not elsewhere classified, 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 other extraarticular fracture of unspecified calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.056D — Nondisplaced other extraarticular fracture of unspecified 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": "Electric (assisted) bicycle passenger injured in collision with unspecified motor vehicles in traffic accident, sequela"}, {"role": "assistant", "content": "V29.501S — Electric (assisted) bicycle 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": "Electric (assisted) bicycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V22.01XA — Electric (assisted) bicycle driver 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": "Other helicopter accident injuring occupant, sequela"}, {"role": "assistant", "content": "V95.09XS — Other helicopter 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": "Retinopathy of prematurity, stage 0, left eye"}, {"role": "assistant", "content": "H35.112 — Retinopathy of prematurity, stage 0, 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": "Salter-Harris Type IV physeal fracture of lower end of radius, right arm, sequela"}, {"role": "assistant", "content": "S59.241S — Salter-Harris Type IV physeal fracture of lower end of radius, 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": "Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.042P — Displaced fracture of base of 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": "Poisoning by heroin, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T40.1X1A — Poisoning by heroin, 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 lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.426N — Nondisplaced fracture of lateral condyle 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": "Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye"}, {"role": "assistant", "content": "E09.3521 — Drug or chemical induced diabetes mellitus 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": "Other adverse food reaction due to egg with baked egg tolerance/reactivity, unspecified, initial encounter"}, {"role": "assistant", "content": "T78.129A — Other adverse food reaction due to egg with baked egg tolerance/reactivity, 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 chromium and its compounds, assault, initial encounter"}, {"role": "assistant", "content": "T56.2X3A — Toxic effect of chromium 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": "Person injured in other specified noncollision transport accidents involving motor vehicle, nontraffic, initial encounter"}, {"role": "assistant", "content": "V88.8XXA — Person injured in other specified noncollision transport accidents involving motor vehicle, 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": "Unspecified rider of other motorcycle injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V28.29XA — Unspecified rider of other motorcycle 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": "Displaced fracture of unspecified radial styloid process, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.513K — Displaced fracture of unspecified radial styloid process, 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": "Pathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.519K — Pathological fracture in neoplastic disease, 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": "Displaced transverse fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.323C — Displaced transverse 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": "Salter-Harris Type I physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.012P — Salter-Harris Type I physeal fracture of lower end of ulna, 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": "Age-related osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.039D — Age-related osteoporosis with current pathological fracture, unspecified forearm, 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 paralytic syndrome following cerebral infarction affecting right dominant side"}, {"role": "assistant", "content": "I69.361 — Other paralytic syndrome following cerebral infarction 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": "Other physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.192D — Other 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": "Laceration with foreign body of right ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.224S — Laceration with foreign body 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": "Recurrent dislocation, unspecified hip"}, {"role": "assistant", "content": "M24.459 — Recurrent dislocation, 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 osteochondral fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.012J — Displaced osteochondral 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": "Hypertrophy of bone, left tibia"}, {"role": "assistant", "content": "M89.362 — Hypertrophy of bone, 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": "Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T49.4X4D — Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, 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 fracture of unspecified great toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.499B — Other fracture of unspecified 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": "Salter-Harris Type II physeal fracture of upper end of right tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.021D — Salter-Harris Type II physeal fracture of upper end of right 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 open wound of unspecified upper arm, sequela"}, {"role": "assistant", "content": "S41.109S — Unspecified open wound of unspecified 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": "Personal history of pulmonary embolism"}, {"role": "assistant", "content": "Z86.711 — Personal history of 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": "Unspecified perforation of tympanic membrane, unspecified ear"}, {"role": "assistant", "content": "H72.90 — Unspecified 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": "Displaced spiral fracture of shaft of right tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.241B — Displaced spiral 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": "Maternal care for other known or suspected poor fetal growth, third trimester, fetus 5"}, {"role": "assistant", "content": "O36.5935 — Maternal care for other known or suspected poor fetal growth, 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": "Malignant neoplasm of overlapping sites of connective and soft tissue"}, {"role": "assistant", "content": "C49.8 — Malignant neoplasm of overlapping sites of connective and soft 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": "Unspecified dislocation of right acromioclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.101D — Unspecified dislocation of right acromioclavicular 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 other powered watercraft overturning, sequela"}, {"role": "assistant", "content": "V90.03XS — Drowning and submersion due to other powered watercraft overturning, sequela"}]}
{"messages": [{"role": "system", "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 endocarditis"}, {"role": "assistant", "content": "A52.03 — Syphilitic 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": "Incomplete lesion of L2 level of lumbar spinal cord, sequela"}, {"role": "assistant", "content": "S34.122S — Incomplete lesion of L2 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 olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.033G — Displaced 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": "Corrosion of third degree of unspecified multiple fingers (nail), including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.749D — Corrosion of third degree of unspecified multiple 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": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery"}, {"role": "assistant", "content": "I63.549 — Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar 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": "Superficial frostbite of right toe(s), initial encounter"}, {"role": "assistant", "content": "T33.831A — Superficial frostbite 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": "Nondisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.345H — Nondisplaced spiral 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": "Displaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.443H — Displaced spiral 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": "Osteochondropathy, unspecified, left upper arm"}, {"role": "assistant", "content": "M93.922 — Osteochondropathy, unspecified, 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 specified injury of right innominate or subclavian artery, initial encounter"}, {"role": "assistant", "content": "S25.191A — Other specified injury of right 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": "Placenta increta, second trimester"}, {"role": "assistant", "content": "O43.222 — Placenta increta, 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 oblique fracture of shaft of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.234A — Nondisplaced oblique fracture of shaft 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": "Benign neoplasm of connective and other soft tissue of left lower limb, including hip"}, {"role": "assistant", "content": "D21.22 — Benign neoplasm of connective and other soft tissue of left 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": "Endometriosis of diaphragm, unspecified depth"}, {"role": "assistant", "content": "N80.B39 — Endometriosis of diaphragm, 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": "Fatigue fracture of vertebra, thoracic region, initial encounter for fracture"}, {"role": "assistant", "content": "M48.44XA — Fatigue fracture of vertebra, thoracic 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": "Cystic meniscus, other lateral meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.069 — Cystic meniscus, other 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": "Passenger on bus injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V70.6XXD — Passenger on 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": "Calculus of urinary tract in diseases classified elsewhere"}, {"role": "assistant", "content": "N22 — Calculus of urinary tract 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": "Driver of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in traffic accident, initial encounter"}, {"role": "assistant", "content": "V33.5XXA — Driver of three-wheeled motor 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": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.465G — Nondisplaced supracondylar fracture with intracondylar extension of lower end 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": "Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.321P — Displaced transverse 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": "Adverse effect of analeptics and opioid receptor antagonists, sequela"}, {"role": "assistant", "content": "T50.7X5S — Adverse effect of analeptics and opioid receptor 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": "Unspecified open wound of left front wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.102S — Unspecified open wound 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": "Acquired clubfoot, right foot"}, {"role": "assistant", "content": "M21.541 — Acquired clubfoot, 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 osteonecrosis, right shoulder"}, {"role": "assistant", "content": "M87.811 — Other 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": "Hereditary hemorrhagic telangiectasia"}, {"role": "assistant", "content": "I78.0 — Hereditary hemorrhagic telangiectasia"}]}
{"messages": [{"role": "system", "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 middle finger, sequela"}, {"role": "assistant", "content": "S67.193S — Crushing injury 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": "Diagnostic and monitoring ophthalmic devices associated with adverse incidents"}, {"role": "assistant", "content": "Y77.0 — Diagnostic and monitoring ophthalmic 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 transcondylar fracture of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.472D — Displaced transcondylar fracture 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 supracondylar fracture without intracondylar extension of lower end of right femur, sequela"}, {"role": "assistant", "content": "S72.454S — Nondisplaced supracondylar fracture without intracondylar extension 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": "Anterior dislocation of right sternoclavicular joint, sequela"}, {"role": "assistant", "content": "S43.214S — Anterior dislocation of right 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": "Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.416K — Nondisplaced fracture of proximal phalanx of unspecified 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": "Fusion of spine, thoracic region"}, {"role": "assistant", "content": "M43.24 — Fusion 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": "Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T37.91XA — Poisoning by unspecified systemic anti-infective and antiparasitics, 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 shaft of second metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.351G — Nondisplaced fracture of shaft 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": "Other cervical disc degeneration at C5-C6 level"}, {"role": "assistant", "content": "M50.322 — Other cervical disc degeneration at C5-C6 level"}]}
{"messages": [{"role": "system", "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 tobacco and nicotine, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T65.292A — Toxic effect of other tobacco and nicotine, 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 dislocation of right radial head, initial encounter"}, {"role": "assistant", "content": "S53.094A — Other dislocation of right 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": "Salter-Harris Type I physeal fracture of unspecified calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.019D — Salter-Harris Type I physeal fracture of unspecified 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": "Crushing injury of right ring finger, sequela"}, {"role": "assistant", "content": "S67.194S — Crushing injury 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": "Pressure ulcer of left heel, unspecified stage"}, {"role": "assistant", "content": "L89.629 — Pressure ulcer of left heel, 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 unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.413B — Displaced unspecified condyle 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": "Lateral dislocation of proximal end of tibia, left knee, subsequent encounter"}, {"role": "assistant", "content": "S83.145D — Lateral dislocation of proximal end of tibia, 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": "Dementia in other diseases classified elsewhere, moderate, with anxiety"}, {"role": "assistant", "content": "F02.B4 — Dementia in other diseases classified elsewhere, 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": "Struck by falling object on other powered watercraft, sequela"}, {"role": "assistant", "content": "V93.43XS — Struck by falling object on 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": "Pain in left forearm"}, {"role": "assistant", "content": "M79.632 — Pain in 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": "Minor laceration of femoral vein at hip and thigh level, left leg, initial encounter"}, {"role": "assistant", "content": "S75.112A — Minor laceration of femoral 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": "Lymphoid leukemia, unspecified, in remission"}, {"role": "assistant", "content": "C91.91 — Lymphoid leukemia, 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": "Frostbite with tissue necrosis of unspecified wrist, initial encounter"}, {"role": "assistant", "content": "T34.519A — Frostbite with tissue necrosis 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": "Poisoning by pertussis vaccine, including combinations with a pertussis component, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.A11S — Poisoning by pertussis vaccine, including combinations with a pertussis component, 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": "Crushing injury of right ring finger, initial encounter"}, {"role": "assistant", "content": "S67.194A — Crushing injury 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": "Laceration without foreign body of other finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.318A — Laceration without foreign body of other 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": "Non-pressure chronic ulcer of unspecified hand with necrosis of muscle"}, {"role": "assistant", "content": "L98.A393 — Non-pressure chronic ulcer of unspecified hand 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 fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.192H — Other 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": "Nondisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.046R — Nondisplaced comminuted fracture of unspecified patella, 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 parasympathomimetics [cholinergics], assault, initial encounter"}, {"role": "assistant", "content": "T44.1X3A — Poisoning by other parasympathomimetics [cholinergics], 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": "Nutritional deficiency, unspecified"}, {"role": "assistant", "content": "E63.9 — Nutritional deficiency, 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 cuboid bone of left foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.215A — Nondisplaced fracture of cuboid bone of left 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": "Other articular cartilage disorders, left hip"}, {"role": "assistant", "content": "M24.152 — Other articular cartilage disorders, 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": "Superficial foreign body of nose, initial encounter"}, {"role": "assistant", "content": "S00.35XA — Superficial foreign body 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": "Superficial foreign body, left thigh, subsequent encounter"}, {"role": "assistant", "content": "S70.352D — Superficial foreign body, 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": "Kearns-Sayre syndrome, bilateral"}, {"role": "assistant", "content": "H49.813 — Kearns-Sayre 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": "Unspecified diabetes mellitus in pregnancy, second trimester"}, {"role": "assistant", "content": "O24.912 — Unspecified 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": "Puncture wound without foreign body of right elbow, sequela"}, {"role": "assistant", "content": "S51.031S — Puncture wound without foreign body 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": "Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.011N — Unspecified intracapsular fracture 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": "Other paralytic strabismus, unspecified eye"}, {"role": "assistant", "content": "H49.889 — Other paralytic strabismus, 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, left shoulder"}, {"role": "assistant", "content": "M25.312 — Other instability, 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 displaced fracture of seventh cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.690A — Other displaced 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": "Polycystic kidney, adult type"}, {"role": "assistant", "content": "Q61.2 — Polycystic kidney, adult 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": "External constriction of right middle finger, sequela"}, {"role": "assistant", "content": "S60.442S — External constriction 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": "Other physeal fracture of lower end of right fibula, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.391K — Other physeal fracture of lower 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": "Chronic embolism and thrombosis of left femoral vein"}, {"role": "assistant", "content": "I82.512 — Chronic embolism and thrombosis of left 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": "Powassan virus disease"}, {"role": "assistant", "content": "A84.81 — Powassan virus 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": "Fibrous dysplasia (monostotic), left thigh"}, {"role": "assistant", "content": "M85.052 — Fibrous dysplasia (monostotic), 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": "Puncture wound without foreign body of unspecified breast, subsequent encounter"}, {"role": "assistant", "content": "S21.039D — Puncture wound without foreign body of 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": "Minor laceration of left carotid artery, sequela"}, {"role": "assistant", "content": "S15.012S — Minor laceration of left 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": "Other fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.492B — Other 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": "Insect bite (nonvenomous) of unspecified external genital organs, female, sequela"}, {"role": "assistant", "content": "S30.866S — Insect bite (nonvenomous) 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": "Nondisplaced fracture of neck of left radius, sequela"}, {"role": "assistant", "content": "S52.135S — Nondisplaced fracture of neck 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": "Partial traumatic transphalangeal amputation of left little finger, sequela"}, {"role": "assistant", "content": "S68.627S — Partial 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": "Torus fracture of lower end of unspecified radius, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S52.529G — Torus fracture of lower 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": "Laceration of unspecified muscles, fascia and tendons at forearm level, left arm, initial encounter"}, {"role": "assistant", "content": "S56.922A — Laceration of unspecified muscles, fascia and tendons 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": "Bent bone of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.282R — Bent bone 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": "Unspecified superficial keratitis, right eye"}, {"role": "assistant", "content": "H16.101 — Unspecified superficial keratitis, 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": "Fracture of unspecified part of right clavicle, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.001K — Fracture of unspecified part 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": "Other mature T/NK-cell lymphomas, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C84.Z8 — Other mature T/NK-cell lymphomas, 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": "Concussion with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.0X9D — Concussion 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": "Osseous obstruction of Eustachian tube, left ear"}, {"role": "assistant", "content": "H68.112 — Osseous obstruction of Eustachian tube, 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": "Corrosion of unspecified degree of unspecified multiple fingers (nail), including thumb, sequela"}, {"role": "assistant", "content": "T23.449S — Corrosion of unspecified degree of unspecified multiple fingers (nail), 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": "Retrobulbar neuritis, bilateral"}, {"role": "assistant", "content": "H46.13 — Retrobulbar neuritis, 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": "Bent bone of unspecified ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.283B — Bent bone 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": "Unspecified juvenile osteochondrosis, left leg"}, {"role": "assistant", "content": "M92.502 — Unspecified juvenile osteochondrosis, 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": "Foot drop, unspecified foot"}, {"role": "assistant", "content": "M21.379 — Foot drop, 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": "Benign neoplasm of left breast"}, {"role": "assistant", "content": "D24.2 — Benign neoplasm 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": "Poisoning by tramadol, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T40.421D — Poisoning by tramadol, 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 object of natural or organic material, entering into or through a natural orifice, initial encounter"}, {"role": "assistant", "content": "W44.F9XA — Other object of natural or organic material, 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": "Insect bite (nonvenomous) of vagina and vulva, sequela"}, {"role": "assistant", "content": "S30.864S — Insect bite (nonvenomous) of vagina and vulva, sequela"}]}
{"messages": [{"role": "system", "content": "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 joint, not elsewhere classified"}, {"role": "assistant", "content": "M24.80 — Other specific joint derangements of unspecified joint, 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 fracture of navicular [scaphoid] bone of left wrist, sequela"}, {"role": "assistant", "content": "S62.002S — Unspecified fracture of navicular [scaphoid] bone 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": "Displaced intertrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.141M — Displaced intertrochanteric 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": "Acute hematogenous osteomyelitis, right ankle and foot"}, {"role": "assistant", "content": "M86.071 — Acute hematogenous 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": "Sector or arcuate defects, left eye"}, {"role": "assistant", "content": "H53.432 — Sector or arcuate defects, 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 segmental fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.265N — Nondisplaced segmental 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": "Laceration of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter"}, {"role": "assistant", "content": "S56.222A — Laceration 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": "War operations involving destruction of aircraft due to enemy fire or explosives, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.111D — War operations involving destruction of aircraft due to enemy fire or explosives, 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 injury of muscle and tendon of head, initial encounter"}, {"role": "assistant", "content": "S09.10XA — Unspecified injury of muscle and tendon 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": "Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.612D — Toxic effect of contact with Portuguese Man-o-war, 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 fracture of triquetrum [cuneiform] bone, unspecified wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.116A — Nondisplaced fracture of triquetrum [cuneiform] 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": "Complete traumatic amputation of left ear, subsequent encounter"}, {"role": "assistant", "content": "S08.112D — Complete traumatic amputation 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": "Displaced fracture of trapezium [larger multangular], unspecified wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.173K — Displaced fracture of trapezium [larger multangular], 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": "Husband, current, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.010 — Husband, 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": "Pain in left hip"}, {"role": "assistant", "content": "M25.552 — Pain in 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": "Fall from non-in-line roller-skates, sequela"}, {"role": "assistant", "content": "V00.121S — Fall from non-in-line roller-skates, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "HELLP syndrome, complicating the puerperium"}, {"role": "assistant", "content": "O14.25 — HELLP syndrome, 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 specified injury of other specified muscles and tendons at ankle and foot level, right foot, initial encounter"}, {"role": "assistant", "content": "S96.891A — Other specified injury 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": "Poisoning by stimulant laxatives, assault, initial encounter"}, {"role": "assistant", "content": "T47.2X3A — Poisoning by stimulant laxatives, 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 superficial injury of unspecified great toe, initial encounter"}, {"role": "assistant", "content": "S90.933A — Unspecified superficial injury 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": "Displaced fracture of unspecified radial styloid process, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.513D — Displaced fracture of unspecified 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": "Acute parametritis and pelvic cellulitis"}, {"role": "assistant", "content": "N73.0 — Acute 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": "Unspecified juvenile rheumatoid arthritis, left hand"}, {"role": "assistant", "content": "M08.042 — Unspecified juvenile rheumatoid 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": "Aluminum bone disease"}, {"role": "assistant", "content": "M83.4 — Aluminum 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": "Pathological fracture in other disease, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.642D — Pathological fracture in other disease, 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": "Corrosions involving 60-69% of body surface with 60-69% third degree corrosion"}, {"role": "assistant", "content": "T32.66 — Corrosions involving 60-69% of body surface with 60-69% 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 anterior process of right calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.021K — Displaced fracture of anterior process 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": "Major laceration of superior vena cava, initial encounter"}, {"role": "assistant", "content": "S25.22XA — Major laceration of superior vena cava, initial encounter"}]}
{"messages": [{"role": "system", "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 deep vessels of left lower extremity"}, {"role": "assistant", "content": "I80.202 — Phlebitis and thrombophlebitis of unspecified deep vessels of 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": "Displaced fracture of shaft of first metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.242B — Displaced fracture of shaft 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": "Alcohol use, unspecified with alcohol-induced persisting dementia"}, {"role": "assistant", "content": "F10.97 — Alcohol use, unspecified with alcohol-induced persisting dementia"}]}
{"messages": [{"role": "system", "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 firearms, public safety official injured, initial encounter"}, {"role": "assistant", "content": "Y38.4X1A — Terrorism involving firearms, public safety 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": "Personal history of malignant carcinoid tumor of rectum"}, {"role": "assistant", "content": "Z85.040 — Personal history of malignant carcinoid tumor 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 superficial bite of right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S90.474D — Other superficial bite 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": "Spastic hemiplegic cerebral palsy"}, {"role": "assistant", "content": "G80.2 — Spastic hemiplegic cerebral 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": "Postural kyphosis, thoracolumbar region"}, {"role": "assistant", "content": "M40.05 — Postural kyphosis, 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": "Car driver injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V46.0XXD — Car driver 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": "Pedestrian on roller-skates injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V06.01XD — Pedestrian on roller-skates 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": "Pedal cycle passenger injured in collision with pedestrian or animal in nontraffic accident, sequela"}, {"role": "assistant", "content": "V10.1XXS — Pedal cycle passenger 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": "Bitten by other birds, subsequent encounter"}, {"role": "assistant", "content": "W61.91XD — Bitten 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": "Acute dacryocystitis of bilateral lacrimal passages"}, {"role": "assistant", "content": "H04.323 — Acute dacryocystitis of bilateral lacrimal passages"}]}
{"messages": [{"role": "system", "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 little finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.236D — Puncture wound without foreign body of right 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": "Unspecified open wound of right forearm, sequela"}, {"role": "assistant", "content": "S51.801S — Unspecified open wound 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": "Balloon crash injuring occupant, sequela"}, {"role": "assistant", "content": "V96.01XS — Balloon crash 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": "Displaced fracture of lunate [semilunar], right wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.121D — Displaced fracture of lunate [semilunar], 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": "Other injury of unspecified intra-abdominal organ, subsequent encounter"}, {"role": "assistant", "content": "S36.99XD — Other injury of unspecified intra-abdominal organ, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.231R — Displaced oblique fracture of shaft of right 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": "Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S86.199A — Other injury of other muscle(s) and tendon(s) of posterior 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": "Hit by object due to controlled fire, not in building or structure, initial encounter"}, {"role": "assistant", "content": "X03.4XXA — Hit by object due to 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": "Conjoined twin pregnancy, second trimester"}, {"role": "assistant", "content": "O30.022 — Conjoined twin 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 hearing loss, left ear"}, {"role": "assistant", "content": "H91.92 — Unspecified hearing loss, 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": "Nondisplaced intertrochanteric fracture of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.145B — Nondisplaced intertrochanteric 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": "Progressive systemic sclerosis"}, {"role": "assistant", "content": "M34.0 — Progressive systemic 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": "Subluxation of metatarsophalangeal joint of right great toe, sequela"}, {"role": "assistant", "content": "S93.141S — Subluxation of metatarsophalangeal joint 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": "Bronchiectasis with (acute) exacerbation"}, {"role": "assistant", "content": "J47.1 — Bronchiectasis 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": "Carbuncle of left lower limb"}, {"role": "assistant", "content": "L02.436 — Carbuncle 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": "Puncture wound without foreign body of right great toe with damage to nail, sequela"}, {"role": "assistant", "content": "S91.231S — Puncture wound without 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": "Nondisplaced transverse fracture of shaft of right fibula, sequela"}, {"role": "assistant", "content": "S82.424S — Nondisplaced transverse 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": "Squamous cell carcinoma of anal skin"}, {"role": "assistant", "content": "C44.520 — Squamous cell carcinoma of anal 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": "Right upper quadrant abdominal tenderness"}, {"role": "assistant", "content": "R10.811 — Right upper quadrant 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": "Exposure to other furniture fire due to unspecified burning material, initial encounter"}, {"role": "assistant", "content": "X08.20XA — Exposure to other furniture fire due to unspecified burning material, initial encounter"}]}
{"messages": [{"role": "system", "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 optic nerve, left eye, subsequent encounter"}, {"role": "assistant", "content": "S04.012D — Injury of optic nerve, 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": "Other secondary carnitine deficiency"}, {"role": "assistant", "content": "E71.448 — Other secondary carnitine 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": "Other fracture of lower end of left ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.692E — Other fracture of lower 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": "Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.131G — Unspecified traumatic nondisplaced 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": "Juvenile dermatomyositis without myopathy"}, {"role": "assistant", "content": "M33.03 — Juvenile 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": "Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents], subsequent encounter"}, {"role": "assistant", "content": "T48.1X5D — Adverse effect of skeletal muscle relaxants [neuromuscular 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": "Other gonococcal genitourinary infections"}, {"role": "assistant", "content": "A54.29 — Other gonococcal genitourinary 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": "Salter-Harris Type II physeal fracture of lower end of left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.122K — Salter-Harris Type II 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": "Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure"}, {"role": "assistant", "content": "J95.71 — Accidental puncture and laceration of a respiratory system organ or structure during a respiratory 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": "Toxic effect of chlorine gas, assault, initial encounter"}, {"role": "assistant", "content": "T59.4X3A — Toxic effect of chlorine gas, 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 other extraarticular fracture of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.052G — Displaced other extraarticular 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": "Nondisplaced fracture of anterior process of left calcaneus, sequela"}, {"role": "assistant", "content": "S92.025S — Nondisplaced fracture of anterior process 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": "Age-related osteoporosis with current pathological fracture, other site, sequela"}, {"role": "assistant", "content": "M80.0AXS — Age-related osteoporosis with current 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": "Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye"}, {"role": "assistant", "content": "E11.3512 — Type 2 diabetes mellitus with proliferative 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": "Nondisplaced fracture of middle phalanx of unspecified finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.659K — Nondisplaced fracture of middle phalanx of unspecified 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": "Pemphigus erythematosus"}, {"role": "assistant", "content": "L10.4 — Pemphigus erythematosus"}]}
{"messages": [{"role": "system", "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 trauma or surgery, left eye"}, {"role": "assistant", "content": "H05.422 — Enophthalmos due to trauma or surgery, 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": "Burn of second degree of chin, sequela"}, {"role": "assistant", "content": "T20.23XS — Burn of second degree of chin, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other anomalies of tooth position of fully erupted tooth or teeth"}, {"role": "assistant", "content": "M26.39 — Other anomalies 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": "Unspecified fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.402H — Unspecified fracture of shaft of left 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": "Unspecified fracture of upper end of right tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.101G — Unspecified fracture of upper end 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": "Other specific joint derangements of left hand, not elsewhere classified"}, {"role": "assistant", "content": "M24.842 — Other specific joint derangements of left 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": "Other intraarticular fracture of lower end of left radius, sequela"}, {"role": "assistant", "content": "S52.572S — Other intraarticular fracture of lower end 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": "Tear of articular cartilage of right knee, current, initial encounter"}, {"role": "assistant", "content": "S83.31XA — Tear of articular cartilage of right knee, current, initial encounter"}]}
{"messages": [{"role": "system", "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 Achilles tendon, subsequent encounter"}, {"role": "assistant", "content": "S86.021D — Laceration 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": "Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris"}, {"role": "assistant", "content": "I25.758 — Atherosclerosis of native coronary artery of transplanted heart with other forms of 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": "Mechanical loosening of other internal prosthetic joint, sequela"}, {"role": "assistant", "content": "T84.038S — Mechanical loosening of other 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": "Idiopathic gout, multiple sites"}, {"role": "assistant", "content": "M10.09 — Idiopathic gout, 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 intraarticular fracture of lower end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.572R — Other intraarticular fracture of lower end 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": "Displaced fracture of intermediate cuneiform of unspecified foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.233G — Displaced fracture of intermediate cuneiform of unspecified 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 nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.101G — Unspecified nondisplaced 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": "Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S46.899A — Other injury of other muscles, fascia and tendons 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": "Open bite of right thumb with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.151A — Open bite 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": "Other sprain of right elbow, sequela"}, {"role": "assistant", "content": "S53.491S — Other 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": "Other childhood emotional disorders"}, {"role": "assistant", "content": "F93.8 — Other childhood emotional 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": "Pregnancy with inconclusive fetal viability, fetus 2"}, {"role": "assistant", "content": "O36.80X2 — Pregnancy with inconclusive fetal viability, 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 other specified fetal problems, first trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8910 — Maternal care for other specified fetal problems, first 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": "Underdosing of multiple unspecified drugs, medicaments and biological substances, initial encounter"}, {"role": "assistant", "content": "T50.916A — Underdosing of multiple unspecified drugs, medicaments and biological substances, initial encounter"}]}
{"messages": [{"role": "system", "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 thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.211S — Strain of extensor 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": "Toxic effect of contact with venomous frog, assault, initial encounter"}, {"role": "assistant", "content": "T63.813A — Toxic effect of contact with venomous frog, 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": "Merkel cell carcinoma of right upper eyelid, including canthus"}, {"role": "assistant", "content": "C4A.111 — Merkel cell carcinoma 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": "Poisoning by expectorants, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T48.4X4D — Poisoning by expectorants, 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": "Cytokine release syndrome, grade 1"}, {"role": "assistant", "content": "D89.831 — Cytokine release syndrome, grade 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": "Newborn affected by maternal use of cannabis"}, {"role": "assistant", "content": "P04.81 — Newborn affected by maternal use of cannabis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Sixth [abducent] nerve palsy, left eye"}, {"role": "assistant", "content": "H49.22 — Sixth [abducent] nerve palsy, 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 neck of third metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.333P — Displaced fracture of neck 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": "Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.292P — Other displaced fracture of upper 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": "Endocarditis in systemic lupus erythematosus"}, {"role": "assistant", "content": "M32.11 — Endocarditis in systemic lupus erythematosus"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.216B — Unspecified nondisplaced fracture of surgical neck 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": "Blepharochalasis right upper eyelid"}, {"role": "assistant", "content": "H02.31 — Blepharochalasis 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": "Toxic effect of strychnine and its salts, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T65.1X4D — Toxic effect of strychnine and its salts, 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": "External constriction of left index finger, sequela"}, {"role": "assistant", "content": "S60.441S — External constriction 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": "Poisoning by predominantly alpha-adrenoreceptor agonists, assault, initial encounter"}, {"role": "assistant", "content": "T44.4X3A — Poisoning by predominantly alpha-adrenoreceptor agonists, 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": "Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus"}, {"role": "assistant", "content": "Z22.321 — Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus"}]}
{"messages": [{"role": "system", "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 T1 level of thoracic spinal cord, sequela"}, {"role": "assistant", "content": "S24.141S — Brown-Sequard syndrome at T1 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": "External constriction of lower back and pelvis, subsequent encounter"}, {"role": "assistant", "content": "S30.840D — External constriction 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": "Maternal care for abnormality of vagina, unspecified trimester"}, {"role": "assistant", "content": "O34.60 — Maternal care for abnormality of vagina, 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": "Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.009D — Unspecified 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": "Non-pressure chronic ulcer of left thigh with other specified severity"}, {"role": "assistant", "content": "L97.128 — Non-pressure chronic ulcer of left thigh 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": "Other fracture of right ilium, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.391A — Other 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": "Pulmonary anthrax"}, {"role": "assistant", "content": "A22.1 — Pulmonary 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": "Laceration with foreign body of unspecified shoulder, initial encounter"}, {"role": "assistant", "content": "S41.029A — Laceration with foreign body 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 fracture of neck of left talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.115G — Nondisplaced fracture of neck 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": "Strain of adductor muscle, fascia and tendon of unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.219D — Strain of adductor muscle, fascia and tendon 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": "Stenosis of coronary artery stent, initial encounter"}, {"role": "assistant", "content": "T82.855A — Stenosis of coronary artery 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": "Nicotine dependence, cigarettes, with other nicotine-induced disorders"}, {"role": "assistant", "content": "F17.218 — Nicotine dependence, cigarettes, 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": "Displaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.53XE — Displaced fracture of medial malleolus 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": "Other nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.591B — Other nondisplaced fracture 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": "Infective myositis, left forearm"}, {"role": "assistant", "content": "M60.032 — Infective myositis, 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": "Nondisplaced osteochondral fracture of unspecified patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.016D — Nondisplaced osteochondral fracture of unspecified 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": "Chronic disease of tonsils and adenoids, unspecified"}, {"role": "assistant", "content": "J35.9 — Chronic disease of tonsils and adenoids, 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 dislocation, unspecified foot"}, {"role": "assistant", "content": "M24.476 — Recurrent dislocation, 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": "Laceration of unspecified muscle(s) and tendon(s) at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S86.922A — Laceration of unspecified 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": "Displaced apophyseal fracture of right femur, sequela"}, {"role": "assistant", "content": "S72.131S — Displaced apophyseal fracture 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": "Burn of left ear drum, initial encounter"}, {"role": "assistant", "content": "T28.412A — Burn of left 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": "Traumatic rupture of lumbar intervertebral disc, initial encounter"}, {"role": "assistant", "content": "S33.0XXA — Traumatic rupture of lumbar intervertebral disc, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, unspecified shoulder, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.133P — Displaced fracture of coracoid process, 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": "Displaced fracture of lateral malleolus of unspecified fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.63XG — Displaced fracture of lateral malleolus 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": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.827A — Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury 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": "Unspecified injury of dorsal vein of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S95.209A — Unspecified injury of dorsal vein 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": "Gout due to renal impairment, unspecified shoulder"}, {"role": "assistant", "content": "M10.319 — Gout due to renal impairment, 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": "Injury of unspecified nerve at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S84.90XS — Injury of unspecified 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": "Unspecified ptosis of right eyelid"}, {"role": "assistant", "content": "H02.401 — Unspecified ptosis of right 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": "Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V64.1XXA — Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus 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": "Opioid dependence with opioid-induced sexual dysfunction"}, {"role": "assistant", "content": "F11.281 — Opioid dependence with opioid-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": "Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C81.91 — Hodgkin lymphoma, unspecified, 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": "Idiopathic chronic gout, right elbow, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0210 — Idiopathic 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": "Immersion foot, left foot, sequela"}, {"role": "assistant", "content": "T69.022S — Immersion foot, 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": "Anaphylactic reaction due to fruits and vegetables, initial encounter"}, {"role": "assistant", "content": "T78.04XA — Anaphylactic reaction due to fruits and vegetables, initial encounter"}]}
{"messages": [{"role": "system", "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 anterior occlusal relationship"}, {"role": "assistant", "content": "M26.220 — Open anterior occlusal relationship"}]}
{"messages": [{"role": "system", "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 2"}, {"role": "assistant", "content": "O36.0112 — Maternal care for anti-D [Rh] antibodies, 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": "Toxic effect of copper and its compounds, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.4X1A — Toxic effect of copper 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": "Nondisplaced fracture of left ulna styloid process, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.615G — Nondisplaced fracture of left ulna styloid process, 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": "Ventricular fibrillation"}, {"role": "assistant", "content": "I49.01 — Ventricular fibrillation"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with malunion"}, {"role": "assistant", "content": "S82.492P — Other fracture of shaft 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": "Nondisplaced fracture of posterior wall of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.426A — Nondisplaced fracture of posterior wall 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": "Gluteal tendinitis, unspecified hip"}, {"role": "assistant", "content": "M76.00 — Gluteal tendinitis, 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": "Unspecified open wound of left middle finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.203D — Unspecified open wound of left middle 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": "Stress fracture, unspecified site, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.30XP — Stress fracture, unspecified 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": "Puncture wound with foreign body of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "S41.149A — Puncture wound with foreign body 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": "Poisoning by calcium-channel blockers, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T46.1X4D — Poisoning by calcium-channel blockers, 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": "Partial physeal arrest, left distal tibia"}, {"role": "assistant", "content": "M89.167 — Partial physeal arrest, left distal 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": "Complete lesion at unspecified level of thoracic spinal cord, initial encounter"}, {"role": "assistant", "content": "S24.119A — Complete lesion at unspecified 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": "Corrosion of unspecified degree of unspecified knee, initial encounter"}, {"role": "assistant", "content": "T24.429A — Corrosion of unspecified 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": "Thyrotoxicosis factitia without thyrotoxic crisis or storm"}, {"role": "assistant", "content": "E05.40 — Thyrotoxicosis factitia 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": "Driver of bus injured in collision with other motor vehicles in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V79.49XD — Driver of bus injured in collision with other 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 unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.109Q — Unspecified fracture of upper 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": "Concussion and edema of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.0XXA — Concussion and edema 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": "Cystic meniscus, anterior horn of lateral meniscus, right knee"}, {"role": "assistant", "content": "M23.041 — Cystic meniscus, anterior 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": "Major laceration of unspecified external jugular vein, sequela"}, {"role": "assistant", "content": "S15.229S — Major laceration of unspecified external 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": "Thoracogenic scoliosis, thoracic region"}, {"role": "assistant", "content": "M41.34 — Thoracogenic 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": "Sylvatic yellow fever"}, {"role": "assistant", "content": "A95.0 — Sylvatic yellow 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": "Other physeal fracture of lower end of right fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.391D — Other 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": "Displaced longitudinal fracture of left patella, sequela"}, {"role": "assistant", "content": "S82.022S — Displaced longitudinal fracture 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": "Unspecified healthcare provider, perpetrator of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.529 — Unspecified healthcare provider, 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 oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.431F — Displaced oblique 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": "Poisoning by emollients, demulcents and protectants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T49.3X2D — Poisoning by emollients, demulcents and protectants, 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": "Bitten by duck, initial encounter"}, {"role": "assistant", "content": "W61.61XA — Bitten by duck, initial encounter"}]}
{"messages": [{"role": "system", "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, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T43.611S — Poisoning by caffeine, 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": "Alopecia mucinosa"}, {"role": "assistant", "content": "L65.2 — Alopecia mucinosa"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other arenaviral hemorrhagic fevers"}, {"role": "assistant", "content": "A96.8 — Other arenaviral hemorrhagic fevers"}]}
{"messages": [{"role": "system", "content": "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 malunion"}, {"role": "assistant", "content": "S62.036P — Nondisplaced fracture of proximal third 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": "Folds and rupture in Bowman's membrane, left eye"}, {"role": "assistant", "content": "H18.312 — Folds and rupture in Bowman's membrane, 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 unspecified radial styloid process, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.516M — Nondisplaced fracture of unspecified radial 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": "Other interstitial and deep keratitis, unspecified eye"}, {"role": "assistant", "content": "H16.399 — Other interstitial and deep keratitis, 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": "Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, sequela"}, {"role": "assistant", "content": "V65.4XXS — Person boarding or alighting a heavy transport 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": "Unspecified injury of unspecified blood vessel of thorax, subsequent encounter"}, {"role": "assistant", "content": "S25.90XD — Unspecified injury of unspecified blood vessel 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 on bus injured in collision with other motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V79.19XS — Passenger on bus 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": "Sexual harassment on the job"}, {"role": "assistant", "content": "Z56.81 — Sexual harassment on the job"}]}
{"messages": [{"role": "system", "content": "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, unspecified shoulder, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.136A — Nondisplaced fracture of coracoid 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": "Occlusion and stenosis of right anterior cerebral artery"}, {"role": "assistant", "content": "I66.11 — Occlusion and stenosis of right 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": "Puerperal septic thrombophlebitis"}, {"role": "assistant", "content": "O86.81 — Puerperal septic 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": "Unspecified fracture of left calcaneus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.002G — Unspecified 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": "Unspecified injury of extensor muscle, fascia and tendon of left little finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.408A — Unspecified injury of extensor 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": "Puncture wound without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.630D — Puncture wound without foreign body 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": "Idiopathic chronic gout, right ankle and foot, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.0711 — Idiopathic chronic gout, right 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": "Otalgia, unspecified ear"}, {"role": "assistant", "content": "H92.09 — Otalgia, 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 fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.616D — Nondisplaced fracture of unspecified ulna 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": "Valgus deformity, not elsewhere classified, left hip"}, {"role": "assistant", "content": "M21.052 — Valgus deformity, 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": "Cellulitis of chest wall"}, {"role": "assistant", "content": "L03.313 — Cellulitis of chest 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": "Cholesteatoma of mastoid, bilateral"}, {"role": "assistant", "content": "H71.23 — Cholesteatoma of mastoid, 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 open wound of right hand, subsequent encounter"}, {"role": "assistant", "content": "S61.401D — Unspecified open wound 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": "Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.753D — Incomplete atypical femoral fracture, unspecified leg, 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 left upper limb"}, {"role": "assistant", "content": "L02.414 — Cutaneous abscess 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": "Nondisplaced fracture of neck of first metacarpal bone, unspecified hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.256A — Nondisplaced fracture of neck of first metacarpal bone, 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": "Laceration of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S76.929A — Laceration 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": "Vascular disorders of male genital organs"}, {"role": "assistant", "content": "N50.1 — Vascular disorders of 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": "Fetomaternal placental transfusion syndrome, second trimester"}, {"role": "assistant", "content": "O43.012 — Fetomaternal placental transfusion syndrome, 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": "Palindromic rheumatism, right hand"}, {"role": "assistant", "content": "M12.341 — Palindromic rheumatism, 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": "Injury of unspecified iliac vein, initial encounter"}, {"role": "assistant", "content": "S35.516A — Injury of unspecified iliac 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": "Skeletal fluorosis, unspecified lower leg"}, {"role": "assistant", "content": "M85.169 — Skeletal fluorosis, 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": "Maxillary fracture, right side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.40CB — Maxillary 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": "Degenerative myopia with macular hole, bilateral"}, {"role": "assistant", "content": "H44.2B3 — Degenerative myopia with macular 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 pilon fracture of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.872J — Displaced pilon fracture 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": "Polyhydramnios, second trimester, fetus 2"}, {"role": "assistant", "content": "O40.2XX2 — Polyhydramnios, 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": "Unspecified dementia, mild, with other behavioral disturbance"}, {"role": "assistant", "content": "F03.A18 — Unspecified dementia, mild, 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": "Cocaine abuse with cocaine-induced anxiety disorder"}, {"role": "assistant", "content": "F14.180 — Cocaine abuse with cocaine-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": "Primary blast injury of bronchus, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S27.412D — Primary blast injury of bronchus, 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": "Isolated proteinuria with diffuse membranous glomerulonephritis, unspecified"}, {"role": "assistant", "content": "N06.20 — Isolated proteinuria with diffuse membranous glomerulonephritis, 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 superficial injury of left ring finger, sequela"}, {"role": "assistant", "content": "S60.945S — Unspecified superficial injury 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": "Assault by strike by other specified type of sport equipment, sequela"}, {"role": "assistant", "content": "Y08.09XS — Assault by strike by other specified type of sport 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": "Intermittent hydrarthrosis, unspecified site"}, {"role": "assistant", "content": "M12.40 — Intermittent hydrarthrosis, 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": "Sclerodactyly"}, {"role": "assistant", "content": "L94.3 — Sclerodactyly"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "V93.48XD — Struck by falling object on other 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": "Exfoliation due to erythematous condition involving less than 10 percent of body surface"}, {"role": "assistant", "content": "L49.0 — Exfoliation due to erythematous condition involving less than 10 percent of body surface"}]}
{"messages": [{"role": "system", "content": "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 unspecified procedure, initial encounter"}, {"role": "assistant", "content": "T81.509A — Unspecified complication of 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 acute reaction to foreign substance accidentally left during a procedure, initial encounter"}, {"role": "assistant", "content": "T81.69XA — Other acute reaction to foreign substance accidentally left during a 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": "Unspecified injury of unspecified internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.309A — Unspecified injury of unspecified 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": "Unspecified occupant of special industrial vehicle injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V83.9XXD — Unspecified occupant 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": "Toxic effect of gadolinium, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.821A — Toxic effect of gadolinium, 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": "Echinococcus multilocularis infection, unspecified"}, {"role": "assistant", "content": "B67.7 — Echinococcus multilocularis 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": "Stable burst fracture of T9-T10 vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.071A — Stable burst fracture of T9-T10 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": "Monocular exotropia with other noncomitancies, right eye"}, {"role": "assistant", "content": "H50.141 — Monocular exotropia with other noncomitancies, 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 injury of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.303S — Unspecified injury of extensor 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": "Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.455K — Nondisplaced comminuted fracture of shaft of left 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 spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.245R — Nondisplaced spiral 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": "Other secondary gout, left hand"}, {"role": "assistant", "content": "M10.442 — Other secondary gout, 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": "Multiple perforations of tympanic membrane, left ear"}, {"role": "assistant", "content": "H72.812 — Multiple perforations 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": "Unspecified complication of corneal transplant, right eye"}, {"role": "assistant", "content": "T86.8491 — Unspecified complication 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": "Displaced transverse fracture of shaft of right tibia, sequela"}, {"role": "assistant", "content": "S82.221S — Displaced transverse fracture of shaft 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": "Other fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.391E — Other 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": "Assault by sharp glass, subsequent encounter"}, {"role": "assistant", "content": "X99.0XXD — Assault by sharp glass, subsequent encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "V78.2XXS — Person on outside 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": "Primary thunderclap headache"}, {"role": "assistant", "content": "G44.53 — Primary thunderclap headache"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Rapidly progressive nephritic syndrome with other morphologic changes"}, {"role": "assistant", "content": "N01.8 — Rapidly progressive nephritic syndrome with other morphologic changes"}]}
{"messages": [{"role": "system", "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 biliary tract, unspecified"}, {"role": "assistant", "content": "C24.9 — Malignant neoplasm of biliary 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": "Posterior tibial tendinitis, unspecified leg"}, {"role": "assistant", "content": "M76.829 — Posterior tibial tendinitis, 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": "Personal history of anaphylaxis"}, {"role": "assistant", "content": "Z87.892 — Personal history of anaphylaxis"}]}
{"messages": [{"role": "system", "content": "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 unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.873Q — Displaced pilon fracture 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": "Malignant neoplasm of lower lobe, unspecified bronchus or lung"}, {"role": "assistant", "content": "C34.30 — Malignant neoplasm of lower lobe, unspecified 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": "External constriction of part of breast, left breast, subsequent encounter"}, {"role": "assistant", "content": "S20.142D — External constriction of part of breast, left 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 fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.392J — Other fracture of shaft 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": "Burn of unspecified degree of back of right hand, subsequent encounter"}, {"role": "assistant", "content": "T23.061D — Burn of unspecified 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": "Partial traumatic amputation of unspecified hand at wrist level, initial encounter"}, {"role": "assistant", "content": "S68.429A — Partial 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": "Abscess of bursa, left shoulder"}, {"role": "assistant", "content": "M71.012 — Abscess of bursa, 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 sprain of unspecified thumb, sequela"}, {"role": "assistant", "content": "S63.609S — Unspecified sprain 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": "Strain of muscle and tendon of head, subsequent encounter"}, {"role": "assistant", "content": "S09.11XD — Strain of muscle and tendon 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": "Deficiency of vitamin E"}, {"role": "assistant", "content": "E56.0 — Deficiency of vitamin E"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Vaginismus not due to a substance or known physiological condition"}, {"role": "assistant", "content": "F52.5 — Vaginismus 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": "Osteonecrosis due to drugs, unspecified ankle"}, {"role": "assistant", "content": "M87.173 — Osteonecrosis due to drugs, 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": "Poisoning by unspecified agents primarily affecting the gastrointestinal system, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T47.91XD — Poisoning by unspecified agents primarily affecting the gastrointestinal system, 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": "Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia"}, {"role": "assistant", "content": "D80.6 — Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia"}]}
{"messages": [{"role": "system", "content": "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 carotid artery, subsequent encounter"}, {"role": "assistant", "content": "S15.002D — Unspecified injury of left 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": "Displaced fracture of unspecified ulna styloid process, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.613B — Displaced fracture of unspecified ulna styloid process, 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 fracture of right forearm, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.91XP — Unspecified fracture of right forearm, 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": "Holoprosencephaly"}, {"role": "assistant", "content": "Q04.2 — Holoprosencephaly"}]}
{"messages": [{"role": "system", "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, unspecified knee"}, {"role": "assistant", "content": "M12.469 — Intermittent hydrarthrosis, 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": "Pathological fracture, left femur, initial encounter for fracture"}, {"role": "assistant", "content": "M84.452A — Pathological fracture, 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": "Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity"}, {"role": "assistant", "content": "I87.333 — Chronic venous hypertension (idiopathic) with ulcer and inflammation 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": "Underdosing of predominantly alpha-adrenoreceptor agonists, subsequent encounter"}, {"role": "assistant", "content": "T44.4X6D — Underdosing of predominantly alpha-adrenoreceptor agonists, subsequent encounter"}]}
{"messages": [{"role": "system", "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 chlorofluorocarbons, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T53.5X2D — Toxic effect of chlorofluorocarbons, 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": "Neonatal jaundice due to other specified excessive hemolysis"}, {"role": "assistant", "content": "P58.8 — Neonatal jaundice due to other specified excessive hemolysis"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other balloon accident injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V96.09XD — Other balloon 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": "Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent encounter"}, {"role": "assistant", "content": "S94.32XD — Injury of cutaneous sensory nerve at ankle and foot 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": "Unspecified injury of unspecified intra-abdominal organ, subsequent encounter"}, {"role": "assistant", "content": "S36.90XD — Unspecified injury of unspecified intra-abdominal organ, subsequent encounter"}]}
{"messages": [{"role": "system", "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 tail of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.252D — Moderate laceration of tail 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": "Displacement of indwelling ureteral stent, subsequent encounter"}, {"role": "assistant", "content": "T83.122D — Displacement of indwelling ureteral 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 specified injury of posterior tibial artery, right leg, subsequent encounter"}, {"role": "assistant", "content": "S85.181D — Other specified injury of posterior 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": "Unspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V12.9XXD — Unspecified pedal cyclist 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 fracture of neck of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.134K — Nondisplaced fracture of neck 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": "Salter-Harris Type II physeal fracture of lower end of right femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.121P — Salter-Harris Type II physeal fracture of lower 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": "Laceration of flexor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.126A — Laceration of flexor 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": "Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.333G — Displaced oblique 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": "Underdosing of antiparkinsonism drugs and other central muscle-tone depressants, subsequent encounter"}, {"role": "assistant", "content": "T42.8X6D — Underdosing of antiparkinsonism drugs and other central muscle-tone 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": "Poisoning by other primarily systemic and hematological agents, assault, subsequent encounter"}, {"role": "assistant", "content": "T45.8X3D — Poisoning by other primarily systemic and hematological agents, 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": "Puncture wound without foreign body of unspecified back wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.239S — Puncture wound without foreign body 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": "Laceration with foreign body of left great toe with damage to nail, sequela"}, {"role": "assistant", "content": "S91.222S — Laceration with foreign body of left 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": "Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter"}, {"role": "assistant", "content": "T81.511A — Adhesions due to 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": "Complete traumatic amputation of two or more right lesser toes, sequela"}, {"role": "assistant", "content": "S98.211S — Complete traumatic amputation of two or more right 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": "Apraxia following other cerebrovascular disease"}, {"role": "assistant", "content": "I69.890 — Apraxia 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": "Struck by other mammals, subsequent encounter"}, {"role": "assistant", "content": "W55.82XD — Struck by other mammals, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S66.909D — Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, 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": "Other fish poisoning, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T61.771D — Other 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": "Corrosion of first degree of right forearm, sequela"}, {"role": "assistant", "content": "T22.511S — Corrosion of first 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": "Xanthelasma of left eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.66 — Xanthelasma of 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": "Toxic effect of unspecified pesticide, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T60.91XA — Toxic effect of unspecified pesticide, 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 physeal fracture of lower end of radius, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.201G — Unspecified 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": "Sprain of metatarsophalangeal joint of right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.524D — Sprain of metatarsophalangeal 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": "Nondisplaced osteochondral fracture of right patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.014P — Nondisplaced osteochondral 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": "Injury of right iliac artery, subsequent encounter"}, {"role": "assistant", "content": "S35.511D — Injury of right 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 coronary microvascular dysfunction"}, {"role": "assistant", "content": "I24.81 — Acute coronary microvascular 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": "Sickle-cell thalassemia beta plus with splenic sequestration"}, {"role": "assistant", "content": "D57.452 — Sickle-cell thalassemia beta plus 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 specified leukemias, in remission"}, {"role": "assistant", "content": "C94.81 — Other specified leukemias, 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": "Legal intervention involving unspecified explosives, suspect injured, sequela"}, {"role": "assistant", "content": "Y35.103S — Legal intervention involving unspecified explosives, 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": "Other fracture of shaft of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.292J — Other fracture of shaft 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": "Drug-induced cataract, left eye"}, {"role": "assistant", "content": "H26.32 — Drug-induced 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 fracture of distal phalanx of unspecified lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.536A — Nondisplaced fracture of distal phalanx of unspecified 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": "Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.015D — Posterior displaced fracture of sternal end of left 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": "Poisoning by antipruritics, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T49.1X4D — Poisoning by antipruritics, 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": "Non-pressure chronic ulcer of chest with necrosis of bone"}, {"role": "assistant", "content": "L98.444 — Non-pressure chronic ulcer of chest 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": "Toxic effect of ketones, undetermined, initial encounter"}, {"role": "assistant", "content": "T52.4X4A — Toxic effect of ketones, 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 injury of ureter, subsequent encounter"}, {"role": "assistant", "content": "S37.19XD — Other injury of ureter, subsequent encounter"}]}
{"messages": [{"role": "system", "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, right tibia"}, {"role": "assistant", "content": "M87.261 — Osteonecrosis due to previous trauma, 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": "Pauciarticular juvenile rheumatoid arthritis, unspecified wrist"}, {"role": "assistant", "content": "M08.439 — Pauciarticular juvenile rheumatoid arthritis, 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": "Personal history of malignant neoplasm of epididymis"}, {"role": "assistant", "content": "Z85.48 — Personal history of malignant neoplasm of epididymis"}]}
{"messages": [{"role": "system", "content": "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 routine healing"}, {"role": "assistant", "content": "S32.442D — Displaced fracture of posterior column [ilioischial] 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": "Partial traumatic amputation of left foot at ankle level, initial encounter"}, {"role": "assistant", "content": "S98.022A — Partial traumatic amputation of left 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": "Nondisplaced fracture of distal phalanx of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.535B — Nondisplaced fracture of distal 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": "Obturator dislocation of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.026D — Obturator dislocation 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": "Displaced fracture of shaft of fifth metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.327B — Displaced fracture of shaft of fifth 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": "Adverse effect of antimycobacterial drugs, subsequent encounter"}, {"role": "assistant", "content": "T37.1X5D — Adverse effect of antimycobacterial 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": "Drowning and submersion due to being thrown overboard by motion of merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V92.10XD — Drowning and submersion due to being thrown overboard by motion of 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": "Toxic effect of venom of other reptiles, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T63.191D — Toxic effect of venom of other reptiles, 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": "Salpingo-oophoritis in pregnancy, first trimester"}, {"role": "assistant", "content": "O23.521 — Salpingo-oophoritis 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": "External constriction of vagina and vulva, subsequent encounter"}, {"role": "assistant", "content": "S30.844D — External constriction 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": "Major laceration of right vertebral artery, initial encounter"}, {"role": "assistant", "content": "S15.121A — Major laceration of right 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": "Unspecified superficial injury of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S60.942D — Unspecified superficial injury 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": "Puncture wound with foreign body of left ear, sequela"}, {"role": "assistant", "content": "S01.342S — Puncture wound with foreign body 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": "Puncture wound with foreign body of right middle finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.242A — Puncture wound with foreign body 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": "Other foreign object in esophagus causing other injury, sequela"}, {"role": "assistant", "content": "T18.198S — Other foreign object 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": "Other secondary gout, unspecified ankle and foot"}, {"role": "assistant", "content": "M10.479 — Other secondary 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": "Blister (nonthermal) of unspecified finger, initial encounter"}, {"role": "assistant", "content": "S60.429A — Blister (nonthermal) 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": "Heat exposure on board sailboat, subsequent encounter"}, {"role": "assistant", "content": "V93.24XD — Heat exposure on board sailboat, subsequent encounter"}]}
{"messages": [{"role": "system", "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, not applicable or unspecified"}, {"role": "assistant", "content": "O36.0190 — Maternal care for anti-D [Rh] antibodies, 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": "Corrosion of third degree of scalp [any part], subsequent encounter"}, {"role": "assistant", "content": "T20.75XD — Corrosion of third degree of scalp [any part], subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bilateral primary osteoarthritis of hip"}, {"role": "assistant", "content": "M16.0 — Bilateral primary 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": "Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.350B — Other traumatic displaced 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": "Poisoning by pertussis vaccine, including combinations with a pertussis component, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T50.A11D — Poisoning by pertussis vaccine, including combinations with a pertussis component, 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": "Pedal cycle passenger injured in collision with other pedal cycle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V11.1XXD — Pedal cycle passenger injured in collision with other 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": "Poisoning by amphetamines, undetermined, sequela"}, {"role": "assistant", "content": "T43.624S — Poisoning by amphetamines, 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": "Chronic gout due to renal impairment, vertebrae, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.38X0 — Chronic gout due to renal impairment, vertebrae, 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": "Other physeal fracture of lower end of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.199A — Other physeal 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": "Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela"}, {"role": "assistant", "content": "S06.344S — Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela"}]}
{"messages": [{"role": "system", "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), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.131D — Burn of first 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": "KCNQ2-related epilepsy, not intractable, with status epilepticus"}, {"role": "assistant", "content": "G40.841 — KCNQ2-related epilepsy, 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": "Displaced fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.012K — Displaced fracture of distal pole 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": "Nondisplaced segmental fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.465B — Nondisplaced segmental 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": "Unspecified occupant of ambulance or fire engine injured in traffic accident, initial encounter"}, {"role": "assistant", "content": "V86.31XA — Unspecified occupant of ambulance or fire engine 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": "Nondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.264N — Nondisplaced segmental fracture of shaft 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": "Other dislocation of left wrist and hand, sequela"}, {"role": "assistant", "content": "S63.095S — Other dislocation 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": "Calculus of bile duct with acute cholangitis without obstruction"}, {"role": "assistant", "content": "K80.32 — Calculus of bile duct with acute cholangitis 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": "Retained (old) magnetic foreign body in posterior wall of globe, left eye"}, {"role": "assistant", "content": "H44.642 — Retained (old) magnetic foreign body in posterior wall of globe, 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 oblique fracture of shaft of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.335C — Nondisplaced oblique fracture of shaft 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": "Non-pressure chronic ulcer of right calf with necrosis of muscle"}, {"role": "assistant", "content": "L97.213 — Non-pressure chronic ulcer of right calf 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": "Fracture of mandible of other specified site, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S02.69XD — Fracture of mandible of other specified site, 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": "Osteitis condensans, unspecified lower leg"}, {"role": "assistant", "content": "M85.369 — Osteitis condensans, 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": "Nondisplaced longitudinal fracture of right patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.024C — Nondisplaced longitudinal fracture of right 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": "Injury of other nerves at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S54.8X1A — Injury of other nerves 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": "Unspecified car occupant injured in collision with sport utility vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V43.91XA — Unspecified car occupant injured in collision with sport utility 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": "Bucket-handle tear of lateral meniscus, current injury, left knee, initial encounter"}, {"role": "assistant", "content": "S83.252A — Bucket-handle tear of lateral 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": "Nondisplaced Maisonneuve's fracture of right leg, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.864A — Nondisplaced Maisonneuve's fracture of right 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": "Laceration with foreign body of nose, initial encounter"}, {"role": "assistant", "content": "S01.22XA — Laceration with foreign body 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": "Leakage of biological heart valve graft, subsequent encounter"}, {"role": "assistant", "content": "T82.223D — Leakage of biological heart valve 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": "Unspecified sprain of right little finger, initial encounter"}, {"role": "assistant", "content": "S63.616A — Unspecified sprain 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": "Atheroembolism of bilateral upper extremities"}, {"role": "assistant", "content": "I75.013 — Atheroembolism of bilateral upper extremities"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S22.018K — Other fracture of first 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": "Other fractures of lower end of left radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.592G — Other fractures of lower end 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": "Unspecified open wound of other specified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S11.80XD — Unspecified open wound 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": "Partial loss of teeth, unspecified cause, class IV"}, {"role": "assistant", "content": "K08.404 — Partial 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": "Benign neoplasm of left bronchus and lung"}, {"role": "assistant", "content": "D14.32 — Benign neoplasm of left 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": "Food in trachea causing asphyxiation, subsequent encounter"}, {"role": "assistant", "content": "T17.420D — Food in trachea 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 head of left radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.122K — Displaced fracture of head 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": "Pathological fracture in other disease, left tibia, initial encounter for fracture"}, {"role": "assistant", "content": "M84.662A — Pathological fracture in other 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": "Nondisplaced transverse fracture of shaft of unspecified ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.226A — Nondisplaced transverse fracture of shaft 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": "Heat exposure on board other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V93.23XD — Heat exposure 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": "Infection and inflammatory reaction due to internal fixation device of left femur, initial encounter"}, {"role": "assistant", "content": "T84.621A — Infection and inflammatory reaction due to internal fixation device of left 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": "Infection of intervertebral disc (pyogenic), thoracolumbar region"}, {"role": "assistant", "content": "M46.35 — Infection of intervertebral disc (pyogenic), 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": "Person boarding or alighting from bus injured in collision with railway train or railway vehicle, sequela"}, {"role": "assistant", "content": "V75.4XXS — Person boarding or alighting from bus 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": "Unspecified complication of heart-lung transplant"}, {"role": "assistant", "content": "T86.30 — Unspecified complication of heart-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": "Nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.65XK — Nondisplaced fracture of lateral malleolus of left 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": "Major laceration of body of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.261A — Major laceration 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": "Abscess of prostate"}, {"role": "assistant", "content": "N41.2 — Abscess 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": "Malignant neoplasm complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O9A.112 — Malignant neoplasm 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": "Mechanical loosening of internal right knee prosthetic joint, sequela"}, {"role": "assistant", "content": "T84.032S — Mechanical loosening of internal right knee 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": "Drug-induced autoimmune hemolytic anemia"}, {"role": "assistant", "content": "D59.0 — Drug-induced 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": "Extravasation of vesicant antineoplastic chemotherapy, subsequent encounter"}, {"role": "assistant", "content": "T80.810D — Extravasation of vesicant antineoplastic chemotherapy, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 electronic bone stimulator, subsequent encounter"}, {"role": "assistant", "content": "T84.390D — Other mechanical complication of electronic bone stimulator, subsequent encounter"}]}
{"messages": [{"role": "system", "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, left ankle"}, {"role": "assistant", "content": "M25.772 — Osteophyte, 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 neck of fourth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.335G — Displaced fracture of neck 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": "Displaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.21XR — Displaced subtrochanteric 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": "Terrorism involving explosion of marine weapons, public safety official injured, sequela"}, {"role": "assistant", "content": "Y38.0X1S — Terrorism involving explosion of marine weapons, public safety official 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 shaft of other metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.358G — Nondisplaced fracture of shaft of other 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": "Displaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.122H — Displaced fracture of lateral condyle 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": "Juvenile idiopathic scoliosis, site unspecified"}, {"role": "assistant", "content": "M41.119 — Juvenile 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": "Elephantiasis of right upper eyelid"}, {"role": "assistant", "content": "H02.851 — Elephantiasis 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": "Unspecified injury of flexor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.106D — Unspecified injury of flexor 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": "Driver of three-wheeled motor vehicle injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V31.5XXD — Driver 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": "Osteochondritis dissecans, unspecified knee"}, {"role": "assistant", "content": "M93.269 — Osteochondritis dissecans, 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 subluxation of unspecified ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.193D — Other 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": "Burn of third degree of female genital region, sequela"}, {"role": "assistant", "content": "T21.37XS — Burn of third 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": "Subluxation of proximal interphalangeal joint of other finger, initial encounter"}, {"role": "assistant", "content": "S63.238A — Subluxation of proximal interphalangeal 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": "Laceration of muscle, fascia and tendon of lower back, initial encounter"}, {"role": "assistant", "content": "S39.022A — Laceration of muscle, fascia and tendon of lower 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": "Other injury of body of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.291D — Other injury of body 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 injury of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.195D — Other injury of flexor 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": "Person on outside of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V52.7XXD — Person on outside of pick-up truck or van 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": "Kitchen in school dormitory as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.160 — Kitchen in school dormitory 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": "Myositis ossificans progressiva, unspecified site"}, {"role": "assistant", "content": "M61.10 — Myositis ossificans progressiva, 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 electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V25.21XA — Unspecified electric (assisted) bicycle rider 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": "Toxic effect of contact with other venomous plant, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.792A — Toxic effect of contact with other venomous plant, 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 lateral malleolus of left fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.65XC — Nondisplaced fracture of lateral malleolus 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": "Other infective bursitis, unspecified shoulder"}, {"role": "assistant", "content": "M71.119 — Other infective bursitis, 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": "Salter-Harris Type III physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.131D — Salter-Harris Type III 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": "Injury of other nerves at abdomen, lower back and pelvis level, sequela"}, {"role": "assistant", "content": "S34.8XXS — Injury of other nerves at abdomen, lower back and pelvis 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": "Frostbite with tissue necrosis of unspecified arm, initial encounter"}, {"role": "assistant", "content": "T34.40XA — Frostbite with tissue necrosis 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 injury of unspecified muscle, fascia and tendon at wrist and hand level, unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "S66.999D — Other injury of unspecified muscle, fascia and tendon at wrist and hand level, 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": "Other specified misadventures during surgical and medical care"}, {"role": "assistant", "content": "Y65.8 — Other specified misadventures during 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": "Nondisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.436M — Nondisplaced fracture of medial condyle 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": "Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.429A — Laceration of intrinsic 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": "Salter-Harris Type III physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.139G — Salter-Harris Type III 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": "Other neonatal hypoglycemia"}, {"role": "assistant", "content": "P70.4 — Other neonatal hypoglycemia"}]}
{"messages": [{"role": "system", "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-A sensitization, second trimester, fetus 1"}, {"role": "assistant", "content": "O36.1121 — Maternal care for Anti-A sensitization, 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": "Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye"}, {"role": "assistant", "content": "E09.3552 — Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, 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 flexor muscle, fascia and tendon of right little finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.107A — Unspecified injury of flexor muscle, fascia and tendon of right 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": "Unspecified subluxation of unspecified patella, initial encounter"}, {"role": "assistant", "content": "S83.003A — Unspecified subluxation of unspecified patella, initial encounter"}]}
{"messages": [{"role": "system", "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 hand, subsequent encounter"}, {"role": "assistant", "content": "S60.511D — Abrasion 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": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.339S — Contusion and laceration of cerebrum, unspecified, 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": "Malignant neoplasm of female genital organ, unspecified"}, {"role": "assistant", "content": "C57.9 — Malignant neoplasm of female 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": "Folliculitis decalvans"}, {"role": "assistant", "content": "L66.2 — Folliculitis decalvans"}]}
{"messages": [{"role": "system", "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 knee"}, {"role": "assistant", "content": "M00.862 — Arthritis due to other bacteria, 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 greater tuberosity of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.254P — Nondisplaced fracture of greater tuberosity 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": "Complete transverse atypical femoral fracture, left leg, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.755D — Complete transverse atypical femoral fracture, left leg, 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": "Yellow fever, unspecified"}, {"role": "assistant", "content": "A95.9 — Yellow 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": "Traumatic rupture of volar plate of left little finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.437S — Traumatic rupture of volar plate 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": "Sprain of unspecified parts of right shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.91XA — Sprain of unspecified parts of right 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": "Avulsion of right eye, subsequent encounter"}, {"role": "assistant", "content": "S05.71XD — Avulsion of 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": "Neoplasm of uncertain behavior of left renal pelvis"}, {"role": "assistant", "content": "D41.12 — Neoplasm of uncertain behavior of left 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": "Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.312A — Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 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": "Neoplasm of uncertain behavior of right renal pelvis"}, {"role": "assistant", "content": "D41.11 — Neoplasm of uncertain behavior of right 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": "Poisoning by dental drugs, topically applied, undetermined, sequela"}, {"role": "assistant", "content": "T49.7X4S — Poisoning by dental drugs, topically applied, 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": "Osteolysis, right forearm"}, {"role": "assistant", "content": "M89.531 — Osteolysis, 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": "Early-onset cerebellar ataxia, unspecified"}, {"role": "assistant", "content": "G11.10 — Early-onset cerebellar ataxia, 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": "Puncture wound without foreign body of other specified part of neck, initial encounter"}, {"role": "assistant", "content": "S11.83XA — Puncture wound without foreign body 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": "Osteonecrosis due to previous trauma of left radius"}, {"role": "assistant", "content": "M87.232 — Osteonecrosis due to previous trauma of left 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": "Traumatic rupture of thoracic intervertebral disc, initial encounter"}, {"role": "assistant", "content": "S23.0XXA — Traumatic rupture of thoracic intervertebral disc, initial encounter"}]}
{"messages": [{"role": "system", "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 both small and large intestine without complications"}, {"role": "assistant", "content": "K50.80 — Crohn's disease of both small and large intestine 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": "Corrosion of third degree of multiple right fingers (nail), not including thumb, sequela"}, {"role": "assistant", "content": "T23.731S — Corrosion of third 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 subluxation of left index finger, initial encounter"}, {"role": "assistant", "content": "S63.201A — Unspecified subluxation 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": "Asphyxiation due to plastic bag, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T71.122D — Asphyxiation due to plastic bag, 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 occupant of special agricultural vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V84.3XXS — Unspecified occupant of special agricultural 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": "Underdosing of alpha-adrenoreceptor antagonists, sequela"}, {"role": "assistant", "content": "T44.6X6S — Underdosing of alpha-adrenoreceptor 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": "Swimmer's ear, bilateral"}, {"role": "assistant", "content": "H60.333 — Swimmer's 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": "Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.022M — Displaced fracture of epiphysis (separation) (upper) 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": "Enophthalmos due to trauma or surgery, bilateral"}, {"role": "assistant", "content": "H05.423 — Enophthalmos due to trauma or surgery, 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": "Worries"}, {"role": "assistant", "content": "R45.82 — Worries"}]}
{"messages": [{"role": "system", "content": "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 injection or immunization, initial encounter"}, {"role": "assistant", "content": "T81.503A — Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter"}]}
{"messages": [{"role": "system", "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 traffic accident, initial encounter"}, {"role": "assistant", "content": "V20.51XA — Electric (assisted) bicycle passenger 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": "Strain of extensor muscle, fascia and tendon of right little finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.417A — Strain of extensor muscle, fascia and tendon of right 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": "Congenital hypothyroidism with diffuse goiter"}, {"role": "assistant", "content": "E03.0 — Congenital hypothyroidism with diffuse 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": "Rheumatoid nodule, left knee"}, {"role": "assistant", "content": "M06.362 — Rheumatoid nodule, 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": "Non-pressure chronic ulcer of groin limited to breakdown of skin"}, {"role": "assistant", "content": "L98.471 — Non-pressure chronic ulcer of groin 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": "Personal history of psychological abuse in childhood"}, {"role": "assistant", "content": "Z62.811 — Personal history of psychological 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": "Other specified congenital malformations of upper alimentary tract"}, {"role": "assistant", "content": "Q40.8 — Other specified congenital malformations of upper alimentary 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 nondisplaced fracture of first cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.001G — Unspecified nondisplaced 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": "Anisocoria"}, {"role": "assistant", "content": "H57.02 — Anisocoria"}]}
{"messages": [{"role": "system", "content": "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 shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S45.992A — Other specified injury of unspecified blood vessel 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": "Unspecified injury of left hip, sequela"}, {"role": "assistant", "content": "S79.912S — Unspecified injury 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": "Burn of third degree of multiple sites of right ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T25.391D — Burn of third degree of multiple sites of right 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": "Triplet liveborn infant, delivered by cesarean"}, {"role": "assistant", "content": "Z38.62 — Triplet liveborn infant, delivered by cesarean"}]}
{"messages": [{"role": "system", "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 car, pick-up truck or van in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V03.19XD — Pedestrian with other conveyance 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": "Ocular hypertension, unspecified eye"}, {"role": "assistant", "content": "H40.059 — Ocular hypertension, 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": "Crushing injury of vulva, subsequent encounter"}, {"role": "assistant", "content": "S38.03XD — Crushing injury of 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": "External constriction of part of breast, right breast, initial encounter"}, {"role": "assistant", "content": "S20.141A — External constriction of part 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": "Glaucoma secondary to eye trauma, right eye, stage unspecified"}, {"role": "assistant", "content": "H40.31X0 — Glaucoma secondary to eye trauma, 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": "Nontraumatic intracerebral hemorrhage in brain stem"}, {"role": "assistant", "content": "I61.3 — Nontraumatic intracerebral hemorrhage in 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": "Recurrent and persistent hematuria with unspecified morphologic changes"}, {"role": "assistant", "content": "N02.9 — Recurrent and persistent hematuria with unspecified morphologic changes"}]}
{"messages": [{"role": "system", "content": "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 occiput, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.119K — Unspecified fracture of occiput, 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": "Caught, crushed, jammed, or pinched between moving objects, initial encounter"}, {"role": "assistant", "content": "W23.0XXA — Caught, crushed, jammed, or pinched between moving objects, initial encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "M80.029S — Age-related osteoporosis with current pathological fracture, 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": "Displaced fracture of base of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.043C — Displaced fracture of base of neck 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": "Nondisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.325D — Nondisplaced transverse fracture of shaft 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": "Poisoning by drugs affecting uric acid metabolism, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T50.4X4D — Poisoning by drugs affecting uric acid metabolism, 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 venom of gila monster, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.111A — Toxic effect of venom of gila monster, 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 segmental fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.363N — Displaced segmental 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": "Swimmer's ear, unspecified ear"}, {"role": "assistant", "content": "H60.339 — Swimmer's ear, 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": "Displaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.361N — Displaced segmental 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": "Maternal care for disproportion due to outlet contraction of pelvis, fetus 4"}, {"role": "assistant", "content": "O33.3XX4 — Maternal care for disproportion due to outlet contraction of pelvis, 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": "Fourth degree perineal laceration during delivery"}, {"role": "assistant", "content": "O70.3 — Fourth degree perineal laceration during 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": "Postprocedural seroma of right eye and adnexa following an ophthalmic procedure"}, {"role": "assistant", "content": "H59.351 — Postprocedural seroma of right 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": "Drowning and submersion due to fall off water-skis, sequela"}, {"role": "assistant", "content": "V92.07XS — Drowning and submersion due to fall off 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": "Traumatic arthropathy, unspecified hand"}, {"role": "assistant", "content": "M12.549 — Traumatic arthropathy, 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": "Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, right hand, subsequent encounter"}, {"role": "assistant", "content": "S66.901D — Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, 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 superficial bite of left great toe, subsequent encounter"}, {"role": "assistant", "content": "S90.472D — Other superficial bite of left 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 bimalleolar fracture of right lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.844F — Nondisplaced bimalleolar fracture of right lower 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": "Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter"}, {"role": "assistant", "content": "T81.501A — Unspecified complication 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": "Pathological fracture in neoplastic disease, right tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.561K — Pathological fracture in neoplastic disease, 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": "Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.8330 — Maternal care for abnormalities of the fetal heart rate or rhythm, 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": "Unspecified fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.402Q — Unspecified 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": "Unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V46.3XXS — Unspecified car occupant 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": "Blister (nonthermal) of right ear, initial encounter"}, {"role": "assistant", "content": "S00.421A — Blister (nonthermal) 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": "Nondisplaced bicondylar fracture of left tibia, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.145G — Nondisplaced bicondylar fracture 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": "Car passenger injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V44.6XXA — Car 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": "Underdosing of loop [high-ceiling] diuretics, subsequent encounter"}, {"role": "assistant", "content": "T50.1X6D — Underdosing of loop [high-ceiling] 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": "Other specified rheumatoid arthritis, unspecified shoulder"}, {"role": "assistant", "content": "M06.819 — Other specified rheumatoid arthritis, 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 other specified systemic anti-infectives and antiparasitics, intentional self-harm, sequela"}, {"role": "assistant", "content": "T37.8X2S — Poisoning by other specified systemic anti-infectives and antiparasitics, 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": "Broken internal right hip prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T84.010D — Broken internal right hip 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": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.235K — Nondisplaced oblique 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": "Laceration with foreign body of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S61.529D — Laceration 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": "Displaced spiral fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.441G — Displaced 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": "Sprain of unspecified parts of unspecified shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.90XA — Sprain of unspecified 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": "Poisoning by saline and osmotic laxatives, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T47.3X1D — Poisoning by saline and osmotic laxatives, 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": "Restlessness and agitation"}, {"role": "assistant", "content": "R45.1 — Restlessness and 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": "Ring or other jewelry causing external constriction, sequela"}, {"role": "assistant", "content": "W49.04XS — Ring or other jewelry 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": "Personal history of malignant neoplasm of other female genital organs"}, {"role": "assistant", "content": "Z85.44 — Personal history of malignant neoplasm of other 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": "Minor laceration of liver, initial encounter"}, {"role": "assistant", "content": "S36.114A — Minor 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": "Stress fracture, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.341K — Stress fracture, 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": "Poisoning by therapeutic gases, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T41.5X2D — Poisoning by therapeutic gases, 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": "Underdosing of anthelminthics, sequela"}, {"role": "assistant", "content": "T37.4X6S — Underdosing of anthelminthics, sequela"}]}
{"messages": [{"role": "system", "content": "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 humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.409A — Unspecified 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": "Other peritonitis"}, {"role": "assistant", "content": "K65.8 — Other 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": "Displaced fracture of anterior wall of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.413A — Displaced fracture of anterior wall 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 subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.23XR — Displaced subtrochanteric 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": "Cervical spina bifida without hydrocephalus"}, {"role": "assistant", "content": "Q05.5 — Cervical spina bifida without hydrocephalus"}]}
{"messages": [{"role": "system", "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 from unspecified firearms or gun, sequela"}, {"role": "assistant", "content": "W34.10XS — Accidental malfunction from unspecified firearms or gun, sequela"}]}
{"messages": [{"role": "system", "content": "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 infections of unspecified site"}, {"role": "assistant", "content": "B34.8 — Other viral 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": "Other specified injury of popliteal artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.099D — Other specified injury of popliteal 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": "Unspecified Eustachian tube disorder, right ear"}, {"role": "assistant", "content": "H69.91 — Unspecified Eustachian tube disorder, 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": "Therapeutic (nonsurgical) and rehabilitative physical medicine devices associated with adverse incidents"}, {"role": "assistant", "content": "Y80.1 — Therapeutic (nonsurgical) and rehabilitative physical medicine 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": "Stress fracture, left radius, sequela"}, {"role": "assistant", "content": "M84.334S — Stress fracture, 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": "Poisoning by ganglionic blocking drugs, intentional self-harm, sequela"}, {"role": "assistant", "content": "T44.2X2S — Poisoning by ganglionic blocking 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": "Cocaine dependence, uncomplicated"}, {"role": "assistant", "content": "F14.20 — Cocaine 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": "Chronic rheumatic pericarditis"}, {"role": "assistant", "content": "I09.2 — Chronic rheumatic 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": "Nondisplaced fracture of left tibial spine, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.115P — Nondisplaced fracture of left 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": "Contusion of middle back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.224S — Contusion of middle 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": "Walked into wall, initial encounter"}, {"role": "assistant", "content": "W22.01XA — Walked into 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": "Pedestrian on foot injured in collision with rider of standing electric scooter, sequela"}, {"role": "assistant", "content": "V00.031S — Pedestrian on foot injured in collision with rider of standing electric scooter, sequela"}]}
{"messages": [{"role": "system", "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 with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.313A — Laceration without 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": "Stress fracture, left toe(s), initial encounter for fracture"}, {"role": "assistant", "content": "M84.378A — Stress fracture, left toe(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": "Nondisplaced fracture of lateral condyle of right humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.454B — Nondisplaced fracture of lateral condyle 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": "Abnormal level of hormones in specimens from female genital organs"}, {"role": "assistant", "content": "R87.1 — Abnormal level of hormones 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": "Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T39.92XA — Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, 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 transport accident, sequela"}, {"role": "assistant", "content": "V99.XXXS — Unspecified 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": "Pathological fracture, right finger(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.444D — Pathological 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": "Exposure to bed fire due to burning cigarette, initial encounter"}, {"role": "assistant", "content": "X08.01XA — Exposure to bed 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": "Corrosion of third degree of unspecified multiple fingers (nail), including thumb, sequela"}, {"role": "assistant", "content": "T23.749S — Corrosion of third degree of unspecified multiple fingers (nail), 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": "Decreased fetal movements, second trimester, fetus 3"}, {"role": "assistant", "content": "O36.8123 — Decreased fetal movements, 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 mineralocorticoids and their antagonists, assault, sequela"}, {"role": "assistant", "content": "T50.0X3S — Poisoning by mineralocorticoids and their antagonists, 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 of axillary artery, left side, subsequent encounter"}, {"role": "assistant", "content": "S45.012D — Laceration of axillary artery, 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": "Displaced transverse fracture of unspecified patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.033E — Displaced transverse fracture of unspecified 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": "Unspecified mononeuropathy of unspecified lower limb"}, {"role": "assistant", "content": "G57.90 — Unspecified mononeuropathy 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": "Minimally displaced Zone I fracture of sacrum, sequela"}, {"role": "assistant", "content": "S32.111S — Minimally displaced Zone I 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": "Central retinal artery occlusion, bilateral"}, {"role": "assistant", "content": "H34.13 — Central retinal artery occlusion, 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": "Migraine, unspecified, intractable, without status migrainosus"}, {"role": "assistant", "content": "G43.919 — Migraine, unspecified, 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": "Gestational edema with proteinuria, unspecified trimester"}, {"role": "assistant", "content": "O12.20 — Gestational edema with proteinuria, 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 intentional self-harm by drowning and submersion, sequela"}, {"role": "assistant", "content": "X71.8XXS — Other intentional self-harm by 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": "Air embolism in childbirth"}, {"role": "assistant", "content": "O88.02 — Air embolism in 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": "Unspecified injury at C4 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.104D — Unspecified injury 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": "Premature separation of placenta with other coagulation defect, unspecified trimester"}, {"role": "assistant", "content": "O45.099 — Premature separation of placenta with other coagulation defect, 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": "Legal intervention involving injury by tear gas, bystander injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.212D — Legal intervention involving injury by tear gas, 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": "Poisoning by salicylates, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T39.091S — Poisoning by salicylates, 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 unspecified fracture of right great toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.401A — Displaced unspecified fracture of right 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": "Cystic kidney disease, unspecified"}, {"role": "assistant", "content": "Q61.9 — Cystic kidney 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": "Multiple fractures of pelvis with unstable disruption of pelvic ring, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.811D — Multiple fractures of pelvis with unstable disruption of pelvic ring, 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": "Streptococcal pharyngitis"}, {"role": "assistant", "content": "J02.0 — Streptococcal 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": "Idiopathic gout, left hand"}, {"role": "assistant", "content": "M10.042 — Idiopathic gout, 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": "Complete traumatic amputation at knee level, unspecified lower leg, sequela"}, {"role": "assistant", "content": "S88.019S — Complete traumatic amputation at knee level, 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": "Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.031G — Displaced midcervical fracture 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": "Malignant neoplasm of left cornea"}, {"role": "assistant", "content": "C69.12 — Malignant neoplasm of left cornea"}]}
{"messages": [{"role": "system", "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 of right radius"}, {"role": "assistant", "content": "M87.231 — Osteonecrosis due to previous trauma of 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": "Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.149A — Salter-Harris Type IV 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": "Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.322H — Displaced transverse 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": "Other hyperlipidemia"}, {"role": "assistant", "content": "E78.49 — Other hyperlipidemia"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "S50.822D — Blister (nonthermal) 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": "Cannabis abuse with psychotic disorder with delusions"}, {"role": "assistant", "content": "F12.150 — Cannabis abuse 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": "Unspecified optic neuritis"}, {"role": "assistant", "content": "H46.9 — Unspecified optic neuritis"}]}
{"messages": [{"role": "system", "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 malignant neoplasm, unspecified"}, {"role": "assistant", "content": "C80.0 — Disseminated malignant neoplasm, 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": "Disseminated chorioretinal inflammation, generalized, left eye"}, {"role": "assistant", "content": "H30.132 — Disseminated chorioretinal inflammation, generalized, 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": "Airport as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.520 — Airport 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": "Age-related osteoporosis with current pathological fracture, left hand, sequela"}, {"role": "assistant", "content": "M80.042S — Age-related osteoporosis with current pathological fracture, 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": "Osteopathy after poliomyelitis, left shoulder"}, {"role": "assistant", "content": "M89.612 — Osteopathy after poliomyelitis, 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": "Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.462K — Displaced fracture of medial condyle 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": "Salter-Harris Type IV physeal fracture of lower end of right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S79.141D — Salter-Harris Type IV physeal fracture of lower end of 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": "Corrosion of first degree of right axilla, subsequent encounter"}, {"role": "assistant", "content": "T22.541D — Corrosion of first degree of right 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": "Fetal anemia and thrombocytopenia, third trimester, other fetus"}, {"role": "assistant", "content": "O36.8239 — Fetal anemia and thrombocytopenia, 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": "Meniere's disease, unspecified ear"}, {"role": "assistant", "content": "H81.09 — Meniere's disease, 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": "Laceration of blood vessel of left index finger, initial encounter"}, {"role": "assistant", "content": "S65.511A — Laceration of blood vessel 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": "Acquired clawhand, left hand"}, {"role": "assistant", "content": "M21.512 — Acquired clawhand, 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 injury of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.105S — Unspecified injury 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": "Nondisplaced fracture of neck of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.134P — Nondisplaced fracture of neck 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": "Burn of first degree of unspecified knee, sequela"}, {"role": "assistant", "content": "T24.129S — Burn of first degree of 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": "Displaced fracture of posterior wall of right acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.421G — Displaced fracture of posterior wall 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": "Strain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S76.819A — Strain of other specified 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": "Unspecified subluxation of left wrist and hand, initial encounter"}, {"role": "assistant", "content": "S63.002A — Unspecified subluxation of left 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 intravenous anesthetics, assault, subsequent encounter"}, {"role": "assistant", "content": "T41.1X3D — Poisoning by intravenous 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": "Anterior cord syndrome at C5 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.135S — Anterior cord syndrome 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": "Dislocation of other carpometacarpal joint of unspecified hand, sequela"}, {"role": "assistant", "content": "S63.056S — Dislocation 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": "Drowning and submersion due to other accident to fishing boat, sequela"}, {"role": "assistant", "content": "V90.82XS — Drowning and submersion due to other accident to fishing boat, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Basketball court as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.310 — Basketball court 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": "Saddle embolus of pulmonary artery without acute cor pulmonale"}, {"role": "assistant", "content": "I26.92 — Saddle embolus of pulmonary artery without 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": "Laceration of plantar artery of left foot, subsequent encounter"}, {"role": "assistant", "content": "S95.112D — Laceration of plantar artery 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": "Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations"}, {"role": "assistant", "content": "F14.951 — Cocaine use, unspecified 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": "Panniculitis affecting regions of neck and back, occipito-atlanto-axial region"}, {"role": "assistant", "content": "M54.01 — Panniculitis affecting regions of neck and back, 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": "Occlusion and stenosis of left posterior cerebral artery"}, {"role": "assistant", "content": "I66.22 — Occlusion and stenosis of left 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": "Corrosion of third degree of multiple sites of left wrist and hand, initial encounter"}, {"role": "assistant", "content": "T23.792A — Corrosion of third degree of multiple sites of left 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": "Other secondary chronic gout, left shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.4120 — Other secondary chronic gout, left 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 fracture of distal phalanx of other finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.638K — Displaced fracture of distal 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": "Underdosing of monoamine-oxidase-inhibitor antidepressants, sequela"}, {"role": "assistant", "content": "T43.1X6S — Underdosing of monoamine-oxidase-inhibitor 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": "Adverse effect of antiallergic and antiemetic drugs, subsequent encounter"}, {"role": "assistant", "content": "T45.0X5D — Adverse effect of antiallergic and antiemetic 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": "Other deletions from the autosomes"}, {"role": "assistant", "content": "Q93.89 — Other deletions from the autosomes"}]}
{"messages": [{"role": "system", "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 C7 level of cervical spinal cord, sequela"}, {"role": "assistant", "content": "S14.137S — Anterior cord 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": "Varicose veins of right lower extremity with both ulcer of thigh and inflammation"}, {"role": "assistant", "content": "I83.211 — Varicose veins of right lower extremity with both ulcer of thigh and inflammation"}]}
{"messages": [{"role": "system", "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 great toe, subsequent encounter"}, {"role": "assistant", "content": "S97.112D — Crushing injury of left 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": "Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester"}, {"role": "assistant", "content": "O09.823 — Supervision of pregnancy with history of in utero procedure during previous 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": "Abscess of bursa, unspecified knee"}, {"role": "assistant", "content": "M71.069 — Abscess of bursa, 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": "Binge eating disorder, extreme"}, {"role": "assistant", "content": "F50.813 — Binge eating disorder, extreme"}]}
{"messages": [{"role": "system", "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], accidental (unintentional), sequela"}, {"role": "assistant", "content": "T48.1X1S — Poisoning by skeletal muscle relaxants [neuromuscular blocking 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": "Major laceration of femoral vein at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S75.121S — Major laceration of femoral vein 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": "Unspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.401H — Unspecified fracture of lower end 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": "Pressure ulcer of right heel, stage 4"}, {"role": "assistant", "content": "L89.614 — Pressure ulcer of right heel, stage 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": "Major laceration of unspecified carotid artery, sequela"}, {"role": "assistant", "content": "S15.029S — Major laceration 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": "Unspecified open wound, left lower leg, sequela"}, {"role": "assistant", "content": "S81.802S — Unspecified open wound, 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 with foreign body of unspecified hand, sequela"}, {"role": "assistant", "content": "S61.449S — Puncture wound with foreign body 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": "Displaced fracture of anterior process of left calcaneus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.022B — Displaced fracture of anterior process 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": "Other specified disorders of cornea, unspecified eye"}, {"role": "assistant", "content": "H18.899 — Other specified disorders of cornea, 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": "Assault by other gas, air or spring-operated gun, subsequent encounter"}, {"role": "assistant", "content": "X95.09XD — Assault 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": "Maternal care for viable fetus in abdominal pregnancy, first trimester, other fetus"}, {"role": "assistant", "content": "O36.71X9 — Maternal care for viable fetus in abdominal pregnancy, 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": "Pedestrian with other conveyance injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V01.19XD — Pedestrian with other conveyance 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": "Unspecified injury of unspecified blood vessel at wrist and hand level of left arm, initial encounter"}, {"role": "assistant", "content": "S65.902A — Unspecified injury of unspecified blood vessel 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": "Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.499K — Other fracture of lower end 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 physeal fracture of lower end of left femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S79.192D — Other physeal fracture of lower end of 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": "Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic"}, {"role": "assistant", "content": "M75.112 — Incomplete 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": "Postprocedural hypertension"}, {"role": "assistant", "content": "I97.3 — Postprocedural 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": "Frostbite with tissue necrosis of left hip and thigh, subsequent encounter"}, {"role": "assistant", "content": "T34.62XD — Frostbite with tissue necrosis of left hip and 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": "Person boarding or alighting a heavy transport vehicle injured in collision with pedestrian or animal, subsequent encounter"}, {"role": "assistant", "content": "V60.4XXD — Person boarding or alighting a heavy transport vehicle injured in collision with pedestrian or animal, subsequent encounter"}]}
{"messages": [{"role": "system", "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 (driver) (passenger) of other motorcycle injured in other specified transport accidents, initial encounter"}, {"role": "assistant", "content": "V29.888A — Rider (driver) (passenger) of other motorcycle 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 medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.433F — Displaced 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": "Other specified disorders of temporomandibular joint"}, {"role": "assistant", "content": "M26.69 — Other specified disorders of 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": "Chondromalacia, right elbow"}, {"role": "assistant", "content": "M94.221 — Chondromalacia, 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": "Salter-Harris Type II physeal fracture of left calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.022P — Salter-Harris Type II physeal 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": "Nondisplaced avulsion fracture (chip fracture) of unspecified talus, sequela"}, {"role": "assistant", "content": "S92.156S — Nondisplaced avulsion fracture (chip fracture) 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": "Paresis of accommodation, right eye"}, {"role": "assistant", "content": "H52.521 — Paresis 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": "Nondisplaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.126J — Nondisplaced 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": "Primary optic atrophy, bilateral"}, {"role": "assistant", "content": "H47.213 — Primary optic atrophy, 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 of left thumb without damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.012A — Contusion of left 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": "Corrosion of unspecified degree of forehead and cheek, sequela"}, {"role": "assistant", "content": "T20.46XS — Corrosion of unspecified 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": "Jumping or diving into unspecified water causing other injury, sequela"}, {"role": "assistant", "content": "W16.92XS — Jumping or diving 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": "Unspecified subluxation of left ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.102A — Unspecified 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": "Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.432P — Displaced fracture (avulsion) of lateral epicondyle 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": "Amblyopia suspect, left eye"}, {"role": "assistant", "content": "H53.042 — Amblyopia suspect, 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": "Burn of third degree of nose (septum), sequela"}, {"role": "assistant", "content": "T20.34XS — Burn of third degree of nose (septum), sequela"}]}
{"messages": [{"role": "system", "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 railway train or railway vehicle, initial encounter"}, {"role": "assistant", "content": "V15.3XXA — Person boarding or alighting a pedal cycle 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": "Dislocation of internal right hip prosthesis, initial encounter"}, {"role": "assistant", "content": "T84.020A — Dislocation 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": "Nondisplaced comminuted fracture of unspecified patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.046P — Nondisplaced comminuted 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": "Displaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.432D — Displaced fracture of medial 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": "Contact with sharp glass, subsequent encounter"}, {"role": "assistant", "content": "W25.XXXD — Contact with sharp glass, subsequent encounter"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "T50.B92A — Poisoning by other viral vaccines, 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": "Adverse effect of local anesthetics, subsequent encounter"}, {"role": "assistant", "content": "T41.3X5D — Adverse effect of local anesthetics, subsequent encounter"}]}
{"messages": [{"role": "system", "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 unspecified meniscus, current injury, left knee, sequela"}, {"role": "assistant", "content": "S83.201S — Bucket-handle tear of unspecified meniscus, current injury, 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": "Pedestrian on roller-skates injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V05.01XD — Pedestrian on roller-skates 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": "Strain of other muscle(s) and tendon(s) at lower leg level, right leg, sequela"}, {"role": "assistant", "content": "S86.811S — Strain of other muscle(s) and tendon(s) 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": "Jumping or diving into swimming pool striking bottom causing other injury, sequela"}, {"role": "assistant", "content": "W16.522S — Jumping or diving into swimming pool striking bottom 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": "Sepsis due to Methicillin susceptible Staphylococcus aureus"}, {"role": "assistant", "content": "A41.01 — Sepsis due to Methicillin susceptible Staphylococcus aureus"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.154B — Nondisplaced fracture of right tibial tuberosity, 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 hydrops fetalis, second trimester, fetus 2"}, {"role": "assistant", "content": "O36.22X2 — Maternal care for hydrops fetalis, 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": "Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S46.811D — Strain of other muscles, fascia and tendons at shoulder and upper arm 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": "Fused toes, left foot"}, {"role": "assistant", "content": "Q70.22 — Fused toes, 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": "Separation of muscle (nontraumatic), left lower leg"}, {"role": "assistant", "content": "M62.062 — Separation of muscle (nontraumatic), 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": "Unspecified injury of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.506A — Unspecified injury 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": "Adverse effect of other synthetic narcotics, initial encounter"}, {"role": "assistant", "content": "T40.495A — Adverse effect of other synthetic 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": "Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified"}, {"role": "assistant", "content": "N83.9 — Noninflammatory disorder of ovary, fallopian tube and broad ligament, 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": "Contusion of unspecified middle finger with damage to nail, sequela"}, {"role": "assistant", "content": "S60.139S — Contusion of unspecified middle 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 motorcycle passenger injured in collision with other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V29.198D — Other motorcycle 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": "Salter-Harris Type III physeal fracture of left metatarsal, initial encounter for open fracture"}, {"role": "assistant", "content": "S99.132B — Salter-Harris Type III physeal fracture of left metatarsal, 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": "Person injured in unspecified nonmotor-vehicle accident, traffic, sequela"}, {"role": "assistant", "content": "V89.3XXS — Person injured in unspecified nonmotor-vehicle accident, 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": "Occlusion and stenosis of other cerebral arteries"}, {"role": "assistant", "content": "I66.8 — Occlusion and stenosis of other 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": "Recurrent cholesteatoma of postmastoidectomy cavity, unspecified ear"}, {"role": "assistant", "content": "H95.00 — Recurrent cholesteatoma of postmastoidectomy cavity, 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": "Endometriosis of bilateral pelvic sidewall, unspecified depth"}, {"role": "assistant", "content": "N80.353 — Endometriosis of bilateral pelvic sidewall, 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": "Contusion of left breast, subsequent encounter"}, {"role": "assistant", "content": "S20.02XD — Contusion of left 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": "Puncture wound of abdominal wall without foreign body, left lower quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.134S — Puncture wound of abdominal wall without foreign body, left lower 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 open wound of left back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.402A — Unspecified open wound of left 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 fracture of unspecified tibial spine, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.113G — Displaced fracture of unspecified 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": "Omphalitis without hemorrhage"}, {"role": "assistant", "content": "P38.9 — Omphalitis 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": "Light chain (AL) amyloidosis"}, {"role": "assistant", "content": "E85.81 — Light chain (AL) 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": "Other skateboard accident, subsequent encounter"}, {"role": "assistant", "content": "V00.138D — Other skateboard 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": "Retinal micro-aneurysms, unspecified, bilateral"}, {"role": "assistant", "content": "H35.043 — Retinal micro-aneurysms, unspecified, 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": "Pathological fracture in neoplastic disease, right ankle, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.571D — Pathological fracture in neoplastic disease, right ankle, 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 segmental fracture of shaft of radius, left arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.365K — Nondisplaced segmental fracture of shaft of radius, left 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": "Fibrous dysplasia (monostotic), unspecified ankle and foot"}, {"role": "assistant", "content": "M85.079 — Fibrous dysplasia (monostotic), 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 subluxation of left ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.192D — Other subluxation 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": "Anterior subcapsular polar age-related cataract, left eye"}, {"role": "assistant", "content": "H25.032 — Anterior 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 unspecified middle and inner ear, initial encounter"}, {"role": "assistant", "content": "S09.309A — Unspecified injury of unspecified middle and inner 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": "Low level blast overpressure in war operations, sequela"}, {"role": "assistant", "content": "Y36.A1XS — Low level blast overpressure in war operations, sequela"}]}
{"messages": [{"role": "system", "content": "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, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.252B — Displaced fracture of neck 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": "Unspecified injury of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.106A — Unspecified injury of flexor muscle, fascia and tendon of left 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": "Nondisplaced fracture of body of unspecified talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.126D — Nondisplaced fracture of body 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": "Dislocation of unspecified interphalangeal joint of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.272D — Dislocation 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": "Contact with lifting devices, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "W24.0XXD — Contact with lifting devices, 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": "Toxic effect of beryllium and its compounds, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T56.7X2A — Toxic effect of beryllium and its compounds, 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": "Toxic effect of carbon monoxide from motor vehicle exhaust, undetermined, sequela"}, {"role": "assistant", "content": "T58.04XS — Toxic effect of carbon monoxide from motor vehicle exhaust, 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": "Superficial foreign body of right upper arm, initial encounter"}, {"role": "assistant", "content": "S40.851A — Superficial foreign body 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": "Disorder of bile acid and cholesterol metabolism, unspecified"}, {"role": "assistant", "content": "E78.70 — Disorder of bile acid and cholesterol 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": "Mixed irritable bowel syndrome"}, {"role": "assistant", "content": "K58.2 — Mixed irritable bowel 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": "Other injury of intrinsic muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.599S — Other injury of intrinsic muscle, fascia and tendon of unspecified 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": "Injury of other nerves at wrist and hand level of unspecified arm, sequela"}, {"role": "assistant", "content": "S64.8X9S — Injury of other nerves at wrist and hand level of 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": "Exposure to tanning bed, subsequent encounter"}, {"role": "assistant", "content": "W89.1XXD — Exposure to tanning bed, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 tuberosity of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.265D — Nondisplaced fracture of lesser tuberosity 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": "Salter-Harris Type I physeal fracture of lower end of right tibia, sequela"}, {"role": "assistant", "content": "S89.111S — Salter-Harris Type I physeal 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": "Malignant neoplasm of extrahepatic bile duct"}, {"role": "assistant", "content": "C24.0 — Malignant neoplasm of extrahepatic 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": "Person on outside of car injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V46.2XXA — Person on outside of car 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": "Puncture wound with foreign body of anus, initial encounter"}, {"role": "assistant", "content": "S31.834A — Puncture wound with foreign body of anus, initial encounter"}]}
{"messages": [{"role": "system", "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 45, X"}, {"role": "assistant", "content": "Q96.0 — Karyotype 45, X"}]}
{"messages": [{"role": "system", "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 unspecified ankle and foot without organ or systems involvement"}, {"role": "assistant", "content": "M05.779 — Rheumatoid arthritis with rheumatoid factor of unspecified 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": "Unspecified superficial injury of unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.919D — Unspecified superficial 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": "Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.030D — Wedge compression fracture of third 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": "Injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S74.01XD — Injury of sciatic nerve 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": "Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.5920 — Maternal care for other known or suspected poor fetal growth, 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": "Cholesteatoma of mastoid, left ear"}, {"role": "assistant", "content": "H71.22 — Cholesteatoma of mastoid, 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": "Laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.114A — Laceration without foreign body 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": "Toxic effect of xylazine, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T65.842D — Toxic effect of xylazine, 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 without foreign body of unspecified cheek and temporomandibular area, initial encounter"}, {"role": "assistant", "content": "S01.419A — Laceration without foreign body of unspecified cheek and temporomandibular 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": "Corrosions involving 30-39% of body surface with 10-19% third degree corrosion"}, {"role": "assistant", "content": "T32.31 — Corrosions involving 30-39% 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": "Unspecified occupant of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V59.60XA — Unspecified occupant of pick-up truck or van 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": "Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela"}, {"role": "assistant", "content": "S06.326S — Contusion and laceration of left cerebrum 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": "Nondisplaced fracture of fourth metatarsal bone, unspecified foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.346P — Nondisplaced fracture of fourth metatarsal bone, unspecified 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": "Food in bronchus causing asphyxiation, initial encounter"}, {"role": "assistant", "content": "T17.520A — Food in bronchus 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": "Nondisplaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.653D — Nondisplaced fracture of middle 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": "Toxic effect of other halogen derivatives of aliphatic hydrocarbons, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T53.6X1D — Toxic effect of other halogen derivatives of aliphatic 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": "Mucosal cyst of postmastoidectomy cavity, unspecified ear"}, {"role": "assistant", "content": "H95.139 — Mucosal cyst of postmastoidectomy cavity, 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": "Major laceration of heart with hemopericardium, subsequent encounter"}, {"role": "assistant", "content": "S26.022D — Major laceration of heart with 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": "War operations involving intentional restriction of air and airway, civilian, initial encounter"}, {"role": "assistant", "content": "Y36.461A — War operations involving intentional restriction of air and airway, 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 injuries of left eye and orbit, subsequent encounter"}, {"role": "assistant", "content": "S05.8X2D — Other injuries of left eye and orbit, subsequent encounter"}]}
{"messages": [{"role": "system", "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, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.674D — Pathological fracture in other disease, 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": "Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, right hand"}, {"role": "assistant", "content": "M18.31 — Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, 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": "Fused fingers, left hand"}, {"role": "assistant", "content": "Q70.02 — Fused fingers, 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": "Pigmentary glaucoma, right eye, mild stage"}, {"role": "assistant", "content": "H40.1311 — Pigmentary glaucoma, 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 injury of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.199D — Other injury of muscle, fascia and tendon of long head 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": "Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, severe stage"}, {"role": "assistant", "content": "H40.1493 — Capsular glaucoma with pseudoexfoliation of lens, unspecified 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": "Crohn's disease of small intestine without complications"}, {"role": "assistant", "content": "K50.00 — Crohn's disease of small intestine 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": "Nondisplaced oblique fracture of shaft of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.335P — Nondisplaced oblique 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": "Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm, sequela"}, {"role": "assistant", "content": "T49.0X2S — Poisoning by local antifungal, anti-infective and anti-inflammatory 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": "Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter"}, {"role": "assistant", "content": "T82.111D — Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter"}]}
{"messages": [{"role": "system", "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 right eye and adnexa, initial encounter"}, {"role": "assistant", "content": "T26.31XA — Burns 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": "Peripheral tear of medial meniscus, current injury, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.229D — Peripheral tear of medial meniscus, current injury, 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": "Magnetic metal toy entering into or through a natural orifice, subsequent encounter"}, {"role": "assistant", "content": "W44.D3XD — Magnetic metal toy 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": "Subluxation of distal interphalangeal joint of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.247D — Subluxation of distal interphalangeal joint 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": "Pathological dislocation of unspecified elbow, not elsewhere classified"}, {"role": "assistant", "content": "M24.329 — Pathological dislocation of unspecified 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": "Spontaneous rupture of extensor tendons, unspecified upper arm"}, {"role": "assistant", "content": "M66.229 — Spontaneous rupture of extensor tendons, 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": "Unspecified open wound of left elbow, sequela"}, {"role": "assistant", "content": "S51.002S — Unspecified open wound 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 fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.491Q — Other fracture 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": "Manic episode without psychotic symptoms, mild"}, {"role": "assistant", "content": "F30.11 — Manic episode without psychotic symptoms, 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": "Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 3"}, {"role": "assistant", "content": "O36.72X3 — Maternal care for viable fetus in abdominal pregnancy, 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": "Nondisplaced fracture of medial cuneiform of unspecified foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.246K — Nondisplaced fracture of medial cuneiform 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": "Other specified injury of blood vessel of other finger, initial encounter"}, {"role": "assistant", "content": "S65.598A — Other specified injury of blood vessel 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": "Subluxation of T6/T7 thoracic vertebra, initial encounter"}, {"role": "assistant", "content": "S23.140A — Subluxation of T6/T7 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": "Ankylosing hyperostosis [Forestier], lumbar region"}, {"role": "assistant", "content": "M48.16 — Ankylosing hyperostosis [Forestier], 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": "Anesthesia and hypoesthesia of cornea, bilateral"}, {"role": "assistant", "content": "H18.813 — Anesthesia and hypoesthesia 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 burn on board sailboat, subsequent encounter"}, {"role": "assistant", "content": "V93.14XD — Other burn on board sailboat, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S02.113K — Unspecified occipital condyle fracture, 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": "Incomplete and partial hydatidiform mole"}, {"role": "assistant", "content": "O01.1 — Incomplete and partial hydatidiform mole"}]}
{"messages": [{"role": "system", "content": "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 malunion"}, {"role": "assistant", "content": "S89.292P — Other physeal fracture of upper end of left 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": "Corrosion of second degree of right wrist, sequela"}, {"role": "assistant", "content": "T23.671S — Corrosion of second degree 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": "Superficial endometriosis of other parts of the colon"}, {"role": "assistant", "content": "N80.551 — Superficial endometriosis of other parts of the 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": "Exposure to ignition of other clothing and apparel, sequela"}, {"role": "assistant", "content": "X06.2XXS — Exposure to ignition of other clothing and apparel, sequela"}]}
{"messages": [{"role": "system", "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 thigh, initial encounter"}, {"role": "assistant", "content": "T24.612A — Corrosion 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": "Oral mucositis (ulcerative) due to other drugs"}, {"role": "assistant", "content": "K12.32 — Oral mucositis (ulcerative) due to other 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": "Poisoning by therapeutic gases, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T41.5X1S — Poisoning by therapeutic gases, 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": "Other natural environment type phobia"}, {"role": "assistant", "content": "F40.228 — Other natural environment type phobia"}]}
{"messages": [{"role": "system", "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-vesicostomy status"}, {"role": "assistant", "content": "Z93.51 — Cutaneous-vesicostomy 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": "Diffuse follicle center lymphoma, lymph nodes of multiple sites"}, {"role": "assistant", "content": "C82.58 — Diffuse follicle center 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": "Lateral subluxation of left ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.142S — Lateral subluxation of left 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": "Dislocation of proximal interphalangeal joint of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.286D — Dislocation of proximal interphalangeal 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": "Morquio mucopolysaccharidoses, unspecified"}, {"role": "assistant", "content": "E76.219 — Morquio mucopolysaccharidoses, 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": "Pedestrian on foot injured in collision with rider of standing electric scooter, initial encounter"}, {"role": "assistant", "content": "V00.031A — Pedestrian on foot injured in collision with rider of standing electric scooter, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, right foot, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.331A — Displaced fracture of third metatarsal bone, 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": "Caregiver's other noncompliance with patient's medication regimen due to financial hardship"}, {"role": "assistant", "content": "Z91.A41 — Caregiver's other noncompliance with patient's medication regimen due to financial hardship"}]}
{"messages": [{"role": "system", "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 compound presentation, fetus 1"}, {"role": "assistant", "content": "O32.6XX1 — Maternal care for 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": "Unspecified physeal fracture of lower end of ulna, unspecified arm, sequela"}, {"role": "assistant", "content": "S59.009S — Unspecified physeal fracture of lower end of ulna, 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 neck of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.132F — Displaced fracture of neck of left 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": "Corrosion of unspecified degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.492D — Corrosion 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": "Pedestrian on foot injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V06.00XA — Pedestrian on foot 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": "Corrosion of third degree of left hand, unspecified site, sequela"}, {"role": "assistant", "content": "T23.702S — Corrosion of third degree of left 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": "Other rupture of muscle (nontraumatic), unspecified shoulder"}, {"role": "assistant", "content": "M62.119 — Other rupture of muscle (nontraumatic), 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 traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.150G — Other 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": "Displaced fracture of olecranon process without intraarticular extension of left ulna, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.022B — Displaced fracture of olecranon process without intraarticular extension 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": "Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.327A — Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury 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": "Pedestrian on foot injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V01.10XD — Pedestrian on foot 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": "Military operations involving explosion of unspecified marine weapon, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y37.001D — Military operations involving explosion of unspecified marine weapon, 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": "Poisoning by other synthetic narcotics, undetermined, initial encounter"}, {"role": "assistant", "content": "T40.494A — Poisoning by other synthetic narcotics, 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 cuneiform of left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.225G — Nondisplaced fracture of lateral cuneiform 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": "Nondisplaced fracture of neck of second metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.360G — Nondisplaced fracture of neck of second 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": "Acute bronchitis due to Hemophilus influenzae"}, {"role": "assistant", "content": "J20.1 — Acute bronchitis due to Hemophilus influenzae"}]}
{"messages": [{"role": "system", "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 left upper limb, including shoulder"}, {"role": "assistant", "content": "C4A.62 — Merkel cell carcinoma 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": "Burn of second degree of scalp [any part], subsequent encounter"}, {"role": "assistant", "content": "T20.25XD — Burn of second degree of scalp [any part], subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 tuberosity of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.255G — Nondisplaced fracture of greater tuberosity 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": "Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.149D — Puncture wound 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": "Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.312D — Strain 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": "Occupant of streetcar injured in collision with other object, subsequent encounter"}, {"role": "assistant", "content": "V82.3XXD — Occupant of streetcar injured in collision with 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": "Nondisplaced segmental fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.464R — Nondisplaced segmental fracture of shaft of right 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": "Poisoning by ecstasy, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T43.642D — Poisoning by ecstasy, 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": "Contusion of body of pancreas, initial encounter"}, {"role": "assistant", "content": "S36.221A — Contusion 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": "Unspecified injury of blood vessel of left index finger, subsequent encounter"}, {"role": "assistant", "content": "S65.501D — Unspecified injury of blood vessel 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": "Crushing injury of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S77.00XD — Crushing 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": "Retroperitoneal tuberculosis"}, {"role": "assistant", "content": "A18.39 — Retroperitoneal 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": "Assault by being hit or run over by motor vehicle, sequela"}, {"role": "assistant", "content": "Y03.0XXS — Assault by being hit or run over by 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": "Displaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.123M — Displaced fracture of lateral condyle 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": "Poisoning by tetracyclines, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T36.4X2A — Poisoning by tetracyclines, 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": "Driver of heavy transport vehicle injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V69.00XA — Driver of heavy transport vehicle 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": "Major laceration of unspecified internal jugular vein, sequela"}, {"role": "assistant", "content": "S15.329S — Major laceration of unspecified 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 open wound of scalp, sequela"}, {"role": "assistant", "content": "S01.00XS — Unspecified open wound 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": "Carcinoma in situ of unspecified bronchus and lung"}, {"role": "assistant", "content": "D02.20 — Carcinoma in situ of unspecified 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": "Metopic craniosynostosis"}, {"role": "assistant", "content": "Q75.03 — Metopic 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": "Asphyxiation due to being trapped in a car trunk, undetermined, initial encounter"}, {"role": "assistant", "content": "T71.224A — Asphyxiation due to being trapped in a car trunk, 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": "Driver of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V36.5XXD — Driver 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": "Other cause of strike by thrown, projected or falling object, subsequent encounter"}, {"role": "assistant", "content": "W20.8XXD — Other cause of strike by thrown, projected or falling 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": "Ankyloglossia"}, {"role": "assistant", "content": "Q38.1 — Ankyloglossia"}]}
{"messages": [{"role": "system", "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 bicycle tire, sequela"}, {"role": "assistant", "content": "W37.0XXS — Explosion of bicycle tire, sequela"}]}
{"messages": [{"role": "system", "content": "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 left patella, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.015P — Nondisplaced osteochondral 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": "Open bite of other finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.358S — Open bite of other 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 other general anesthetics, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T41.294D — Poisoning by other general anesthetics, 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": "Open bite, left thigh, subsequent encounter"}, {"role": "assistant", "content": "S71.152D — Open bite, 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 comminuted fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.255P — Nondisplaced comminuted 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": "Poisoning by inhaled anesthetics, undetermined, sequela"}, {"role": "assistant", "content": "T41.0X4S — Poisoning by inhaled anesthetics, 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": "Cellulitis, unspecified"}, {"role": "assistant", "content": "L03.90 — Cellulitis, 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 body of hamate [unciform] bone, left wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.142B — Displaced fracture of body of hamate [unciform] 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": "War operations involving accidental detonation of onboard marine weapons, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.050A — War operations involving accidental detonation of onboard marine 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": "Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.026H — Nondisplaced fracture of olecranon process without 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": "Other fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.399D — Other 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": "Disorders of lysine and hydroxylysine metabolism"}, {"role": "assistant", "content": "E72.3 — Disorders of lysine and hydroxylysine 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 unspecified patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.043B — Displaced comminuted 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": "Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.461P — Displaced 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": "Toxic effect of methanol, undetermined, sequela"}, {"role": "assistant", "content": "T51.1X4S — Toxic effect of methanol, 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": "Newborn affected by unspecified morphological and functional abnormalities of placenta"}, {"role": "assistant", "content": "P02.20 — Newborn affected by unspecified morphological and functional abnormalities of placenta"}]}
{"messages": [{"role": "system", "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 nonunion"}, {"role": "assistant", "content": "S89.029K — Salter-Harris Type II 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": "NIHSS score 28"}, {"role": "assistant", "content": "R29.728 — NIHSS score 28"}]}
{"messages": [{"role": "system", "content": "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 urinary and pelvic organ, sequela"}, {"role": "assistant", "content": "S37.99XS — Other injury of unspecified urinary and pelvic 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": "Retinopathy of prematurity, stage 2, bilateral"}, {"role": "assistant", "content": "H35.133 — Retinopathy of prematurity, stage 2, 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 open wound of right lesser toe(s) without damage to nail, sequela"}, {"role": "assistant", "content": "S91.104S — Unspecified open wound of right 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": "External constriction of unspecified upper arm, sequela"}, {"role": "assistant", "content": "S40.849S — External constriction of unspecified 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": "Palindromic rheumatism, unspecified hand"}, {"role": "assistant", "content": "M12.349 — Palindromic rheumatism, 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": "Displaced unspecified fracture of unspecified great toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.403A — Displaced unspecified fracture of unspecified 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": "Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.82XA — Multiple fractures of pelvis without disruption of pelvic ring, 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 second metacarpal bone, right hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.300D — Unspecified fracture of second 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": "Other types of follicular lymphoma, intrathoracic lymph nodes"}, {"role": "assistant", "content": "C82.82 — Other types of follicular lymphoma, 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": "Degeneration of pupillary margin, left eye"}, {"role": "assistant", "content": "H21.242 — Degeneration of pupillary margin, 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": "Driver of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V39.00XS — Driver of three-wheeled motor vehicle 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": "Nondisplaced osteochondral fracture of right patella, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.014Q — Nondisplaced osteochondral 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": "External constriction of left upper arm, subsequent encounter"}, {"role": "assistant", "content": "S40.842D — External constriction 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 specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter"}, {"role": "assistant", "content": "S06.895D — Other specified 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": "2-part displaced fracture of surgical neck of right humerus, sequela"}, {"role": "assistant", "content": "S42.221S — 2-part displaced fracture of surgical neck 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": "Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, sequela"}, {"role": "assistant", "content": "S59.149S — Salter-Harris Type IV 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": "Bursitis, left hand"}, {"role": "assistant", "content": "M70.12 — Bursitis, 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 L4/L5 lumbar vertebra, subsequent encounter"}, {"role": "assistant", "content": "S33.141D — Dislocation of L4/L5 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": "Nondisplaced fracture of body of hamate [unciform] bone, right wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.144B — Nondisplaced fracture of body of hamate [unciform] bone, 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": "Injury of unspecified nerve at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S44.91XD — Injury of unspecified nerve at shoulder and upper arm 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": "Corrosion of first degree of right thumb (nail), subsequent encounter"}, {"role": "assistant", "content": "T23.511D — Corrosion of first degree of right 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": "Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, sequela"}, {"role": "assistant", "content": "S32.444S — Nondisplaced fracture of posterior column [ilioischial] 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": "Unspecified adhesions of iris, right eye"}, {"role": "assistant", "content": "H21.501 — Unspecified adhesions of iris, 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": "Car driver injured in collision with other type car in traffic accident, sequela"}, {"role": "assistant", "content": "V43.52XS — Car driver injured in collision with other type car 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": "Salter-Harris Type IV physeal fracture of upper end of right tibia, sequela"}, {"role": "assistant", "content": "S89.041S — Salter-Harris Type IV physeal fracture of upper 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": "Glider (nonpowered) crash injuring occupant, sequela"}, {"role": "assistant", "content": "V96.21XS — Glider (nonpowered) crash 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": "Torus fracture of lower end of right tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S82.311K — Torus 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": "Other intraarticular fracture of lower end of unspecified radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.579A — Other intraarticular fracture of lower end 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": "Subluxation of C5/C6 cervical vertebrae, sequela"}, {"role": "assistant", "content": "S13.160S — Subluxation 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": "Complete traumatic metacarpophalangeal amputation of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S68.119D — Complete traumatic metacarpophalangeal amputation 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": "Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.021P — Displaced fracture of shaft 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": "Poisoning by hemostatic drug, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T45.621S — Poisoning by hemostatic 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": "Other injury of intrinsic muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.599A — Other injury of intrinsic 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": "Crushed between merchant ship and other watercraft or other object due to collision, subsequent encounter"}, {"role": "assistant", "content": "V91.10XD — Crushed between merchant ship 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 left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.92XB — Unspecified 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": "Varicose veins of left lower extremity with both ulcer of ankle and inflammation"}, {"role": "assistant", "content": "I83.223 — Varicose veins of left lower extremity with both ulcer of ankle and inflammation"}]}
{"messages": [{"role": "system", "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 flamethrower, civilian, sequela"}, {"role": "assistant", "content": "Y36.331S — War 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": "Other secondary chronic gout, right hip, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.4511 — Other secondary chronic gout, right 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": "Maternal care for viable fetus in abdominal pregnancy, first trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.71X0 — Maternal care for viable fetus in abdominal pregnancy, first 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": "War operations involving other fires, conflagrations and hot substances, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.391D — War operations involving other fires, conflagrations and hot substances, 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 insect allergy status"}, {"role": "assistant", "content": "Z91.038 — Other insect 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": "Other subluxation of left foot, sequela"}, {"role": "assistant", "content": "S93.332S — Other subluxation 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": "Displaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.172K — Displaced fracture of trapezium [larger multangular], 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": "Myopia, left eye"}, {"role": "assistant", "content": "H52.12 — Myopia, 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": "Dislocation of proximal interphalangeal joint of right middle finger, initial encounter"}, {"role": "assistant", "content": "S63.282A — Dislocation of proximal 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": "Collapsed vertebra, not elsewhere classified, thoracolumbar region, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M48.55XG — Collapsed vertebra, not elsewhere classified, thoracolumbar 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": "Unspecified injury of lesser saphenous vein at lower leg level, left leg, sequela"}, {"role": "assistant", "content": "S85.402S — Unspecified injury of lesser saphenous vein 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": "Intentional self-harm by explosive material, sequela"}, {"role": "assistant", "content": "X75.XXXS — Intentional self-harm by explosive material, sequela"}]}
{"messages": [{"role": "system", "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 unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.1X9D — Traumatic cerebral edema 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": "Personal history of other diseases of male genital organs"}, {"role": "assistant", "content": "Z87.438 — Personal history of other diseases of 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": "Disorders of visual pathways in (due to) neoplasm, right side"}, {"role": "assistant", "content": "H47.521 — Disorders of visual pathways in (due to) neoplasm, 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": "War operations involving fragments of improvised explosive device [IED], military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.260D — War operations involving fragments of improvised explosive device [IED], 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": "Intentional self-harm by other hot fluids, subsequent encounter"}, {"role": "assistant", "content": "X77.2XXD — Intentional self-harm by other hot fluids, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, other site, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.8AXK — Other osteoporosis with current pathological fracture, other site, 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 superficial bite of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S60.479D — Other superficial bite 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": "Displaced fracture of distal phalanx of right index finger, sequela"}, {"role": "assistant", "content": "S62.630S — Displaced fracture of distal 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": "Laceration of blood vessel of other finger, initial encounter"}, {"role": "assistant", "content": "S65.518A — Laceration of blood vessel 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": "Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O36.0194 — Maternal care for anti-D [Rh] antibodies, 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": "Longitudinal reduction defect of unspecified ulna"}, {"role": "assistant", "content": "Q71.50 — Longitudinal reduction defect of unspecified 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": "Sprain of the superior tibiofibular joint and ligament, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.60XD — Sprain of the superior tibiofibular joint and ligament, 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": "Displaced fracture of shaft of first metacarpal bone, unspecified hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.243G — Displaced fracture of shaft of first metacarpal bone, 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 transverse fracture of shaft of unspecified fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.426A — Nondisplaced transverse fracture of shaft 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": "Drug-induced gout, multiple sites"}, {"role": "assistant", "content": "M10.29 — Drug-induced gout, 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": "Poisoning by 4-Aminophenol derivatives, intentional self-harm, sequela"}, {"role": "assistant", "content": "T39.1X2S — Poisoning by 4-Aminophenol derivatives, 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": "Crushing injury of left lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S97.122A — Crushing 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": "Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.333H — Displaced oblique fracture of shaft 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": "Person on outside of car injured in collision with other type car in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V43.72XD — Person on outside of car injured in collision with other type car 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 unspecified part of scapula, unspecified shoulder, sequela"}, {"role": "assistant", "content": "S42.109S — Fracture of unspecified part 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": "Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T38.3X4A — Poisoning by insulin and oral hypoglycemic [antidiabetic] 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": "Other traumatic displaced spondylolisthesis of fifth cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.450S — Other 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": "Subluxation of interphalangeal joint of right lesser toe(s), sequela"}, {"role": "assistant", "content": "S93.134S — Subluxation of interphalangeal joint 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": "Overexertion from repetitive movements, initial encounter"}, {"role": "assistant", "content": "X50.3XXA — Overexertion from repetitive movements, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.516C — Nondisplaced fracture of unspecified 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 segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.264Q — Nondisplaced segmental 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": "Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye"}, {"role": "assistant", "content": "E13.3541 — Other specified 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": "Nondisplaced subtrochanteric fracture of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.25XA — Nondisplaced subtrochanteric 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": "Contact with nonvenomous frogs, sequela"}, {"role": "assistant", "content": "W62.0XXS — Contact with nonvenomous frogs, sequela"}]}
{"messages": [{"role": "system", "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 upper arm"}, {"role": "assistant", "content": "M85.021 — Fibrous dysplasia (monostotic), 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": "Unspecified fracture of left patella, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.002A — Unspecified fracture of left 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": "Chronic iridocyclitis, right eye"}, {"role": "assistant", "content": "H20.11 — Chronic iridocyclitis, 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": "Major laceration of right pulmonary blood vessels, sequela"}, {"role": "assistant", "content": "S25.421S — Major laceration of right 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": "Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.346P — Nondisplaced spiral 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": "Rheumatoid bursitis, unspecified site"}, {"role": "assistant", "content": "M06.20 — Rheumatoid bursitis, 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": "Person injured in collision between car and two- or three-wheeled powered vehicle (traffic), subsequent encounter"}, {"role": "assistant", "content": "V87.0XXD — Person injured in collision between car and two- or three-wheeled powered vehicle (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": "Multiple fractures of ribs, left side, sequela"}, {"role": "assistant", "content": "S22.42XS — Multiple fractures of ribs, 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": "Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assault, subsequent encounter"}, {"role": "assistant", "content": "T38.3X3D — Poisoning by insulin and oral hypoglycemic [antidiabetic] 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": "Nondisplaced bicondylar fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.144N — Nondisplaced bicondylar fracture 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": "Abscess of bursa, unspecified site"}, {"role": "assistant", "content": "M71.00 — Abscess of bursa, 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": "Traumatic compartment syndrome of unspecified upper extremity, subsequent encounter"}, {"role": "assistant", "content": "T79.A19D — Traumatic compartment syndrome of unspecified upper extremity, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S86.101A — Unspecified injury of other muscle(s) and tendon(s) of posterior 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": "Complications of stem cell transplant"}, {"role": "assistant", "content": "T86.5 — Complications of stem cell 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": "Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.426 — Non-pressure chronic ulcer of back 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": "Breakdown (mechanical) of graft of urinary organ, sequela"}, {"role": "assistant", "content": "T83.21XS — Breakdown (mechanical) 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": "Maternal care for disproportion due to outlet contraction of pelvis, other fetus"}, {"role": "assistant", "content": "O33.3XX9 — Maternal care for disproportion due to outlet contraction of pelvis, 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 segmental fracture of shaft of ulna, left arm, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.265B — Nondisplaced segmental fracture of shaft of ulna, 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": "Nontraumatic intracerebral hemorrhage, intraventricular"}, {"role": "assistant", "content": "I61.5 — Nontraumatic intracerebral hemorrhage, intraventricular"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter"}, {"role": "assistant", "content": "T84.194D — Other mechanical complication of internal fixation device of right femur, subsequent encounter"}]}
{"messages": [{"role": "system", "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 limited to breakdown of skin"}, {"role": "assistant", "content": "L97.921 — Non-pressure chronic ulcer of unspecified part of left 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": "Subluxation of metacarpophalangeal joint of right ring finger, sequela"}, {"role": "assistant", "content": "S63.214S — Subluxation of metacarpophalangeal joint 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": "Nondisplaced midcervical fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.036Q — Nondisplaced midcervical 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": "Unspecified fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.309C — Unspecified 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": "Toxic effect of other tobacco and nicotine, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T65.292D — Toxic effect of other tobacco and nicotine, 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": "Enteropathic arthropathies, left hand"}, {"role": "assistant", "content": "M07.642 — Enteropathic 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": "Bent bone of unspecified radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.389G — Bent bone 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": "Pathological fracture in neoplastic disease, left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.562K — Pathological fracture in neoplastic 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": "Toxic effect of sulfur dioxide, assault, sequela"}, {"role": "assistant", "content": "T59.1X3S — Toxic effect of sulfur dioxide, 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": "Adverse effect of other drugs acting on muscles, subsequent encounter"}, {"role": "assistant", "content": "T48.295D — Adverse effect of other drugs acting on muscles, subsequent encounter"}]}
{"messages": [{"role": "system", "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 lower leg, initial encounter"}, {"role": "assistant", "content": "T24.739A — Corrosion of third degree 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": "Traumatic arthropathy, left elbow"}, {"role": "assistant", "content": "M12.522 — Traumatic 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": "Subluxation complex (vertebral) of upper extremity"}, {"role": "assistant", "content": "M99.17 — Subluxation complex (vertebral) 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": "Handgun discharge, undetermined intent, subsequent encounter"}, {"role": "assistant", "content": "Y22.XXXD — Handgun discharge, 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": "Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.149G — Salter-Harris Type IV 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": "Injury of digital nerve of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S64.30XA — Injury of digital nerve 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": "Disorders of muscle in diseases classified elsewhere, unspecified upper arm"}, {"role": "assistant", "content": "M63.829 — Disorders of muscle in diseases classified elsewhere, 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": "Sprain of metacarpophalangeal joint of left ring finger, sequela"}, {"role": "assistant", "content": "S63.655S — Sprain of metacarpophalangeal joint 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": "Major laceration of superior mesenteric artery, subsequent encounter"}, {"role": "assistant", "content": "S35.222D — Major laceration of superior mesenteric 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": "Displaced Rolando's fracture, left hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.222D — Displaced Rolando's fracture, 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 specified urinary incontinence"}, {"role": "assistant", "content": "N39.498 — Other specified urinary incontinence"}]}
{"messages": [{"role": "system", "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 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.101D — Dislocation 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": "Other cervical disc disorders at C5-C6 level"}, {"role": "assistant", "content": "M50.822 — Other cervical disc disorders at C5-C6 level"}]}
{"messages": [{"role": "system", "content": "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 open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.691E — Other fracture of lower end 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": "Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle"}, {"role": "assistant", "content": "I70.643 — Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration 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": "Asphyxiation due to being trapped in a (discarded) refrigerator, undetermined, sequela"}, {"role": "assistant", "content": "T71.234S — Asphyxiation due to being trapped in a (discarded) refrigerator, 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 ulna, unspecified arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.253Q — Displaced comminuted fracture of shaft of ulna, 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": "Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.212G — Unspecified displaced fracture of surgical neck 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": "Neoplasm of uncertain behavior of the submandibular salivary glands"}, {"role": "assistant", "content": "D37.032 — Neoplasm of uncertain behavior of the submandibular 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": "Injury of ulnar nerve at upper arm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S44.02XD — Injury of ulnar nerve at 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": "Nondisplaced transverse fracture of left patella, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.035D — Nondisplaced transverse 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": "Placentitis, second trimester, fetus 1"}, {"role": "assistant", "content": "O41.1421 — Placentitis, 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": "Drug-induced chronic gout, vertebrae, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.28X1 — Drug-induced chronic gout, vertebrae, 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": "Sprain of anterior cruciate ligament of left knee, initial encounter"}, {"role": "assistant", "content": "S83.512A — Sprain of anterior cruciate ligament of 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": "Inferior dislocation of unspecified humerus, sequela"}, {"role": "assistant", "content": "S43.036S — Inferior dislocation 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": "Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V04.99XD — Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, 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": "Poisoning by other vaccines and biological substances, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.Z91S — Poisoning by other vaccines and biological 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": "Other fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.491M — Other 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": "Corrosion of second degree of multiple left fingers (nail), including thumb, sequela"}, {"role": "assistant", "content": "T23.642S — Corrosion of second degree of multiple left fingers (nail), 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": "Cerebral ischemia"}, {"role": "assistant", "content": "I67.82 — Cerebral 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": "Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.109G — Unspecified physeal fracture of unspecified 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": "Driver of heavy transport vehicle injured in collision with pedal cycle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V61.5XXD — Driver of heavy transport 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": "Melanocytic nevi of scalp and neck"}, {"role": "assistant", "content": "D22.4 — Melanocytic nevi 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": "Vesical fistula, not elsewhere classified"}, {"role": "assistant", "content": "N32.2 — Vesical fistula, 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 specified rheumatoid arthritis, right wrist"}, {"role": "assistant", "content": "M06.831 — Other specified 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": "Open bite of left back wall of thorax with penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.452S — Open bite of left 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": "Nondisplaced oblique fracture of shaft of right tibia, sequela"}, {"role": "assistant", "content": "S82.234S — Nondisplaced oblique fracture of shaft 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": "Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela"}, {"role": "assistant", "content": "T83.598S — Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary 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": "Unspecified occupant of bus injured in collision with fixed or stationary object in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V77.3XXA — Unspecified occupant of bus 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": "Frostbite with tissue necrosis of unspecified ankle, sequela"}, {"role": "assistant", "content": "T34.819S — Frostbite with tissue necrosis of 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": "Ulcer of intestine"}, {"role": "assistant", "content": "K63.3 — Ulcer 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": "Laceration with foreign body of unspecified thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.129S — Laceration 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": "Intentional self-harm by paintball gun, sequela"}, {"role": "assistant", "content": "X74.02XS — Intentional self-harm by paintball gun, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Acrodermatitis chronica atrophicans"}, {"role": "assistant", "content": "L90.4 — Acrodermatitis chronica atrophicans"}]}
{"messages": [{"role": "system", "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 water surface causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.812A — Jumping or diving into other water 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": "Burns involving 70-79% of body surface with 60-69% third degree burns"}, {"role": "assistant", "content": "T31.76 — Burns involving 70-79% of body surface with 60-69% 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 intracapsular fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.019N — Unspecified intracapsular 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": "Dysphagia following other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.291 — Dysphagia 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": "Other disorders of bone development and growth, right humerus"}, {"role": "assistant", "content": "M89.221 — Other disorders of bone development and growth, 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": "Passenger in heavy transport vehicle injured in noncollision transport accident in traffic accident, sequela"}, {"role": "assistant", "content": "V68.6XXS — Passenger in 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": "Bitten by nonvenomous snake, initial encounter"}, {"role": "assistant", "content": "W59.11XA — Bitten by 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": "Angioid streaks of macula"}, {"role": "assistant", "content": "H35.33 — Angioid streaks of macula"}]}
{"messages": [{"role": "system", "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 other specified severity"}, {"role": "assistant", "content": "L97.518 — Non-pressure chronic ulcer of other part of right foot 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": "Passenger injured in collision with unspecified motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V49.50XA — 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": "Subluxation of interphalangeal joint of right thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.121D — Subluxation of interphalangeal 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": "Other physeal fracture of lower end of unspecified fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.399A — Other physeal fracture of lower end 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": "Erosion of implanted vaginal mesh to surrounding organ or tissue, initial encounter"}, {"role": "assistant", "content": "T83.711A — Erosion of implanted vaginal mesh to surrounding 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": "Pain due to nervous system prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T85.840A — Pain due to nervous system 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": "Minor laceration of left innominate or subclavian artery, sequela"}, {"role": "assistant", "content": "S25.112S — Minor 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": "Olecranon bursitis, right elbow"}, {"role": "assistant", "content": "M70.21 — Olecranon bursitis, 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": "Displacement of electronic bone stimulator, subsequent encounter"}, {"role": "assistant", "content": "T84.320D — Displacement of electronic bone stimulator, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 rolling-type pedestrian conveyance, subsequent encounter"}, {"role": "assistant", "content": "V00.188D — Other accident on other rolling-type pedestrian conveyance, subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified eye, stage unspecified"}, {"role": "assistant", "content": "H40.60X0 — Glaucoma secondary to drugs, 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": "Other dislocation of unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.196D — Other dislocation 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": "Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, subsequent encounter"}, {"role": "assistant", "content": "V54.4XXD — Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, subsequent encounter"}]}
{"messages": [{"role": "system", "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 ankle, subsequent encounter"}, {"role": "assistant", "content": "S90.549D — External constriction, 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": "Pathological fracture, right radius, sequela"}, {"role": "assistant", "content": "M84.433S — Pathological fracture, right 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": "Laceration of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.821D — Laceration of other 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": "Unspecified fracture of shaft of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.302A — Unspecified 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": "Salter-Harris Type III physeal fracture of lower end of right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S79.131D — Salter-Harris Type III physeal fracture of lower end of 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": "Idiopathic gout, unspecified knee"}, {"role": "assistant", "content": "M10.069 — Idiopathic 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": "Other specified injury of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, initial encounter"}, {"role": "assistant", "content": "S96.191A — Other specified injury of muscle and tendon of long extensor muscle of toe 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": "Congenital pulmonary valve insufficiency"}, {"role": "assistant", "content": "Q22.2 — Congenital pulmonary 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": "Lead-induced gout, right shoulder"}, {"role": "assistant", "content": "M10.111 — Lead-induced 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": "Alcohol dependence with withdrawal with perceptual disturbance"}, {"role": "assistant", "content": "F10.232 — Alcohol dependence 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": "Blister (nonthermal) of unspecified elbow, initial encounter"}, {"role": "assistant", "content": "S50.329A — Blister (nonthermal) 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": "Salter-Harris Type II physeal fracture of lower end of right tibia, sequela"}, {"role": "assistant", "content": "S89.121S — Salter-Harris Type II physeal 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": "Age-related osteoporosis with current pathological fracture, unspecified forearm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.039G — Age-related 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": "Torus fracture of upper end of unspecified tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S82.169K — Torus 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": "Traction detachment of retina, bilateral"}, {"role": "assistant", "content": "H33.43 — Traction detachment 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": "Crushed between fishing boat and other watercraft or other object due to collision, subsequent encounter"}, {"role": "assistant", "content": "V91.12XD — Crushed between fishing boat 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": "Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors"}, {"role": "assistant", "content": "J68.0 — Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors"}]}
{"messages": [{"role": "system", "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, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.2X2S — Poisoning by antithyroid 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": "Legal intervention involving injury by machine gun, bystander injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.012D — Legal intervention involving injury by machine gun, 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": "Acute chemical otitis externa, right ear"}, {"role": "assistant", "content": "H60.521 — Acute chemical 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": "Unspecified dislocation of unspecified sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.206D — Unspecified dislocation of unspecified 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": "Drug-induced chronic gout, left shoulder, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2120 — Drug-induced chronic gout, left 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": "Decreased fetal movements, third trimester, fetus 3"}, {"role": "assistant", "content": "O36.8133 — Decreased fetal movements, third 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": "Toxic effect of gadolinium, assault, sequela"}, {"role": "assistant", "content": "T56.823S — Toxic effect of gadolinium, 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 dislocation of left patella, initial encounter"}, {"role": "assistant", "content": "S83.005A — Unspecified dislocation of left patella, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Hypersecretion of calcitonin"}, {"role": "assistant", "content": "E07.0 — Hypersecretion of calcitonin"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.356A — Nondisplaced fracture of shaft 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": "Military operations involving fragments of improvised explosive device [IED], military personnel, sequela"}, {"role": "assistant", "content": "Y37.260S — Military operations involving fragments of improvised explosive device [IED], 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": "Sympathetic uveitis, right eye"}, {"role": "assistant", "content": "H44.131 — Sympathetic uveitis, 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": "Traumatic rupture of other ligament of left middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter"}, {"role": "assistant", "content": "S63.493D — Traumatic rupture of other ligament of left 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": "Torus fracture of lower end of unspecified tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S82.319D — Torus 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": "Disappearance and death of family member"}, {"role": "assistant", "content": "Z63.4 — Disappearance and death of family member"}]}
{"messages": [{"role": "system", "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 scrotum and testis, initial encounter"}, {"role": "assistant", "content": "S38.02XA — Crushing injury of scrotum and testis, initial encounter"}]}
{"messages": [{"role": "system", "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 tibia and fibula"}, {"role": "assistant", "content": "M86.262 — Subacute osteomyelitis, left 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": "Salter-Harris Type IV physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.141D — Salter-Harris Type IV 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": "Dermatochalasis of left lower eyelid"}, {"role": "assistant", "content": "H02.835 — Dermatochalasis 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": "Unspecified Eustachian tube disorder, left ear"}, {"role": "assistant", "content": "H69.92 — Unspecified Eustachian tube disorder, 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": "Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T46.6X1A — Poisoning by antihyperlipidemic and antiarteriosclerotic 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": "Salter-Harris Type I physeal fracture of upper end of unspecified fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.219D — Salter-Harris Type I physeal fracture of upper end of unspecified 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": "Displaced fracture of shaft of first metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.242K — Displaced fracture of shaft of first 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": "Other arthropod infestations"}, {"role": "assistant", "content": "B88.2 — Other arthropod infestations"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "T23.679S — Corrosion of second degree 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": "Encounter for fitting and adjustment of unspecified left artificial leg"}, {"role": "assistant", "content": "Z44.102 — Encounter for fitting and adjustment of unspecified left artificial 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": "Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela"}, {"role": "assistant", "content": "S06.304S — Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela"}]}
{"messages": [{"role": "system", "content": "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 IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.052C — Unspecified fracture of head 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": "Pathological fracture, left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.462K — Pathological fracture, 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": "Adverse effect of antimycobacterial drugs, initial encounter"}, {"role": "assistant", "content": "T37.1X5A — Adverse effect of antimycobacterial 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": "Nondisplaced fracture of base of neck of unspecified femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.046P — Nondisplaced fracture of base of neck 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": "Severe combined immunodeficiency due to adenosine deaminase deficiency"}, {"role": "assistant", "content": "D81.31 — Severe combined immunodeficiency due to adenosine deaminase 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": "External constriction of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S60.849D — External constriction 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": "Electric (assisted) bicycle passenger injured in collision with pedal cycle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V21.51XA — Electric (assisted) bicycle passenger 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": "Struck by falling object in cave-in, sequela"}, {"role": "assistant", "content": "W20.0XXS — Struck by falling object in cave-in, sequela"}]}
{"messages": [{"role": "system", "content": "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 head of pancreas, sequela"}, {"role": "assistant", "content": "S36.200S — Unspecified injury 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": "Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter"}, {"role": "assistant", "content": "S46.911A — Strain of unspecified muscle, fascia and tendon 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": "Discoid meniscus"}, {"role": "assistant", "content": "Q68.6 — Discoid meniscus"}]}
{"messages": [{"role": "system", "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 thumb at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.012A — Strain of flexor muscle, fascia and tendon of left 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": "Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela"}, {"role": "assistant", "content": "S06.355S — Traumatic hemorrhage of left 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": "Driver injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V49.49XA — 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": "Displaced fracture of lunate [semilunar], unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.123P — Displaced fracture of lunate [semilunar], 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": "Incarcerated fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.447A — Incarcerated 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": "Passenger of military vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V86.64XA — Passenger 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": "Child neglect or abandonment, suspected, subsequent encounter"}, {"role": "assistant", "content": "T76.02XD — Child neglect or abandonment, 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": "Electric (assisted) bicycle passenger injured in collision with fixed or stationary object in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V27.11XD — Electric (assisted) bicycle passenger 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": "Sagittal craniosynostosis"}, {"role": "assistant", "content": "Q75.01 — Sagittal 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": "Subluxation of interphalangeal joint of right great toe, initial encounter"}, {"role": "assistant", "content": "S93.131A — Subluxation 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": "Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.062G — Age-related osteoporosis with current pathological fracture, left 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": "Displaced fracture of coronoid process of right ulna, sequela"}, {"role": "assistant", "content": "S52.041S — Displaced fracture of coronoid process of right 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": "Poisoning by predominantly beta-adrenoreceptor agonists, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T44.5X1D — Poisoning by predominantly beta-adrenoreceptor agonists, 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": "Subluxation of metatarsophalangeal joint of left great toe, sequela"}, {"role": "assistant", "content": "S93.142S — Subluxation of metatarsophalangeal joint 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": "3-part fracture of surgical neck of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.231A — 3-part fracture of surgical neck 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 subluxation of left thumb, sequela"}, {"role": "assistant", "content": "S63.102S — Unspecified subluxation 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": "Nondisplaced apophyseal fracture of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.135P — Nondisplaced 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": "Magnetic metal coin entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.D2XS — Magnetic metal 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": "Personal history of unspecified abuse in childhood"}, {"role": "assistant", "content": "Z62.819 — Personal history of unspecified 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": "Coronary atherosclerosis due to lipid rich plaque"}, {"role": "assistant", "content": "I25.83 — Coronary atherosclerosis due to lipid rich plaque"}]}
{"messages": [{"role": "system", "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 heart infection"}, {"role": "assistant", "content": "A54.83 — Gonococcal heart 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": "Derangement of anterior horn of medial meniscus due to old tear or injury, right knee"}, {"role": "assistant", "content": "M23.211 — Derangement of anterior horn of medial meniscus due to old tear or injury, 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": "Unspecified intracapsular fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.019Q — Unspecified intracapsular 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": "Other problems related to social environment"}, {"role": "assistant", "content": "Z60.8 — Other problems related to social environment"}]}
{"messages": [{"role": "system", "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 pillow, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T71.112D — Asphyxiation due to smothering under pillow, 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": "Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T84.418D — Breakdown (mechanical) of other internal orthopedic 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": "Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O41.8X93 — Other specified disorders of amniotic fluid and membranes, 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 base of neck of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.045B — Nondisplaced fracture of base of neck 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": "Slow transit constipation"}, {"role": "assistant", "content": "K59.01 — Slow transit constipation"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.299C — Other fracture of shaft 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": "Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.0B2G — Age-related osteoporosis with current pathological fracture, left 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": "Nondisplaced dome fracture of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.485K — Nondisplaced dome 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": "Nondisplaced spiral fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.346J — Nondisplaced spiral fracture of shaft of radius, unspecified 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": "Lateral subluxation of right ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.141A — Lateral subluxation of right 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": "Other spinal muscular atrophies and related syndromes"}, {"role": "assistant", "content": "G12.8 — Other spinal muscular atrophies and related 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": "Other noninflammatory disorders of the testis"}, {"role": "assistant", "content": "N44.8 — Other noninflammatory disorders of the 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": "Dislocation of other parts of lumbar spine and pelvis, sequela"}, {"role": "assistant", "content": "S33.39XS — Dislocation of other parts of lumbar spine 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": "Other injury of other specified muscles, fascia and tendons at wrist and hand level, right hand, subsequent encounter"}, {"role": "assistant", "content": "S66.891D — Other injury of other specified muscles, fascia and tendons at wrist and hand level, 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": "Blister (nonthermal) of unspecified ear, sequela"}, {"role": "assistant", "content": "S00.429S — Blister (nonthermal) 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": "Unspecified superficial injury of unspecified shoulder, sequela"}, {"role": "assistant", "content": "S40.919S — Unspecified superficial injury 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": "Drowning and submersion due to fall off unspecified watercraft, initial encounter"}, {"role": "assistant", "content": "V92.09XA — Drowning and submersion due to fall off 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": "Other anterior subluxation of right hip, initial encounter"}, {"role": "assistant", "content": "S73.031A — Other anterior 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": "Stress fracture, left fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.364G — Stress fracture, 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": "Unspecified fracture of upper end of unspecified radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.109B — Unspecified fracture of upper 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": "Salter-Harris Type II physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.122K — Salter-Harris Type II physeal fracture of left 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": "Poisoning by loop [high-ceiling] diuretics, undetermined, sequela"}, {"role": "assistant", "content": "T50.1X4S — Poisoning by loop [high-ceiling] diuretics, 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 subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.26XM — Nondisplaced subtrochanteric fracture 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": "Vascular complications following infusion, transfusion and therapeutic injection, sequela"}, {"role": "assistant", "content": "T80.1XXS — Vascular complications following infusion, transfusion and therapeutic injection, sequela"}]}
{"messages": [{"role": "system", "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 inhalation therapy, subsequent encounter"}, {"role": "assistant", "content": "T81.81XD — Complication of inhalation therapy, subsequent encounter"}]}
{"messages": [{"role": "system", "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 unspecified eyeball, sequela"}, {"role": "assistant", "content": "T26.70XS — Corrosion with resulting rupture and destruction of unspecified 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": "Calcium deposit in bursa, right knee"}, {"role": "assistant", "content": "M71.461 — Calcium deposit in bursa, 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": "Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.021D — Laceration of muscle and tendon of long flexor muscle of toe 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": "Ciguatera fish poisoning, intentional self-harm, sequela"}, {"role": "assistant", "content": "T61.02XS — Ciguatera fish poisoning, 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 specified disorders of right ear"}, {"role": "assistant", "content": "H93.8X1 — Other specified disorders of 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 streptococcus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B95.4 — Other streptococcus 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": "Contact with fats and cooking oils, sequela"}, {"role": "assistant", "content": "X10.2XXS — Contact with fats and cooking oils, sequela"}]}
{"messages": [{"role": "system", "content": "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 malunion"}, {"role": "assistant", "content": "S72.461R — Displaced supracondylar fracture with intracondylar extension of lower end 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": "Toxic effect of venom of other reptiles, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T63.192D — Toxic effect of venom of other reptiles, 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": "Subluxation of unspecified interphalangeal joint of unspecified finger, sequela"}, {"role": "assistant", "content": "S63.229S — Subluxation of unspecified 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": "Torus fracture of upper end of right tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.161A — Torus fracture of upper end 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": "Coma scale, best verbal response, none, 24 hours or more after hospital admission"}, {"role": "assistant", "content": "R40.2214 — Coma scale, best verbal response, none, 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 specified muscles, fascia and tendons at wrist and hand level, unspecified hand, initial encounter"}, {"role": "assistant", "content": "S66.829A — Laceration of other specified muscles, fascia and tendons at wrist and hand level, 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": "Person on outside of car injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V48.2XXS — Person on outside of car 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": "Benign neoplasm of nasopharynx"}, {"role": "assistant", "content": "D10.6 — Benign neoplasm 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": "Displaced fracture of middle phalanx of unspecified finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.629K — Displaced fracture of middle phalanx of unspecified 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": "Displaced fracture of middle phalanx of unspecified finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.629A — Displaced fracture of middle phalanx of unspecified 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": "Toxic effect of contact with other venomous animals, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.891A — Toxic effect of contact with other venomous animals, 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": "Retained plastic fragments"}, {"role": "assistant", "content": "Z18.2 — Retained plastic 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": "Other forms of aspergillosis"}, {"role": "assistant", "content": "B44.89 — Other forms of aspergillosis"}]}
{"messages": [{"role": "system", "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 cervix in pregnancy, second trimester"}, {"role": "assistant", "content": "O23.512 — Infections of cervix 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": "Displaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.452E — Displaced comminuted 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": "Leukoplakia of oral mucosa, including tongue"}, {"role": "assistant", "content": "K13.21 — Leukoplakia of oral mucosa, including 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": "Nondisplaced fracture of capitate [os magnum] bone, unspecified wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.136A — Nondisplaced fracture of capitate [os magnum] 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": "Other fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.292E — Other 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": "Major laceration of inferior mesenteric artery, sequela"}, {"role": "assistant", "content": "S35.232S — Major laceration of inferior mesenteric 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": "Orbital myositis, left orbit"}, {"role": "assistant", "content": "H05.122 — Orbital myositis, 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": "Foreign body granuloma of soft tissue, not elsewhere classified, left ankle and foot"}, {"role": "assistant", "content": "M60.272 — Foreign body granuloma of soft tissue, 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": "Fracture of coccyx, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.2XXK — Fracture of coccyx, 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 of dorsal artery of left foot, initial encounter"}, {"role": "assistant", "content": "S95.012A — Laceration of dorsal 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": "Displaced spiral fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.243A — Displaced spiral 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": "Mechanical loosening of other internal prosthetic joint, initial encounter"}, {"role": "assistant", "content": "T84.038A — Mechanical loosening of other internal prosthetic 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 first metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.292K — Other fracture of first 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": "Kitchen in prison as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.140 — Kitchen in 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": "Breakdown (mechanical) of umbrella device, initial encounter"}, {"role": "assistant", "content": "T82.515A — Breakdown (mechanical) of umbrella 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": "Vitreomacular adhesion, right eye"}, {"role": "assistant", "content": "H43.821 — Vitreomacular adhesion, 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": "Malignant neoplasm of jejunum"}, {"role": "assistant", "content": "C17.1 — Malignant neoplasm of jejunum"}]}
{"messages": [{"role": "system", "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 forehead and cheek, initial encounter"}, {"role": "assistant", "content": "T20.16XA — Burn of first 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": "Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.448D — Incarcerated 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": "Nondisplaced fracture of body of right calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.014A — Nondisplaced 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": "Person boarding or alighting a heavy transport vehicle injured in collision with other nonmotor vehicle, subsequent encounter"}, {"role": "assistant", "content": "V66.4XXD — Person boarding or alighting a heavy transport vehicle injured in collision with other nonmotor 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": "Adverse effect of unspecified psychotropic drug, subsequent encounter"}, {"role": "assistant", "content": "T43.95XD — Adverse effect of unspecified psychotropic drug, subsequent encounter"}]}
{"messages": [{"role": "system", "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 explosions and fragments, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.290A — Military operations involving other explosions 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": "Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.226 — Non-pressure chronic ulcer of left 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": "War operations involving unspecified effect of nuclear weapon, civilian, sequela"}, {"role": "assistant", "content": "Y36.501S — War operations involving unspecified 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": "Inflammatory polyps of colon with unspecified complications"}, {"role": "assistant", "content": "K51.419 — Inflammatory polyps of colon with unspecified 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": "Nondisplaced spiral fracture of shaft of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.344K — Nondisplaced spiral fracture of shaft 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": "Other fracture of lower end of left femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.492B — Other fracture of lower end 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": "NIHSS score 36"}, {"role": "assistant", "content": "R29.736 — NIHSS score 36"}]}
{"messages": [{"role": "system", "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 with inconclusive fetal viability, fetus 5"}, {"role": "assistant", "content": "O36.80X5 — Pregnancy with inconclusive fetal viability, 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": "Insect bite (nonvenomous) of left elbow, sequela"}, {"role": "assistant", "content": "S50.362S — Insect bite (nonvenomous) 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": "Toxic effect of unspecified inorganic substance, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T57.91XS — Toxic effect of unspecified inorganic substance, 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": "Occupant of streetcar injured by fall in streetcar, initial encounter"}, {"role": "assistant", "content": "V82.5XXA — Occupant of streetcar injured by fall in 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": "Pre-existing hypertensive chronic kidney disease complicating childbirth"}, {"role": "assistant", "content": "O10.22 — Pre-existing hypertensive chronic kidney disease 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": "Pedal cycle driver injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V14.4XXD — Pedal cycle driver 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": "Asphyxiation due to smothering under another person's body (in bed), undetermined, sequela"}, {"role": "assistant", "content": "T71.144S — Asphyxiation due to smothering under another person's body (in bed), 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 intracapsular fracture of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.012D — Unspecified intracapsular fracture 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": "Nondisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.325R — Nondisplaced transverse 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": "Displaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.613H — Displaced fracture of unspecified ulna styloid process, 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": "Family history of malignant neoplasm of other urinary tract organ"}, {"role": "assistant", "content": "Z80.59 — Family history of malignant neoplasm of other urinary tract organ"}]}
{"messages": [{"role": "system", "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 femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.351K — Stress fracture, 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": "Mycosis fungoides, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C84.04 — Mycosis fungoides, 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": "Burn of second degree of unspecified hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.209D — Burn of second 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": "Astrovirus enteritis"}, {"role": "assistant", "content": "A08.32 — Astrovirus 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": "Inhalant use, unspecified with inhalant-induced persisting dementia"}, {"role": "assistant", "content": "F18.97 — Inhalant use, unspecified with inhalant-induced persisting dementia"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified tubal pregnancy with intrauterine pregnancy"}, {"role": "assistant", "content": "O00.119 — Unspecified tubal pregnancy with intrauterine 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 extraarticular fracture of lower end of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.551P — Other extraarticular fracture of lower end 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": "Puncture wound of abdominal wall without foreign body, left lower quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.134A — Puncture wound of abdominal wall without foreign body, 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": "Unspecified cervical disc disorder at C4-C5 level"}, {"role": "assistant", "content": "M50.921 — Unspecified cervical disc disorder at C4-C5 level"}]}
{"messages": [{"role": "system", "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 any duration with death due to other cause prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.328A — Contusion and laceration of left cerebrum 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": "Malignant neoplasm of unspecified lower limb"}, {"role": "assistant", "content": "C76.50 — Malignant neoplasm 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": "Radiation-induced polyneuropathy"}, {"role": "assistant", "content": "G62.82 — Radiation-induced 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": "Crushing injury of right knee, subsequent encounter"}, {"role": "assistant", "content": "S87.01XD — Crushing injury 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": "Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V45.3XXA — Unspecified car occupant 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": "Unspecified external cause status"}, {"role": "assistant", "content": "Y99.9 — Unspecified external cause 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": "Machinery accident on board merchant ship, initial encounter"}, {"role": "assistant", "content": "V93.60XA — Machinery accident on board 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": "Poisoning by antidiarrheal drugs, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T47.6X4D — Poisoning by antidiarrheal 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": "Encephalitis and encephalomyelitis in diseases classified elsewhere"}, {"role": "assistant", "content": "G05.3 — Encephalitis and encephalomyelitis 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": "Ocular pain, left eye"}, {"role": "assistant", "content": "H57.12 — Ocular pain, 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 forms of tularemia"}, {"role": "assistant", "content": "A21.8 — Other forms of tularemia"}]}
{"messages": [{"role": "system", "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 anterior urethral stricture, not elsewhere classified, male"}, {"role": "assistant", "content": "N35.114 — Postinfective anterior 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": "Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.466J — Nondisplaced segmental 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": "Terrorism involving other explosions and fragments, civilian injured, initial encounter"}, {"role": "assistant", "content": "Y38.2X2A — Terrorism involving other explosions and fragments, 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": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, subsequent encounter"}, {"role": "assistant", "content": "S06.331D — Contusion and laceration of cerebrum, unspecified, 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": "Penetrating wound of orbit with or without foreign body, unspecified eye, initial encounter"}, {"role": "assistant", "content": "S05.40XA — Penetrating wound of orbit with or without foreign body, 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": "Congenital mitral insufficiency"}, {"role": "assistant", "content": "Q23.3 — Congenital mitral 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": "Toxic effect of venom of other Australian snake, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T63.071D — Toxic effect of venom of other Australian snake, 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": "Greenstick fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.312P — Greenstick 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": "Accidental puncture and laceration of skin and subcutaneous tissue during a dermatologic procedure"}, {"role": "assistant", "content": "L76.11 — Accidental puncture and laceration of skin and subcutaneous tissue during 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": "Scotoma of blind spot area, left eye"}, {"role": "assistant", "content": "H53.422 — Scotoma of blind spot area, 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 distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.015P — Nondisplaced fracture of distal pole of navicular [scaphoid] bone of 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": "Laceration of unspecified blood vessel at forearm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S55.919A — Laceration of unspecified blood vessel 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": "Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.035G — Nondisplaced fracture of proximal third of navicular [scaphoid] bone of 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": "Displaced fracture of proximal phalanx of right ring finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.614K — Displaced fracture of proximal phalanx of right 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": "Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E13.3591 — Other specified diabetes mellitus with proliferative 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": "Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.115K — Nondisplaced fracture of triquetrum [cuneiform] bone, 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": "Injury of other cranial nerves, unspecified side, subsequent encounter"}, {"role": "assistant", "content": "S04.899D — Injury of other cranial nerves, 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": "Pathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.573D — Pathological fracture in neoplastic disease, unspecified ankle, 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": "Strabismic amblyopia, left eye"}, {"role": "assistant", "content": "H53.032 — Strabismic 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": "Other injury of bronchus, unspecified, subsequent encounter"}, {"role": "assistant", "content": "S27.499D — Other 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": "Nondisplaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.456N — Nondisplaced supracondylar fracture without intracondylar extension of lower end 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": "Other complications of unspecified transplanted organ and tissue"}, {"role": "assistant", "content": "T86.99 — Other complications of unspecified transplanted organ and 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": "Osteonecrosis due to previous trauma, unspecified hand"}, {"role": "assistant", "content": "M87.243 — Osteonecrosis due to previous trauma, 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": "Insect bite (nonvenomous) of unspecified thumb, sequela"}, {"role": "assistant", "content": "S60.369S — Insect bite (nonvenomous) 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": "Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.112A — Type III occipital condyle 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": "Contusion of right back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.221D — Contusion 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": "Unspecified injury of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.402S — Unspecified injury 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": "Subluxation of interphalangeal joint of unspecified great toe, initial encounter"}, {"role": "assistant", "content": "S93.133A — Subluxation of interphalangeal joint 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": "External constriction, unspecified knee, initial encounter"}, {"role": "assistant", "content": "S80.249A — External constriction, 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": "Corrosion of third degree of left elbow, subsequent encounter"}, {"role": "assistant", "content": "T22.722D — Corrosion of third 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": "Unspecified injury of greater saphenous vein at hip and thigh level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.209D — Unspecified injury of greater saphenous vein 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": "Displaced fracture of third metatarsal bone, left foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.332K — Displaced fracture of third metatarsal bone, 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": "Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.266P — Nondisplaced segmental 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": "Other specified bursopathies, right knee"}, {"role": "assistant", "content": "M71.861 — Other specified bursopathies, 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": "Salter-Harris Type I physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S59.112P — Salter-Harris Type I physeal fracture of upper end of radius, 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": "Scotoma involving central area, bilateral"}, {"role": "assistant", "content": "H53.413 — Scotoma involving central area, 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": "Open bite of abdominal wall, left flank without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.157A — Open bite of abdominal wall, 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": "Other psychoactive substance dependence with withdrawal delirium"}, {"role": "assistant", "content": "F19.231 — Other psychoactive substance dependence with withdrawal 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 mechanical complication of internal fixation device of left femur, subsequent encounter"}, {"role": "assistant", "content": "T84.195D — Other mechanical complication of internal fixation device of left femur, subsequent encounter"}]}
{"messages": [{"role": "system", "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 infusion catheter, subsequent encounter"}, {"role": "assistant", "content": "T82.534D — Leakage of 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": "Non-pressure chronic ulcer of chest with unspecified severity"}, {"role": "assistant", "content": "L98.449 — Non-pressure chronic ulcer of chest 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": "Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester"}, {"role": "assistant", "content": "O30.299 — Quadruplet pregnancy, unable to determine number of placenta and 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": "Low-tension glaucoma, bilateral, stage unspecified"}, {"role": "assistant", "content": "H40.1230 — Low-tension glaucoma, 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": "Nondisplaced dome fracture of unspecified acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.486G — Nondisplaced dome 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": "Contusion of left hip, subsequent encounter"}, {"role": "assistant", "content": "S70.02XD — Contusion 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": "Toxic effect of lead and its compounds, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T56.0X1A — Toxic effect of lead 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": "External constriction of left hand, subsequent encounter"}, {"role": "assistant", "content": "S60.542D — External constriction 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": "Oral mucositis (ulcerative) due to antineoplastic therapy"}, {"role": "assistant", "content": "K12.31 — Oral mucositis (ulcerative) due to antineoplastic therapy"}]}
{"messages": [{"role": "system", "content": "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 parts of thorax, initial encounter"}, {"role": "assistant", "content": "S20.97XA — Other superficial bite 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": "Unspecified perichondritis of right external ear"}, {"role": "assistant", "content": "H61.001 — Unspecified perichondritis of right 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": "Stress fracture, right tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.361P — Stress fracture, 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": "Recurrent and persistent immunoglobulin A nephropathy with diffuse membranoproliferative glomerulonephritis"}, {"role": "assistant", "content": "N02.B3 — Recurrent and persistent immunoglobulin A nephropathy with diffuse membranoproliferative 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": "Displaced segmental fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.461D — Displaced segmental 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": "Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O36.5993 — Maternal care for other known or suspected poor fetal growth, 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": "Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, subsequent encounter"}, {"role": "assistant", "content": "S96.092D — Other injury of muscle and tendon of long flexor 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": "Injury of digital nerve of right index finger, initial encounter"}, {"role": "assistant", "content": "S64.490A — Injury of digital nerve 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": "Accidental puncture and laceration of left eye and adnexa during other procedure"}, {"role": "assistant", "content": "H59.222 — Accidental puncture and laceration of left eye and adnexa 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": "Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C82.61 — Cutaneous follicle center 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": "Solitary bone cyst, left hand"}, {"role": "assistant", "content": "M85.442 — Solitary bone cyst, 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 foreign body in larynx causing other injury, sequela"}, {"role": "assistant", "content": "T17.308S — Unspecified foreign body in larynx 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 abnormal findings on microbiological examination of urine"}, {"role": "assistant", "content": "R82.79 — Other abnormal findings on microbiological examination of urine"}]}
{"messages": [{"role": "system", "content": "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 I or II with malunion"}, {"role": "assistant", "content": "S52.243Q — Displaced spiral fracture of shaft of ulna, 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": "Poisoning by expectorants, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T48.4X2D — Poisoning by expectorants, 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": "Open bite of right thumb without damage to nail, sequela"}, {"role": "assistant", "content": "S61.051S — Open bite 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": "Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.002D — Unspecified physeal fracture of upper 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": "Crushed between merchant ship and other watercraft or other object due to collision, sequela"}, {"role": "assistant", "content": "V91.10XS — Crushed between merchant ship 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": "Primary hypotony of unspecified eye"}, {"role": "assistant", "content": "H44.449 — Primary hypotony 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": "Other mechanical complication of unspecified cardiac and vascular devices and implants, subsequent encounter"}, {"role": "assistant", "content": "T82.599D — Other mechanical complication 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": "Nondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.364K — Nondisplaced fracture of neck of fourth 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": "Poisoning by smallpox vaccines, assault, subsequent encounter"}, {"role": "assistant", "content": "T50.B13D — Poisoning by smallpox vaccines, 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": "Alcohol use, unspecified with alcohol-induced mood disorder"}, {"role": "assistant", "content": "F10.94 — Alcohol use, unspecified with alcohol-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 comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.355G — Nondisplaced comminuted 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": "Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity"}, {"role": "assistant", "content": "I70.309 — Unspecified atherosclerosis of unspecified type of 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": "External constriction of unspecified back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.449S — External constriction of unspecified 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": "Unspecified injury of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.102A — Unspecified 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": "Horseshoe tear of retina without detachment, unspecified eye"}, {"role": "assistant", "content": "H33.319 — Horseshoe tear of retina without detachment, 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": "Personal history of malignant neoplasm of eye"}, {"role": "assistant", "content": "Z85.840 — Personal history of malignant neoplasm 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": "Corrosion of second degree of right scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.661D — Corrosion of second 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": "Laceration without foreign body of left breast, initial encounter"}, {"role": "assistant", "content": "S21.012A — Laceration without foreign body of 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": "Bone marrow transplant rejection"}, {"role": "assistant", "content": "T86.01 — Bone marrow 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": "Other congenital malformations of larynx"}, {"role": "assistant", "content": "Q31.8 — Other congenital malformations 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": "Underdosing of other vaccines and biological substances, subsequent encounter"}, {"role": "assistant", "content": "T50.Z96D — Underdosing of other vaccines 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": "Burn of first degree of neck, sequela"}, {"role": "assistant", "content": "T20.17XS — Burn of first degree of 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": "Contusion of left elbow, subsequent encounter"}, {"role": "assistant", "content": "S50.02XD — Contusion 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": "Other specified sports and athletic area as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.39 — Other specified sports and athletic area 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": "Burn of third degree of left lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.332D — Burn of third 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": "Aneurysm of other precerebral arteries"}, {"role": "assistant", "content": "I72.5 — Aneurysm 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": "Other traumatic displaced spondylolisthesis of fourth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.350K — Other 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": "Fall on same level due to stepping on an object, initial encounter"}, {"role": "assistant", "content": "W18.31XA — Fall on same level due to stepping on an 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 specified injury of other blood vessels at wrist and hand level of left arm, initial encounter"}, {"role": "assistant", "content": "S65.892A — Other specified injury of other blood vessels 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": "Nondisplaced comminuted fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.254G — Nondisplaced comminuted fracture of shaft of ulna, 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": "Rheumatoid bursitis, right wrist"}, {"role": "assistant", "content": "M06.231 — Rheumatoid bursitis, 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": "Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S49.019D — Salter-Harris Type I 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": "Palindromic rheumatism, left shoulder"}, {"role": "assistant", "content": "M12.312 — Palindromic rheumatism, 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": "Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.08XD — Age-related osteoporosis with current pathological fracture, vertebra(e), 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 chondrosternal joint, initial encounter"}, {"role": "assistant", "content": "S23.421A — Sprain of chondrosternal 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 dome fracture of right talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.144K — Nondisplaced dome fracture of right 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": "Puncture wound with foreign body of left great toe with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.242A — Puncture wound with foreign body of left 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": "Pathological fracture, left hand, initial encounter for fracture"}, {"role": "assistant", "content": "M84.442A — Pathological fracture, left 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": "Other injury of transverse colon, subsequent encounter"}, {"role": "assistant", "content": "S36.591D — Other injury of transverse 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": "Carbuncle of limb, unspecified"}, {"role": "assistant", "content": "L02.439 — Carbuncle of limb, 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 coronoid process of left ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.045D — Nondisplaced fracture of coronoid process 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": "Adhesions and ankylosis of left temporomandibular joint"}, {"role": "assistant", "content": "M26.612 — Adhesions and ankylosis of left 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": "Exposure to other natural radiation, initial encounter"}, {"role": "assistant", "content": "X39.08XA — Exposure to other natural radiation, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V72.9XXS — Unspecified occupant of bus 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": "Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter"}, {"role": "assistant", "content": "S48.929D — Partial 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": "Other retention of urine"}, {"role": "assistant", "content": "R33.8 — Other retention of urine"}]}
{"messages": [{"role": "system", "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 great toe without damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.153A — Open bite of unspecified 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": "Congenital falciparum malaria"}, {"role": "assistant", "content": "P37.3 — Congenital falciparum malaria"}]}
{"messages": [{"role": "system", "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 routine healing"}, {"role": "assistant", "content": "S99.039D — Salter-Harris Type III physeal fracture of unspecified 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": "Nondisplaced fracture of neck of first metacarpal bone, left hand, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.255A — Nondisplaced fracture of neck of first 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 right lower leg, sequela"}, {"role": "assistant", "content": "S82.91XS — Unspecified fracture 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": "Newborn light for gestational age, 1750-1999 grams"}, {"role": "assistant", "content": "P05.07 — Newborn light for gestational age, 1750-1999 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": "Other rheumatoid arthritis with rheumatoid factor of right knee"}, {"role": "assistant", "content": "M05.861 — Other rheumatoid arthritis with rheumatoid factor 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": "Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.24XF — Nondisplaced subtrochanteric fracture 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": "Sickle-cell thalassemia beta zero with crisis, unspecified"}, {"role": "assistant", "content": "D57.439 — Sickle-cell thalassemia beta zero with crisis, 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 segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.266M — Nondisplaced 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": "Mild persistent asthma with status asthmaticus"}, {"role": "assistant", "content": "J45.32 — Mild persistent asthma with status asthmaticus"}]}
{"messages": [{"role": "system", "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 periodontal disease"}, {"role": "assistant", "content": "E10.630 — Type 1 diabetes mellitus with periodontal 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": "Toxic effect of contact with venomous marine plant, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.711A — Toxic effect of contact with venomous marine plant, 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": "Malignant neoplasm of carotid body"}, {"role": "assistant", "content": "C75.4 — Malignant neoplasm of carotid body"}]}
{"messages": [{"role": "system", "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 middle finger at metacarpophalangeal and interphalangeal joint, initial encounter"}, {"role": "assistant", "content": "S63.413A — Traumatic rupture of collateral ligament of left 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": "Toxic effect of other insecticides, assault, sequela"}, {"role": "assistant", "content": "T60.2X3S — Toxic effect of other insecticides, 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": "Occupant of railway train or railway vehicle injured due to object falling onto train, subsequent encounter"}, {"role": "assistant", "content": "V81.82XD — Occupant of railway train or railway vehicle injured due to object falling onto train, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "9 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.09 — 9 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 apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.131N — Displaced apophyseal fracture 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": "Scratched by cat, subsequent encounter"}, {"role": "assistant", "content": "W55.03XD — Scratched by 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": "Greenstick fracture of shaft of radius, left arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S52.312D — Greenstick fracture of shaft 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": "Spontaneous rupture of flexor tendons, unspecified ankle and foot"}, {"role": "assistant", "content": "M66.379 — Spontaneous rupture of flexor tendons, 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": "Contracture, unspecified hand"}, {"role": "assistant", "content": "M24.549 — Contracture, 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": "Corrosion of first degree of right ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.511D — Corrosion of first degree of right 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": "Radiohumeral (joint) sprain of left elbow, subsequent encounter"}, {"role": "assistant", "content": "S53.412D — Radiohumeral (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": "Nondisplaced fracture of lesser trochanter of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.124H — Nondisplaced fracture of lesser trochanter 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": "Laceration of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.021D — Laceration of long flexor muscle, fascia and tendon of right 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": "Acute on chronic slipped upper femoral epiphysis, unspecified stability (nontraumatic), bilateral hips"}, {"role": "assistant", "content": "M93.074 — Acute on chronic slipped upper femoral epiphysis, unspecified stability (nontraumatic), bilateral hips"}]}
{"messages": [{"role": "system", "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 flat-bottomed pedestrian conveyance colliding with stationary object, initial encounter"}, {"role": "assistant", "content": "V00.382A — Pedestrian on other flat-bottomed pedestrian conveyance 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": "Displaced fracture of base of third metacarpal bone, right hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.312K — Displaced fracture of base 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": "Dislocation of left scapula, sequela"}, {"role": "assistant", "content": "S43.315S — Dislocation of left 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": "Pyemic and septic embolism in pregnancy, second trimester"}, {"role": "assistant", "content": "O88.312 — Pyemic and septic 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": "Neoplasm of uncertain behavior of left testis"}, {"role": "assistant", "content": "D40.12 — Neoplasm of uncertain behavior of left 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": "Struck by softball, initial encounter"}, {"role": "assistant", "content": "W21.07XA — Struck by softball, initial encounter"}]}
{"messages": [{"role": "system", "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 scorpion, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T63.2X1S — Toxic effect of venom of scorpion, 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 little finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.326S — Laceration with foreign body of right 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": "Benign neoplasm of central nervous system, unspecified"}, {"role": "assistant", "content": "D33.9 — Benign neoplasm 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": "Displaced oblique fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.332J — Displaced oblique fracture of shaft 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": "Nondisplaced pilon fracture of unspecified tibia, sequela"}, {"role": "assistant", "content": "S82.876S — Nondisplaced pilon fracture 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": "Zoster conjunctivitis"}, {"role": "assistant", "content": "B02.31 — Zoster 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": "Other acute myringitis, right ear"}, {"role": "assistant", "content": "H73.091 — Other acute myringitis, 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": "Hemolytic disease of newborn, unspecified"}, {"role": "assistant", "content": "P55.9 — Hemolytic disease 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": "Displaced dome fracture of unspecified talus, sequela"}, {"role": "assistant", "content": "S92.143S — Displaced dome fracture 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": "Spondylolysis, thoracolumbar region"}, {"role": "assistant", "content": "M43.05 — Spondylolysis, 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": "Anal fistula, unspecified"}, {"role": "assistant", "content": "K60.30 — Anal fistula, 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": "Pulmonary histoplasmosis capsulati, unspecified"}, {"role": "assistant", "content": "B39.2 — Pulmonary 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": "Nondisplaced fracture of third metatarsal bone, unspecified foot, sequela"}, {"role": "assistant", "content": "S92.336S — Nondisplaced fracture of third metatarsal bone, 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 fracture of second metatarsal bone, left foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.325G — Nondisplaced fracture of second 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": "Total retinal detachment, left eye"}, {"role": "assistant", "content": "H33.052 — Total 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 lead and its compounds, assault, initial encounter"}, {"role": "assistant", "content": "T56.0X3A — Toxic effect of lead 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": "Displaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.431K — Displaced fracture of medial condyle 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": "Partial loss of teeth due to caries, class III"}, {"role": "assistant", "content": "K08.433 — Partial loss of teeth due to caries, 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": "Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.455H — Nondisplaced supracondylar fracture without intracondylar extension 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": "Maternal care for compound presentation, fetus 3"}, {"role": "assistant", "content": "O32.6XX3 — Maternal care for compound 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": "Atrophy of testis"}, {"role": "assistant", "content": "N50.0 — Atrophy 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": "Displaced spiral fracture of shaft of unspecified tibia, sequela"}, {"role": "assistant", "content": "S82.243S — Displaced spiral fracture of shaft 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": "Passenger in heavy transport vehicle injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V63.1XXS — Passenger in heavy transport 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": "Unspecified subluxation of right little finger, subsequent encounter"}, {"role": "assistant", "content": "S63.206D — Unspecified subluxation 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": "Fall from moving wheelchair (powered), initial encounter"}, {"role": "assistant", "content": "V00.811A — Fall from moving wheelchair (powered), initial encounter"}]}
{"messages": [{"role": "system", "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, american flag or touch football"}, {"role": "assistant", "content": "Y93.62 — Activity, american flag or touch football"}]}
{"messages": [{"role": "system", "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 mineralocorticoids and their antagonists, initial encounter"}, {"role": "assistant", "content": "T50.0X6A — Underdosing of mineralocorticoids and their 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": "Labyrinthine fistula, right ear"}, {"role": "assistant", "content": "H83.11 — Labyrinthine fistula, 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": "Superficial foreign body, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S70.359A — Superficial 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": "Primary blast injury of bronchus, unspecified, initial encounter"}, {"role": "assistant", "content": "S27.419A — Primary blast 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": "Other intraarticular fracture of lower end of left radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.572H — Other intraarticular fracture 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": "Raynaud's syndrome with gangrene"}, {"role": "assistant", "content": "I73.01 — Raynaud's syndrome with 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 specified injuries unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S59.819D — Other specified injuries 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": "War operations involving destruction of aircraft due to enemy fire or explosives, military personnel, sequela"}, {"role": "assistant", "content": "Y36.110S — War operations involving destruction of aircraft due to enemy fire or explosives, 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 biomechanical lesions of thoracic region"}, {"role": "assistant", "content": "M99.82 — Other biomechanical lesions 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": "Retained foreign body in left lower eyelid"}, {"role": "assistant", "content": "H02.815 — Retained foreign body in 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": "Nondisplaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.655P — Nondisplaced 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": "Implantation cysts of iris, ciliary body or anterior chamber, unspecified eye"}, {"role": "assistant", "content": "H21.329 — Implantation cysts of iris, ciliary body or 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": "Other anterior dislocation of right hip, initial encounter"}, {"role": "assistant", "content": "S73.034A — Other anterior dislocation 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": "Food in pharynx causing asphyxiation, subsequent encounter"}, {"role": "assistant", "content": "T17.220D — Food in pharynx 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": "Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.059G — Age-related osteoporosis with current pathological fracture, unspecified 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": "Person boarding or alighting from bus injured in collision with pedestrian or animal, subsequent encounter"}, {"role": "assistant", "content": "V70.4XXD — Person boarding or alighting from bus injured in collision with pedestrian or animal, subsequent encounter"}]}
{"messages": [{"role": "system", "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-inner quadrant of left female breast"}, {"role": "assistant", "content": "C50.212 — Malignant neoplasm of upper-inner 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": "Underdosing of opium, initial encounter"}, {"role": "assistant", "content": "T40.0X6A — Underdosing of opium, initial encounter"}]}
{"messages": [{"role": "system", "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 pyrazolone derivatives, sequela"}, {"role": "assistant", "content": "T39.2X5S — Adverse effect of pyrazolone derivatives, sequela"}]}
{"messages": [{"role": "system", "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) neoplasm, unspecified side"}, {"role": "assistant", "content": "H47.529 — Disorders of visual pathways in (due to) neoplasm, 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": "Solitary cyst of unspecified breast"}, {"role": "assistant", "content": "N60.09 — Solitary cyst 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": "Corrosion of first degree of multiple sites of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "T23.599S — Corrosion 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": "Displaced fracture of second metatarsal bone, unspecified foot, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.323P — Displaced fracture of second metatarsal bone, unspecified 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 fracture of shaft of left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.392D — Other fracture of shaft 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": "Crohn's disease of small intestine with other complication"}, {"role": "assistant", "content": "K50.018 — Crohn's disease of small intestine 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": "Displaced fracture of base of neck of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.043B — Displaced fracture of base of neck 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": "Other specific arthropathies, not elsewhere classified, left knee"}, {"role": "assistant", "content": "M12.862 — Other specific arthropathies, 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": "Plastic object unspecified, entering into or through a natural orifice, sequela"}, {"role": "assistant", "content": "W44.B0XS — Plastic object unspecified, 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 unspecified psychostimulants, undetermined, initial encounter"}, {"role": "assistant", "content": "T43.604A — Poisoning by unspecified psychostimulants, 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": "Stable burst fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.081G — Stable burst fracture of T11-T12 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": "Pathological fracture in other disease, left femur, sequela"}, {"role": "assistant", "content": "M84.652S — Pathological fracture in other disease, 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": "Idiopathic corneal edema, bilateral"}, {"role": "assistant", "content": "H18.223 — Idiopathic corneal 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": "Colles' fracture of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.531K — Colles' fracture 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": "Stromal corneal pigmentations, right eye"}, {"role": "assistant", "content": "H18.061 — Stromal corneal pigmentations, 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 pulmonary collapse"}, {"role": "assistant", "content": "J98.19 — Other pulmonary collapse"}]}
{"messages": [{"role": "system", "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 ankle with necrosis of bone"}, {"role": "assistant", "content": "L97.304 — Non-pressure chronic ulcer of unspecified ankle 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": "Choroidal rupture, left eye"}, {"role": "assistant", "content": "H31.322 — Choroidal rupture, 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": "Low level blast overpressure in military operations, subsequent encounter"}, {"role": "assistant", "content": "Y37.A1XD — Low level blast overpressure in military operations, subsequent encounter"}]}
{"messages": [{"role": "system", "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 anal skin"}, {"role": "assistant", "content": "C44.510 — Basal cell carcinoma of anal 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": "Androgen insensitivity syndrome, unspecified"}, {"role": "assistant", "content": "E34.50 — Androgen insensitivity 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": "Arthritis due to other bacteria, unspecified elbow"}, {"role": "assistant", "content": "M00.829 — Arthritis due to other bacteria, 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": "Displaced comminuted fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.451N — Displaced 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": "Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified"}, {"role": "assistant", "content": "Q77.9 — Osteochondrodysplasia with defects of growth of tubular bones and spine, 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 lesser trochanter of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.124Q — Nondisplaced fracture of lesser trochanter 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": "Non-pressure chronic ulcer of skin of other sites with other specified severity"}, {"role": "assistant", "content": "L98.498 — Non-pressure chronic ulcer of skin of other sites 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": "Drug-induced chronic gout, left wrist, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.2320 — Drug-induced chronic gout, left 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 without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.439A — Puncture wound without 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": "Encounter for ear piercing"}, {"role": "assistant", "content": "Z41.3 — Encounter for ear piercing"}]}
{"messages": [{"role": "system", "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 arthropod, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.484D — Toxic effect of venom of other arthropod, 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": "Pedal cycle passenger injured in collision with car, pick-up truck or van in traffic accident, sequela"}, {"role": "assistant", "content": "V13.5XXS — Pedal cycle passenger 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": "Laceration of sigmoid colon, sequela"}, {"role": "assistant", "content": "S36.533S — Laceration 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": "Papilledema associated with increased intracranial pressure"}, {"role": "assistant", "content": "H47.11 — Papilledema associated with increased intracranial 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": "Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium"}, {"role": "assistant", "content": "O10.33 — Pre-existing hypertensive heart and chronic kidney 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": "Acute posterior multifocal placoid pigment epitheliopathy, bilateral"}, {"role": "assistant", "content": "H30.143 — Acute posterior multifocal placoid pigment epitheliopathy, 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 open wound of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "S41.109A — Unspecified open wound 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": "Aicardi-Goutieres syndrome"}, {"role": "assistant", "content": "E79.81 — Aicardi-Goutieres 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": "Other specified disorders of parathyroid gland"}, {"role": "assistant", "content": "E21.4 — Other specified disorders of parathyroid 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": "Corrosion of unspecified degree of left scapular region, sequela"}, {"role": "assistant", "content": "T22.462S — Corrosion of unspecified degree of left 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": "Asphyxiation due to smothering under another person's body (in bed), assault, sequela"}, {"role": "assistant", "content": "T71.143S — Asphyxiation due to smothering under another person's body (in bed), 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": "Opioid abuse with opioid-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F11.159 — Opioid abuse with opioid-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 complications of colostomy"}, {"role": "assistant", "content": "K94.09 — Other complications of colostomy"}]}
{"messages": [{"role": "system", "content": "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 little finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.596S — Other injury of intrinsic muscle, fascia and tendon of right 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": "Sacroiliitis, not elsewhere classified"}, {"role": "assistant", "content": "M46.1 — Sacroiliitis, 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": "Scabies"}, {"role": "assistant", "content": "B86 — Scabies"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Noninflammatory disorder of vulva and perineum, unspecified"}, {"role": "assistant", "content": "N90.9 — Noninflammatory disorder of vulva and perineum, 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": "Labor and delivery complicated by other cord entanglement, without compression, fetus 4"}, {"role": "assistant", "content": "O69.82X4 — Labor and delivery complicated by other cord entanglement, without compression, 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 reaction to local anesthesia during pregnancy, second trimester"}, {"role": "assistant", "content": "O29.3X2 — Toxic reaction to local 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": "Adverse effect of tetracyclines, sequela"}, {"role": "assistant", "content": "T36.4X5S — Adverse effect of tetracyclines, sequela"}]}
{"messages": [{"role": "system", "content": "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 ulna styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.616C — Nondisplaced fracture of unspecified ulna 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": "Solitary bone cyst, right humerus"}, {"role": "assistant", "content": "M85.421 — Solitary bone cyst, 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 physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.101K — Unspecified 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": "Open bite, left hip, sequela"}, {"role": "assistant", "content": "S71.052S — Open bite, 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": "Underdosing of antiallergic and antiemetic drugs, initial encounter"}, {"role": "assistant", "content": "T45.0X6A — Underdosing of antiallergic and antiemetic 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": "Salter-Harris Type I physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S79.119G — Salter-Harris Type I physeal fracture of lower end of unspecified 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": "Accidental puncture and laceration of eye and adnexa during other procedure, bilateral"}, {"role": "assistant", "content": "H59.223 — Accidental puncture and laceration of eye and adnexa during other procedure, 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": "Microstomia"}, {"role": "assistant", "content": "Q18.5 — Microstomia"}]}
{"messages": [{"role": "system", "content": "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 drugs in contact with skin"}, {"role": "assistant", "content": "L25.1 — Unspecified contact dermatitis due to drugs 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": "Algoneurodystrophy, right lower leg"}, {"role": "assistant", "content": "M89.061 — Algoneurodystrophy, 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": "Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission"}, {"role": "assistant", "content": "C92.10 — Chronic myeloid leukemia, BCR/ABL-positive, 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": "Torus fracture of upper end of right humerus, sequela"}, {"role": "assistant", "content": "S42.271S — Torus fracture of upper end 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": "Subluxation of L1/L2 lumbar vertebra, sequela"}, {"role": "assistant", "content": "S33.110S — Subluxation of L1/L2 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": "Laceration without foreign body of right ring finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.214S — Laceration without foreign body 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": "Arthus phenomenon, sequela"}, {"role": "assistant", "content": "T78.41XS — Arthus phenomenon, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Monoclonal mast cell activation syndrome"}, {"role": "assistant", "content": "D89.41 — Monoclonal 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": "Pathological fracture in neoplastic disease, right tibia, sequela"}, {"role": "assistant", "content": "M84.561S — Pathological fracture in neoplastic disease, 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": "Right lower quadrant pain"}, {"role": "assistant", "content": "R10.31 — Right lower quadrant 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": "Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter"}, {"role": "assistant", "content": "T85.111A — Breakdown (mechanical) 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": "Laceration without foreign body, unspecified lower leg, subsequent encounter"}, {"role": "assistant", "content": "S81.819D — Laceration without foreign body, 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": "Unspecified superficial injury of left hip, initial encounter"}, {"role": "assistant", "content": "S70.912A — Unspecified superficial 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": "Unspecified superficial injury of right lower leg, sequela"}, {"role": "assistant", "content": "S80.921S — Unspecified superficial 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": "High risk homosexual behavior"}, {"role": "assistant", "content": "Z72.52 — High risk homosexual 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": "Bike path as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.482 — Bike path 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": "Abrasion of right elbow, subsequent encounter"}, {"role": "assistant", "content": "S50.311D — Abrasion 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": "Other specified types of non-Hodgkin lymphoma, lymph nodes of inguinal region and lower limb"}, {"role": "assistant", "content": "C85.85 — Other specified types of non-Hodgkin 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": "Injury of unspecified nerve at shoulder and upper arm level, unspecified arm, sequela"}, {"role": "assistant", "content": "S44.90XS — Injury of unspecified nerve 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": "Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter"}, {"role": "assistant", "content": "S06.356D — Traumatic hemorrhage of left cerebrum 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": "Puncture wound without foreign body of right little finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.336A — Puncture wound without foreign body 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": "Pedestrian on roller-skates injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V01.01XS — Pedestrian on roller-skates 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": "Other soft tissue disorders related to use, overuse and pressure, right forearm"}, {"role": "assistant", "content": "M70.831 — Other soft tissue disorders related to use, overuse and pressure, 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": "Sclerosing mesenteritis"}, {"role": "assistant", "content": "K65.4 — Sclerosing mesenteritis"}]}
{"messages": [{"role": "system", "content": "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 lightning, initial encounter"}, {"role": "assistant", "content": "T75.00XA — Unspecified effects of lightning, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other sled accident, initial encounter"}, {"role": "assistant", "content": "V00.228A — Other sled 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": "Insect bite (nonvenomous), left thigh, sequela"}, {"role": "assistant", "content": "S70.362S — Insect bite (nonvenomous), 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": "Other superficial bite of unspecified parts of thorax, sequela"}, {"role": "assistant", "content": "S20.97XS — Other superficial bite 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 other finger, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.668P — Nondisplaced fracture of distal phalanx of other 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": "Unspecified injury of axillary or brachial vein, left side, subsequent encounter"}, {"role": "assistant", "content": "S45.202D — Unspecified injury of axillary or brachial vein, 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": "Frostbite with tissue necrosis of abdominal wall, lower back and pelvis, sequela"}, {"role": "assistant", "content": "T34.3XXS — Frostbite with tissue necrosis of abdominal wall, 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": "Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.139D — Salter-Harris Type III physeal fracture of unspecified 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": "Venous engorgement, left eye"}, {"role": "assistant", "content": "H34.822 — Venous engorgement, 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 shaft of unspecified femur, sequela"}, {"role": "assistant", "content": "S72.309S — Unspecified fracture of shaft 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": "Echinococcus multilocularis infection of liver"}, {"role": "assistant", "content": "B67.5 — Echinococcus multilocularis 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": "Contaminated medical or biological substance, transfused or infused"}, {"role": "assistant", "content": "Y64.0 — Contaminated medical or biological substance, transfused or infused"}]}
{"messages": [{"role": "system", "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 diagnostic agents, sequela"}, {"role": "assistant", "content": "T50.8X5S — Adverse effect of diagnostic 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": "Abrasion of right eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.211A — Abrasion 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": "Electric (assisted) bicycle passenger injured in collision with fixed or stationary object in nontraffic accident, sequela"}, {"role": "assistant", "content": "V27.11XS — Electric (assisted) bicycle passenger 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": "Laceration of popliteal vein, left leg, initial encounter"}, {"role": "assistant", "content": "S85.512A — Laceration of popliteal vein, 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 of muscle and tendon of back wall of thorax, initial encounter"}, {"role": "assistant", "content": "S29.022A — Laceration of muscle and tendon of 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": "Major laceration of unspecified innominate or subclavian vein, subsequent encounter"}, {"role": "assistant", "content": "S25.329D — Major laceration of unspecified 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": "War operations involving explosion of sea-based artillery shell, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.030A — War operations involving explosion of sea-based artillery shell, 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": "Displaced bimalleolar fracture of left lower leg, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.842D — Displaced bimalleolar fracture of left lower 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": "Military operations involving intentional restriction of air and airway, military personnel, initial encounter"}, {"role": "assistant", "content": "Y37.460A — Military operations involving intentional restriction of air and airway, 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": "Laceration of peroneal artery, left leg, subsequent encounter"}, {"role": "assistant", "content": "S85.212D — Laceration of peroneal 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": "Monteggia's fracture of right ulna, sequela"}, {"role": "assistant", "content": "S52.271S — Monteggia's fracture of right 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": "Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.64XA — Nondisplaced fracture of lateral malleolus 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": "Nondisplaced comminuted fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.255H — Nondisplaced comminuted 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": "Injury of trigeminal nerve, left side, sequela"}, {"role": "assistant", "content": "S04.32XS — Injury of trigeminal nerve, 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": "Laceration of popliteal vein, right leg, sequela"}, {"role": "assistant", "content": "S85.511S — Laceration of popliteal vein, 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": "Epidermolysis bullosa dystrophica"}, {"role": "assistant", "content": "Q81.2 — Epidermolysis bullosa dystrophica"}]}
{"messages": [{"role": "system", "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 finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.229S — Laceration with foreign body of unspecified 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": "Non-pressure chronic ulcer of right heel and midfoot with unspecified severity"}, {"role": "assistant", "content": "L97.419 — Non-pressure chronic ulcer of right 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": "Unspecified fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.302J — Unspecified fracture of shaft 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 transverse fracture of right patella, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.031C — Displaced transverse fracture of right 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": "Poisoning by histamine H2-receptor blockers, undetermined, sequela"}, {"role": "assistant", "content": "T47.0X4S — Poisoning by histamine H2-receptor blockers, 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": "Hit or struck by falling object due to accident to (nonpowered) inflatable craft, initial encounter"}, {"role": "assistant", "content": "V91.36XA — Hit or struck by falling object due to 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": "Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement"}, {"role": "assistant", "content": "H35.3134 — Nonexudative age-related macular degeneration, bilateral, advanced atrophic with 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": "Other specified joint disorders, unspecified elbow"}, {"role": "assistant", "content": "M25.829 — Other specified joint disorders, 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 left index finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S60.022A — Contusion of left 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": "Contusion of left wrist, initial encounter"}, {"role": "assistant", "content": "S60.212A — Contusion 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": "Interstitial myositis, unspecified upper arm"}, {"role": "assistant", "content": "M60.129 — Interstitial 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": "Spinal enthesopathy, cervicothoracic region"}, {"role": "assistant", "content": "M46.03 — Spinal enthesopathy, 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": "Nondisplaced fracture of trapezoid [smaller multangular], unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.186P — Nondisplaced fracture of trapezoid [smaller 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": "Dislocation of other parts of thorax, subsequent encounter"}, {"role": "assistant", "content": "S23.29XD — Dislocation of other 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": "Rider (driver) (passenger) of other motorcycle injured in transport accident with military vehicle, initial encounter"}, {"role": "assistant", "content": "V29.818A — Rider (driver) (passenger) of other motorcycle 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": "Displaced fracture of lateral condyle of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.122B — Displaced fracture of lateral condyle 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": "Poisoning by coronary vasodilators, undetermined, sequela"}, {"role": "assistant", "content": "T46.3X4S — Poisoning by coronary 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": "Displaced transverse fracture of shaft of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.321P — Displaced transverse fracture of shaft 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": "External constriction of left middle finger, initial encounter"}, {"role": "assistant", "content": "S60.443A — External constriction 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": "Age-related osteoporosis without current pathological fracture"}, {"role": "assistant", "content": "M81.0 — Age-related osteoporosis without current pathological fracture"}]}
{"messages": [{"role": "system", "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 lip, initial encounter"}, {"role": "assistant", "content": "S01.541A — Puncture wound with 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": "Newborn affected by intrauterine (fetal) blood loss, unspecified"}, {"role": "assistant", "content": "P50.9 — Newborn affected by intrauterine (fetal) blood loss, 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 lesion at C1 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.111D — Complete lesion 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": "Congenital lactase deficiency"}, {"role": "assistant", "content": "E73.0 — Congenital 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": "Neutropenic splenomegaly"}, {"role": "assistant", "content": "D73.81 — Neutropenic splenomegaly"}]}
{"messages": [{"role": "system", "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 diagnostic agents, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T50.8X2A — Poisoning by diagnostic agents, 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": "Toxic effect of other specified gases, fumes and vapors, assault, sequela"}, {"role": "assistant", "content": "T59.893S — Toxic effect of other specified gases, fumes and vapors, 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": "Injury of radial nerve at upper arm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S44.20XD — Injury of radial nerve at upper arm 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": "Toxic effect of other metals, intentional self-harm, sequela"}, {"role": "assistant", "content": "T56.892S — Toxic effect of other metals, 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 midcervical fracture of left femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.035A — Nondisplaced midcervical 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": "Spontaneous rupture of other tendons, left hand"}, {"role": "assistant", "content": "M66.842 — Spontaneous rupture of other 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 cyst of bone, right hand"}, {"role": "assistant", "content": "M85.641 — Other cyst of bone, 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": "Mouth breathing"}, {"role": "assistant", "content": "R06.5 — Mouth breathing"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.414A — Nondisplaced unspecified condyle 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": "Central retinal vein occlusion, left eye, with retinal neovascularization"}, {"role": "assistant", "content": "H34.8121 — Central retinal vein occlusion, left 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": "Passenger in three-wheeled motor vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V35.6XXS — Passenger in 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": "Burn of second degree of left wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.272D — Burn of second 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": "Presence of artificial arms, bilateral (complete) (partial)"}, {"role": "assistant", "content": "Z97.15 — Presence of artificial arms, bilateral (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": "Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.009D — Unspecified injury 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": "Postpartum inversion of uterus"}, {"role": "assistant", "content": "O71.2 — Postpartum 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": "Sprain of metacarpophalangeal joint of other finger, sequela"}, {"role": "assistant", "content": "S63.658S — Sprain of metacarpophalangeal 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": "War operations involving other destruction of aircraft, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.190A — War operations involving other destruction of aircraft, 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": "Nondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.336D — Nondisplaced oblique fracture of shaft 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": "Displaced bicondylar fracture of right tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.141E — Displaced bicondylar fracture 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": "Papyraceous fetus, second trimester, fetus 5"}, {"role": "assistant", "content": "O31.02X5 — Papyraceous fetus, 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": "Syndrome of infant of a diabetic mother"}, {"role": "assistant", "content": "P70.1 — Syndrome of infant of a diabetic 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": "Rickettsialpox due to Rickettsia akari"}, {"role": "assistant", "content": "A79.1 — Rickettsialpox due to Rickettsia akari"}]}
{"messages": [{"role": "system", "content": "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, left elbow"}, {"role": "assistant", "content": "M08.822 — Other juvenile 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": "Unspecified injury of fallopian tube, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.502D — Unspecified injury of fallopian tube, 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": "Displaced oblique fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.331F — Displaced oblique 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": "Other specified injury of unspecified quadriceps muscle, fascia and tendon, subsequent encounter"}, {"role": "assistant", "content": "S76.199D — Other specified injury of unspecified 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": "Other fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.399G — Other 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": "Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.759D — Complete oblique atypical femoral fracture, unspecified leg, 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 other halogen derivatives of aromatic hydrocarbons, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T53.7X2D — Toxic effect of other halogen derivatives of aromatic hydrocarbons, 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": "Chronic venous hypertension (idiopathic) with inflammation of bilateral lower extremity"}, {"role": "assistant", "content": "I87.323 — Chronic venous hypertension (idiopathic) with inflammation 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 cuboid bone of right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.214G — Nondisplaced fracture of cuboid bone 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": "Barton's fracture of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.562B — Barton's fracture 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": "Neoplasm of uncertain behavior of female genital organ, unspecified"}, {"role": "assistant", "content": "D39.9 — Neoplasm of uncertain behavior of female 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": "Displaced trimalleolar fracture of left lower leg, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.852K — Displaced trimalleolar fracture of left 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": "Nodular sclerosis Hodgkin lymphoma, in remission"}, {"role": "assistant", "content": "C81.1A — Nodular sclerosis 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": "Puncture wound with foreign body of unspecified eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S01.149S — Puncture wound with foreign body of unspecified 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": "Retinal detachment with multiple breaks, left eye"}, {"role": "assistant", "content": "H33.022 — Retinal detachment with multiple breaks, 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 (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 5"}, {"role": "assistant", "content": "O35.06X5 — Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, 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 transverse fracture of shaft of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.223A — Displaced transverse fracture of shaft 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 injury of adductor muscle, fascia and tendon of unspecified thigh, sequela"}, {"role": "assistant", "content": "S76.299S — Other injury of adductor muscle, fascia and tendon 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": "Cocaine abuse, in remission"}, {"role": "assistant", "content": "F14.11 — Cocaine 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": "Papyraceous fetus, unspecified trimester, fetus 4"}, {"role": "assistant", "content": "O31.00X4 — Papyraceous fetus, 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": "Toxic effect of herbicides and fungicides, intentional self-harm, sequela"}, {"role": "assistant", "content": "T60.3X2S — Toxic effect of herbicides and fungicides, 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 specified injuries of right thigh, initial encounter"}, {"role": "assistant", "content": "S79.821A — Other specified injuries 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": "Burn of unspecified degree of right knee, subsequent encounter"}, {"role": "assistant", "content": "T24.021D — Burn of unspecified degree 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": "Displaced segmental fracture of shaft of left fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.462A — Displaced segmental 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": "Laceration with foreign body of right breast, subsequent encounter"}, {"role": "assistant", "content": "S21.021D — Laceration with foreign body of right 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": "Displaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.432B — Displaced fracture of anterior column [iliopubic] 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": "Other fracture of left lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.592A — Other fracture of left 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": "Contact with and (suspected) exposure to meningococcus"}, {"role": "assistant", "content": "Z20.811 — Contact with and (suspected) exposure to meningococcus"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S72.026K — Nondisplaced fracture of epiphysis (separation) (upper) 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": "Poisoning by beta-adrenoreceptor antagonists, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T44.7X1D — Poisoning by beta-adrenoreceptor 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": "Corrosion of unspecified degree of head, face, and neck, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T20.40XD — Corrosion of unspecified 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": "Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter"}, {"role": "assistant", "content": "T85.733A — Infection and inflammatory reaction due to 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": "Posterior dislocation of proximal end of tibia, right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.124D — Posterior dislocation of proximal end of tibia, 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": "Laceration with foreign body of unspecified shoulder, sequela"}, {"role": "assistant", "content": "S41.029S — Laceration with foreign body 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": "Burn of third degree of single right finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.321S — Burn of third 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": "Dental restoration status"}, {"role": "assistant", "content": "Z98.811 — Dental restoration 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": "Other specified congenital malformations of spinal cord"}, {"role": "assistant", "content": "Q06.8 — Other specified congenital malformations 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": "Partial loss of teeth due to other specified cause, class I"}, {"role": "assistant", "content": "K08.491 — Partial loss of teeth due to other specified cause, 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": "Salter-Harris Type IV physeal fracture of lower end of left femur, sequela"}, {"role": "assistant", "content": "S79.142S — Salter-Harris Type IV physeal 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": "Right temporomandibular joint disorder, unspecified"}, {"role": "assistant", "content": "M26.601 — Right temporomandibular 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": "Mathematics disorder"}, {"role": "assistant", "content": "F81.2 — Mathematics 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": "Pathological fracture in other disease, left radius, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.634G — Pathological fracture in other disease, left 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": "Maternal care for other (suspected) fetal abnormality and damage, other fetus"}, {"role": "assistant", "content": "O35.8XX9 — Maternal care for other (suspected) fetal abnormality and damage, 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 venom of hornets, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T63.454D — Toxic effect of venom of hornets, 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": "Mechanical loosening of internal left hip prosthetic joint, initial encounter"}, {"role": "assistant", "content": "T84.031A — Mechanical loosening of internal left hip prosthetic 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": "Underdosing of penicillins, sequela"}, {"role": "assistant", "content": "T36.0X6S — Underdosing of penicillins, sequela"}]}
{"messages": [{"role": "system", "content": "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 amino-acid metabolism"}, {"role": "assistant", "content": "E72.89 — Other specified disorders of amino-acid 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": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter"}, {"role": "assistant", "content": "S06.383D — Contusion, laceration, and hemorrhage of brainstem 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": "Kaschin-Beck disease, right hip"}, {"role": "assistant", "content": "M12.151 — Kaschin-Beck disease, 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": "Abrasion, left lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S90.415A — Abrasion, 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": "Right ovarian pregnancy with intrauterine pregnancy"}, {"role": "assistant", "content": "O00.211 — Right ovarian pregnancy with intrauterine 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": "Burn of third degree of left knee, initial encounter"}, {"role": "assistant", "content": "T24.322A — Burn of third degree of 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": "Unspecified superficial injury of left shoulder, initial encounter"}, {"role": "assistant", "content": "S40.912A — Unspecified superficial injury 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": "Nondisplaced posterior arch fracture of first cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.031K — Nondisplaced posterior arch fracture of first 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": "Yaws, unspecified"}, {"role": "assistant", "content": "A66.9 — Yaws, 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 superficial bite of unspecified front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.379A — Other superficial bite of unspecified 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": "Pathological fracture in neoplastic disease, unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.529D — Pathological fracture in neoplastic disease, 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": "Adverse effect of antimalarials and drugs acting on other blood protozoa, initial encounter"}, {"role": "assistant", "content": "T37.2X5A — Adverse effect of antimalarials and drugs acting on other blood protozoa, initial encounter"}]}
{"messages": [{"role": "system", "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 other nontraumatic intracranial hemorrhage"}, {"role": "assistant", "content": "I69.290 — Apraxia 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": "Other specified rheumatoid arthritis, left hip"}, {"role": "assistant", "content": "M06.852 — Other specified rheumatoid arthritis, 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": "Pneumonitis due to inhalation of oils and essences"}, {"role": "assistant", "content": "J69.1 — Pneumonitis due to inhalation of oils and essences"}]}
{"messages": [{"role": "system", "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 little finger, initial encounter"}, {"role": "assistant", "content": "S60.416A — Abrasion 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": "Unspecified injury of superficial vein at shoulder and upper arm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S45.302D — Unspecified injury of superficial vein 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": "Unspecified injury of muscle and tendon of unspecified wall of thorax, initial encounter"}, {"role": "assistant", "content": "S29.009A — Unspecified 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": "Dislocation of unspecified part of thorax, subsequent encounter"}, {"role": "assistant", "content": "S23.20XD — Dislocation 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 injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequela"}, {"role": "assistant", "content": "S45.909S — Unspecified injury of unspecified blood vessel 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": "Personal history of malignant neoplasm of brain"}, {"role": "assistant", "content": "Z85.841 — Personal history of malignant neoplasm 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 of dorsal artery of right foot, subsequent encounter"}, {"role": "assistant", "content": "S95.011D — Laceration of dorsal artery 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 segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.264P — Nondisplaced segmental 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": "Laceration without foreign body of anus, initial encounter"}, {"role": "assistant", "content": "S31.831A — Laceration without foreign body of anus, initial encounter"}]}
{"messages": [{"role": "system", "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, in full remission, most recent episode manic"}, {"role": "assistant", "content": "F31.74 — Bipolar disorder, in full remission, most recent episode manic"}]}
{"messages": [{"role": "system", "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 breast, sequela"}, {"role": "assistant", "content": "S21.019S — Laceration 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": "Malignant neoplasm of central portion of left female breast"}, {"role": "assistant", "content": "C50.112 — Malignant neoplasm of central portion 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 fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.301G — Unspecified 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": "Other traumatic displaced spondylolisthesis of fifth cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.450K — Other traumatic displaced 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": "Acquired hypertrichosis lanuginosa"}, {"role": "assistant", "content": "L68.1 — Acquired hypertrichosis lanuginosa"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.491R — Other fracture of shaft of right 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": "Poisoning by other antipsychotics and neuroleptics, assault, subsequent encounter"}, {"role": "assistant", "content": "T43.593D — Poisoning by other antipsychotics and neuroleptics, 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 injuries of right shoulder and upper arm, subsequent encounter"}, {"role": "assistant", "content": "S49.81XD — Other specified injuries of right 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": "Nondisplaced transverse fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.425B — Nondisplaced transverse 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": "Other fracture of lower end of right tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.391P — Other fracture of lower end 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": "Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, sequela"}, {"role": "assistant", "content": "T83.69XS — Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital 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": "Unspecified fracture of right lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.91XJ — Unspecified 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": "Open bite of lip, sequela"}, {"role": "assistant", "content": "S01.551S — Open bite 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": "Discitis, unspecified, site unspecified"}, {"role": "assistant", "content": "M46.40 — Discitis, unspecified, 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": "Primary osteoarthritis, unspecified shoulder"}, {"role": "assistant", "content": "M19.019 — Primary osteoarthritis, 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": "Fracture of base of skull, right side, sequela"}, {"role": "assistant", "content": "S02.101S — Fracture of base of skull, 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 fractures of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.591N — Other fractures of lower end of right 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": "Hemorrhage of anus and rectum"}, {"role": "assistant", "content": "K62.5 — Hemorrhage 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": "Corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.692D — Corrosion of second 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": "Unspecified open wound of trachea, subsequent encounter"}, {"role": "assistant", "content": "S11.029D — Unspecified open wound of trachea, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 third metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.313B — Displaced fracture of base of third 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 injury of anterior tibial artery, left leg, initial encounter"}, {"role": "assistant", "content": "S85.132A — Unspecified injury of anterior tibial artery, 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": "Benign carcinoid tumor of the jejunum"}, {"role": "assistant", "content": "D3A.011 — Benign carcinoid tumor of the jejunum"}]}
{"messages": [{"role": "system", "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 elbow, initial encounter"}, {"role": "assistant", "content": "S51.052A — Open bite, 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": "Hydrops fetalis not due to hemolytic disease"}, {"role": "assistant", "content": "P83.2 — Hydrops fetalis not due to hemolytic 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 contact with orca, subsequent encounter"}, {"role": "assistant", "content": "W56.29XD — Other contact with orca, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Villonodular synovitis (pigmented), left hip"}, {"role": "assistant", "content": "M12.252 — Villonodular synovitis (pigmented), 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": "Nonpneumonic Legionnaires' disease [Pontiac fever]"}, {"role": "assistant", "content": "A48.2 — Nonpneumonic Legionnaires' disease [Pontiac 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": "Major laceration of femoral artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.029D — Major laceration 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": "Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, assault, sequela"}, {"role": "assistant", "content": "T58.2X3S — Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, 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": "Glaucoma secondary to other eye disorders, left eye, mild stage"}, {"role": "assistant", "content": "H40.52X1 — Glaucoma secondary to other eye disorders, left 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": "Open bite of left cheek and temporomandibular area, sequela"}, {"role": "assistant", "content": "S01.452S — Open bite 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": "Laceration with foreign body, left lower leg, initial encounter"}, {"role": "assistant", "content": "S81.822A — Laceration with foreign body, 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": "Fall from bed, sequela"}, {"role": "assistant", "content": "W06.XXXS — Fall from bed, sequela"}]}
{"messages": [{"role": "system", "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, unspecified side, initial encounter for open fracture"}, {"role": "assistant", "content": "S02.112B — Type III occipital condyle fracture, 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": "Chondritis of right external ear"}, {"role": "assistant", "content": "H61.031 — Chondritis of right 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": "Contusion of liver, subsequent encounter"}, {"role": "assistant", "content": "S36.112D — Contusion 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": "Traumatic rupture of unspecified ligament of unspecified wrist, subsequent encounter"}, {"role": "assistant", "content": "S63.309D — Traumatic rupture of unspecified ligament 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": "Non-pressure chronic ulcer of left ankle with other specified severity"}, {"role": "assistant", "content": "L97.328 — Non-pressure chronic ulcer of left ankle 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": "Driver of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V66.5XXS — Driver of heavy transport vehicle 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": "Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter"}, {"role": "assistant", "content": "S06.81AD — Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter"}]}
{"messages": [{"role": "system", "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 scleroderma [morphea]"}, {"role": "assistant", "content": "L94.0 — Localized scleroderma [morphea]"}]}
{"messages": [{"role": "system", "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 hormones and synthetic substitutes, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.892S — Poisoning by other hormones and synthetic substitutes, 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": "Adverse effect of other psychodysleptics [hallucinogens], initial encounter"}, {"role": "assistant", "content": "T40.995A — Adverse effect of other psychodysleptics [hallucinogens], initial encounter"}]}
{"messages": [{"role": "system", "content": "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 closed fracture"}, {"role": "assistant", "content": "S52.514A — Nondisplaced fracture of right radial styloid process, 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 angle of mandible, unspecified side, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.650A — Fracture of angle 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": "Other lack of coordination"}, {"role": "assistant", "content": "R27.8 — Other lack of coordination"}]}
{"messages": [{"role": "system", "content": "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 other finger, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.618A — Displaced fracture of proximal 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": "Anaphylactic reaction due to food additives, initial encounter"}, {"role": "assistant", "content": "T78.06XA — Anaphylactic reaction due to food additives, initial encounter"}]}
{"messages": [{"role": "system", "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 systemic steroid therapy"}, {"role": "assistant", "content": "Z92.241 — Personal history of systemic steroid therapy"}]}
{"messages": [{"role": "system", "content": "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 index finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.101A — Unspecified injury of flexor 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": "Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela"}, {"role": "assistant", "content": "S46.001S — Unspecified injury 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": "Needle entering into or through a natural orifice, initial encounter"}, {"role": "assistant", "content": "W44.H1XA — Needle 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 specified injury of posterior tibial artery, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S85.189A — Other specified injury of posterior tibial 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": "Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.23XJ — Displaced subtrochanteric 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": "Person on outside of special industrial vehicle injured in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V83.7XXA — Person on outside of special industrial 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": "Displaced bimalleolar fracture of right lower leg, sequela"}, {"role": "assistant", "content": "S82.841S — Displaced bimalleolar fracture 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": "Other injury of inferior vena cava, sequela"}, {"role": "assistant", "content": "S35.19XS — Other injury of inferior vena cava, sequela"}]}
{"messages": [{"role": "system", "content": "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 left patella, sequela"}, {"role": "assistant", "content": "S83.092S — Other subluxation 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": "Pedestrian on foot injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V02.90XD — Pedestrian on foot 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": "Unspecified rider of other motorcycle injured in collision with pedestrian or animal in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V20.29XA — Unspecified rider of other motorcycle 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": "Laceration of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter"}, {"role": "assistant", "content": "S46.222A — Laceration of muscle, fascia and tendon of other parts 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": "External constriction of left eyelid and periocular area, sequela"}, {"role": "assistant", "content": "S00.242S — External constriction 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": "Other subluxation of left radial head, initial encounter"}, {"role": "assistant", "content": "S53.092A — Other subluxation of left 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": "Other specified injury of unspecified internal jugular vein, subsequent encounter"}, {"role": "assistant", "content": "S15.399D — Other specified injury of unspecified internal 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": "Laceration without foreign body of left little finger with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.317D — Laceration 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": "Infection and inflammatory reaction due to internal fixation device of left humerus, sequela"}, {"role": "assistant", "content": "T84.611S — Infection and inflammatory reaction due to internal fixation device 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": "Burn of first degree of unspecified hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.109D — Burn of first 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": "Nondisplaced segmental fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.464E — Nondisplaced segmental fracture of shaft 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": "Injury of unspecified nerve at lower leg level, right leg, initial encounter"}, {"role": "assistant", "content": "S84.91XA — Injury of unspecified 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": "Fracture of alveolus of right mandible, initial encounter for closed fracture"}, {"role": "assistant", "content": "S02.671A — Fracture of alveolus of right 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": "Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, not applicable or unspecified"}, {"role": "assistant", "content": "O35.00X0 — Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, 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": "Puncture wound with foreign body of right little finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.346S — Puncture wound with foreign body of right 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": "Malignant neoplasm of colon, unspecified"}, {"role": "assistant", "content": "C18.9 — Malignant neoplasm of colon, 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": "Electric (assisted) bicycle passenger injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V23.11XS — Electric (assisted) bicycle passenger 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": "Unspecified open wound of right forearm, subsequent encounter"}, {"role": "assistant", "content": "S51.801D — Unspecified open wound 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 congenital malformations of iris"}, {"role": "assistant", "content": "Q13.2 — Other congenital malformations of iris"}]}
{"messages": [{"role": "system", "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 aortic (bifurcation) graft (replacement), subsequent encounter"}, {"role": "assistant", "content": "T82.330D — Leakage of aortic (bifurcation) graft (replacement), subsequent encounter"}]}
{"messages": [{"role": "system", "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, third trimester, fetus 1"}, {"role": "assistant", "content": "O36.8931 — Maternal care for other specified fetal problems, 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": "Spiritual or religious counseling"}, {"role": "assistant", "content": "Z71.81 — Spiritual or religious counseling"}]}
{"messages": [{"role": "system", "content": "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 unspecified foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.233D — Displaced fracture of intermediate cuneiform 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": "Burn of left ear drum, sequela"}, {"role": "assistant", "content": "T28.412S — Burn of left ear drum, sequela"}]}
{"messages": [{"role": "system", "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 acromioclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.52XD — Sprain of left acromioclavicular 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": "Cholesteatoma of tympanum, bilateral"}, {"role": "assistant", "content": "H71.13 — Cholesteatoma of tympanum, 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": "Combined forms of age-related cataract, right eye"}, {"role": "assistant", "content": "H25.811 — Combined forms of age-related cataract, 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 carbon monoxide from other source, undetermined, sequela"}, {"role": "assistant", "content": "T58.8X4S — Toxic effect of carbon monoxide from other source, 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 nondisplaced fracture of fourth cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.301D — Unspecified nondisplaced 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": "Injury of other nerves at shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S44.8X2A — Injury of other nerves 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": "Supervision of high risk pregnancy due to social problems, third trimester"}, {"role": "assistant", "content": "O09.73 — Supervision of high risk pregnancy due to social problems, 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": "Subluxation of metacarpophalangeal joint of right little finger, sequela"}, {"role": "assistant", "content": "S63.216S — Subluxation of metacarpophalangeal joint 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 longitudinal fracture of left patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.025H — Nondisplaced longitudinal fracture of left 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": "Adverse effect of other anti-common-cold drugs, initial encounter"}, {"role": "assistant", "content": "T48.5X5A — Adverse effect of other anti-common-cold 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": "Nondisplaced fracture of lower epiphysis (separation) of right femur, sequela"}, {"role": "assistant", "content": "S72.444S — Nondisplaced fracture of lower epiphysis (separation) 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": "Other psychoactive substance use, unspecified with withdrawal, uncomplicated"}, {"role": "assistant", "content": "F19.930 — Other psychoactive substance use, unspecified 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": "Pain in unspecified knee"}, {"role": "assistant", "content": "M25.569 — Pain in 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": "Anejaculatory orgasm"}, {"role": "assistant", "content": "N53.13 — Anejaculatory orgasm"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Manic episode in full remission"}, {"role": "assistant", "content": "F30.4 — Manic episode in full 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 fracture of unspecified acetabulum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.499B — Other specified fracture of unspecified 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": "Duodenitis without bleeding"}, {"role": "assistant", "content": "K29.80 — Duodenitis 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": "Tributary (branch) retinal vein occlusion, unspecified eye, stable"}, {"role": "assistant", "content": "H34.8392 — Tributary (branch) retinal vein occlusion, unspecified eye, 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": "Superficial foreign body of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S60.457D — Superficial foreign body 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": "Hypertension secondary to endocrine disorders"}, {"role": "assistant", "content": "I15.2 — Hypertension secondary to endocrine 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": "Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.649A — Puncture wound with 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": "Burn of first degree of unspecified toe(s) (nail), sequela"}, {"role": "assistant", "content": "T25.139S — Burn of first degree of unspecified 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": "Acquired stenosis of external ear canal, unspecified, unspecified ear"}, {"role": "assistant", "content": "H61.309 — Acquired stenosis of external ear canal, unspecified, 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": "War operations involving destruction of aircraft due to onboard fire, civilian, sequela"}, {"role": "assistant", "content": "Y36.131S — War operations involving destruction of aircraft due to onboard fire, 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": "Salter-Harris Type II physeal fracture of lower end of right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S79.121D — Salter-Harris Type II physeal fracture of lower end of 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": "Salter-Harris Type IV physeal fracture of left calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S99.042D — Salter-Harris Type IV 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": "Other injuries of unspecified eye and orbit, initial encounter"}, {"role": "assistant", "content": "S05.8X9A — Other injuries of unspecified eye and orbit, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S72.046S — Nondisplaced fracture of base of neck 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 fracture of triquetrum [cuneiform] bone, right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.111A — Displaced fracture of triquetrum [cuneiform] bone, 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 fracture of T11-T12 vertebra, sequela"}, {"role": "assistant", "content": "S22.088S — Other fracture of T11-T12 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": "Behavioral insomnia of childhood, limit setting type"}, {"role": "assistant", "content": "Z73.811 — Behavioral insomnia of childhood, limit setting 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": "Person injured in collision between railway train or railway vehicle and car (traffic), subsequent encounter"}, {"role": "assistant", "content": "V87.6XXD — Person injured in collision between railway train or railway vehicle and car (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": "Rheumatoid heart disease with rheumatoid arthritis of right hand"}, {"role": "assistant", "content": "M05.341 — Rheumatoid heart disease with rheumatoid arthritis 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": "Central cord syndrome at C5 level of cervical spinal cord, initial encounter"}, {"role": "assistant", "content": "S14.125A — Central cord syndrome 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": "Arteriovenous malformation, other site"}, {"role": "assistant", "content": "Q27.39 — Arteriovenous malformation, 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": "Poisoning by other viral vaccines, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T50.B92D — Poisoning by other viral 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": "Superficial frostbite of right wrist, subsequent encounter"}, {"role": "assistant", "content": "T33.511D — Superficial frostbite 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": "Frostbite with tissue necrosis of left ear, sequela"}, {"role": "assistant", "content": "T34.012S — Frostbite with tissue necrosis 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": "Unspecified trochanteric fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.101R — Unspecified trochanteric 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": "Nondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.225H — Nondisplaced transverse 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": "Colles' fracture of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.539J — Colles' 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": "Poisoning by unspecified drugs primarily affecting the autonomic nervous system, undetermined, initial encounter"}, {"role": "assistant", "content": "T44.904A — Poisoning by unspecified drugs primarily affecting the autonomic nervous system, 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": "Trisomy 13, nonmosaicism (meiotic nondisjunction)"}, {"role": "assistant", "content": "Q91.4 — Trisomy 13, 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": "Military operations involving destruction of aircraft due to enemy fire or explosives, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y37.111D — Military operations involving destruction of aircraft due to enemy fire or explosives, 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 specified disorders of amniotic fluid and membranes, second trimester, fetus 1"}, {"role": "assistant", "content": "O41.8X21 — Other specified disorders of amniotic fluid and membranes, 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": "Middle cerebral artery syndrome"}, {"role": "assistant", "content": "G46.0 — Middle 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": "Osteonecrosis due to drugs of right carpus"}, {"role": "assistant", "content": "M87.137 — Osteonecrosis due to drugs of right carpus"}]}
{"messages": [{"role": "system", "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 anesthetics, subsequent encounter"}, {"role": "assistant", "content": "T41.3X6D — Underdosing of local anesthetics, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.325K — Nondisplaced transverse fracture of shaft 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": "Other cyst of bone, unspecified thigh"}, {"role": "assistant", "content": "M85.659 — Other cyst of bone, 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 injury of peroneal artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.299D — Other specified injury of peroneal 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": "Vesical tenesmus"}, {"role": "assistant", "content": "R30.1 — Vesical tenesmus"}]}
{"messages": [{"role": "system", "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, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.009C — Fracture of unspecified part of neck 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": "Nondisplaced bimalleolar fracture of left lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.845C — Nondisplaced bimalleolar fracture of left 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": "Traumatic compartment syndrome of right lower extremity, sequela"}, {"role": "assistant", "content": "T79.A21S — Traumatic compartment syndrome of right lower extremity, sequela"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "S58.022A — Partial traumatic amputation at elbow 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": "Other psychoactive substance abuse with withdrawal delirium"}, {"role": "assistant", "content": "F19.131 — Other psychoactive substance abuse with withdrawal 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": "Displaced segmental fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.262N — Displaced segmental fracture of shaft of ulna, 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": "Laceration of extensor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.326D — Laceration of extensor 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": "Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assault, initial encounter"}, {"role": "assistant", "content": "T38.3X3A — Poisoning by insulin and oral hypoglycemic [antidiabetic] 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": "Injury of cutaneous sensory nerve at hip and thigh level, left leg, initial encounter"}, {"role": "assistant", "content": "S74.22XA — Injury of cutaneous sensory nerve 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 with foreign body of abdominal wall, right flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.126D — Laceration with foreign body of abdominal wall, 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": "Hypersensitivity pneumonitis due to other organic dusts"}, {"role": "assistant", "content": "J67.8 — Hypersensitivity pneumonitis due to other organic dusts"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter"}, {"role": "assistant", "content": "S43.102D — Unspecified dislocation of left acromioclavicular 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": "Poisoning by inhaled anesthetics, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T41.0X2A — Poisoning by inhaled 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": "Osteochondritis dissecans, unspecified wrist"}, {"role": "assistant", "content": "M93.239 — Osteochondritis dissecans, 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": "Major laceration of thoracic aorta, sequela"}, {"role": "assistant", "content": "S25.02XS — Major laceration 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": "Infection and inflammatory reaction due to internal fixation device of right humerus, sequela"}, {"role": "assistant", "content": "T84.610S — Infection and inflammatory reaction due to 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": "Poisoning by synthetic cannabinoids, assault, sequela"}, {"role": "assistant", "content": "T40.723S — Poisoning by synthetic cannabinoids, 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 physeal arrest of forearm"}, {"role": "assistant", "content": "M89.138 — Other physeal arrest of 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 paralytic syndrome following other cerebrovascular disease affecting left non-dominant side"}, {"role": "assistant", "content": "I69.864 — Other paralytic syndrome 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": "Pathological fracture, right femur, initial encounter for fracture"}, {"role": "assistant", "content": "M84.451A — 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": "Nondisplaced comminuted fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.255N — Nondisplaced comminuted fracture of shaft of ulna, 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": "Stricture of artery"}, {"role": "assistant", "content": "I77.1 — Stricture of 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": "Anal spasm"}, {"role": "assistant", "content": "K59.4 — Anal 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": "Contusion of scrotum and testes, sequela"}, {"role": "assistant", "content": "S30.22XS — Contusion 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": "Insect bite (nonvenomous) of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "S40.869A — Insect bite (nonvenomous) 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": "2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.226G — 2-part 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": "Congenital stenosis and stricture of bile ducts"}, {"role": "assistant", "content": "Q44.3 — Congenital stenosis and stricture 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": "Jumping or diving from boat striking water surface causing other injury, initial encounter"}, {"role": "assistant", "content": "W16.712A — Jumping or diving from boat 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": "Endometriosis of pelvic sidewall, unspecified side, unspecified depth"}, {"role": "assistant", "content": "N80.359 — Endometriosis of pelvic sidewall, 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": "Nondisplaced longitudinal fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.024R — Nondisplaced longitudinal fracture of right patella, 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": "Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T60.0X2A — Toxic effect of organophosphate and carbamate insecticides, 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": "Subperiosteal abscess of mastoid, unspecified ear"}, {"role": "assistant", "content": "H70.019 — Subperiosteal abscess of mastoid, 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": "Torus fracture of upper end of left fibula, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S82.812K — Torus fracture of upper end of left 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": "Nondisplaced fracture of body of scapula, left shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.115B — Nondisplaced 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": "Inferior dislocation of left humerus, subsequent encounter"}, {"role": "assistant", "content": "S43.035D — Inferior 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 chondrocalcinosis, unspecified hip"}, {"role": "assistant", "content": "M11.259 — Other chondrocalcinosis, 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": "Other psychoactive substance dependence with psychoactive substance-induced mood disorder"}, {"role": "assistant", "content": "F19.24 — Other psychoactive substance dependence 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": "Other displaced fracture of sixth cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.590A — Other displaced 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": "Diabetes mellitus due to underlying condition with foot ulcer"}, {"role": "assistant", "content": "E08.621 — Diabetes mellitus due to underlying condition with foot ulcer"}]}
{"messages": [{"role": "system", "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 car, pick-up truck, van, heavy transport vehicle or bus, sequela"}, {"role": "assistant", "content": "V80.41XS — Animal-rider injured in collision with car, pick-up truck, van, 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": "Unspecified dislocation of left sternoclavicular joint, sequela"}, {"role": "assistant", "content": "S43.205S — Unspecified dislocation of left 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": "Cerebral infarction due to thrombosis of unspecified precerebral artery"}, {"role": "assistant", "content": "I63.00 — Cerebral infarction due to thrombosis of unspecified precerebral 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": "Parasitic endophthalmitis, unspecified, unspecified eye"}, {"role": "assistant", "content": "H44.129 — Parasitic endophthalmitis, unspecified, 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": "Longitudinal reduction defect of ulna, bilateral"}, {"role": "assistant", "content": "Q71.53 — Longitudinal reduction defect of ulna, 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 shaft of fourth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.355K — Nondisplaced fracture of shaft of fourth 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 fracture of middle phalanx of right middle finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.652D — Nondisplaced fracture of middle phalanx of right 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": "Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.643A — Puncture wound with 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": "Panniculitis affecting regions of neck and back, lumbar region"}, {"role": "assistant", "content": "M54.06 — Panniculitis affecting regions of neck and back, 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": "Other otosclerosis, unspecified ear"}, {"role": "assistant", "content": "H80.80 — Other otosclerosis, 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": "Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye"}, {"role": "assistant", "content": "E10.3292 — Type 1 diabetes mellitus with mild 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": "Sepsis following a procedure, subsequent encounter"}, {"role": "assistant", "content": "T81.44XD — Sepsis following a 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": "Loose body in unspecified hip"}, {"role": "assistant", "content": "M24.059 — Loose body in 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": "Ultralight, microlight or powered-glider crash injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.11XA — Ultralight, microlight or powered-glider crash 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": "Nondisplaced dome fracture of unspecified acetabulum, sequela"}, {"role": "assistant", "content": "S32.486S — Nondisplaced dome fracture of unspecified 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": "Unspecified superficial injury of abdominal wall, initial encounter"}, {"role": "assistant", "content": "S30.92XA — Unspecified superficial injury 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": "Leakage of surgically created arteriovenous shunt, subsequent encounter"}, {"role": "assistant", "content": "T82.531D — Leakage of surgically created arteriovenous 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": "Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.445R — Nondisplaced spiral 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": "Unspecified fracture of shaft of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.201R — Unspecified fracture of shaft of right 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": "Unspecified urethral stricture, male, meatal"}, {"role": "assistant", "content": "N35.911 — Unspecified urethral stricture, male, meatal"}]}
{"messages": [{"role": "system", "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 sulfonamides, sequela"}, {"role": "assistant", "content": "T37.0X5S — Adverse effect of sulfonamides, sequela"}]}
{"messages": [{"role": "system", "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, not applicable or unspecified"}, {"role": "assistant", "content": "O36.5110 — Maternal care for known or suspected placental insufficiency, first 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": "Pathological fracture in neoplastic disease, right femur, initial encounter for fracture"}, {"role": "assistant", "content": "M84.551A — Pathological fracture in neoplastic disease, 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": "Salter-Harris Type II physeal fracture of unspecified metatarsal, sequela"}, {"role": "assistant", "content": "S99.129S — Salter-Harris Type II 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, left ankle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.472P — Pathological fracture, 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": "Encounter for fitting and adjustment of complete right artificial arm"}, {"role": "assistant", "content": "Z44.011 — Encounter for fitting and adjustment of complete right artificial 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": "Broken internal left knee prosthesis, sequela"}, {"role": "assistant", "content": "T84.013S — Broken 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": "Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E09.3411 — Drug or chemical induced 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": "Person on outside of car injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V47.7XXD — Person on outside of car 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 fracture of posterior process of right talus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.131A — Displaced fracture of posterior process 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": "Dextrocardia"}, {"role": "assistant", "content": "Q24.0 — Dextrocardia"}]}
{"messages": [{"role": "system", "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, thoracic region, initial encounter for fracture"}, {"role": "assistant", "content": "M48.54XA — Collapsed vertebra, not elsewhere classified, thoracic 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": "Finding of cocaine in blood"}, {"role": "assistant", "content": "R78.2 — Finding of cocaine in blood"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with nonunion"}, {"role": "assistant", "content": "S82.123K — Displaced fracture of lateral condyle 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": "Varicose veins of unspecified lower extremity with both ulcer of thigh and inflammation"}, {"role": "assistant", "content": "I83.201 — Varicose veins of unspecified lower extremity with both ulcer of thigh and inflammation"}]}
{"messages": [{"role": "system", "content": "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 routine healing"}, {"role": "assistant", "content": "S72.415F — Nondisplaced 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": "Unspecified rider of other motorcycle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V23.29XA — Unspecified rider of other motorcycle 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 carcinomas of liver"}, {"role": "assistant", "content": "C22.7 — Other specified carcinomas 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": "Other superficial bite of right thumb, sequela"}, {"role": "assistant", "content": "S60.371S — Other superficial bite 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": "Infection and inflammatory reaction due to internal fixation device of right radius, subsequent encounter"}, {"role": "assistant", "content": "T84.612D — Infection and inflammatory reaction due to internal fixation device of right radius, subsequent encounter"}]}
{"messages": [{"role": "system", "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 thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.211A — Strain 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": "Complete loss of teeth due to other specified cause, class I"}, {"role": "assistant", "content": "K08.191 — Complete loss of teeth due to other specified cause, 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": "Chalazion left upper eyelid"}, {"role": "assistant", "content": "H00.14 — Chalazion 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": "Other stimulant abuse with intoxication delirium"}, {"role": "assistant", "content": "F15.121 — Other stimulant 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": "Displaced transverse fracture of shaft of unspecified fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.423B — Displaced transverse 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": "Unspecified fracture of lower end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.309F — Unspecified fracture of lower end 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": "Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.499H — Other fracture 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": "Unspecified injury of blood vessel of left little finger, sequela"}, {"role": "assistant", "content": "S65.507S — Unspecified injury of blood vessel 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": "Dislocation of metacarpophalangeal joint of left middle finger, initial encounter"}, {"role": "assistant", "content": "S63.263A — Dislocation 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": "Nondisplaced fracture of body of unspecified calcaneus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.016A — Nondisplaced fracture of body 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": "Poisoning by unspecified systemic anti-infective and antiparasitics, assault, subsequent encounter"}, {"role": "assistant", "content": "T37.93XD — Poisoning by unspecified systemic anti-infective and antiparasitics, 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 other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter"}, {"role": "assistant", "content": "S56.211A — Strain 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": "Puncture wound with foreign body, unspecified lower leg, sequela"}, {"role": "assistant", "content": "S81.849S — Puncture wound with foreign body, 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": "Anaplastic large cell lymphoma, ALK-negative, spleen"}, {"role": "assistant", "content": "C84.77 — Anaplastic large cell lymphoma, ALK-negative, 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": "Agenesis, aplasia and hypoplasia of pancreas"}, {"role": "assistant", "content": "Q45.0 — Agenesis, aplasia and hypoplasia of pancreas"}]}
{"messages": [{"role": "system", "content": "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, left wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.132A — Displaced fracture of capitate [os magnum] 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 fracture of proximal phalanx of left index finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.641D — Nondisplaced fracture of proximal 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": "Contact with special construction vehicle in stationary use, subsequent encounter"}, {"role": "assistant", "content": "W31.83XD — Contact with special construction vehicle in stationary use, subsequent encounter"}]}
{"messages": [{"role": "system", "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 due to streptococcus, group B"}, {"role": "assistant", "content": "A40.1 — Sepsis due to streptococcus, group B"}]}
{"messages": [{"role": "system", "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, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T36.6X2D — Poisoning by rifampicins, 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": "Type 2 diabetes mellitus with foot ulcer"}, {"role": "assistant", "content": "E11.621 — Type 2 diabetes mellitus with foot ulcer"}]}
{"messages": [{"role": "system", "content": "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 unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.26XD — Nondisplaced subtrochanteric fracture 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": "Toxic effect of contact with other venomous plant, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T63.791S — Toxic effect of contact with other venomous plant, 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": "Other streptococcal arthritis, right shoulder"}, {"role": "assistant", "content": "M00.211 — Other streptococcal 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": "Displaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.422M — Displaced fracture of lateral condyle 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": "Maternal care for known or suspected placental insufficiency, first trimester, fetus 5"}, {"role": "assistant", "content": "O36.5115 — Maternal care for known or suspected placental insufficiency, 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": "Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye"}, {"role": "assistant", "content": "E08.3211 — Diabetes mellitus due to underlying condition with mild 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": "Poisoning by other estrogens and progestogens, undetermined, sequela"}, {"role": "assistant", "content": "T38.5X4S — Poisoning by other estrogens and progestogens, 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 third degree of multiple sites of unspecified wrist and hand, sequela"}, {"role": "assistant", "content": "T23.799S — Corrosion of third 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": "Nondisplaced Maisonneuve's fracture of left leg, sequela"}, {"role": "assistant", "content": "S82.865S — Nondisplaced Maisonneuve's fracture of 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 acute appendicitis without perforation, with gangrene"}, {"role": "assistant", "content": "K35.891 — Other acute appendicitis without perforation, with 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 specified injury of left carotid artery, subsequent encounter"}, {"role": "assistant", "content": "S15.092D — Other specified injury of left 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": "Torus fracture of upper end of unspecified fibula, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S82.819K — Torus fracture of upper end of unspecified 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": "Oligohydramnios, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O41.00X2 — Oligohydramnios, 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": "Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.493D — Other displaced fracture of lower end 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": "Moderate laceration of left kidney, sequela"}, {"role": "assistant", "content": "S37.052S — Moderate laceration of left 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": "Displaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.253E — Displaced 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": "Displaced transverse fracture of shaft of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.221J — Displaced transverse fracture of shaft 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": "Obstruction due to foreign body accidentally left in body following other procedure, initial encounter"}, {"role": "assistant", "content": "T81.528A — Obstruction due to foreign body accidentally left in body following other 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": "Accidental discharge from unspecified firearms or gun, initial encounter"}, {"role": "assistant", "content": "W34.00XA — Accidental discharge from unspecified firearms or 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": "Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum, sequela"}, {"role": "assistant", "content": "S31.010S — Laceration without foreign body 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 childhood disorders of social functioning"}, {"role": "assistant", "content": "F94.8 — Other childhood disorders of social functioning"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "T49.3X6S — Underdosing 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": "Pick's disease"}, {"role": "assistant", "content": "G31.01 — Pick'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": "Unspecified rider of other motorcycle injured in collision with other nonmotor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V26.99XA — Unspecified rider of other motorcycle 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": "Unspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S72.402F — Unspecified 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": "Opioid dependence with opioid-induced sleep disorder"}, {"role": "assistant", "content": "F11.282 — Opioid dependence with opioid-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": "Encounter for surgical aftercare following surgery on the genitourinary system"}, {"role": "assistant", "content": "Z48.816 — Encounter for surgical aftercare following surgery on 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": "Other neonatal aspiration with respiratory symptoms"}, {"role": "assistant", "content": "P24.81 — Other neonatal aspiration with 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": "Other specified fracture of right ischium, sequela"}, {"role": "assistant", "content": "S32.691S — Other specified fracture of right ischium, sequela"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S42.399K — Other fracture of shaft 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": "Traumatic rupture of right ear drum, sequela"}, {"role": "assistant", "content": "S09.21XS — Traumatic rupture of right ear drum, sequela"}]}
{"messages": [{"role": "system", "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 forearm, subsequent encounter"}, {"role": "assistant", "content": "S50.851D — Superficial 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": "Osteomyelitis of vertebra, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M46.28 — Osteomyelitis of vertebra, 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": "Corrosion of third degree of multiple sites of unspecified ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T25.799D — Corrosion of third 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": "Nondisplaced intertrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.145H — Nondisplaced 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": "Poisoning by cocaine, assault, sequela"}, {"role": "assistant", "content": "T40.5X3S — Poisoning by cocaine, 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 transverse fracture of shaft of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.322B — Displaced transverse 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": "Intervertebral annulus fibrosus defect, large, lumbosacral region"}, {"role": "assistant", "content": "M51.A5 — Intervertebral annulus fibrosus defect, large, 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 oblique fracture of shaft of right ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.234P — Nondisplaced oblique fracture of shaft 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": "Dietary calcium deficiency"}, {"role": "assistant", "content": "E58 — Dietary calcium 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": "Hang-glider collision injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V96.13XD — Hang-glider collision 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": "Personal history of malignant neoplasm of liver"}, {"role": "assistant", "content": "Z85.05 — Personal history of malignant neoplasm 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": "Burns of other specified parts of right eye and adnexa, sequela"}, {"role": "assistant", "content": "T26.31XS — Burns of other specified parts of right eye and adnexa, sequela"}]}
{"messages": [{"role": "system", "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 site"}, {"role": "assistant", "content": "M10.10 — Lead-induced gout, 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": "Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere"}, {"role": "assistant", "content": "N77.1 — Vaginitis, vulvitis and vulvovaginitis 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": "Superficial foreign body of left eyelid and periocular area, initial encounter"}, {"role": "assistant", "content": "S00.252A — Superficial foreign body 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": "Iatrogenic carnitine deficiency"}, {"role": "assistant", "content": "E71.43 — Iatrogenic carnitine 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": "Risk for dental caries, high"}, {"role": "assistant", "content": "Z91.843 — Risk for dental caries, high"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.231J — Displaced oblique fracture of shaft 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": "Non-pressure chronic ulcer of unspecified hand with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L98.A396 — Non-pressure chronic ulcer of unspecified hand 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": "Open bite of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S41.052D — Open bite 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": "Arthropathy following intestinal bypass, vertebrae"}, {"role": "assistant", "content": "M02.08 — Arthropathy following intestinal bypass, 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": "Preterm labor second trimester with preterm delivery second trimester, fetus 3"}, {"role": "assistant", "content": "O60.12X3 — Preterm labor second trimester with preterm delivery 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": "Intermittent hydrarthrosis, left elbow"}, {"role": "assistant", "content": "M12.422 — Intermittent hydrarthrosis, 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 superficial injury of anus, sequela"}, {"role": "assistant", "content": "S30.98XS — Unspecified superficial injury of anus, sequela"}]}
{"messages": [{"role": "system", "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 hyperemesis gravidarum"}, {"role": "assistant", "content": "O21.0 — Mild hyperemesis gravidarum"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other vascular disorders of intestine"}, {"role": "assistant", "content": "K55.8 — Other vascular disorders 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": "Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.010D — Wedge compression fracture of first 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": "Poisoning by unspecified drugs primarily affecting the autonomic nervous system, assault, subsequent encounter"}, {"role": "assistant", "content": "T44.903D — Poisoning by unspecified drugs primarily affecting the autonomic nervous system, 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 comminuted fracture of shaft of right fibula, sequela"}, {"role": "assistant", "content": "S82.451S — Displaced 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": "Focal chorioretinal inflammation, juxtapapillary, bilateral"}, {"role": "assistant", "content": "H30.013 — Focal chorioretinal inflammation, juxtapapillary, 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 unspecified toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.339A — Burn of third degree of unspecified 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": "Subluxation of metacarpophalangeal joint of left little finger, sequela"}, {"role": "assistant", "content": "S63.217S — Subluxation 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": "Short Achilles tendon (acquired), right ankle"}, {"role": "assistant", "content": "M67.01 — Short Achilles tendon (acquired), 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": "Puncture wound with foreign body, right thigh, sequela"}, {"role": "assistant", "content": "S71.141S — Puncture wound with foreign body, 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": "Nondisplaced unspecified fracture of unspecified great toe, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.406B — Nondisplaced unspecified fracture of unspecified 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": "Unspecified open wound of right shoulder, initial encounter"}, {"role": "assistant", "content": "S41.001A — Unspecified open wound 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": "Arthrodesis status"}, {"role": "assistant", "content": "Z98.1 — Arthrodesis 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": "Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S12.64XA — Type III traumatic spondylolisthesis 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": "Unspecified superficial injury of unspecified lower leg, sequela"}, {"role": "assistant", "content": "S80.929S — Unspecified superficial injury 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": "Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic), initial encounter"}, {"role": "assistant", "content": "V87.9XXA — Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic), initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other nonmedicinal substance allergy status"}, {"role": "assistant", "content": "Z91.048 — Other nonmedicinal substance 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": "Bennett's fracture, unspecified hand, sequela"}, {"role": "assistant", "content": "S62.213S — Bennett'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": "Toxic effect of soaps, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T55.0X4D — Toxic effect of soaps, 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": "Vestibular neuronitis, bilateral"}, {"role": "assistant", "content": "H81.23 — Vestibular neuronitis, 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 dementia, moderate, with agitation"}, {"role": "assistant", "content": "F03.B11 — Unspecified dementia, 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": "Displaced transverse fracture of unspecified acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.453A — Displaced 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": "Other nonspecific symptoms peculiar to infancy"}, {"role": "assistant", "content": "R68.19 — Other nonspecific symptoms peculiar to 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 fracture of navicular [scaphoid] of left foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.252D — Displaced 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": "Mittelschmerz"}, {"role": "assistant", "content": "N94.0 — Mittelschmerz"}]}
{"messages": [{"role": "system", "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 unspecified hallucinogen-induced disorder"}, {"role": "assistant", "content": "F16.19 — Hallucinogen abuse with unspecified 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": "Other foreign object in bronchus causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.590S — Other foreign object in bronchus 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": "Displaced dome fracture of left talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.142B — Displaced dome 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": "Puncture wound with foreign body of left back wall of thorax without penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.242A — Puncture wound with foreign body of left 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": "Algoneurodystrophy, unspecified shoulder"}, {"role": "assistant", "content": "M89.019 — Algoneurodystrophy, 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 segmental fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S52.361N — Displaced 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": "Crushing injury of unspecified lower leg, subsequent encounter"}, {"role": "assistant", "content": "S87.80XD — Crushing injury 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": "Infection of amniotic sac and membranes, unspecified, second trimester, fetus 4"}, {"role": "assistant", "content": "O41.1024 — Infection of amniotic sac 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": "Ischemic optic neuropathy, right eye"}, {"role": "assistant", "content": "H47.011 — Ischemic optic neuropathy, 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 second degree of left palm, subsequent encounter"}, {"role": "assistant", "content": "T23.252D — Burn 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": "Person on outside of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V62.7XXS — Person on outside 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": "Accidental malfunction of machine gun, initial encounter"}, {"role": "assistant", "content": "W33.13XA — Accidental malfunction of machine 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": "Placenta increta, first trimester"}, {"role": "assistant", "content": "O43.221 — Placenta increta, 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 fracture of distal pole of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.012D — Displaced 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": "Third [oculomotor] nerve palsy, left eye"}, {"role": "assistant", "content": "H49.02 — Third [oculomotor] nerve palsy, 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": "War operations involving indirect blast effect of nuclear weapon, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.521D — War operations involving indirect blast effect of nuclear weapon, 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 tobacco and nicotine, assault, initial encounter"}, {"role": "assistant", "content": "T65.293A — Toxic effect of other tobacco and nicotine, 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 injury of femoral vein at hip and thigh level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S75.199A — Other specified injury of femoral 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": "Nondisplaced oblique fracture of shaft of unspecified radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.336A — Nondisplaced oblique fracture of shaft 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": "Other specified injuries of larynx, sequela"}, {"role": "assistant", "content": "S19.81XS — Other specified injuries of larynx, sequela"}]}
{"messages": [{"role": "system", "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 unspecified tibia, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.139P — Salter-Harris Type III physeal fracture of lower 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": "Fracture of orbital floor, unspecified side, sequela"}, {"role": "assistant", "content": "S02.30XS — Fracture of orbital floor, 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": "Abrasion of unspecified external genital organs, male, sequela"}, {"role": "assistant", "content": "S30.815S — Abrasion of unspecified external genital organs, male, sequela"}]}
{"messages": [{"role": "system", "content": "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 ankle and foot"}, {"role": "assistant", "content": "M84.871 — Other disorders of continuity of bone, 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": "Salter-Harris Type III physeal fracture of lower end of left tibia, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.132G — Salter-Harris Type III 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": "Driver of three-wheeled motor vehicle injured in collision with pedal cycle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V31.0XXS — Driver of three-wheeled motor vehicle 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": "Fracture of ramus of right mandible, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.641G — Fracture of ramus 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": "Supravesical fissure of urinary bladder"}, {"role": "assistant", "content": "Q64.11 — Supravesical fissure of urinary 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": "Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.551D — Other traumatic nondisplaced spondylolisthesis of sixth 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": "Felty's syndrome, unspecified hip"}, {"role": "assistant", "content": "M05.059 — Felty's syndrome, 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": "Unspecified fracture of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.92XQ — Unspecified 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": "Pathological fracture in other disease, unspecified site, sequela"}, {"role": "assistant", "content": "M84.60XS — Pathological fracture in other disease, 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 unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.059G — Unspecified fracture of head 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": "Nondisplaced segmental fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.466E — Nondisplaced segmental 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": "Nondisplaced bicondylar fracture of unspecified tibia, sequela"}, {"role": "assistant", "content": "S82.146S — Nondisplaced bicondylar fracture 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": "Crushing injury of right foot, sequela"}, {"role": "assistant", "content": "S97.81XS — Crushing 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": "Nondisplaced longitudinal fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.024J — Nondisplaced longitudinal fracture of right 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": "Unspecified physeal fracture of upper end of unspecified fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.209A — Unspecified physeal fracture of upper end 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": "Displaced oblique fracture of shaft of right radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.331P — Displaced oblique fracture of shaft 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": "Developmental disorder of speech and language, unspecified"}, {"role": "assistant", "content": "F80.9 — Developmental disorder of speech and language, 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": "Disturbance of cerebral status of newborn, unspecified"}, {"role": "assistant", "content": "P91.9 — Disturbance of cerebral status 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": "Cervical disc disorder at C6-C7 level with radiculopathy"}, {"role": "assistant", "content": "M50.123 — Cervical disc disorder at C6-C7 level with radiculopathy"}]}
{"messages": [{"role": "system", "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, subsequent encounter"}, {"role": "assistant", "content": "S83.111D — Anterior subluxation of proximal end of tibia, 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": "Unspecified intraventricular (nontraumatic) hemorrhage of newborn"}, {"role": "assistant", "content": "P52.3 — Unspecified intraventricular (nontraumatic) hemorrhage 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 fracture of lower end of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.699H — Other 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": "Displaced fracture of proximal phalanx of right ring finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.614D — Displaced fracture of proximal phalanx of right ring 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": "Acute slipped upper femoral epiphysis, unstable (nontraumatic), bilateral hips"}, {"role": "assistant", "content": "M93.044 — Acute slipped upper femoral epiphysis, unstable (nontraumatic), bilateral hips"}]}
{"messages": [{"role": "system", "content": "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 right lower eyelid, including canthus"}, {"role": "assistant", "content": "C44.1922 — Other specified malignant 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": "Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, sequela"}, {"role": "assistant", "content": "S31.020S — Laceration with foreign body 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": "Personal history of (healed) other pathological fracture"}, {"role": "assistant", "content": "Z87.311 — Personal history of (healed) other pathological fracture"}]}
{"messages": [{"role": "system", "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 body of stomach"}, {"role": "assistant", "content": "C16.2 — Malignant neoplasm of body of 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": "Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.021J — Displaced fracture of epiphysis (separation) (upper) 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": "Monteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.271Q — Monteggia's fracture 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": "Other fracture of second thoracic vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S22.028G — Other 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": "Unspecified dislocation of right ring finger, subsequent encounter"}, {"role": "assistant", "content": "S63.254D — Unspecified dislocation 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": "Unspecified superficial injury of unspecified part of head, sequela"}, {"role": "assistant", "content": "S00.90XS — Unspecified superficial injury 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": "Bent bone of unspecified ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.283D — Bent bone 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": "Pedestrian injured in unspecified transport accident, initial encounter"}, {"role": "assistant", "content": "V09.9XXA — Pedestrian injured in unspecified 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": "Unspecified injury of dorsal vein of left foot, initial encounter"}, {"role": "assistant", "content": "S95.202A — Unspecified injury of dorsal vein 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": "Exposure to smoke in controlled fire, not in building or structure, sequela"}, {"role": "assistant", "content": "X03.1XXS — Exposure to smoke in controlled fire, not in building or structure, sequela"}]}
{"messages": [{"role": "system", "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, multiple sites"}, {"role": "assistant", "content": "M86.39 — Chronic multifocal 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": "Corrosion of second degree of left ankle, subsequent encounter"}, {"role": "assistant", "content": "T25.612D — Corrosion of second degree 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": "Displaced fracture of middle third of navicular [scaphoid] bone of left wrist, sequela"}, {"role": "assistant", "content": "S62.022S — Displaced fracture of middle third of navicular [scaphoid] bone 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": "Driver of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V34.5XXS — Driver of 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": "Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, subsequent encounter"}, {"role": "assistant", "content": "V50.4XXD — Person boarding or alighting a pick-up truck or van injured in collision with pedestrian or animal, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 lower leg level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.999D — Other specified injury of unspecified blood vessel 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": "Osteitis deformans of left lower leg"}, {"role": "assistant", "content": "M88.862 — Osteitis deformans of 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": "Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B96.4 — Proteus (mirabilis) (morganii) 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": "Hemarthrosis, right wrist"}, {"role": "assistant", "content": "M25.031 — Hemarthrosis, 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": "Corrosion of unspecified degree of unspecified elbow, sequela"}, {"role": "assistant", "content": "T22.429S — Corrosion of unspecified degree 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": "Congenital complete absence of left lower limb"}, {"role": "assistant", "content": "Q72.02 — Congenital complete absence 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": "Internuclear ophthalmoplegia, unspecified eye"}, {"role": "assistant", "content": "H51.20 — Internuclear ophthalmoplegia, 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": "Mitochondrial metabolism disorder, unspecified"}, {"role": "assistant", "content": "E88.40 — Mitochondrial 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": "Displaced fracture of navicular [scaphoid] of unspecified foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.253G — Displaced fracture of navicular [scaphoid] of unspecified 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 burn on board unspecified watercraft, sequela"}, {"role": "assistant", "content": "V93.19XS — Other burn 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": "Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.002D — Fracture of unspecified part of neck 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": "Osteitis deformans in neoplastic diseases, unspecified lower leg"}, {"role": "assistant", "content": "M90.669 — Osteitis deformans in neoplastic diseases, 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": "Driver of three-wheeled motor vehicle injured in collision with fixed or stationary object in traffic accident, sequela"}, {"role": "assistant", "content": "V37.5XXS — Driver of three-wheeled motor vehicle 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": "Disorder of lacrimal system, unspecified"}, {"role": "assistant", "content": "H04.9 — Disorder of lacrimal 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": "Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.015G — Posterior displaced fracture of sternal end of left 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": "Strain of intrinsic muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela"}, {"role": "assistant", "content": "S66.519S — Strain of intrinsic muscle, fascia and tendon of unspecified 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": "Anorexia nervosa, binge eating/purging type, moderate"}, {"role": "assistant", "content": "F50.021 — Anorexia nervosa, binge eating/purging type, 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": "Anaphylactic reaction due to food additives, subsequent encounter"}, {"role": "assistant", "content": "T78.06XD — Anaphylactic reaction due to food additives, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 other metacarpal bone, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.398G — Other fracture of other 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": "Varicose veins of unspecified lower extremity with both ulcer of calf and inflammation"}, {"role": "assistant", "content": "I83.202 — Varicose veins of unspecified lower extremity with both ulcer of calf and inflammation"}]}
{"messages": [{"role": "system", "content": "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, left wrist"}, {"role": "assistant", "content": "M00.232 — Other streptococcal arthritis, 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": "Partial atrioventricular septal defect"}, {"role": "assistant", "content": "Q21.21 — Partial atrioventricular 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": "Keratosis follicularis et parafollicularis in cutem penetrans"}, {"role": "assistant", "content": "L87.0 — Keratosis follicularis et parafollicularis in cutem penetrans"}]}
{"messages": [{"role": "system", "content": "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 reaction to foreign substance accidentally left during a procedure, sequela"}, {"role": "assistant", "content": "T81.69XS — Other acute reaction to foreign substance accidentally left during a 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": "Other intraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.579M — Other intraarticular fracture of lower 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": "ST elevation (STEMI) myocardial infarction of unspecified site"}, {"role": "assistant", "content": "I21.3 — ST elevation (STEMI) myocardial infarction 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": "Person boarding or alighting a pick-up truck or van injured in collision with two- or three-wheeled motor vehicle, sequela"}, {"role": "assistant", "content": "V52.4XXS — Person boarding or alighting a pick-up truck or van 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": "Smith's fracture of left radius, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.542G — Smith's fracture 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": "Complex tear of lateral meniscus, current injury, right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.271D — Complex 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": "Nondisplaced fracture of body of unspecified calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.016K — Nondisplaced fracture of body 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 transverse fracture of shaft of unspecified fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.426C — Nondisplaced transverse fracture of shaft 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": "Contusion of other urinary and pelvic organ, initial encounter"}, {"role": "assistant", "content": "S37.892A — Contusion of other urinary and pelvic 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": "Unspecified injury of superficial vein at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S45.301D — Unspecified injury of superficial vein at shoulder and upper arm 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": "Squamous cell carcinoma of overlapping sites of skin"}, {"role": "assistant", "content": "C44.82 — Squamous cell carcinoma of overlapping sites 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": "Injury of unspecified nerve at ankle and foot level, unspecified leg, sequela"}, {"role": "assistant", "content": "S94.90XS — Injury of unspecified nerve at ankle and foot 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": "Chronic migraine with aura, not intractable, with status migrainosus"}, {"role": "assistant", "content": "G43.E01 — Chronic migraine with aura, not 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": "Maternal care for Anti-A sensitization, unspecified trimester, fetus 3"}, {"role": "assistant", "content": "O36.1193 — Maternal care for Anti-A sensitization, 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": "Juvenile arthritis, unspecified, right wrist"}, {"role": "assistant", "content": "M08.931 — Juvenile arthritis, unspecified, 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": "Dislocation of metatarsophalangeal joint of right lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.124D — Dislocation of metatarsophalangeal 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": "Nondisplaced fracture of lateral cuneiform of right foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.224K — Nondisplaced fracture of lateral cuneiform of 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": "Adverse effect of 4-Aminophenol derivatives, sequela"}, {"role": "assistant", "content": "T39.1X5S — Adverse effect of 4-Aminophenol derivatives, sequela"}]}
{"messages": [{"role": "system", "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, extranodal and solid organ sites"}, {"role": "assistant", "content": "C84.49 — Peripheral T-cell lymphoma, not elsewhere classified, 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": "Subluxation of metacarpal (bone), proximal end of right hand, subsequent encounter"}, {"role": "assistant", "content": "S63.061D — Subluxation of metacarpal (bone), proximal end 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": "Unspecified fracture of right forearm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.91XH — Unspecified fracture of right forearm, 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": "Leukoencephalopathy with calcifications and cysts"}, {"role": "assistant", "content": "G93.43 — Leukoencephalopathy with calcifications and cysts"}]}
{"messages": [{"role": "system", "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 routine healing"}, {"role": "assistant", "content": "S52.561F — Barton's fracture 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": "Displaced fracture of cuboid bone of right foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.211K — Displaced fracture of cuboid bone of 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": "Paralytic calcification and ossification of muscle, left hand"}, {"role": "assistant", "content": "M61.242 — Paralytic calcification and 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": "Passenger in three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounter"}, {"role": "assistant", "content": "V32.6XXA — Passenger in three-wheeled motor 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": "Transverse vaginal septum"}, {"role": "assistant", "content": "Q52.11 — Transverse vaginal septum"}]}
{"messages": [{"role": "system", "content": "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 left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.015F — Nondisplaced osteochondral 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": "Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.326G — Nondisplaced transverse 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": "NIHSS score 3"}, {"role": "assistant", "content": "R29.703 — NIHSS score 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": "Hit or struck by falling object due to accident to (nonpowered) inflatable craft, subsequent encounter"}, {"role": "assistant", "content": "V91.36XD — Hit or struck by falling object due to accident to (nonpowered) inflatable craft, subsequent encounter"}]}
{"messages": [{"role": "system", "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), unspecified foot, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.309K — Fracture of unspecified metatarsal bone(s), 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": "Displaced fracture of lateral condyle of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.123C — Displaced fracture of lateral condyle 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": "Nondisplaced spiral fracture of shaft of radius, right arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.344K — Nondisplaced 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 segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.261G — Displaced segmental fracture of shaft of ulna, 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": "Laceration with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.329D — Laceration with foreign body of unspecified 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": "Other osteonecrosis, right ankle"}, {"role": "assistant", "content": "M87.871 — Other osteonecrosis, 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": "Lateral subluxation of left ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.142D — Lateral subluxation 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": "Other priapism"}, {"role": "assistant", "content": "N48.39 — Other priapism"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "HELLP syndrome, complicating childbirth"}, {"role": "assistant", "content": "O14.24 — HELLP syndrome, 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 other isoimmunization, second trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.1920 — Maternal care for other isoimmunization, 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": "Subacute osteomyelitis, right ankle and foot"}, {"role": "assistant", "content": "M86.271 — Subacute 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": "Cystic meniscus, anterior horn of medial meniscus, unspecified knee"}, {"role": "assistant", "content": "M23.019 — Cystic meniscus, anterior horn of 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": "Displaced oblique fracture of shaft of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S52.331R — Displaced oblique fracture of shaft 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": "Pupillary membranes, right eye"}, {"role": "assistant", "content": "H21.41 — Pupillary membranes, 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 injury of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter"}, {"role": "assistant", "content": "S96.201D — Unspecified 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": "Traumatic cerebral edema without loss of consciousness, sequela"}, {"role": "assistant", "content": "S06.1X0S — Traumatic cerebral edema 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": "Aphasia following nontraumatic intracerebral hemorrhage"}, {"role": "assistant", "content": "I69.120 — Aphasia 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": "Corrosion of second degree of trunk, unspecified site, sequela"}, {"role": "assistant", "content": "T21.60XS — Corrosion of second degree of trunk, 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 atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg"}, {"role": "assistant", "content": "I70.491 — Other atherosclerosis of autologous vein bypass graft(s) of the 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 lunate [semilunar], right wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.124D — Nondisplaced fracture of lunate [semilunar], 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": "Contusion of unspecified thumb with damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S60.119D — Contusion 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": "Injury of cutaneous sensory nerve at ankle and foot level, right leg, initial encounter"}, {"role": "assistant", "content": "S94.31XA — Injury of cutaneous sensory nerve at ankle and foot 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": "Major laceration of left vertebral artery, sequela"}, {"role": "assistant", "content": "S15.122S — Major laceration of left 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": "Antepartum hemorrhage with other coagulation defect, first trimester"}, {"role": "assistant", "content": "O46.091 — Antepartum hemorrhage 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": "Other instability, right foot"}, {"role": "assistant", "content": "M25.374 — Other instability, 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": "Genetic susceptibility to other disease"}, {"role": "assistant", "content": "Z15.89 — Genetic susceptibility to other 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": "Polyhydramnios, first trimester, other fetus"}, {"role": "assistant", "content": "O40.1XX9 — Polyhydramnios, 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": "Nondisplaced fracture of unspecified radial styloid process, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.516D — Nondisplaced fracture of unspecified 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": "Measles complicated by meningitis"}, {"role": "assistant", "content": "B05.1 — Measles complicated by 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": "Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.421P — Displaced comminuted supracondylar fracture without intercondylar fracture 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": "Toxic effect of contact with other venomous plant, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T63.791D — Toxic effect of contact with other venomous plant, 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": "Dislocation of other parts of left shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.395A — Dislocation of other parts of left 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": "NIHSS score 13"}, {"role": "assistant", "content": "R29.713 — NIHSS score 13"}]}
{"messages": [{"role": "system", "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 left thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.115D — Dislocation of metacarpophalangeal joint 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": "Lateral dislocation of right ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.144A — Lateral dislocation of right 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": "Displaced fracture of anterior wall of right acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.411K — Displaced fracture of anterior 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": "Kaschin-Beck disease, left knee"}, {"role": "assistant", "content": "M12.162 — Kaschin-Beck disease, 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": "Laceration of dorsal vein of unspecified foot, initial encounter"}, {"role": "assistant", "content": "S95.219A — Laceration of dorsal vein 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": "Malignant neoplasm of isthmus uteri"}, {"role": "assistant", "content": "C54.0 — Malignant neoplasm of isthmus 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": "Bitten by crocodile, subsequent encounter"}, {"role": "assistant", "content": "W58.11XD — Bitten by crocodile, subsequent encounter"}]}
{"messages": [{"role": "system", "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 80-89% third degree burns"}, {"role": "assistant", "content": "T31.88 — Burns involving 80-89% 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": "Breakdown (mechanical) of bile duct prosthesis, subsequent encounter"}, {"role": "assistant", "content": "T85.510D — Breakdown (mechanical) 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": "Contact blepharoconjunctivitis, bilateral"}, {"role": "assistant", "content": "H10.533 — Contact 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": "Malignant neoplasm of cortex of unspecified adrenal gland"}, {"role": "assistant", "content": "C74.00 — Malignant neoplasm of cortex 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": "Nondisplaced unspecified fracture of unspecified lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.506A — Nondisplaced unspecified fracture of unspecified 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": "Umbilical hernia with obstruction, without gangrene"}, {"role": "assistant", "content": "K42.0 — Umbilical 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": "Exposure to reduction in atmospheric pressure while surfacing from deep-water diving, subsequent encounter"}, {"role": "assistant", "content": "W94.21XD — Exposure to reduction in atmospheric pressure while surfacing from deep-water diving, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S89.309P — Unspecified physeal fracture of lower end of unspecified 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": "Type III traumatic spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.14XK — Type III traumatic spondylolisthesis of second 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": "Age-related osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.021K — Age-related osteoporosis with current pathological fracture, 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": "Duffy null"}, {"role": "assistant", "content": "Z67.A1 — Duffy null"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S72.063J — Displaced articular 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": "Low lying placenta with hemorrhage, second trimester"}, {"role": "assistant", "content": "O44.52 — Low lying placenta with 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": "Stress fracture, right ulna, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.331K — Stress fracture, right ulna, 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": "Klinefelter syndrome karyotype 47, XXY"}, {"role": "assistant", "content": "Q98.0 — Klinefelter syndrome karyotype 47, XXY"}]}
{"messages": [{"role": "system", "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 mild nonproliferative diabetic retinopathy without macular edema, bilateral"}, {"role": "assistant", "content": "E09.3293 — Drug or chemical induced diabetes mellitus with mild 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": "Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.114R — Nondisplaced fracture of greater trochanter 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": "Person injured in collision between car and heavy transport vehicle, nontraffic, sequela"}, {"role": "assistant", "content": "V88.4XXS — Person injured in collision between car and heavy transport vehicle, 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": "Unspecified occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V36.3XXA — Unspecified occupant of three-wheeled motor vehicle 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": "Furuncle of face"}, {"role": "assistant", "content": "L02.02 — Furuncle 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": "Person boarding or alighting other motorcycle injured in collision with two- or three-wheeled motor vehicle, subsequent encounter"}, {"role": "assistant", "content": "V22.39XD — Person boarding or alighting other motorcycle 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": "Unspecified occupant of bus injured in noncollision transport accident in traffic accident, initial encounter"}, {"role": "assistant", "content": "V78.9XXA — Unspecified occupant of bus 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": "Undescended testicle, unspecified"}, {"role": "assistant", "content": "Q53.9 — Undescended testicle, 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 supracondylar fracture without intracondylar extension of lower end of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.455Q — Nondisplaced supracondylar fracture without intracondylar extension 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": "Toxic effect of manganese and its compounds, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T57.2X1D — Toxic effect of manganese 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": "Displaced fracture of coracoid process, unspecified shoulder, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.133B — Displaced fracture of coracoid process, 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": "Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter"}, {"role": "assistant", "content": "S86.222A — Laceration of muscle(s) and tendon(s) of anterior 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": "Recurrent acute iridocyclitis, bilateral"}, {"role": "assistant", "content": "H20.023 — Recurrent acute iridocyclitis, 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": "Newborn affected by surgical procedure on mother"}, {"role": "assistant", "content": "P00.6 — Newborn affected by surgical procedure on 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": "Other injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.891D — Other injury of other 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": "Ganglion, left ankle and foot"}, {"role": "assistant", "content": "M67.472 — Ganglion, 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": "Other antepartum hemorrhage, unspecified trimester"}, {"role": "assistant", "content": "O46.8X9 — Other antepartum 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": "Displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.351A — Displaced comminuted 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": "Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage"}, {"role": "assistant", "content": "I69.018 — Other symptoms and signs involving cognitive functions 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": "Bank as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.510 — Bank 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 skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V04.02XA — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus 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": "Subluxation of interphalangeal joint of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.123D — Subluxation of interphalangeal 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": "Abrasion of throat, initial encounter"}, {"role": "assistant", "content": "S10.11XA — Abrasion of throat, initial encounter"}]}
{"messages": [{"role": "system", "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 or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter"}, {"role": "assistant", "content": "W57.XXXA — Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter"}]}
{"messages": [{"role": "system", "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 heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V34.7XXA — Person on outside of three-wheeled motor 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": "Superficial foreign body of other finger, sequela"}, {"role": "assistant", "content": "S60.458S — Superficial foreign body 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": "Toxic effect of unspecified snake venom, assault, initial encounter"}, {"role": "assistant", "content": "T63.003A — Toxic effect of unspecified snake 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": "Legal intervention involving other explosives, bystander injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.192D — Legal intervention involving other explosives, 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": "Displaced spiral fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.241D — Displaced spiral fracture of shaft 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": "Other superficial bite of left thigh, initial encounter"}, {"role": "assistant", "content": "S70.372A — Other superficial bite 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": "Sprain of metacarpophalangeal joint of right thumb, sequela"}, {"role": "assistant", "content": "S63.641S — Sprain of metacarpophalangeal joint 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": "Toxic effect of chloroform, assault, initial encounter"}, {"role": "assistant", "content": "T53.1X3A — Toxic effect of chloroform, 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": "Foreign body in left ear, subsequent encounter"}, {"role": "assistant", "content": "T16.2XXD — Foreign body in 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": "Pedestrian on other gliding-type pedestrian conveyance colliding with stationary object, subsequent encounter"}, {"role": "assistant", "content": "V00.282D — Pedestrian on other gliding-type pedestrian conveyance colliding with stationary 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": "Crushing injury of unspecified thumb, initial encounter"}, {"role": "assistant", "content": "S67.00XA — Crushing injury 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": "Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5"}, {"role": "assistant", "content": "O36.8315 — Maternal care for abnormalities of the fetal heart rate or rhythm, 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": "Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.526 — Non-pressure chronic ulcer of other part of left foot 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 systemic anti-infective and antiparasitics, undetermined, initial encounter"}, {"role": "assistant", "content": "T37.94XA — Poisoning by unspecified systemic anti-infective and antiparasitics, 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": "Person injured in other specified noncollision transport accidents involving motor vehicle (traffic), initial encounter"}, {"role": "assistant", "content": "V87.8XXA — Person injured in other specified noncollision transport accidents involving motor vehicle (traffic), initial encounter"}]}
{"messages": [{"role": "system", "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 left shoulder and upper limb, except wrist and hand, sequela"}, {"role": "assistant", "content": "T22.492S — Corrosion of unspecified 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": "Cerebral infarction due to embolism of left anterior cerebral artery"}, {"role": "assistant", "content": "I63.422 — Cerebral infarction due to embolism of left 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": "Dermatochalasis of left eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.836 — Dermatochalasis of 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": "Primary blast injury of lung, bilateral, sequela"}, {"role": "assistant", "content": "S27.312S — Primary blast injury of lung, 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": "Complete traumatic amputation of unspecified great toe, initial encounter"}, {"role": "assistant", "content": "S98.119A — Complete traumatic amputation 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": "Maternal care for high head at term, fetus 3"}, {"role": "assistant", "content": "O32.4XX3 — Maternal care for high head at term, 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 fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.302K — Unspecified fracture of shaft 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": "Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M48.51XG — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial 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": "Other infective bursitis, unspecified ankle and foot"}, {"role": "assistant", "content": "M71.179 — Other infective bursitis, 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": "Terrorism involving other means, civilian injured, sequela"}, {"role": "assistant", "content": "Y38.892S — Terrorism involving other means, civilian 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": "Displaced osteochondral fracture of left patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.012B — Displaced osteochondral 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": "Counseling related to patient's sexual behavior and orientation"}, {"role": "assistant", "content": "Z70.1 — Counseling related to patient's sexual behavior and orientation"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.416R — Nondisplaced 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": "Maternal care for disproportion, unspecified"}, {"role": "assistant", "content": "O33.9 — Maternal care for 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": "Muscle wasting and atrophy, not elsewhere classified, multiple sites"}, {"role": "assistant", "content": "M62.59 — Muscle wasting and atrophy, not elsewhere classified, 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": "Pedestrian on standing electric scooter injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V05.931A — Pedestrian on standing electric scooter injured in collision with railway train or railway 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": "Non-ketotic hyperglycinemia"}, {"role": "assistant", "content": "E72.51 — Non-ketotic hyperglycinemia"}]}
{"messages": [{"role": "system", "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, right side, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.40EK — Zygomatic 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 3"}, {"role": "assistant", "content": "O31.12X3 — Continuing pregnancy after spontaneous abortion of one fetus or more, 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": "Nondisplaced unspecified fracture of right lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.504G — Nondisplaced unspecified fracture 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": "Other injury of branches of celiac and mesenteric artery, initial encounter"}, {"role": "assistant", "content": "S35.298A — Other injury of branches of celiac and mesenteric 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": "Rider of nonpowered watercraft struck by other nonpowered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V94.21XD — Rider of nonpowered watercraft struck by other nonpowered 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": "Contusion of unspecified elbow, subsequent encounter"}, {"role": "assistant", "content": "S50.00XD — Contusion 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": "Unspecified injury of left lower leg, subsequent encounter"}, {"role": "assistant", "content": "S89.92XD — Unspecified injury 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": "Rickets, active"}, {"role": "assistant", "content": "E55.0 — Rickets, active"}]}
{"messages": [{"role": "system", "content": "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 other bones, subsequent encounter"}, {"role": "assistant", "content": "T84.298D — Other mechanical complication of internal fixation device of other bones, subsequent encounter"}]}
{"messages": [{"role": "system", "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 shoulder, sequela"}, {"role": "assistant", "content": "S40.019S — Contusion 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": "Labor and delivery complicated by cord around neck, without compression, fetus 4"}, {"role": "assistant", "content": "O69.81X4 — Labor and delivery complicated by cord around neck, without compression, 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": "Corrosion of third degree of unspecified hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T23.709D — Corrosion 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": "Unspecified chronic conjunctivitis, left eye"}, {"role": "assistant", "content": "H10.402 — Unspecified chronic conjunctivitis, 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": "Open bite of right index finger with damage to nail, sequela"}, {"role": "assistant", "content": "S61.350S — Open bite of right 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": "Abscess of bursa, left wrist"}, {"role": "assistant", "content": "M71.032 — Abscess of bursa, 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": "Spontaneous rupture of flexor tendons, left shoulder"}, {"role": "assistant", "content": "M66.312 — Spontaneous rupture of flexor tendons, 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": "Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, sequela"}, {"role": "assistant", "content": "T38.802S — Poisoning by unspecified hormones and synthetic substitutes, 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 roller-skates injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V04.11XA — Pedestrian on roller-skates 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 superficial bite of right back wall of thorax, sequela"}, {"role": "assistant", "content": "S20.471S — Other superficial bite of right 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 zinc and its compounds, undetermined, sequela"}, {"role": "assistant", "content": "T56.5X4S — Toxic effect of zinc and its compounds, 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": "Wedge compression fracture of first thoracic vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S22.010K — Wedge compression fracture of first 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": "Dislocation of distal interphalangeal joint of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.293D — Dislocation of distal 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": "Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis"}, {"role": "assistant", "content": "L97.415 — Non-pressure chronic ulcer of right heel and midfoot 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": "Fracture of unspecified metatarsal bone(s), unspecified foot, sequela"}, {"role": "assistant", "content": "S92.309S — Fracture of unspecified metatarsal bone(s), 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 shoulder, subsequent encounter"}, {"role": "assistant", "content": "T22.759D — Corrosion of third 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": "Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2331 — Coma scale, best motor response, abnormal flexion, 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": "Unspecified injury of axillary artery, left side, initial encounter"}, {"role": "assistant", "content": "S45.002A — Unspecified 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": "Intermittent explosive disorder"}, {"role": "assistant", "content": "F63.81 — Intermittent explosive 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": "Compartment syndrome, unspecified, initial encounter"}, {"role": "assistant", "content": "T79.A0XA — Compartment syndrome, 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": "Complete loss of teeth due to other specified cause, unspecified class"}, {"role": "assistant", "content": "K08.199 — Complete 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": "Salter-Harris Type I physeal fracture of lower end of right femur, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S79.111P — Salter-Harris Type I physeal fracture of lower 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": "Non-pressure chronic ulcer of right forearm with necrosis of bone"}, {"role": "assistant", "content": "L98.A214 — Non-pressure chronic ulcer of right 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": "Unspecified symptoms and signs involving cognitive functions following cerebral infarction"}, {"role": "assistant", "content": "I69.319 — Unspecified symptoms and signs involving cognitive functions 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": "Toxic effect of lacrimogenic gas, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T59.3X1D — Toxic effect of lacrimogenic gas, 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": "Pregnancy related conditions, unspecified, second trimester"}, {"role": "assistant", "content": "O26.92 — Pregnancy related conditions, 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": "Biliuria"}, {"role": "assistant", "content": "R82.2 — Biliuria"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.416Q — Nondisplaced unspecified condyle fracture of lower end 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 subluxation of right patella, subsequent encounter"}, {"role": "assistant", "content": "S83.001D — Unspecified subluxation 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": "Open bite of left upper arm, sequela"}, {"role": "assistant", "content": "S41.152S — Open bite 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": "Adverse effect of unspecified drugs acting on muscles, initial encounter"}, {"role": "assistant", "content": "T48.205A — Adverse effect of unspecified drugs acting on muscles, initial encounter"}]}
{"messages": [{"role": "system", "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 periodontal diseases, class III"}, {"role": "assistant", "content": "K08.423 — Partial 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": "Other specified injury of other blood vessels at forearm level, right arm, sequela"}, {"role": "assistant", "content": "S55.891S — Other specified injury of other blood vessels 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": "Poisoning by tricyclic antidepressants, assault, initial encounter"}, {"role": "assistant", "content": "T43.013A — Poisoning by tricyclic antidepressants, 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 war operations occurring after cessation of hostilities, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y36.890D — Unspecified war operations occurring after cessation of hostilities, 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": "Body mass index [BMI] pediatric, less than 5th percentile for age"}, {"role": "assistant", "content": "Z68.51 — Body mass index [BMI] pediatric, less than 5th percentile for age"}]}
{"messages": [{"role": "system", "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, left femur"}, {"role": "assistant", "content": "M86.052 — Acute hematogenous 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": "Torus fracture of upper end of unspecified radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S52.119K — Torus fracture of upper end of unspecified 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 without foreign body of abdominal wall, right upper quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.110A — Laceration without foreign body of abdominal wall, right 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 extraarticular fracture of lower end of left radius, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.552B — Other extraarticular fracture 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": "Displaced fracture of proximal phalanx of left thumb, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.512B — Displaced fracture of proximal phalanx of left thumb, 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 detergents, assault, subsequent encounter"}, {"role": "assistant", "content": "T55.1X3D — Toxic effect of detergents, 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": "Puncture wound without foreign body of unspecified finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.239S — Puncture wound without foreign body of unspecified 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": "Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity"}, {"role": "assistant", "content": "I70.728 — Atherosclerosis of other type of 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": "Other specific joint derangements of left shoulder, not elsewhere classified"}, {"role": "assistant", "content": "M24.812 — Other specific joint derangements of left shoulder, 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": "Ankylosis, unspecified joint"}, {"role": "assistant", "content": "M24.60 — Ankylosis, 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": "Foreign body of alimentary tract, part unspecified, sequela"}, {"role": "assistant", "content": "T18.9XXS — Foreign body of alimentary tract, part 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": "Multiple fractures of pelvis without disruption of pelvic ring, sequela"}, {"role": "assistant", "content": "S32.82XS — Multiple fractures of pelvis without disruption of pelvic ring, sequela"}]}
{"messages": [{"role": "system", "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 firearms discharge, military personnel, initial encounter"}, {"role": "assistant", "content": "Y36.430A — War operations involving other firearms discharge, 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": "Laceration without foreign body of trachea, initial encounter"}, {"role": "assistant", "content": "S11.021A — Laceration without foreign body 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": "Postcardiotomy syndrome"}, {"role": "assistant", "content": "I97.0 — Postcardiotomy 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": "Other secondary hypertension"}, {"role": "assistant", "content": "I15.8 — Other secondary 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": "Nondisplaced bicondylar fracture of left tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.145D — Nondisplaced bicondylar fracture 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": "Displaced pilon fracture of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.872Q — Displaced 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": "Passenger on bus injured in noncollision transport accident in traffic accident, sequela"}, {"role": "assistant", "content": "V78.6XXS — Passenger on bus 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": "Glasgow coma scale score 13-15, in the field [EMT or ambulance]"}, {"role": "assistant", "content": "R40.2411 — Glasgow coma scale score 13-15, 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": "Unspecified subluxation of right middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.202D — Unspecified subluxation 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": "Colles' fracture of left radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.532K — Colles' 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": "Drowning and submersion due to other accident to water-skis, initial encounter"}, {"role": "assistant", "content": "V90.87XA — Drowning and submersion due to other accident to 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": "Diffuse cystic mastopathy of left breast"}, {"role": "assistant", "content": "N60.12 — Diffuse cystic mastopathy 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": "Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.061M — Displaced articular fracture of head 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": "Person on outside of ambulance or fire engine injured in traffic accident, sequela"}, {"role": "assistant", "content": "V86.21XS — Person on outside 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": "Drowning and submersion due to merchant ship sinking, subsequent encounter"}, {"role": "assistant", "content": "V90.10XD — Drowning and submersion due to merchant 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": "Puncture wound without foreign body of trachea, initial encounter"}, {"role": "assistant", "content": "S11.023A — Puncture wound without foreign body 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": "Synovial hypertrophy, not elsewhere classified, right lower leg"}, {"role": "assistant", "content": "M67.261 — Synovial hypertrophy, not elsewhere classified, 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": "Disruption of wound, unspecified, subsequent encounter"}, {"role": "assistant", "content": "T81.30XD — Disruption of wound, 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": "Retained intrauterine contraceptive device in pregnancy, first trimester"}, {"role": "assistant", "content": "O26.31 — Retained intrauterine contraceptive device 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": "Resistance to quinolones and fluoroquinolones"}, {"role": "assistant", "content": "Z16.23 — Resistance to quinolones and fluoroquinolones"}]}
{"messages": [{"role": "system", "content": "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, left arm, sequela"}, {"role": "assistant", "content": "S55.002S — Unspecified 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": "Unspecified inflammatory spondylopathy, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M46.98 — Unspecified inflammatory spondylopathy, 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": "Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.413A — Displaced 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": "Displaced comminuted fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.453D — Displaced comminuted fracture of shaft of unspecified 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": "Poisoning by amphetamines, intentional self-harm, sequela"}, {"role": "assistant", "content": "T43.622S — Poisoning by amphetamines, 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": "Electric (assisted) bicycle passenger injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V23.11XD — Electric (assisted) bicycle passenger 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": "Passenger in pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V52.6XXS — Passenger in pick-up truck or van 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": "Congenital iodine-deficiency syndrome, neurological type"}, {"role": "assistant", "content": "E00.0 — Congenital iodine-deficiency syndrome, neurological 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 myringitis, bilateral"}, {"role": "assistant", "content": "H73.23 — Unspecified 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": "Dislocation of unspecified parts of lumbar spine and pelvis, sequela"}, {"role": "assistant", "content": "S33.30XS — Dislocation of unspecified parts of lumbar spine 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": "Unspecified fracture of upper end of right radius, sequela"}, {"role": "assistant", "content": "S52.101S — Unspecified fracture of upper end of right 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": "Other intraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.571J — Other intraarticular fracture of lower end 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": "Malignant neoplasm of right choroid"}, {"role": "assistant", "content": "C69.31 — Malignant neoplasm of right choroid"}]}
{"messages": [{"role": "system", "content": "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 unspecified patella, sequela"}, {"role": "assistant", "content": "S82.026S — Nondisplaced longitudinal fracture 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": "Other anterior dislocation of right hip, sequela"}, {"role": "assistant", "content": "S73.034S — Other anterior dislocation of 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": "Pathological fracture in other disease, left hand, initial encounter for fracture"}, {"role": "assistant", "content": "M84.642A — Pathological fracture in other disease, left 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": "Toxic effect of other insecticides, undetermined, initial encounter"}, {"role": "assistant", "content": "T60.2X4A — Toxic effect of other insecticides, 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 venom of tarantula, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T63.321S — Toxic effect of venom of tarantula, 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": "Major osseous defect, other site"}, {"role": "assistant", "content": "M89.78 — Major osseous defect, 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": "Other fracture of unspecified femur, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S72.8X9B — Other fracture 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": "Antepartum hemorrhage, unspecified, second trimester"}, {"role": "assistant", "content": "O46.92 — Antepartum hemorrhage, 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": "Puncture wound of abdominal wall with foreign body, left flank with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.647D — Puncture wound of abdominal wall with foreign body, left 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": "Fused fingers, bilateral"}, {"role": "assistant", "content": "Q70.03 — Fused fingers, 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 penicillins, undetermined, initial encounter"}, {"role": "assistant", "content": "T36.0X4A — Poisoning by penicillins, 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": "Injury of ulnar nerve at upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S44.02XA — Injury of ulnar nerve at 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": "Open bite of right middle finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.252S — Open bite of right 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 snowboard accident, subsequent encounter"}, {"role": "assistant", "content": "V00.318D — Other snowboard 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": "Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)"}, {"role": "assistant", "content": "R87.611 — Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)"}]}
{"messages": [{"role": "system", "content": "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 prison as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.149 — Unspecified place in 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": "Legal intervention involving injury by dynamite, unspecified person injured, initial encounter"}, {"role": "assistant", "content": "Y35.119A — Legal intervention involving injury by dynamite, 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": "Injury of visual cortex, right side, sequela"}, {"role": "assistant", "content": "S04.041S — Injury of visual cortex, 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 obesity due to excess calories"}, {"role": "assistant", "content": "E66.09 — Other obesity due to excess calories"}]}
{"messages": [{"role": "system", "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 rectum, anus and anal canal"}, {"role": "assistant", "content": "C21.8 — Malignant neoplasm of overlapping sites of rectum, 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": "Trigger finger, unspecified little finger"}, {"role": "assistant", "content": "M65.359 — Trigger finger, unspecified little 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": "Operating room of hospital as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.234 — Operating room of 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": "Prolonged second stage (of labor)"}, {"role": "assistant", "content": "O63.1 — Prolonged second stage (of 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": "Displaced bimalleolar fracture of left lower leg, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.842H — Displaced 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": "Nondisplaced fracture of shaft of fourth metacarpal bone, right hand, sequela"}, {"role": "assistant", "content": "S62.354S — Nondisplaced fracture of shaft 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": "Open bite, right elbow, subsequent encounter"}, {"role": "assistant", "content": "S51.051D — Open bite, 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": "Complete traumatic amputation of nose, initial encounter"}, {"role": "assistant", "content": "S08.811A — Complete 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": "Pain due to vascular prosthetic devices, implants and grafts, initial encounter"}, {"role": "assistant", "content": "T82.848A — Pain due to vascular 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": "Hemorrhage due to vascular prosthetic devices, implants and grafts, sequela"}, {"role": "assistant", "content": "T82.838S — Hemorrhage 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": "4-part fracture of surgical neck of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.241A — 4-part fracture of surgical neck 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": "Salter-Harris Type I physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S79.119D — Salter-Harris Type I physeal fracture of lower end of 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": "Other fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.099F — Other 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": "Displaced transverse fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.423R — Displaced transverse 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": "Unspecified injury of unspecified quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.109S — Unspecified injury 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": "Walked into furniture, initial encounter"}, {"role": "assistant", "content": "W22.03XA — Walked into furniture, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lymphangioma, any site"}, {"role": "assistant", "content": "D18.1 — Lymphangioma, any 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": "Animal-rider injured in transport accident with military vehicle, subsequent encounter"}, {"role": "assistant", "content": "V80.910D — Animal-rider injured in transport accident with 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": "Other injury of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.593D — Other 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": "Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side"}, {"role": "assistant", "content": "I69.034 — Monoplegia of upper 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": "Nondisplaced fracture of neck of unspecified talus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.116A — Nondisplaced fracture of neck 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": "Developmental ovarian cyst"}, {"role": "assistant", "content": "Q50.1 — Developmental ovarian 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": "Obturator dislocation of left hip, sequela"}, {"role": "assistant", "content": "S73.025S — Obturator 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": "Angioneurotic edema, initial encounter"}, {"role": "assistant", "content": "T78.3XXA — Angioneurotic edema, initial encounter"}]}
{"messages": [{"role": "system", "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 external ear, unspecified, unspecified ear"}, {"role": "assistant", "content": "H61.90 — Disorder of external ear, unspecified, 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": "Corrosion of mouth and pharynx, initial encounter"}, {"role": "assistant", "content": "T28.5XXA — Corrosion of mouth and pharynx, initial encounter"}]}
{"messages": [{"role": "system", "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 other type car, subsequent encounter"}, {"role": "assistant", "content": "V43.42XD — Person boarding or alighting a car injured in collision with other type car, subsequent encounter"}]}
{"messages": [{"role": "system", "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 right shoulder and upper limb, except wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T22.191D — Burn of first 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": "Unspecified retrovirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.30 — Unspecified 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": "Galeazzi's fracture of right radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.371K — Galeazzi's fracture 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": "Traumatic rupture of left ear drum, subsequent encounter"}, {"role": "assistant", "content": "S09.22XD — Traumatic rupture of left 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": "Age-related osteoporosis with current pathological fracture, unspecified lower leg, sequela"}, {"role": "assistant", "content": "M80.069S — Age-related osteoporosis with current pathological fracture, 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": "Neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms"}, {"role": "assistant", "content": "P24.10 — Neonatal aspiration of (clear) amniotic fluid and mucus 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": "Infantile idiopathic scoliosis, thoracolumbar region"}, {"role": "assistant", "content": "M41.05 — Infantile idiopathic scoliosis, 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": "Unspecified injury of ovary, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.402D — Unspecified injury of ovary, 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": "Other injury of muscle, fascia and tendon of triceps, right arm, initial encounter"}, {"role": "assistant", "content": "S46.391A — Other injury of muscle, fascia and tendon of triceps, 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 intertrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.143D — Displaced intertrochanteric fracture 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": "Exposure of implanted vaginal mesh into vagina, sequela"}, {"role": "assistant", "content": "T83.721S — Exposure of implanted vaginal mesh into vagina, sequela"}]}
{"messages": [{"role": "system", "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 wrist, initial encounter"}, {"role": "assistant", "content": "S60.852A — Superficial 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": "External constriction of left forearm, initial encounter"}, {"role": "assistant", "content": "S50.842A — External constriction 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": "Other fracture of upper end of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.099J — Other fracture of upper end of unspecified 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": "Other displaced fracture of fifth cervical vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S12.490B — Other displaced fracture 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": "Other injury of muscle, fascia and tendon of triceps, left arm, initial encounter"}, {"role": "assistant", "content": "S46.392A — Other injury of muscle, fascia and tendon of triceps, 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": "Unspecified purulent endophthalmitis, left eye"}, {"role": "assistant", "content": "H44.002 — Unspecified purulent endophthalmitis, 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 incomplete lesion at C1 level of cervical spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S14.151D — Other incomplete lesion 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": "Villonodular synovitis (pigmented), unspecified site"}, {"role": "assistant", "content": "M12.20 — Villonodular synovitis (pigmented), 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 venom of hornets, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T63.451A — Toxic effect of venom of hornets, 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 medial condyle of left humerus, sequela"}, {"role": "assistant", "content": "S42.462S — Displaced fracture of medial condyle 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": "Nondisplaced fracture of medial cuneiform of right foot, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.244G — Nondisplaced fracture of medial 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": "Open bite, right thigh, initial encounter"}, {"role": "assistant", "content": "S71.151A — Open bite, 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": "Other secondary neuroendocrine tumors"}, {"role": "assistant", "content": "C7B.8 — Other secondary 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": "Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side"}, {"role": "assistant", "content": "I69.961 — Other paralytic syndrome following unspecified cerebrovascular disease 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": "Dislocation of distal interphalangeal joint of left little finger, sequela"}, {"role": "assistant", "content": "S63.297S — Dislocation 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": "Posterior dislocation of left ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.125A — Posterior dislocation 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": "Nondisplaced comminuted fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.355Q — Nondisplaced comminuted fracture of shaft of radius, 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": "Lateral dislocation of unspecified ulnohumeral joint, initial encounter"}, {"role": "assistant", "content": "S53.146A — Lateral 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": "Contusion of unspecified foot, sequela"}, {"role": "assistant", "content": "S90.30XS — Contusion 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 fracture of shaft of unspecified clavicle, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.026A — Nondisplaced fracture of shaft 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": "Displaced Maisonneuve's fracture of left leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.862C — Displaced Maisonneuve's fracture of left 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": "Displaced longitudinal fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.023J — Displaced longitudinal fracture of unspecified 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": "Laceration of ovary, bilateral, subsequent encounter"}, {"role": "assistant", "content": "S37.432D — Laceration of ovary, 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": "Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder"}, {"role": "assistant", "content": "M05.819 — Other rheumatoid arthritis with rheumatoid factor of 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 unspecified ear, sequela"}, {"role": "assistant", "content": "S01.349S — Puncture wound with foreign body 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": "Unspecified transfusion reaction, initial encounter"}, {"role": "assistant", "content": "T80.92XA — Unspecified transfusion reaction, initial encounter"}]}
{"messages": [{"role": "system", "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 single finger (nail) except thumb, sequela"}, {"role": "assistant", "content": "T23.329S — Burn of third 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": "Civilian in water injured by military watercraft, initial encounter"}, {"role": "assistant", "content": "V94.811A — Civilian in water injured by 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": "Displaced fracture of left ulna styloid process, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.612H — Displaced fracture of left ulna styloid process, 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": "War operations, unspecified, initial encounter"}, {"role": "assistant", "content": "Y36.90XA — War operations, 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": "Laceration of muscle and tendon of unspecified wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S29.029D — Laceration of muscle and tendon of unspecified 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": "Displaced fracture of lunate [semilunar], right wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.121A — Displaced fracture of lunate [semilunar], 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": "Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.009Q — Unspecified fracture of upper end 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": "Drowning and submersion due to other accident to water-skis, sequela"}, {"role": "assistant", "content": "V90.87XS — Drowning and submersion 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": "Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter"}, {"role": "assistant", "content": "S46.112A — Strain 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": "Accidental discharge of other larger firearm, initial encounter"}, {"role": "assistant", "content": "W33.09XA — Accidental discharge 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 fracture of shaft of left tibia, sequela"}, {"role": "assistant", "content": "S82.292S — Other 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": "Diphtheritic polyneuritis"}, {"role": "assistant", "content": "A36.83 — Diphtheritic polyneuritis"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.002A — Unspecified physeal fracture of lower end 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": "Age-related osteoporosis with current pathological fracture, unspecified lower leg, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.069P — Age-related osteoporosis with current pathological fracture, unspecified 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": "Unspecified subluxation of left radial head, initial encounter"}, {"role": "assistant", "content": "S53.002A — Unspecified subluxation of left 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": "Adult osteochondrosis of spine, site unspecified"}, {"role": "assistant", "content": "M42.10 — Adult 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": "Personal history of malignant carcinoid tumor of large intestine"}, {"role": "assistant", "content": "Z85.030 — Personal history of malignant carcinoid tumor of large 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": "Nondisplaced articular fracture of head of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.066A — Nondisplaced articular fracture of head 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": "Complete lesion of L1 level of lumbar spinal cord, subsequent encounter"}, {"role": "assistant", "content": "S34.111D — Complete lesion of L1 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": "Adverse effect of rifampicins, sequela"}, {"role": "assistant", "content": "T36.6X5S — Adverse effect of rifampicins, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Bartonellosis, unspecified"}, {"role": "assistant", "content": "A44.9 — Bartonellosis, 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 IV physeal fracture of phalanx of unspecified toe, initial encounter for closed fracture"}, {"role": "assistant", "content": "S99.249A — Salter-Harris Type IV physeal fracture of phalanx of unspecified 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": "Poisoning by drugs affecting uric acid metabolism, undetermined, initial encounter"}, {"role": "assistant", "content": "T50.4X4A — Poisoning by drugs affecting uric acid metabolism, 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 specified osteochondropathies, left upper arm"}, {"role": "assistant", "content": "M93.822 — Other specified osteochondropathies, 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": "Arthropathy following intestinal bypass, right hand"}, {"role": "assistant", "content": "M02.041 — Arthropathy following intestinal bypass, 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": "Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.103D — Unspecified injury of flexor 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": "Injury of left uterine artery, subsequent encounter"}, {"role": "assistant", "content": "S35.532D — Injury of left uterine 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 physeal fracture of upper end of left tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S89.092A — Other physeal 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": "Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in nontraffic accident, sequela"}, {"role": "assistant", "content": "V59.29XS — Unspecified occupant of pick-up truck or van 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": "Nondisplaced fracture of posterior process of unspecified talus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.136G — Nondisplaced fracture of posterior process of unspecified 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": "Subluxation of T2/T3 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.120D — Subluxation of T2/T3 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": "Stress fracture, unspecified site, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.30XK — Stress fracture, unspecified site, 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": "Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.040K — Wedge compression fracture of fourth 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": "Other injury of unspecified muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S86.991D — Other injury 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": "Accessory lobe of lung"}, {"role": "assistant", "content": "Q33.1 — Accessory lobe 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": "Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.446K — Nondisplaced fracture of posterior column [ilioischial] 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": "Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.199F — Other fracture of upper end 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": "Unspecified occupant of heavy transport vehicle injured in collision with pedestrian or animal in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V60.9XXD — Unspecified occupant of heavy transport vehicle 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": "Prosthetic and other implants, materials and accessory otorhinolaryngological devices associated with adverse incidents"}, {"role": "assistant", "content": "Y72.2 — Prosthetic and other implants, materials and accessory otorhinolaryngological 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": "Lobular carcinoma in situ of right breast"}, {"role": "assistant", "content": "D05.01 — Lobular carcinoma in situ 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": "Poisoning by immune checkpoint inhibitors and immunostimulant drugs, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T45.AX1A — Poisoning by immune checkpoint inhibitors and immunostimulant 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": "Ankylosis, right shoulder"}, {"role": "assistant", "content": "M24.611 — Ankylosis, 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 fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.191Q — Other fracture of upper 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": "Osteopathy after poliomyelitis, unspecified upper arm"}, {"role": "assistant", "content": "M89.629 — Osteopathy after poliomyelitis, 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": "Simple chronic conjunctivitis, left eye"}, {"role": "assistant", "content": "H10.422 — Simple chronic conjunctivitis, 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": "Leakage of vascular dialysis catheter, initial encounter"}, {"role": "assistant", "content": "T82.43XA — Leakage of vascular 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": "Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity, sequela"}, {"role": "assistant", "content": "S31.103S — Unspecified open wound of abdominal wall, right lower 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": "Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.23XC — Displaced subtrochanteric 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": "Nondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S72.356R — Nondisplaced comminuted fracture of shaft 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": "Unspecified accident to commercial fixed-wing aircraft injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.30XD — Unspecified accident to commercial fixed-wing aircraft 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": "Nondisplaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.335P — Nondisplaced oblique 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": "Striking against unspecified object with subsequent fall, subsequent encounter"}, {"role": "assistant", "content": "W18.00XD — Striking against unspecified object with subsequent fall, subsequent encounter"}]}
{"messages": [{"role": "system", "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 appendix"}, {"role": "assistant", "content": "D37.3 — Neoplasm of uncertain behavior 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": "Unspecified occupant of three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V38.3XXA — Unspecified occupant of three-wheeled motor 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": "Nondisplaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.145G — Nondisplaced fracture of glenoid cavity of scapula, left 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": "Maternal care for other specified fetal problems, unspecified trimester, fetus 2"}, {"role": "assistant", "content": "O36.8992 — Maternal care for other specified fetal problems, 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": "Excessive weight gain in pregnancy, first trimester"}, {"role": "assistant", "content": "O26.01 — Excessive weight gain 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": "Traumatic arthropathy, other specified site"}, {"role": "assistant", "content": "M12.58 — Traumatic arthropathy, 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 injury due to other accident to merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V91.80XD — Other injury due to other accident to 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": "Acute hepatitis E"}, {"role": "assistant", "content": "B17.2 — Acute hepatitis E"}]}
{"messages": [{"role": "system", "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 the rotator cuff of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.011D — Strain of muscle(s) and tendon(s) of the rotator cuff 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": "Driver of three-wheeled motor vehicle injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V39.49XA — Driver of three-wheeled motor 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": "Dislocation of T10/T11 thoracic vertebra, subsequent encounter"}, {"role": "assistant", "content": "S23.161D — Dislocation of T10/T11 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": "Poisoning by lysergide [LSD], assault, subsequent encounter"}, {"role": "assistant", "content": "T40.8X3D — Poisoning by lysergide [LSD], 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": "Activity, wrestling"}, {"role": "assistant", "content": "Y93.72 — Activity, wrestling"}]}
{"messages": [{"role": "system", "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 forearm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M80.031K — Age-related osteoporosis with current pathological fracture, right 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": "Unspecified fracture of right ischium, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S32.601D — Unspecified fracture of right 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": "Unspecified subluxation of left index finger, sequela"}, {"role": "assistant", "content": "S63.201S — Unspecified subluxation 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": "Childhood onset fluency disorder"}, {"role": "assistant", "content": "F80.81 — Childhood onset fluency 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": "Glossitis"}, {"role": "assistant", "content": "K14.0 — Glossitis"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S62.639K — Displaced fracture of distal phalanx of unspecified 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": "Tuberculosis of spine"}, {"role": "assistant", "content": "A18.01 — Tuberculosis of 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": "Machinery accident on board sailboat, initial encounter"}, {"role": "assistant", "content": "V93.64XA — Machinery accident on board 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": "Personal history of other complications of pregnancy, childbirth and the puerperium"}, {"role": "assistant", "content": "Z87.59 — Personal history of other complications of pregnancy, childbirth and 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": "Blister (nonthermal), right lower leg, sequela"}, {"role": "assistant", "content": "S80.821S — Blister (nonthermal), 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": "Diffuse traumatic brain injury without loss of consciousness, subsequent encounter"}, {"role": "assistant", "content": "S06.2X0D — Diffuse traumatic brain injury 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": "Other early-onset cerebellar ataxia"}, {"role": "assistant", "content": "G11.19 — Other early-onset cerebellar ataxia"}]}
{"messages": [{"role": "system", "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 elbow, without tophus (tophi)"}, {"role": "assistant", "content": "M1A.0220 — Idiopathic chronic gout, left 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": "Blindness right eye category 3, normal vision left eye"}, {"role": "assistant", "content": "H54.413A — Blindness right eye category 3, 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": "Burn of unspecified degree of right wrist, subsequent encounter"}, {"role": "assistant", "content": "T23.071D — Burn of unspecified 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": "Burn of second degree of right shoulder, initial encounter"}, {"role": "assistant", "content": "T22.251A — Burn 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": "Benign neoplasm of other specified parts of central nervous system"}, {"role": "assistant", "content": "D33.7 — Benign neoplasm of other specified parts 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": "Other injury of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.196A — Other injury of flexor muscle, fascia and tendon of left 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": "Laceration of muscle, fascia and tendon of long head of biceps, right arm, sequela"}, {"role": "assistant", "content": "S46.121S — Laceration 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": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.353D — Displaced comminuted 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": "Burn of third degree of nose (septum), initial encounter"}, {"role": "assistant", "content": "T20.34XA — Burn of third 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": "Poisoning by other agents primarily affecting the cardiovascular system, undetermined, sequela"}, {"role": "assistant", "content": "T46.994S — Poisoning by other agents primarily affecting the cardiovascular 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": "Calculus of bile duct with cholecystitis, unspecified, without obstruction"}, {"role": "assistant", "content": "K80.40 — Calculus of bile duct with cholecystitis, unspecified, 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": "Displaced longitudinal fracture of unspecified patella, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.023B — Displaced longitudinal 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": "Age-related osteoporosis with current pathological fracture, unspecified lower leg, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.069G — Age-related osteoporosis with current pathological fracture, unspecified 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": "Central dislocation of right hip, initial encounter"}, {"role": "assistant", "content": "S73.044A — Central dislocation 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": "Nondisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.536G — Nondisplaced fracture of distal phalanx 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": "Corrosion of first degree of unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "T25.529D — Corrosion of first 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": "Poisoning by digestants, undetermined, initial encounter"}, {"role": "assistant", "content": "T47.5X4A — Poisoning by digestants, 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 epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.025E — Nondisplaced fracture of epiphysis (separation) (upper) 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": "Toxic effect of ethanol, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T51.0X4D — Toxic effect of ethanol, 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": "Solitary bone cyst, unspecified humerus"}, {"role": "assistant", "content": "M85.429 — Solitary bone cyst, 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": "Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.263F — Displaced segmental 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": "Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.494D — Other nondisplaced fracture of lower end 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": "Drowning and submersion due to other accident to canoe or kayak, subsequent encounter"}, {"role": "assistant", "content": "V90.85XD — Drowning and submersion due to other accident to canoe or kayak, subsequent encounter"}]}
{"messages": [{"role": "system", "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, mild stage"}, {"role": "assistant", "content": "H40.31X1 — Glaucoma secondary to eye trauma, 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": "Displaced oblique fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.333F — Displaced oblique fracture of shaft 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": "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 5"}, {"role": "assistant", "content": "O31.13X5 — Continuing pregnancy after spontaneous abortion of one fetus or more, 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": "Contact with prime movers, initial encounter"}, {"role": "assistant", "content": "W31.3XXA — Contact with prime movers, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Klinefelter syndrome, male with more than two X chromosomes"}, {"role": "assistant", "content": "Q98.1 — Klinefelter syndrome, male with more than two X chromosomes"}]}
{"messages": [{"role": "system", "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 front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.311A — Abrasion of right 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": "Injury of other nerves at lower leg level, unspecified leg, initial encounter"}, {"role": "assistant", "content": "S84.809A — Injury of other nerves 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": "Unspecified fracture of unspecified talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.109K — Unspecified 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": "Crohn's disease of large intestine with abscess"}, {"role": "assistant", "content": "K50.114 — Crohn's disease of large intestine 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": "Strain of other specified muscles and tendons at ankle and foot level, unspecified foot, subsequent encounter"}, {"role": "assistant", "content": "S96.819D — Strain of other specified muscles and tendons at ankle and foot level, 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": "Exposure to other man-made environmental factors, sequela"}, {"role": "assistant", "content": "W99.XXXS — Exposure to other man-made environmental factors, sequela"}]}
{"messages": [{"role": "system", "content": "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 left wrist, initial encounter for closed fracture"}, {"role": "assistant", "content": "S62.025A — Nondisplaced fracture of middle third of navicular [scaphoid] bone of 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": "Epidural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter"}, {"role": "assistant", "content": "S06.4X9D — Epidural 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": "Juvenile osteochondrosis of spine, multiple sites in spine"}, {"role": "assistant", "content": "M42.09 — Juvenile 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 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": "S72.461N — Displaced 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": "Asphyxiation due to being trapped in bed linens, accidental, initial encounter"}, {"role": "assistant", "content": "T71.131A — Asphyxiation due to being trapped in bed linens, 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": "Legal intervention involving manhandling, law enforcement official injured, subsequent encounter"}, {"role": "assistant", "content": "Y35.811D — Legal intervention involving manhandling, 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": "Papyraceous fetus, unspecified trimester, fetus 1"}, {"role": "assistant", "content": "O31.00X1 — Papyraceous fetus, 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": "Paving stone degeneration of retina, unspecified eye"}, {"role": "assistant", "content": "H35.439 — Paving stone degeneration of retina, 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 subluxation of right thumb, sequela"}, {"role": "assistant", "content": "S63.101S — Unspecified subluxation 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": "Longitudinal vaginal septum, obstructing, right side"}, {"role": "assistant", "content": "Q52.121 — Longitudinal vaginal septum, obstructing, 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": "Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter"}, {"role": "assistant", "content": "S06.9X7A — Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury 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": "Displaced fracture of medial cuneiform of unspecified foot, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.243D — Displaced fracture of medial cuneiform 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": "Unspecified injury of blood vessel of right ring finger, initial encounter"}, {"role": "assistant", "content": "S65.504A — Unspecified injury of blood vessel 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": "Laceration of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, sequela"}, {"role": "assistant", "content": "S56.321S — Laceration of extensor or abductor muscles, fascia and tendons of right 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": "Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.464E — Nondisplaced supracondylar fracture with intracondylar extension 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": "Toxic effect of venom of other venomous lizard, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T63.122A — Toxic effect of venom of other venomous lizard, 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": "Poisoning by drugs affecting uric acid metabolism, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T50.4X1A — Poisoning by drugs affecting uric acid metabolism, 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 dorsal vein of left foot, subsequent encounter"}, {"role": "assistant", "content": "S95.202D — Unspecified injury of dorsal vein 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": "Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, subsequent encounter"}, {"role": "assistant", "content": "S06.34AD — Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, subsequent encounter"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S59.239S — Salter-Harris Type III 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": "Pedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V15.0XXD — Pedal cycle 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": "Corrosion of third degree of left lower leg, initial encounter"}, {"role": "assistant", "content": "T24.732A — Corrosion 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": "Laceration without foreign body of unspecified upper arm, initial encounter"}, {"role": "assistant", "content": "S41.119A — Laceration without foreign body 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": "Prostatodynia syndrome"}, {"role": "assistant", "content": "N42.81 — Prostatodynia 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": "Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, initial encounter"}, {"role": "assistant", "content": "S96.092A — Other injury of muscle and tendon of long flexor muscle of toe 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": "Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.445J — Nondisplaced spiral fracture of shaft of left 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": "Person on outside of pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V56.2XXD — Person on outside of pick-up truck or van 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": "Chronic lacrimal mucocele of bilateral lacrimal passages"}, {"role": "assistant", "content": "H04.433 — Chronic lacrimal mucocele of bilateral lacrimal passages"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Triplet pregnancy with two or more monochorionic fetuses, first trimester"}, {"role": "assistant", "content": "O30.111 — Triplet pregnancy with two or more monochorionic 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": "Other traumatic displaced spondylolisthesis of second cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.150D — Other traumatic displaced spondylolisthesis 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": "Other foreign object in trachea causing other injury, initial encounter"}, {"role": "assistant", "content": "T17.498A — Other foreign object in trachea 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 with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.621D — Laceration with foreign body of abdominal wall, left 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": "Nondisplaced fracture of distal phalanx of unspecified great toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.426G — Nondisplaced fracture of distal phalanx 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": "Nondisplaced fracture of body of left calcaneus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.015D — Nondisplaced fracture of body 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": "Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity, sequela"}, {"role": "assistant", "content": "S21.109S — Unspecified open wound 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": "Postthrombotic syndrome without complications of right lower extremity"}, {"role": "assistant", "content": "I87.001 — Postthrombotic syndrome without complications 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": "Infantile idiopathic scoliosis, sacral and sacrococcygeal region"}, {"role": "assistant", "content": "M41.08 — Infantile idiopathic scoliosis, 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": "Pathological fracture, unspecified ulna and radius, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.439D — Pathological fracture, unspecified ulna and radius, 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": "Blister (nonthermal) of right ring finger, initial encounter"}, {"role": "assistant", "content": "S60.424A — Blister (nonthermal) 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": "Encounter for fitting and adjustment of external right breast prosthesis"}, {"role": "assistant", "content": "Z44.31 — Encounter for fitting and adjustment of external right breast 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": "Fracture of unspecified carpal bone, right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.101K — Fracture of unspecified carpal bone, 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": "Malignant neoplasm of anus, unspecified"}, {"role": "assistant", "content": "C21.0 — Malignant neoplasm of anus, 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 dislocation, right wrist"}, {"role": "assistant", "content": "M24.431 — Recurrent dislocation, 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": "Corrosions involving 40-49% of body surface with 40-49% third degree corrosion"}, {"role": "assistant", "content": "T32.44 — Corrosions involving 40-49% 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": "Civilian aircraft involved in air transport accident with military aircraft, subsequent encounter"}, {"role": "assistant", "content": "V97.810D — Civilian aircraft involved in air transport accident with military aircraft, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, bilateral"}, {"role": "assistant", "content": "H93.293 — Other abnormal auditory perceptions, 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": "Nicotine dependence, other tobacco product, in remission"}, {"role": "assistant", "content": "F17.291 — Nicotine dependence, other tobacco product, 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": "Intraoperative hemorrhage and hematoma of ear and mastoid process complicating other procedure"}, {"role": "assistant", "content": "H95.22 — Intraoperative hemorrhage and hematoma of ear and mastoid process 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": "Food protein-induced enteropathy"}, {"role": "assistant", "content": "K52.22 — Food protein-induced enteropathy"}]}
{"messages": [{"role": "system", "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 coccidioidomycosis"}, {"role": "assistant", "content": "B38.7 — Disseminated 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": "Nondisplaced fracture of lateral condyle of unspecified tibia, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.126A — Nondisplaced fracture of lateral condyle 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": "Laceration with foreign body, right lower leg, sequela"}, {"role": "assistant", "content": "S81.821S — Laceration with foreign body, 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": "Torus fracture of upper end of left fibula, initial encounter for closed fracture"}, {"role": "assistant", "content": "S82.812A — Torus 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": "Puncture wound without foreign body of unspecified part of thorax, subsequent encounter"}, {"role": "assistant", "content": "S21.93XD — Puncture wound 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": "Scombroid fish poisoning, assault, sequela"}, {"role": "assistant", "content": "T61.13XS — Scombroid fish poisoning, 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": "Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5"}, {"role": "assistant", "content": "O41.1035 — Infection of amniotic sac and membranes, unspecified, 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": "Hang-glider fire injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V96.14XD — Hang-glider 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": "Puncture wound of abdominal wall without foreign body, right upper quadrant without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.130D — Puncture wound of abdominal wall without foreign body, right 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": "War operations involving other firearms discharge, military personnel, sequela"}, {"role": "assistant", "content": "Y36.430S — War operations involving other firearms discharge, 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": "Adverse effect of salicylates, subsequent encounter"}, {"role": "assistant", "content": "T39.095D — Adverse effect of salicylates, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 left elbow"}, {"role": "assistant", "content": "M05.822 — Other rheumatoid arthritis with rheumatoid factor of 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": "Displaced fracture of lateral condyle of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.123Q — Displaced fracture of lateral condyle 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": "Obstructed labor due to compound presentation, fetus 5"}, {"role": "assistant", "content": "O64.5XX5 — Obstructed labor due to compound presentation, 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": "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, other fetus"}, {"role": "assistant", "content": "O31.22X9 — Continuing pregnancy after intrauterine death of one fetus or more, 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": "Absent bowel sounds"}, {"role": "assistant", "content": "R19.11 — Absent bowel sounds"}]}
{"messages": [{"role": "system", "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 posterior wall of globe, bilateral"}, {"role": "assistant", "content": "H44.743 — Retained (nonmagnetic) (old) foreign body in posterior wall 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": "Chronic congestive splenomegaly"}, {"role": "assistant", "content": "D73.2 — Chronic congestive splenomegaly"}]}
{"messages": [{"role": "system", "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 palm, sequela"}, {"role": "assistant", "content": "T23.059S — Burn of unspecified 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": "Person injured in collision between other specified motor vehicle, nontraffic, sequela"}, {"role": "assistant", "content": "V88.7XXS — Person injured in collision between other specified motor vehicle, 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": "Displaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.132N — Displaced fracture of medial condyle 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": "Displaced fracture of distal phalanx of right ring finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.634K — Displaced fracture of distal phalanx of right 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": "Displaced oblique fracture of shaft of right radius, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.331A — Displaced oblique 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": "Rheumatoid vasculitis with rheumatoid arthritis of unspecified elbow"}, {"role": "assistant", "content": "M05.229 — Rheumatoid vasculitis with rheumatoid arthritis of 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": "Open bite of unspecified shoulder, subsequent encounter"}, {"role": "assistant", "content": "S41.059D — Open bite 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": "Hemarthrosis, right shoulder"}, {"role": "assistant", "content": "M25.011 — Hemarthrosis, 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": "Newborn affected by maternal noxious substance, unspecified"}, {"role": "assistant", "content": "P04.9 — Newborn affected by maternal noxious substance, 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 right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.251R — Displaced comminuted 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": "Underdosing of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter"}, {"role": "assistant", "content": "T44.3X6A — Underdosing of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "8 weeks gestation of pregnancy"}, {"role": "assistant", "content": "Z3A.08 — 8 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": "Nondisplaced fracture of anterior column [iliopubic] of left acetabulum, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.435K — Nondisplaced fracture of anterior column [iliopubic] 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": "Passenger on bus injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V75.6XXD — Passenger on bus 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": "Pure motor lacunar syndrome"}, {"role": "assistant", "content": "G46.5 — Pure motor lacunar 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": "Diseases of the respiratory system complicating pregnancy, third trimester"}, {"role": "assistant", "content": "O99.513 — Diseases of the respiratory 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": "Displaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.132M — Displaced fracture of medial condyle of left 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": "Encounter for initial prescription of intrauterine contraceptive device"}, {"role": "assistant", "content": "Z30.014 — Encounter for initial prescription of intrauterine 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": "Benign carcinoid tumor of the appendix"}, {"role": "assistant", "content": "D3A.020 — Benign carcinoid tumor of the 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": "Swimming-pool of nursing home as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.125 — Swimming-pool 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": "Bent bone of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.283M — Bent bone of unspecified 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": "Laceration without foreign body of unspecified toe(s) with damage to nail, sequela"}, {"role": "assistant", "content": "S91.219S — Laceration without foreign body of unspecified 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": "Unspecified fracture of upper end of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.009H — Unspecified fracture of upper 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": "Other sprain of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S63.699D — Other sprain 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": "Displaced fracture of lesser trochanter of right femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.121D — Displaced fracture of lesser trochanter 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": "Unspecified fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.201Q — Unspecified 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": "Other specified fracture of unspecified ischium, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S32.699K — Other specified fracture of unspecified ischium, 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 of right quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.121S — Laceration of right 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": "Contusion of right hip, sequela"}, {"role": "assistant", "content": "S70.01XS — Contusion of 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": "Struck by other fish, initial encounter"}, {"role": "assistant", "content": "W56.52XA — Struck by 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": "Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.023G — Displaced fracture of epiphysis (separation) (upper) 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": "Toxic effect of other mycotoxin food contaminants, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T64.81XD — Toxic effect of other mycotoxin food contaminants, 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": "Corrosion of unspecified degree of unspecified toe(s) (nail), subsequent encounter"}, {"role": "assistant", "content": "T25.439D — Corrosion 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": "Burn of third degree of multiple sites of unspecified lower limb, except ankle and foot, sequela"}, {"role": "assistant", "content": "T24.399S — Burn of third 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": "Car driver injured in collision with sport utility vehicle in nontraffic accident, sequela"}, {"role": "assistant", "content": "V43.01XS — Car driver injured in collision with sport utility 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 ambulatory health services establishments as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.538 — Other ambulatory health services establishments 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": "Superficial foreign body, left lower leg, sequela"}, {"role": "assistant", "content": "S80.852S — Superficial foreign body, 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": "Toxic effect of chlorine gas, assault, sequela"}, {"role": "assistant", "content": "T59.4X3S — Toxic effect of chlorine gas, 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": "Problem related to care provider dependency, unspecified"}, {"role": "assistant", "content": "Z74.9 — Problem related to care provider dependency, 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 injury due to other accident on board passenger ship, initial encounter"}, {"role": "assistant", "content": "V93.81XA — Other injury due to other accident 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": "Spontaneous rupture of other tendons, left shoulder"}, {"role": "assistant", "content": "M66.812 — Spontaneous rupture of other tendons, 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 fracture of unspecified femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.8X9A — Other fracture 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 traumatic nondisplaced spondylolisthesis of third cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.231D — Unspecified traumatic nondisplaced 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": "Displaced segmental fracture of shaft of ulna, left arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.262A — Displaced segmental 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": "Car passenger injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V44.6XXS — Car passenger 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": "Other fracture of third thoracic vertebra, sequela"}, {"role": "assistant", "content": "S22.038S — Other 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": "Aphagia"}, {"role": "assistant", "content": "R13.0 — Aphagia"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "T44.3X6S — Underdosing of other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, sequela"}]}
{"messages": [{"role": "system", "content": "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 pleura, sequela"}, {"role": "assistant", "content": "S27.60XS — Unspecified injury of pleura, sequela"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S72.21XS — Displaced subtrochanteric fracture 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": "Other hypoglycemia"}, {"role": "assistant", "content": "E16.1 — Other hypoglycemia"}]}
{"messages": [{"role": "system", "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 unspecified wrist, sequela"}, {"role": "assistant", "content": "S63.529S — Sprain of radiocarpal joint 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": "Wedge compression fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S22.050D — Wedge compression 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": "Fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S42.102D — Fracture of unspecified part 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": "Laceration of other blood vessels at wrist and hand level of unspecified arm, sequela"}, {"role": "assistant", "content": "S65.819S — Laceration of other blood vessels at wrist and hand level of 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": "Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M80.061P — Age-related osteoporosis with current pathological fracture, right 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": "Electric (assisted) bicycle passenger injured in collision with pedestrian or animal in traffic accident, sequela"}, {"role": "assistant", "content": "V20.51XS — Electric (assisted) bicycle 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": "Bent bone of left radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.382K — Bent bone 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": "Other venous complications following failed attempted termination of pregnancy"}, {"role": "assistant", "content": "O07.35 — Other venous complications 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": "Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.442P — Displaced fracture (avulsion) of medial epicondyle 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": "Superficial frostbite of unspecified sites, sequela"}, {"role": "assistant", "content": "T33.90XS — Superficial frostbite of unspecified sites, sequela"}]}
{"messages": [{"role": "system", "content": "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 left ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.192S — Other subluxation of left 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 fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.392Q — Other 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": "Human metapneumovirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.81 — Human metapneumovirus 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": "Unspecified superficial injury of other finger, initial encounter"}, {"role": "assistant", "content": "S60.948A — Unspecified superficial injury 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": "Reye's syndrome"}, {"role": "assistant", "content": "G93.7 — Reye'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": "Moderate hypoxic ischemic encephalopathy [HIE]"}, {"role": "assistant", "content": "P91.62 — Moderate hypoxic ischemic encephalopathy [HIE]"}]}
{"messages": [{"role": "system", "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, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T45.8X2A — Poisoning by other primarily systemic and hematological agents, 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 right thumb, subsequent encounter"}, {"role": "assistant", "content": "S67.01XD — Crushing injury 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": "Nondisplaced fracture of neck of right talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.114D — Nondisplaced 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": "Person on outside of bus injured in collision with car, pick-up truck or van in nontraffic accident, sequela"}, {"role": "assistant", "content": "V73.2XXS — Person on outside of bus 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": "Displaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.317P — Displaced fracture of base 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": "Displaced fracture of triquetrum [cuneiform] bone, left wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.112G — Displaced fracture of triquetrum [cuneiform] bone, 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": "Pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V12.5XXD — Pedal cycle passenger 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": "Superficial foreign body of unspecified ear, initial encounter"}, {"role": "assistant", "content": "S00.459A — Superficial foreign body 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": "Other specified arthritis, right knee"}, {"role": "assistant", "content": "M13.861 — Other specified 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": "Hemarthrosis, unspecified hand"}, {"role": "assistant", "content": "M25.049 — Hemarthrosis, 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": "Unspecified subluxation of left toe(s), initial encounter"}, {"role": "assistant", "content": "S93.102A — Unspecified subluxation 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": "Nondisplaced fracture of coronoid process of left ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.045A — Nondisplaced fracture of coronoid process 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": "Salter-Harris Type I physeal fracture of upper end of right tibia, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.011D — Salter-Harris Type I physeal fracture of upper end of right 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": "Puncture wound without foreign body of unspecified toe(s) with damage to nail, initial encounter"}, {"role": "assistant", "content": "S91.239A — Puncture wound without foreign body of unspecified 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": "Family history of other specified eye disorder"}, {"role": "assistant", "content": "Z83.518 — Family history of other specified eye 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 occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V59.69XD — Unspecified occupant of pick-up truck or van injured in collision with other 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": "Calcific tendinitis, right hand"}, {"role": "assistant", "content": "M65.241 — Calcific tendinitis, 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": "Unspecified superficial injury of unspecified finger, subsequent encounter"}, {"role": "assistant", "content": "S60.949D — Unspecified superficial injury 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": "Displaced fracture of medial wall of right acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.471A — Displaced fracture of medial 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": "Lens-induced iridocyclitis, unspecified eye"}, {"role": "assistant", "content": "H20.20 — Lens-induced iridocyclitis, 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 occupant of three-wheeled motor vehicle injured in collision with pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V31.3XXA — Unspecified occupant of three-wheeled motor vehicle 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": "Personal history of adult intimate partner abuse"}, {"role": "assistant", "content": "Z91.414 — Personal history of adult intimate partner 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": "Problem related to housing and economic circumstances, unspecified"}, {"role": "assistant", "content": "Z59.9 — Problem related to housing and economic circumstances, 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": "Extremely low birth weight newborn, 750-999 grams"}, {"role": "assistant", "content": "P07.03 — Extremely low birth weight newborn, 750-999 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": "Poisoning by aminoglycosides, intentional self-harm, sequela"}, {"role": "assistant", "content": "T36.5X2S — Poisoning by aminoglycosides, 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 third degree of single right finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.721A — Corrosion 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": "Unspecified open wound of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.101A — Unspecified open wound 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": "Laceration of flexor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.127D — Laceration of flexor muscle, fascia and tendon of right little 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": "Other enthesopathy of right foot and ankle"}, {"role": "assistant", "content": "M77.51 — Other enthesopathy of right foot and 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 dementia, unspecified severity, with other behavioral disturbance"}, {"role": "assistant", "content": "F03.918 — Unspecified dementia, unspecified severity, 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 neck of other metacarpal bone, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.368D — Nondisplaced fracture of neck of other metacarpal bone, 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 unspecified agents primarily affecting the cardiovascular system, assault, subsequent encounter"}, {"role": "assistant", "content": "T46.903D — Poisoning by unspecified agents primarily affecting the cardiovascular system, 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": "Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter"}, {"role": "assistant", "content": "S31.653A — Open bite 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": "Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter"}, {"role": "assistant", "content": "S46.921A — Laceration of unspecified muscle, fascia and tendon 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": "Toxic effect of unspecified substance, undetermined, sequela"}, {"role": "assistant", "content": "T65.94XS — Toxic effect of unspecified substance, 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": "Sprain of interphalangeal joint of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S63.633D — Sprain of 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": "Multiple perpetrators of maltreatment and neglect"}, {"role": "assistant", "content": "Y07.6 — Multiple perpetrators 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": "Burn of unspecified degree of unspecified scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.069D — Burn of unspecified degree of unspecified 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": "Corrosion of unspecified degree of multiple sites of unspecified ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T25.499D — Corrosion of unspecified 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": "Commercial fixed-wing aircraft explosion injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.35XD — Commercial fixed-wing aircraft 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": "Displaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.361A — Displaced segmental 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": "Salter-Harris Type III physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.239P — Salter-Harris Type III 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": "Displaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.351H — Displaced comminuted fracture of shaft 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": "Aneurysm of the aortic arch, without rupture"}, {"role": "assistant", "content": "I71.22 — Aneurysm of the aortic arch, 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": "Driver of ambulance or fire engine injured in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V86.51XD — Driver 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": "Hb-SS disease with cerebral vascular involvement"}, {"role": "assistant", "content": "D57.03 — Hb-SS disease with cerebral vascular 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 specified injury of femoral artery, left leg, sequela"}, {"role": "assistant", "content": "S75.092S — Other specified injury 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": "Neoplasm of uncertain behavior of unspecified testis"}, {"role": "assistant", "content": "D40.10 — Neoplasm of uncertain behavior of unspecified 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": "Rheumatic mitral stenosis with insufficiency"}, {"role": "assistant", "content": "I05.2 — Rheumatic mitral stenosis with 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": "Person boarding or alighting a car injured in collision with pedal cycle, subsequent encounter"}, {"role": "assistant", "content": "V41.4XXD — Person boarding or alighting a car injured in collision with pedal cycle, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.034B — Nondisplaced fracture of olecranon process with intraarticular extension 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": "Unspecified injury of pelvis, initial encounter"}, {"role": "assistant", "content": "S39.93XA — Unspecified injury of 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": "Unspecified fracture of right ischium, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.601G — Unspecified 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": "Driver of special construction vehicle injured in traffic accident, sequela"}, {"role": "assistant", "content": "V85.0XXS — Driver 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": "Nondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.446Q — Nondisplaced spiral fracture of shaft of unspecified 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": "Other superficial bite of right shoulder, sequela"}, {"role": "assistant", "content": "S40.271S — Other superficial bite 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": "Other forms of scoliosis, thoracolumbar region"}, {"role": "assistant", "content": "M41.85 — Other forms of scoliosis, 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 shoulder and upper arm level, left arm, initial encounter"}, {"role": "assistant", "content": "S44.92XA — Injury of unspecified nerve 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": "Superficial foreign body of oral cavity, sequela"}, {"role": "assistant", "content": "S00.552S — Superficial foreign body of oral 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": "Corrosion of third degree of right palm, subsequent encounter"}, {"role": "assistant", "content": "T23.751D — Corrosion of third degree of right 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": "Contusion of right knee, sequela"}, {"role": "assistant", "content": "S80.01XS — Contusion 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": "Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter"}, {"role": "assistant", "content": "S46.001D — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff 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": "Struck by other nonvenomous reptiles, sequela"}, {"role": "assistant", "content": "W59.82XS — Struck by other nonvenomous reptiles, sequela"}]}
{"messages": [{"role": "system", "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 wrist"}, {"role": "assistant", "content": "M06.232 — Rheumatoid bursitis, 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": "Idiopathic urticaria"}, {"role": "assistant", "content": "L50.1 — Idiopathic 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": "Toxic effect of cyanides, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T65.0X2D — Toxic effect of cyanides, 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": "Corrosion of second degree of left thigh, subsequent encounter"}, {"role": "assistant", "content": "T24.612D — Corrosion of second degree 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": "Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester"}, {"role": "assistant", "content": "O24.013 — Pre-existing type 1 diabetes mellitus, 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": "Accidental puncture and laceration of unspecified eye and adnexa during other procedure"}, {"role": "assistant", "content": "H59.229 — Accidental puncture and laceration of unspecified eye and adnexa 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": "Oligohydramnios, unspecified trimester, other fetus"}, {"role": "assistant", "content": "O41.00X9 — Oligohydramnios, 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": "Suicide attempt, subsequent encounter"}, {"role": "assistant", "content": "T14.91XD — Suicide attempt, subsequent encounter"}]}
{"messages": [{"role": "system", "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 lip, subsequent encounter"}, {"role": "assistant", "content": "S01.511D — Laceration without foreign body 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": "Injury of other nerves at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S74.8X1S — Injury of other nerves 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": "Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S99.142K — Salter-Harris Type IV physeal fracture of left 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": "Fat embolism (traumatic), initial encounter"}, {"role": "assistant", "content": "T79.1XXA — Fat embolism (traumatic), initial encounter"}]}
{"messages": [{"role": "system", "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 eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S00.242D — External constriction 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": "Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.64XH — Nondisplaced fracture of lateral malleolus 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": "Poisoning by selective serotonin and norepinephrine reuptake inhibitors, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T43.211A — Poisoning by selective serotonin and norepinephrine reuptake inhibitors, 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": "Toxic effect of other pesticides, undetermined, sequela"}, {"role": "assistant", "content": "T60.8X4S — Toxic effect of other pesticides, 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": "Strain of other flexor muscle, fascia and tendon at forearm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S56.211D — Strain of other flexor muscle, fascia and tendon 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": "Myogenic ptosis of right eyelid"}, {"role": "assistant", "content": "H02.421 — Myogenic ptosis of right 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 soaps, assault, sequela"}, {"role": "assistant", "content": "T55.0X3S — Toxic effect of soaps, 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 neoplastic disease, unspecified tibia and fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.569G — Pathological fracture in neoplastic disease, unspecified tibia and 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": "Major laceration of left pulmonary blood vessels, initial encounter"}, {"role": "assistant", "content": "S25.422A — Major laceration of left 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": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter"}, {"role": "assistant", "content": "S06.339A — Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter"}]}
{"messages": [{"role": "system", "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 routine healing"}, {"role": "assistant", "content": "S52.279E — Monteggia's fracture 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 right shoulder, sequela"}, {"role": "assistant", "content": "S41.041S — Puncture wound with foreign body 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": "Displaced oblique fracture of shaft of right radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.331H — Displaced oblique 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": "Other specified disorders of middle ear and mastoid in diseases classified elsewhere, unspecified ear"}, {"role": "assistant", "content": "H75.80 — Other specified disorders of middle ear and mastoid in diseases classified elsewhere, 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 fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.54XM — Nondisplaced fracture of medial malleolus 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": "Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S92.405G — Nondisplaced unspecified fracture of left 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": "Torus fracture of upper end of unspecified ulna, sequela"}, {"role": "assistant", "content": "S52.019S — Torus fracture of upper end 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": "Rhabdomyolysis"}, {"role": "assistant", "content": "M62.82 — Rhabdomyolysis"}]}
{"messages": [{"role": "system", "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 organic solvent, assault, subsequent encounter"}, {"role": "assistant", "content": "T52.93XD — Toxic effect of unspecified organic solvent, 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": "Fatigue fracture of vertebra, occipito-atlanto-axial region, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M48.41XG — Fatigue fracture of vertebra, occipito-atlanto-axial 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": "Congenital malformation of cardiac chambers and connections, unspecified"}, {"role": "assistant", "content": "Q20.9 — Congenital malformation of cardiac chambers and connections, 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 bony thorax, part unspecified, initial encounter for closed fracture"}, {"role": "assistant", "content": "S22.9XXA — Fracture of bony thorax, part unspecified, 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": "Stress fracture, left finger(s), subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.345D — Stress fracture, left 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": "Maternal care for disproportion due to other fetal deformities, fetus 5"}, {"role": "assistant", "content": "O33.7XX5 — Maternal care for disproportion due to other fetal deformities, 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": "Laceration of superficial palmar arch of unspecified hand, initial encounter"}, {"role": "assistant", "content": "S65.219A — Laceration of superficial 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": "Encounter for fitting and adjustment of unspecified right artificial arm"}, {"role": "assistant", "content": "Z44.001 — Encounter for fitting and adjustment of unspecified right artificial 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 hemorrhoids"}, {"role": "assistant", "content": "K64.9 — Unspecified hemorrhoids"}]}
{"messages": [{"role": "system", "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 salicylates, intentional self-harm, sequela"}, {"role": "assistant", "content": "T39.092S — Poisoning by salicylates, 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": "Moderate vaginal dysplasia"}, {"role": "assistant", "content": "N89.1 — Moderate vaginal 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": "Other forms of dyspnea"}, {"role": "assistant", "content": "R06.09 — Other forms of dyspnea"}]}
{"messages": [{"role": "system", "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 I"}, {"role": "assistant", "content": "K08.101 — Complete loss of teeth, unspecified cause, 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": "Unspecified pre-existing diabetes mellitus in pregnancy, third trimester"}, {"role": "assistant", "content": "O24.313 — Unspecified pre-existing diabetes mellitus 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": "Other contact with pig, subsequent encounter"}, {"role": "assistant", "content": "W55.49XD — Other contact with pig, subsequent encounter"}]}
{"messages": [{"role": "system", "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 other specified urinary organs"}, {"role": "assistant", "content": "D41.8 — Neoplasm of uncertain behavior of other specified 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": "Maternal care for other specified fetal problems, second trimester, fetus 5"}, {"role": "assistant", "content": "O36.8925 — Maternal care for other specified fetal problems, 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": "Laceration of unspecified blood vessel at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S75.911S — Laceration of unspecified blood vessel 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": "Corrosion of third degree of left knee, sequela"}, {"role": "assistant", "content": "T24.722S — Corrosion of third 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": "Unspecified nondisplaced fracture of third cervical vertebra, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S12.201G — Unspecified nondisplaced fracture 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": "Jumping or diving into natural body of water striking water surface causing drowning and submersion, initial encounter"}, {"role": "assistant", "content": "W16.611A — Jumping or diving into natural body of water 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": "Oral mucositis (ulcerative) due to radiation"}, {"role": "assistant", "content": "K12.33 — Oral mucositis (ulcerative) 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": "Puncture wound with foreign body of right buttock, subsequent encounter"}, {"role": "assistant", "content": "S31.814D — Puncture wound with foreign body of right 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": "Non-pressure chronic ulcer of other part of right foot with unspecified severity"}, {"role": "assistant", "content": "L97.519 — Non-pressure chronic ulcer of other part of right foot 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": "Poisoning by other synthetic narcotics, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T40.491S — Poisoning by other synthetic narcotics, 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 oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.235G — Nondisplaced 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": "Unspecified superficial injury of left middle finger, subsequent encounter"}, {"role": "assistant", "content": "S60.943D — Unspecified superficial injury 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": "Other fracture of unspecified foot, sequela"}, {"role": "assistant", "content": "S92.819S — Other fracture 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 injury of unspecified intra-abdominal organ, sequela"}, {"role": "assistant", "content": "S36.99XS — Other injury of unspecified intra-abdominal 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": "Laceration of unspecified intra-abdominal organ, initial encounter"}, {"role": "assistant", "content": "S36.93XA — Laceration of unspecified intra-abdominal 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": "Psychophysical visual disturbances"}, {"role": "assistant", "content": "H53.16 — Psychophysical visual disturbances"}]}
{"messages": [{"role": "system", "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, left leg, subsequent encounter"}, {"role": "assistant", "content": "S85.912D — Laceration of unspecified blood vessel 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": "Congenital pneumonia due to Pseudomonas"}, {"role": "assistant", "content": "P23.5 — Congenital 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": "Salter-Harris Type II physeal fracture of lower end of ulna, right arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.021K — Salter-Harris Type II 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": "Other fracture of left talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.192K — Other 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": "Postprocedural hematoma of right eye and adnexa following other procedure"}, {"role": "assistant", "content": "H59.341 — Postprocedural hematoma of right eye and adnexa 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": "Person boarding or alighting other motorcycle injured in collision with other nonmotor vehicle, sequela"}, {"role": "assistant", "content": "V26.39XS — Person boarding or alighting other motorcycle injured in collision with other nonmotor 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": "Chronic embolism and thrombosis of right iliac vein"}, {"role": "assistant", "content": "I82.521 — Chronic embolism and thrombosis of right 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": "Other mechanical complication of surgically created arteriovenous shunt, sequela"}, {"role": "assistant", "content": "T82.591S — Other mechanical complication of surgically created arteriovenous 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 with foreign body of left middle finger with damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.343A — Puncture wound 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": "Progressive multifocal leukoencephalopathy"}, {"role": "assistant", "content": "A81.2 — Progressive multifocal leukoencephalopathy"}]}
{"messages": [{"role": "system", "content": "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 elbow"}, {"role": "assistant", "content": "M24.129 — Other articular cartilage disorders, 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": "Other superficial bite, left lower leg, sequela"}, {"role": "assistant", "content": "S80.872S — Other superficial bite, 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": "Contact with unspecified sharp object, undetermined intent, subsequent encounter"}, {"role": "assistant", "content": "Y28.9XXD — Contact with unspecified sharp object, 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": "Cicatricial lagophthalmos right eye, upper and lower eyelids"}, {"role": "assistant", "content": "H02.21A — Cicatricial 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": "Nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.65XQ — Nondisplaced fracture of lateral malleolus 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": "Pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V05.12XD — Pedestrian on skateboard 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 bursitis of elbow, unspecified elbow"}, {"role": "assistant", "content": "M70.30 — Other bursitis of elbow, 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": "Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx"}, {"role": "assistant", "content": "Z85.819 — Personal history of malignant neoplasm of unspecified site 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": "Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S42.413K — Displaced simple supracondylar fracture without intercondylar 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 specified injury of vein at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S55.299D — Other specified injury of vein 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": "Poisoning by unspecified general anesthetics, assault, sequela"}, {"role": "assistant", "content": "T41.203S — Poisoning by unspecified general 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": "Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of axilla and upper limb"}, {"role": "assistant", "content": "C83.94 — Non-follicular (diffuse) 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": "Juvenile rheumatoid polyarthritis (seronegative)"}, {"role": "assistant", "content": "M08.3 — Juvenile rheumatoid polyarthritis (seronegative)"}]}
{"messages": [{"role": "system", "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 cornea, unspecified eye, subsequent encounter"}, {"role": "assistant", "content": "T15.00XD — Foreign body in cornea, 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": "Injury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm, initial encounter"}, {"role": "assistant", "content": "S44.50XA — Injury of cutaneous sensory nerve 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": "Attempted application of vacuum extractor and forceps"}, {"role": "assistant", "content": "O66.5 — Attempted application of vacuum extractor and forceps"}]}
{"messages": [{"role": "system", "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 upper arm"}, {"role": "assistant", "content": "M67.221 — Synovial hypertrophy, not elsewhere classified, 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": "Posterior subluxation of proximal end of tibia, right knee, subsequent encounter"}, {"role": "assistant", "content": "S83.121D — Posterior subluxation of proximal end of tibia, 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": "Cyclical vomiting, in migraine, not intractable"}, {"role": "assistant", "content": "G43.A0 — Cyclical vomiting, in migraine, 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": "Person on outside of car injured in noncollision transport accident in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V48.7XXD — Person on outside of car 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": "Person on outside of car injured in collision with van in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V43.24XA — Person on outside of car injured in collision with 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": "Complete traumatic amputation of left breast, subsequent encounter"}, {"role": "assistant", "content": "S28.212D — Complete traumatic amputation of left 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": "Partial traumatic metacarpophalangeal amputation of right middle finger, initial encounter"}, {"role": "assistant", "content": "S68.122A — Partial traumatic metacarpophalangeal amputation 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": "Pathological fracture in other disease, pelvis, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.650P — Pathological fracture in other disease, 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": "Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T42.8X1A — Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, 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": "Benign lipomatous neoplasm of spermatic cord"}, {"role": "assistant", "content": "D17.6 — Benign lipomatous neoplasm of spermatic 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": "Subluxation of tarsometatarsal joint of right foot, sequela"}, {"role": "assistant", "content": "S93.321S — Subluxation of tarsometatarsal joint 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": "Dislocation of proximal interphalangeal joint of other finger, subsequent encounter"}, {"role": "assistant", "content": "S63.288D — Dislocation of proximal interphalangeal joint 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": "Unspecified fracture of lower end of left femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.402G — Unspecified fracture of lower end 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 rheumatoid arthritis with rheumatoid factor of unspecified site"}, {"role": "assistant", "content": "M05.80 — Other rheumatoid arthritis with rheumatoid factor 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": "Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.051G — Age-related 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": "Contusion of other specified intrathoracic organs, initial encounter"}, {"role": "assistant", "content": "S27.892A — Contusion of other specified intrathoracic 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": "Other fracture of unspecified foot, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.819B — Other fracture of 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": "Cervical shortening, unspecified trimester"}, {"role": "assistant", "content": "O26.879 — Cervical shortening, 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": "Abuse of laxatives"}, {"role": "assistant", "content": "F55.2 — Abuse of laxatives"}]}
{"messages": [{"role": "system", "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 ice hockey stick, initial encounter"}, {"role": "assistant", "content": "W21.210A — Struck by ice hockey stick, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 innominate or subclavian vein, sequela"}, {"role": "assistant", "content": "S25.301S — Unspecified injury of right innominate or subclavian 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": "Heat exposure on board merchant ship, sequela"}, {"role": "assistant", "content": "V93.20XS — Heat exposure 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": "Food in respiratory tract, part unspecified causing other injury, initial encounter"}, {"role": "assistant", "content": "T17.928A — Food in respiratory tract, part unspecified 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": "Nondisplaced spiral fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.244D — Nondisplaced spiral fracture of shaft of ulna, right 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": "Delayed puberty"}, {"role": "assistant", "content": "E30.0 — Delayed puberty"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Lambdoid craniosynostosis, unspecified"}, {"role": "assistant", "content": "Q75.049 — Lambdoid craniosynostosis, 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": "Benign neoplasm of unspecified ovary"}, {"role": "assistant", "content": "D27.9 — Benign neoplasm of unspecified 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": "Flexion deformity, unspecified knee"}, {"role": "assistant", "content": "M21.269 — Flexion deformity, 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": "Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy"}, {"role": "assistant", "content": "E08.43 — Diabetes mellitus due to underlying condition with diabetic autonomic (poly)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": "Drowning and submersion while in swimming pool, undetermined intent, subsequent encounter"}, {"role": "assistant", "content": "Y21.2XXD — Drowning and submersion while in swimming pool, 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": "Displaced transverse fracture of shaft of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.222G — Displaced transverse 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": "Other specified complications of labor and delivery"}, {"role": "assistant", "content": "O75.89 — Other specified complications of 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": "Laceration of thoracic trachea, sequela"}, {"role": "assistant", "content": "S27.53XS — Laceration 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": "Pathological fracture in other disease, left femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M84.652D — Pathological fracture in other disease, 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": "Unspecified injury of femoral vein at hip and thigh level, right leg, initial encounter"}, {"role": "assistant", "content": "S75.101A — Unspecified injury of femoral 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": "Nondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.424H — Nondisplaced fracture of lateral 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": "Encounter for prophylactic antivenin"}, {"role": "assistant", "content": "Z29.12 — Encounter for prophylactic antivenin"}]}
{"messages": [{"role": "system", "content": "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 hip, subsequent encounter"}, {"role": "assistant", "content": "S79.812D — Other specified injuries 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": "Lead-induced chronic gout, unspecified hip, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.1591 — Lead-induced chronic gout, unspecified 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": "Anaphylactic reaction due to shellfish (crustaceans), sequela"}, {"role": "assistant", "content": "T78.02XS — Anaphylactic reaction due to shellfish (crustaceans), sequela"}]}
{"messages": [{"role": "system", "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 lacrimal canaliculitis of bilateral lacrimal passages"}, {"role": "assistant", "content": "H04.423 — Chronic lacrimal canaliculitis of bilateral lacrimal passages"}]}
{"messages": [{"role": "system", "content": "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, cervical region"}, {"role": "assistant", "content": "M47.22 — Other spondylosis with radiculopathy, 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 fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S72.445H — Nondisplaced fracture of lower epiphysis (separation) 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": "Complete traumatic amputation of unspecified foot, level unspecified, initial encounter"}, {"role": "assistant", "content": "S98.919A — Complete traumatic amputation of unspecified 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": "Malignant neoplasm of lower lobe, right bronchus or lung"}, {"role": "assistant", "content": "C34.31 — Malignant neoplasm of lower lobe, right 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": "Postprocedural seroma of unspecified eye and adnexa following an ophthalmic procedure"}, {"role": "assistant", "content": "H59.359 — Postprocedural seroma 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": "Maternal care for excessive fetal growth, second trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.62X0 — Maternal care for excessive fetal growth, 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": "Contact with nonvenomous toads, subsequent encounter"}, {"role": "assistant", "content": "W62.1XXD — Contact with nonvenomous toads, subsequent encounter"}]}
{"messages": [{"role": "system", "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, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S02.402K — Zygomatic fracture, 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": "Corrosion of first degree of right lower leg, subsequent encounter"}, {"role": "assistant", "content": "T24.531D — Corrosion of first 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": "Displaced transverse fracture of shaft of left radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.322M — Displaced transverse fracture of shaft 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": "Toxic effect of dichloromethane, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T53.4X1S — Toxic effect of dichloromethane, 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": "Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety"}, {"role": "assistant", "content": "F02.B0 — Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and 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 fracture of posterior process of right talus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.134P — Nondisplaced fracture of posterior process 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": "Nondisplaced spiral fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.244F — Nondisplaced spiral fracture of shaft of ulna, right 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": "Burn of right ear drum, sequela"}, {"role": "assistant", "content": "T28.411S — Burn of right ear drum, sequela"}]}
{"messages": [{"role": "system", "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, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T42.0X1S — Poisoning by hydantoin derivatives, 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 subluxation of right hip, subsequent encounter"}, {"role": "assistant", "content": "S73.001D — Unspecified 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": "KCNQ2-related epilepsy, intractable, with status epilepticus"}, {"role": "assistant", "content": "G40.843 — KCNQ2-related epilepsy, 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 fracture of right tibial tuberosity, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.154H — Nondisplaced fracture of right 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": "Helicopter collision injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.03XA — Helicopter 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": "Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter"}, {"role": "assistant", "content": "T84.050A — Periprosthetic osteolysis of internal prosthetic right 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": "Otitis media in diseases classified elsewhere, bilateral"}, {"role": "assistant", "content": "H67.3 — Otitis media in 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": "Other subluxation of unspecified knee, initial encounter"}, {"role": "assistant", "content": "S83.193A — Other subluxation 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": "Frostbite with tissue necrosis of right ankle, sequela"}, {"role": "assistant", "content": "T34.811S — Frostbite with tissue necrosis 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": "Dislocation of T8/T9 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.151S — Dislocation of T8/T9 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": "Posterior subluxation of left ulnohumeral joint, sequela"}, {"role": "assistant", "content": "S53.122S — Posterior subluxation of left 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 mechanical complication of carotid arterial graft (bypass), subsequent encounter"}, {"role": "assistant", "content": "T82.391D — Other mechanical complication of carotid arterial graft (bypass), subsequent encounter"}]}
{"messages": [{"role": "system", "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, unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "S76.829D — Laceration of other specified muscles, fascia and tendons at thigh level, 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": "Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T50.911S — Poisoning by multiple unspecified drugs, medicaments and biological 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": "Chronic kidney disease, stage 3 unspecified"}, {"role": "assistant", "content": "N18.30 — Chronic kidney disease, stage 3 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 iron and its compounds, undetermined, initial encounter"}, {"role": "assistant", "content": "T45.4X4A — Poisoning by iron 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": "Displaced fracture of body of right talus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.121D — Displaced fracture of body 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": "Corrosion of second degree of left upper arm, sequela"}, {"role": "assistant", "content": "T22.632S — Corrosion of second degree 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": "Mooren's corneal ulcer, bilateral"}, {"role": "assistant", "content": "H16.053 — Mooren's 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": "Abscess of bursa, right elbow"}, {"role": "assistant", "content": "M71.021 — Abscess of bursa, 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 specified injury of brachial artery, left side, initial encounter"}, {"role": "assistant", "content": "S45.192A — Other specified injury 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": "Incomplete lesion of L5 level of lumbar spinal cord, sequela"}, {"role": "assistant", "content": "S34.125S — Incomplete lesion of 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": "Unspecified viral hepatitis B without hepatic coma"}, {"role": "assistant", "content": "B19.10 — Unspecified viral hepatitis B without 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": "Instability of internal left knee prosthesis, sequela"}, {"role": "assistant", "content": "T84.023S — Instability of 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": "Burn of unspecified degree of back of left hand, initial encounter"}, {"role": "assistant", "content": "T23.062A — Burn of unspecified 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": "Muscle wasting and atrophy, not elsewhere classified, left upper arm"}, {"role": "assistant", "content": "M62.522 — Muscle wasting and atrophy, not elsewhere classified, 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": "Nondisplaced fracture of medial wall of right acetabulum, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.474A — Nondisplaced fracture of medial 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": "Displaced apophyseal fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.133M — Displaced apophyseal fracture 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": "Unspecified fracture of right forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.91XJ — Unspecified fracture of right forearm, 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": "Salter-Harris Type II physeal fracture of lower end of ulna, unspecified arm, initial encounter for closed fracture"}, {"role": "assistant", "content": "S59.029A — Salter-Harris Type II physeal fracture of lower end 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": "Unspecified rider of other motorcycle injured in collision with other motor vehicles in traffic accident, initial encounter"}, {"role": "assistant", "content": "V29.698A — Unspecified rider of other motorcycle 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": "Conjunctival hyperemia, unspecified eye"}, {"role": "assistant", "content": "H11.439 — Conjunctival hyperemia, 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 anterior process of left calcaneus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.025K — Nondisplaced fracture of anterior process 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": "Nondisplaced spiral fracture of shaft of radius, unspecified arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.346K — Nondisplaced spiral fracture of shaft of radius, 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": "Laceration of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.123A — Laceration 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": "Toxic effect of thallium, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T56.812D — Toxic effect of thallium, 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": "Low-tension glaucoma, unspecified eye, mild stage"}, {"role": "assistant", "content": "H40.1291 — Low-tension 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": "Poisoning by coronary vasodilators, accidental (unintentional), sequela"}, {"role": "assistant", "content": "T46.3X1S — Poisoning by coronary vasodilators, 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": "Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified"}, {"role": "assistant", "content": "O69.9XX0 — Labor and delivery complicated by cord complication, unspecified, 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 mechanical complication of implanted electronic neurostimulator of brain electrode (lead), sequela"}, {"role": "assistant", "content": "T85.190S — Other mechanical complication 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": "Fracture of unspecified phalanx of left middle finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.603B — Fracture of unspecified 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": "Legal intervention involving unspecified gas, law enforcement official injured, sequela"}, {"role": "assistant", "content": "Y35.201S — Legal intervention involving unspecified gas, law enforcement official 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": "Intracranial hypotension, spontaneous"}, {"role": "assistant", "content": "G96.811 — Intracranial hypotension, 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": "Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T46.992D — Poisoning by other agents primarily affecting the cardiovascular 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": "Nondisplaced trimalleolar fracture of left lower leg, sequela"}, {"role": "assistant", "content": "S82.855S — Nondisplaced trimalleolar fracture 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": "Minor laceration of body of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.241D — Minor laceration of body 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": "Cerebral infarction due to thrombosis of right posterior cerebral artery"}, {"role": "assistant", "content": "I63.331 — Cerebral infarction due to thrombosis of right 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": "Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes"}, {"role": "assistant", "content": "C77.5 — Secondary and unspecified malignant neoplasm of 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": "Syphilitic saddle nose"}, {"role": "assistant", "content": "A50.57 — Syphilitic saddle nose"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other platelet-activating anti-PF4 disorders"}, {"role": "assistant", "content": "D75.84 — Other platelet-activating anti-PF4 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": "Unspecified fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.401R — Unspecified fracture of shaft of right 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": "Person boarding or alighting other motorcycle injured in collision with car, pick-up truck or van, subsequent encounter"}, {"role": "assistant", "content": "V23.39XD — Person boarding or alighting other motorcycle injured in collision with car, pick-up truck or van, subsequent encounter"}]}
{"messages": [{"role": "system", "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 foot, subsequent encounter"}, {"role": "assistant", "content": "T33.829D — Superficial frostbite 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": "Encounter for examination of eyes and vision without abnormal findings"}, {"role": "assistant", "content": "Z01.00 — Encounter for examination of eyes and vision 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": "Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.109N — Unspecified fracture of upper end 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 left front wall of thorax, sequela"}, {"role": "assistant", "content": "S20.212S — Contusion 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": "Displaced avulsion fracture of unspecified ischium, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.613B — Displaced avulsion fracture of unspecified 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": "Pathological fracture in other disease, left ankle, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.672G — Pathological fracture in other disease, 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": "Hormone resistant malignancy status"}, {"role": "assistant", "content": "Z19.2 — Hormone resistant malignancy 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 comminuted fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.251G — Displaced comminuted fracture of shaft of ulna, 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": "Other nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S12.191D — Other nondisplaced 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": "Other fracture of lower end of left ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.692P — Other fracture of lower 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 fracture of lateral condyle of left humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.455A — Nondisplaced fracture of lateral 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": "Nondisplaced fracture of base of third metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.343B — Nondisplaced fracture of base of third 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": "Displaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.042G — Displaced 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": "Person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, sequela"}, {"role": "assistant", "content": "V54.7XXS — Person on outside of pick-up truck or van 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": "Malignant neoplasm of upper-inner quadrant of right male breast"}, {"role": "assistant", "content": "C50.221 — Malignant neoplasm of upper-inner quadrant of right 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": "Pathological fracture in other disease, unspecified site, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.60XK — Pathological fracture in other disease, unspecified site, 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": "Blepharophimosis right upper eyelid"}, {"role": "assistant", "content": "H02.521 — Blepharophimosis 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": "Unspecified open wound of unspecified finger without damage to nail, sequela"}, {"role": "assistant", "content": "S61.209S — Unspecified open wound of unspecified 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 specified diabetes mellitus with diabetic autonomic (poly)neuropathy"}, {"role": "assistant", "content": "E13.43 — Other specified diabetes mellitus with diabetic autonomic (poly)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": "Toxic effect of unspecified corrosive substance, assault, subsequent encounter"}, {"role": "assistant", "content": "T54.93XD — Toxic effect of unspecified corrosive substance, 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": "Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S49.129K — Salter-Harris Type II physeal fracture of lower end 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": "Displaced fracture of proximal phalanx of right great toe, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S92.411D — Displaced fracture of proximal 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": "Other mechanical complication of umbrella device, initial encounter"}, {"role": "assistant", "content": "T82.595A — Other mechanical complication of umbrella 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": "Poisoning by other hormones and synthetic substitutes, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T38.891A — Poisoning by other hormones and synthetic substitutes, 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 the lower end of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.509H — Unspecified fracture of the lower end 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": "Subluxation of unspecified parts of unspecified shoulder girdle, subsequent encounter"}, {"role": "assistant", "content": "S43.303D — Subluxation of unspecified parts of unspecified 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": "Posterior dislocation of unspecified sternoclavicular joint, subsequent encounter"}, {"role": "assistant", "content": "S43.226D — Posterior dislocation of unspecified 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": "Other injury of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.392D — Other injury of extensor or abductor muscles, fascia and tendons of left 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": "Juvenile osteochondrosis of hip and pelvis, unspecified, left leg"}, {"role": "assistant", "content": "M91.92 — Juvenile osteochondrosis of hip and pelvis, unspecified, 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": "Displaced supracondylar fracture without intracondylar extension of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.452M — Displaced supracondylar fracture without intracondylar extension 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": "2-part displaced fracture of surgical neck of left humerus, sequela"}, {"role": "assistant", "content": "S42.222S — 2-part displaced fracture of surgical neck 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": "Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S89.139K — Salter-Harris Type III 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": "Varus deformity, not elsewhere classified, unspecified site"}, {"role": "assistant", "content": "M21.10 — Varus deformity, not elsewhere classified, 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": "Contusion of other intra-abdominal organs, sequela"}, {"role": "assistant", "content": "S36.892S — Contusion of other intra-abdominal 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": "Acute follicular conjunctivitis, left eye"}, {"role": "assistant", "content": "H10.012 — Acute follicular conjunctivitis, 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 sprain of unspecified hip, sequela"}, {"role": "assistant", "content": "S73.109S — Unspecified sprain 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": "Terrorism involving other explosions and fragments, terrorist injured, subsequent encounter"}, {"role": "assistant", "content": "Y38.2X3D — Terrorism involving other explosions and fragments, 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": "Struck by horse, initial encounter"}, {"role": "assistant", "content": "W55.12XA — Struck by horse, initial encounter"}]}
{"messages": [{"role": "system", "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 multiple fingers (nail), including thumb, initial encounter"}, {"role": "assistant", "content": "T23.649A — Corrosion of second 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": "Underdosing of predominantly alpha-adrenoreceptor agonists, initial encounter"}, {"role": "assistant", "content": "T44.4X6A — Underdosing of predominantly alpha-adrenoreceptor agonists, initial encounter"}]}
{"messages": [{"role": "system", "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 knee"}, {"role": "assistant", "content": "M94.262 — Chondromalacia, 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": "Granuloma faciale [eosinophilic granuloma of skin]"}, {"role": "assistant", "content": "L92.2 — Granuloma faciale [eosinophilic granuloma 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": "Displaced transverse fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.223D — Displaced 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": "Unspecified enthesopathy, lower limb, excluding foot"}, {"role": "assistant", "content": "M76.9 — Unspecified enthesopathy, lower limb, excluding 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": "Major depressive disorder, single episode, moderate"}, {"role": "assistant", "content": "F32.1 — Major depressive disorder, single episode, 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": "Laceration with foreign body of unspecified forearm, subsequent encounter"}, {"role": "assistant", "content": "S51.829D — Laceration with 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": "Poisoning by anthelminthics, assault, subsequent encounter"}, {"role": "assistant", "content": "T37.4X3D — Poisoning by anthelminthics, 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": "Burn of second degree of multiple sites of unspecified wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T23.299D — Burn of second 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": "Burn of unspecified degree of left upper arm, initial encounter"}, {"role": "assistant", "content": "T22.032A — Burn of unspecified degree 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": "Malignant neoplasm of sublingual gland"}, {"role": "assistant", "content": "C08.1 — Malignant neoplasm of sublingual 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": "Other acute osteomyelitis, left shoulder"}, {"role": "assistant", "content": "M86.112 — Other acute osteomyelitis, 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 workbench tool, initial encounter"}, {"role": "assistant", "content": "W27.0XXA — Contact with workbench tool, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.243P — Displaced fracture of shaft of first metacarpal bone, 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": "Placentitis, third trimester, fetus 2"}, {"role": "assistant", "content": "O41.1432 — Placentitis, 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": "Osteitis deformans of unspecified ankle and foot"}, {"role": "assistant", "content": "M88.879 — Osteitis deformans of 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": "Puncture wound without foreign body of unspecified back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.239D — Puncture wound without 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": "Other physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S99.099P — Other 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": "Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S46.129D — Laceration of muscle, fascia and tendon of long head 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": "Unspecified fracture of third metacarpal bone, left hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.303B — Unspecified fracture of third 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": "Malignant neoplasm of rectosigmoid junction"}, {"role": "assistant", "content": "C19 — Malignant neoplasm of rectosigmoid junction"}]}
{"messages": [{"role": "system", "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 unspecified lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S93.516A — Sprain of interphalangeal joint of 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": "Blister (nonthermal), unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S70.229D — Blister (nonthermal), 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": "Toxic effect of aflatoxin, undetermined, initial encounter"}, {"role": "assistant", "content": "T64.04XA — Toxic effect of aflatoxin, 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": "Minor laceration of unspecified internal jugular vein, initial encounter"}, {"role": "assistant", "content": "S15.319A — Minor laceration of unspecified 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": "Sprain of other specified parts of right knee, sequela"}, {"role": "assistant", "content": "S83.8X1S — Sprain of other specified parts 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": "Superficial foreign body of left shoulder, subsequent encounter"}, {"role": "assistant", "content": "S40.252D — Superficial foreign body 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": "Displaced fracture of lunate [semilunar], right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.121K — Displaced fracture of lunate [semilunar], 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": "Adenovirus as the cause of diseases classified elsewhere"}, {"role": "assistant", "content": "B97.0 — Adenovirus 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": "Other specified hearing loss, bilateral"}, {"role": "assistant", "content": "H91.8X3 — Other specified 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": "Burn of second degree of right ear [any part, except ear drum], subsequent encounter"}, {"role": "assistant", "content": "T20.211D — Burn of second degree of right 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": "Other injury of adductor muscle, fascia and tendon of left thigh, initial encounter"}, {"role": "assistant", "content": "S76.292A — Other injury of adductor muscle, fascia and tendon 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": "Adverse effect of unspecified topical agent, initial encounter"}, {"role": "assistant", "content": "T49.95XA — Adverse effect of unspecified topical agent, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, other fetus"}, {"role": "assistant", "content": "O41.8X99 — Other specified disorders of amniotic fluid and membranes, 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": "Stenosis of other cardiac prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T82.857D — Stenosis of other 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": "Other fracture of shaft of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.392K — Other 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": "Nondisplaced transverse fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.035R — Nondisplaced transverse fracture of left patella, 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": "Granuloma of unspecified orbit"}, {"role": "assistant", "content": "H05.119 — Granuloma 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": "Laceration of deep palmar arch of right hand, subsequent encounter"}, {"role": "assistant", "content": "S65.311D — Laceration of deep palmar arch 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": "Person boarding or alighting a pick-up truck or van injured in collision with other nonmotor vehicle, subsequent encounter"}, {"role": "assistant", "content": "V56.4XXD — Person boarding or alighting a pick-up truck or van injured in collision with other nonmotor 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": "Displaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S72.432J — Displaced fracture of medial condyle 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": "Other synovitis and tenosynovitis, left thigh"}, {"role": "assistant", "content": "M65.852 — Other synovitis and tenosynovitis, 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": "War operations involving explosion of marine mine, civilian, subsequent encounter"}, {"role": "assistant", "content": "Y36.021D — War operations involving explosion of marine mine, 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": "Hypertrophy of tonsils"}, {"role": "assistant", "content": "J35.1 — Hypertrophy of tonsils"}]}
{"messages": [{"role": "system", "content": "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 patella, subsequent encounter"}, {"role": "assistant", "content": "S83.006D — Unspecified 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": "Trochanteric bursitis, left hip"}, {"role": "assistant", "content": "M70.62 — Trochanteric bursitis, 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 stimulant dependence, uncomplicated"}, {"role": "assistant", "content": "F15.20 — Other stimulant 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": "Frostbite with tissue necrosis of right knee and lower leg, initial encounter"}, {"role": "assistant", "content": "T34.71XA — Frostbite with tissue necrosis of right 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": "Other infection during labor"}, {"role": "assistant", "content": "O75.3 — Other infection during 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": "Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral"}, {"role": "assistant", "content": "E13.3413 — Other specified diabetes mellitus with severe 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": "Nondisplaced oblique fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.235R — Nondisplaced oblique 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": "Partial traumatic transmetacarpal amputation of unspecified hand, sequela"}, {"role": "assistant", "content": "S68.729S — Partial traumatic transmetacarpal amputation 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": "Unspecified fracture of lower end of right ulna, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.601H — Unspecified fracture of lower 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": "Corrosion of unspecified degree of neck, initial encounter"}, {"role": "assistant", "content": "T20.47XA — Corrosion of unspecified degree 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": "Toxic effect of nitrogen oxides, undetermined, initial encounter"}, {"role": "assistant", "content": "T59.0X4A — Toxic effect of nitrogen oxides, 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": "Intentional self-harm by jumping or lying in front of other moving object, subsequent encounter"}, {"role": "assistant", "content": "X81.8XXD — Intentional self-harm by jumping or lying in front of other moving 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": "Nezelof's syndrome"}, {"role": "assistant", "content": "D81.4 — Nezelof'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": "Typhoid fever with heart involvement"}, {"role": "assistant", "content": "A01.02 — Typhoid fever 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": "Unspecified dislocation of right index finger, subsequent encounter"}, {"role": "assistant", "content": "S63.250D — Unspecified dislocation 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": "Contact with steam and hot vapors, undetermined intent, initial encounter"}, {"role": "assistant", "content": "Y27.0XXA — Contact with steam and hot vapors, 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": "Pathological fracture in other disease, right fibula, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.663P — Pathological fracture in other disease, 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": "Zoster scleritis"}, {"role": "assistant", "content": "B02.34 — Zoster scleritis"}]}
{"messages": [{"role": "system", "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 pillow, assault, initial encounter"}, {"role": "assistant", "content": "T71.113A — Asphyxiation due to smothering under pillow, 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": "Crushing injury of head, part unspecified, initial encounter"}, {"role": "assistant", "content": "S07.9XXA — Crushing injury of head, 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": "Laceration with foreign body of unspecified eyelid and periocular area, subsequent encounter"}, {"role": "assistant", "content": "S01.129D — Laceration with 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": "Laceration without foreign body of left little finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.217D — Laceration without foreign body 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": "Toxic effect of mercury and its compounds, accidental (unintentional), subsequent encounter"}, {"role": "assistant", "content": "T56.1X1D — Toxic effect of mercury 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 fracture of proximal third of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.034G — Nondisplaced fracture of proximal 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": "Posterior dislocation of proximal end of tibia, unspecified knee, sequela"}, {"role": "assistant", "content": "S83.126S — Posterior 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": "Nondisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.345K — Nondisplaced spiral fracture of shaft of radius, left 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": "Chloasma of left upper eyelid and periocular area"}, {"role": "assistant", "content": "H02.714 — Chloasma of left upper eyelid and periocular area"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter"}, {"role": "assistant", "content": "S45.199D — Other specified 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": "Pedestrian injured in unspecified nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V09.1XXD — Pedestrian 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": "Superficial frostbite of thorax, sequela"}, {"role": "assistant", "content": "T33.2XXS — Superficial frostbite 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 osteochondral fracture of right patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.014E — Nondisplaced osteochondral 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": "Pre-existing essential hypertension complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O10.019 — Pre-existing essential hypertension 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": "Poisoning by hemostatic drug, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T45.624D — Poisoning by hemostatic drug, 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": "Burn of second degree of back of left hand, sequela"}, {"role": "assistant", "content": "T23.262S — Burn of second 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": "Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.000B — Wedge compression fracture of unspecified 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": "Encounter for other specified antenatal screening"}, {"role": "assistant", "content": "Z36.89 — Encounter for other specified antenatal screening"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S21.411S — Laceration without foreign body of right 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": "Toxic effect of tobacco cigarettes, assault, subsequent encounter"}, {"role": "assistant", "content": "T65.223D — Toxic effect of tobacco cigarettes, 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 third degree of multiple sites of unspecified wrist and hand, subsequent encounter"}, {"role": "assistant", "content": "T23.799D — Corrosion of third 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": "Salter-Harris Type I physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S79.111K — Salter-Harris Type I 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": "Other abnormal products of conception"}, {"role": "assistant", "content": "O02.89 — Other abnormal products of conception"}]}
{"messages": [{"role": "system", "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 incompatibility with delayed hemolytic transfusion reaction, sequela"}, {"role": "assistant", "content": "T80.311S — ABO incompatibility with delayed hemolytic transfusion reaction, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other transitory metabolic disturbances of newborn"}, {"role": "assistant", "content": "P74.8 — Other transitory metabolic disturbances 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": "Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S72.453N — Displaced supracondylar fracture without intracondylar extension of lower end 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": "Burns involving 20-29% of body surface with 10-19% third degree burns"}, {"role": "assistant", "content": "T31.21 — Burns involving 20-29% 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": "Osteonecrosis in diseases classified elsewhere, left ankle and foot"}, {"role": "assistant", "content": "M90.572 — Osteonecrosis in diseases classified elsewhere, 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": "Other stimulant abuse, in remission"}, {"role": "assistant", "content": "F15.11 — Other stimulant 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": "Injury of median nerve at forearm level, unspecified arm, subsequent encounter"}, {"role": "assistant", "content": "S54.10XD — Injury of median 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": "Subluxation of other carpometacarpal joint of right hand, initial encounter"}, {"role": "assistant", "content": "S63.051A — Subluxation of other carpometacarpal joint 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": "Displaced fracture of unspecified tibial tuberosity, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.153C — Displaced fracture of unspecified tibial tuberosity, 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 proximal phalanx of left lesser toe(s), initial encounter for open fracture"}, {"role": "assistant", "content": "S92.512B — Displaced fracture of proximal 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": "Blister (nonthermal) of unspecified external genital organs, male, initial encounter"}, {"role": "assistant", "content": "S30.825A — Blister (nonthermal) 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": "Other fracture of lower end of right ulna, sequela"}, {"role": "assistant", "content": "S52.691S — Other fracture of lower end of right 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": "Discitis, unspecified, multiple sites in spine"}, {"role": "assistant", "content": "M46.49 — Discitis, unspecified, 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": "Major laceration of unspecified part of pancreas, subsequent encounter"}, {"role": "assistant", "content": "S36.269D — Major 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": "Injury of sciatic nerve at hip and thigh level, right leg, sequela"}, {"role": "assistant", "content": "S74.01XS — Injury of sciatic nerve 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": "Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.014B — Nondisplaced fracture of distal pole of navicular [scaphoid] bone of 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": "Other extraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.559Q — Other extraarticular 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": "Arthropathies in other specified diseases classified elsewhere, right ankle and foot"}, {"role": "assistant", "content": "M14.871 — Arthropathies in other specified diseases classified elsewhere, 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 supracondylar fracture without intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.453G — Displaced supracondylar fracture without intracondylar extension 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 specified injury of unspecified blood vessel at wrist and hand of left arm, initial encounter"}, {"role": "assistant", "content": "S65.992A — Other specified injury of unspecified blood vessel at wrist and hand 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": "Corrosion of first degree of abdominal wall, sequela"}, {"role": "assistant", "content": "T21.52XS — Corrosion of first 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": "Colles' fracture of left radius, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.532Q — Colles' fracture 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": "Rheumatoid lung disease with rheumatoid arthritis of right elbow"}, {"role": "assistant", "content": "M05.121 — Rheumatoid lung 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": "Corrosion of first degree of left foot, sequela"}, {"role": "assistant", "content": "T25.522S — Corrosion of first 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": "Laceration with foreign body of left thumb with damage to nail, sequela"}, {"role": "assistant", "content": "S61.122S — Laceration 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": "Nondisplaced spiral fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.344G — Nondisplaced spiral fracture of shaft 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": "Nondisplaced longitudinal fracture of right patella, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.024H — Nondisplaced longitudinal 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 acquired deformity of unspecified thigh"}, {"role": "assistant", "content": "M21.959 — Unspecified acquired deformity of 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": "Unspecified fracture of upper end of right ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.001Q — Unspecified fracture of upper end 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": "Displaced spiral fracture of shaft of left fibula, sequela"}, {"role": "assistant", "content": "S82.442S — Displaced spiral fracture of shaft of left 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": "Merkel cell carcinoma of scalp and neck"}, {"role": "assistant", "content": "C4A.4 — Merkel cell carcinoma 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": "Retained dental root"}, {"role": "assistant", "content": "K08.3 — Retained dental root"}]}
{"messages": [{"role": "system", "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, initial encounter"}, {"role": "assistant", "content": "S73.119A — Iliofemoral ligament sprain 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": "Other fracture of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.8X1A — Other fracture 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": "Vertiginous syndromes in diseases classified elsewhere, bilateral"}, {"role": "assistant", "content": "H82.3 — Vertiginous syndromes in 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": "Other displaced fracture of upper end of right humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.291B — Other displaced fracture of upper end 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": "Bent bone of right radius, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.381E — Bent bone 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": "Blister (nonthermal), left knee, subsequent encounter"}, {"role": "assistant", "content": "S80.222D — Blister (nonthermal), 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 middle third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.025D — Nondisplaced fracture of middle 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": "Nondisplaced transverse fracture of shaft of humerus, unspecified arm, sequela"}, {"role": "assistant", "content": "S42.326S — Nondisplaced transverse 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 distal pole of navicular [scaphoid] bone of unspecified wrist, sequela"}, {"role": "assistant", "content": "S62.013S — Displaced fracture of distal pole of navicular [scaphoid] bone 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": "Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V04.90XA — Pedestrian on foot 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": "Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, sequela"}, {"role": "assistant", "content": "S06.33AS — Contusion and laceration of cerebrum, unspecified, 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": "Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, fetus 1"}, {"role": "assistant", "content": "O35.00X1 — Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, 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": "Subluxation of right acromioclavicular joint, sequela"}, {"role": "assistant", "content": "S43.111S — Subluxation of right 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": "Intentional self-harm by unspecified hot objects, subsequent encounter"}, {"role": "assistant", "content": "X77.9XXD — Intentional self-harm by unspecified hot objects, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 thumb, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.516G — Nondisplaced fracture of proximal phalanx of unspecified 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": "Passenger on bus injured in collision with fixed or stationary object in nontraffic accident, sequela"}, {"role": "assistant", "content": "V77.1XXS — Passenger on bus 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": "Nondisplaced fracture of medial condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S82.135F — Nondisplaced fracture of medial condyle 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": "Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity"}, {"role": "assistant", "content": "I70.508 — Unspecified atherosclerosis of nonautologous biological 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": "Displaced fracture of unspecified tibial tuberosity, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S82.153D — Displaced fracture of unspecified 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": "Laceration of superficial vein at shoulder and upper arm level, right arm, subsequent encounter"}, {"role": "assistant", "content": "S45.311D — Laceration of superficial vein at shoulder and upper arm 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 fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.53XQ — Displaced fracture of medial malleolus 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": "Displaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S72.363G — Displaced 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": "Laceration of intercostal blood vessels, left side, sequela"}, {"role": "assistant", "content": "S25.512S — Laceration of intercostal blood vessels, 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": "Legal intervention involving other firearm discharge, law enforcement official injured, sequela"}, {"role": "assistant", "content": "Y35.091S — Legal intervention involving other firearm discharge, law enforcement official 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": "Complete traumatic amputation at right hip joint, subsequent encounter"}, {"role": "assistant", "content": "S78.011D — Complete traumatic amputation at right hip 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": "Puncture wound without foreign body, unspecified thigh, subsequent encounter"}, {"role": "assistant", "content": "S71.139D — Puncture wound without foreign body, 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": "Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S49.149G — Salter-Harris Type IV physeal fracture of lower 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": "Chronic or unspecified peptic ulcer, site unspecified, with perforation"}, {"role": "assistant", "content": "K27.5 — Chronic or unspecified peptic ulcer, site unspecified, 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": "Unspecified sprain of right foot, subsequent encounter"}, {"role": "assistant", "content": "S93.601D — Unspecified sprain 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 unspecified fracture of left lesser toe(s), initial encounter for closed fracture"}, {"role": "assistant", "content": "S92.502A — Displaced unspecified fracture of left 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": "Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.245D — Nondisplaced spiral fracture of shaft of ulna, 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": "Maternal care for other (suspected) fetal abnormality and damage, fetal musculoskeletal anomalies of trunk, fetus 3"}, {"role": "assistant", "content": "O35.FXX3 — Maternal care for other (suspected) fetal abnormality and damage, fetal musculoskeletal anomalies of trunk, 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 injury of other blood vessels of thorax, right side, initial encounter"}, {"role": "assistant", "content": "S25.801A — Unspecified 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": "Toxic effect of glycols, assault, subsequent encounter"}, {"role": "assistant", "content": "T52.3X3D — Toxic effect of glycols, 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 fracture of proximal third of navicular [scaphoid] bone of unspecified wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.036B — Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified 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": "Other contact with crocodile, initial encounter"}, {"role": "assistant", "content": "W58.19XA — Other contact with 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": "Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.434P — Nondisplaced fracture (avulsion) of lateral 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": "Juvenile arthritis, unspecified, right hip"}, {"role": "assistant", "content": "M08.951 — Juvenile arthritis, unspecified, 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 caffeine, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T43.611A — Poisoning by caffeine, 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": "Struck by other birds, initial encounter"}, {"role": "assistant", "content": "W61.92XA — Struck by other birds, initial encounter"}]}
{"messages": [{"role": "system", "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 iliac blood vessel(s), initial encounter"}, {"role": "assistant", "content": "S35.50XA — Injury of unspecified iliac blood vessel(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 fracture of base of fifth metacarpal bone, right hand, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.316B — Displaced fracture of base 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": "Other injury of flexor muscle, fascia and tendon of unspecified thumb at forearm level, sequela"}, {"role": "assistant", "content": "S56.099S — Other injury of flexor muscle, fascia and tendon 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": "Calculus of kidney with calculus of ureter"}, {"role": "assistant", "content": "N20.2 — Calculus of kidney with calculus 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": "Nicotine dependence, chewing tobacco, with other nicotine-induced disorders"}, {"role": "assistant", "content": "F17.228 — Nicotine dependence, chewing tobacco, 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": "Nondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.515H — Nondisplaced fracture of left radial styloid process, 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": "Fall into well, sequela"}, {"role": "assistant", "content": "W17.0XXS — Fall into well, sequela"}]}
{"messages": [{"role": "system", "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 back wall of thorax without penetration into thoracic cavity, subsequent encounter"}, {"role": "assistant", "content": "S21.241D — Puncture wound 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": "Aneurysm of the aortic arch, ruptured"}, {"role": "assistant", "content": "I71.12 — Aneurysm of the aortic arch, 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": "Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.045P — Nondisplaced fracture of base of 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": "Sequestration of lung"}, {"role": "assistant", "content": "Q33.2 — Sequestration 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": "Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, sequela"}, {"role": "assistant", "content": "S06.6X9S — Traumatic subarachnoid 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": "Other fracture of unspecified femur, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S72.8X9D — Other fracture 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": "Other acute osteomyelitis, unspecified tibia and fibula"}, {"role": "assistant", "content": "M86.169 — Other acute 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": "Presence of left artificial ankle joint"}, {"role": "assistant", "content": "Z96.662 — Presence of left artificial ankle 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 hyperphenylalaninemias"}, {"role": "assistant", "content": "E70.1 — Other hyperphenylalaninemias"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S82.453G — Displaced 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": "Polymyalgia rheumatica"}, {"role": "assistant", "content": "M35.3 — Polymyalgia rheumatica"}]}
{"messages": [{"role": "system", "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, assault, initial encounter"}, {"role": "assistant", "content": "T43.613A — Poisoning by caffeine, 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": "Subluxation of tarsometatarsal joint of left foot, subsequent encounter"}, {"role": "assistant", "content": "S93.322D — Subluxation 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": "Adverse effect of therapeutic gases, initial encounter"}, {"role": "assistant", "content": "T41.5X5A — Adverse effect 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": "Benign neoplasm of unspecified choroid"}, {"role": "assistant", "content": "D31.30 — Benign neoplasm of unspecified choroid"}]}
{"messages": [{"role": "system", "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, undetermined, sequela"}, {"role": "assistant", "content": "T52.2X4S — Toxic effect of homologues of benzene, 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": "Blister (nonthermal) of vagina and vulva, sequela"}, {"role": "assistant", "content": "S30.824S — Blister (nonthermal) of vagina and vulva, sequela"}]}
{"messages": [{"role": "system", "content": "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 closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.455G — Nondisplaced comminuted fracture of shaft of left 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": "Corrosions involving less than 10% of body surface"}, {"role": "assistant", "content": "T32.0 — Corrosions involving less than 10% of body surface"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.324B — Nondisplaced transverse fracture of shaft 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": "Recurrent and persistent hematuria with focal and segmental glomerular lesions"}, {"role": "assistant", "content": "N02.1 — Recurrent and persistent hematuria with focal and segmental glomerular lesions"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S82.854S — Nondisplaced trimalleolar fracture 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": "Abscess of external ear, bilateral"}, {"role": "assistant", "content": "H60.03 — Abscess 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": "Unspecified accident to commercial fixed-wing aircraft injuring occupant, initial encounter"}, {"role": "assistant", "content": "V95.30XA — Unspecified 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": "Squamous cell carcinoma of skin of left lower eyelid, including canthus"}, {"role": "assistant", "content": "C44.1292 — Squamous cell carcinoma 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": "Laceration with foreign body, right foot, subsequent encounter"}, {"role": "assistant", "content": "S91.321D — Laceration with foreign body, 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": "Unspecified injury of other intra-abdominal organs, subsequent encounter"}, {"role": "assistant", "content": "S36.899D — Unspecified injury of other intra-abdominal 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": "Unspecified Eustachian salpingitis, right ear"}, {"role": "assistant", "content": "H68.001 — Unspecified Eustachian salpingitis, 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": "Salter-Harris Type II physeal fracture of upper end of radius, right arm, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S59.121D — Salter-Harris Type II 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": "Maternal care for other isoimmunization, unspecified trimester, fetus 5"}, {"role": "assistant", "content": "O36.1995 — Maternal care for other isoimmunization, 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": "Dehydration of newborn"}, {"role": "assistant", "content": "P74.1 — Dehydration 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": "Electric (assisted) bicycle driver injured in noncollision transport accident in nontraffic accident, sequela"}, {"role": "assistant", "content": "V28.01XS — Electric (assisted) bicycle 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": "Abnormal level of enzymes in specimens from respiratory organs and thorax"}, {"role": "assistant", "content": "R84.0 — Abnormal level of enzymes 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": "Palmar fascial fibromatosis [Dupuytren]"}, {"role": "assistant", "content": "M72.0 — Palmar fascial fibromatosis [Dupuytren]"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S86.909S — Unspecified injury of unspecified muscle(s) and tendon(s) 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 transverse fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.221H — Displaced transverse fracture of shaft 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": "Laceration of unspecified blood vessel at forearm level, left arm, sequela"}, {"role": "assistant", "content": "S55.912S — Laceration of unspecified blood vessel 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": "Passenger in three-wheeled motor vehicle injured in collision with fixed or stationary object in nontraffic accident, sequela"}, {"role": "assistant", "content": "V37.1XXS — Passenger in 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": "Perforation due to foreign body accidentally left in body following heart catheterization, sequela"}, {"role": "assistant", "content": "T81.535S — Perforation 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": "Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V16.9XXD — Unspecified pedal cyclist 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": "Corrosion of unspecified degree of single right finger (nail) except thumb, initial encounter"}, {"role": "assistant", "content": "T23.421A — Corrosion of unspecified 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": "Nondisplaced fracture of coronoid process of right ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.044K — Nondisplaced fracture of coronoid process 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": "Nondisplaced longitudinal fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.025J — Nondisplaced longitudinal 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": "Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.026Q — Nondisplaced fracture of epiphysis (separation) (upper) 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 injury of left middle and inner ear, initial encounter"}, {"role": "assistant", "content": "S09.302A — Unspecified injury of left middle and inner 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": "Absence and agenesis of lacrimal apparatus"}, {"role": "assistant", "content": "Q10.4 — Absence and agenesis of lacrimal apparatus"}]}
{"messages": [{"role": "system", "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 other prosthetic materials to surrounding organ or tissue, subsequent encounter"}, {"role": "assistant", "content": "T83.719D — Erosion of other prosthetic materials 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": "Complex tear of lateral meniscus, current injury, unspecified knee, subsequent encounter"}, {"role": "assistant", "content": "S83.279D — Complex tear of lateral meniscus, current injury, 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": "Military operations involving explosion of marine mine, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.020D — Military 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": "Posterior subluxation of unspecified hip, subsequent encounter"}, {"role": "assistant", "content": "S73.013D — Posterior 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": "Laceration without foreign body of unspecified buttock, sequela"}, {"role": "assistant", "content": "S31.801S — Laceration without foreign body of unspecified 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": "Insect bite (nonvenomous), left foot, sequela"}, {"role": "assistant", "content": "S90.862S — Insect bite (nonvenomous), 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": "Nondisplaced comminuted fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.354M — Nondisplaced comminuted fracture of shaft of radius, right arm, 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 second degree of unspecified hand, unspecified site, initial encounter"}, {"role": "assistant", "content": "T23.609A — Corrosion of second degree of unspecified 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": "Torus fracture of lower end of left tibia, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S82.312K — Torus 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": "Assault by shotgun, initial encounter"}, {"role": "assistant", "content": "X94.0XXA — Assault by shotgun, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S12.201K — Unspecified nondisplaced fracture of third 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": "Other mechanical complication of esophageal anti-reflux device, subsequent encounter"}, {"role": "assistant", "content": "T85.591D — Other mechanical complication 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": "Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter"}, {"role": "assistant", "content": "S46.922D — Laceration of unspecified muscle, fascia and tendon 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 myositis, unspecified hand"}, {"role": "assistant", "content": "M60.849 — Other 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": "Unspecified urinary incontinence"}, {"role": "assistant", "content": "R32 — Unspecified urinary incontinence"}]}
{"messages": [{"role": "system", "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 70-79% of body surface with 30-39% third degree corrosion"}, {"role": "assistant", "content": "T32.73 — Corrosions involving 70-79% 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": "Dyskinesia of esophagus"}, {"role": "assistant", "content": "K22.4 — Dyskinesia of esophagus"}]}
{"messages": [{"role": "system", "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, sequela"}, {"role": "assistant", "content": "S88.022S — Partial traumatic amputation at knee level, 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": "Other specified injury of left external jugular vein, subsequent encounter"}, {"role": "assistant", "content": "S15.292D — Other specified injury of left 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 superficial injury of unspecified ear, initial encounter"}, {"role": "assistant", "content": "S00.409A — Unspecified superficial injury 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": "Displaced fracture of neck of first metacarpal bone, unspecified hand, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.253D — Displaced fracture of neck of first metacarpal bone, 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": "Salter-Harris Type II physeal fracture of upper end of left fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S89.222G — Salter-Harris Type II 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": "Nondisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.245Q — Nondisplaced spiral fracture of shaft 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": "Underdosing of dental drugs, topically applied, subsequent encounter"}, {"role": "assistant", "content": "T49.7X6D — Underdosing of dental drugs, topically applied, subsequent encounter"}]}
{"messages": [{"role": "system", "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 index finger, subsequent encounter"}, {"role": "assistant", "content": "S63.280D — Dislocation of proximal interphalangeal joint 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": "Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.124F — Nondisplaced fracture of head 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": "Car driver injured in collision with van in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V43.04XD — Car driver injured in collision with 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": "Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot"}, {"role": "assistant", "content": "I70.735 — Atherosclerosis of other type of bypass graft(s) of the 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 to L1 level of lumbar spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.101A — Unspecified injury to L1 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": "Burn of third degree of left palm, initial encounter"}, {"role": "assistant", "content": "T23.352A — Burn of third 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": "Glaucoma secondary to other eye disorders, right eye, severe stage"}, {"role": "assistant", "content": "H40.51X3 — Glaucoma secondary to other eye disorders, 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": "Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounter"}, {"role": "assistant", "content": "V65.4XXA — Person boarding or alighting a heavy transport vehicle 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": "Underdosing of peripheral vasodilators, initial encounter"}, {"role": "assistant", "content": "T46.7X6A — Underdosing 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": "Crushing injury of unspecified lesser toe(s), sequela"}, {"role": "assistant", "content": "S97.129S — Crushing injury 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": "Partial traumatic amputation of left hand at wrist level, subsequent encounter"}, {"role": "assistant", "content": "S68.422D — Partial traumatic amputation of left hand at wrist 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 IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.149G — Salter-Harris Type IV physeal fracture of unspecified 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 with foreign body of other finger without damage to nail, initial encounter"}, {"role": "assistant", "content": "S61.228A — Laceration with foreign body 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": "Person injured in unspecified nonmotor-vehicle accident, traffic, initial encounter"}, {"role": "assistant", "content": "V89.3XXA — Person injured in unspecified nonmotor-vehicle accident, traffic, initial encounter"}]}
{"messages": [{"role": "system", "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 chlorofluorocarbons, undetermined, subsequent encounter"}, {"role": "assistant", "content": "T53.5X4D — Toxic effect of chlorofluorocarbons, 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 secondary chronic gout, unspecified hand, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.4491 — Other secondary 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": "Spinal instabilities, thoracic region"}, {"role": "assistant", "content": "M53.2X4 — Spinal instabilities, 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 comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S52.256J — Nondisplaced comminuted fracture of shaft of ulna, unspecified 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": "Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.199P — Other 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": "Other specified injuries of right wrist, hand and finger(s), sequela"}, {"role": "assistant", "content": "S69.81XS — Other specified injuries of right wrist, hand and 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 oblique fracture of shaft of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.432B — Displaced oblique 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 right quadriceps muscle, fascia and tendon, sequela"}, {"role": "assistant", "content": "S76.111S — Strain of right 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": "3-part fracture of surgical neck of right humerus, sequela"}, {"role": "assistant", "content": "S42.231S — 3-part fracture of surgical neck 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": "Unspecified pedal cyclist injured in collision with fixed or stationary object in traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V17.9XXD — Unspecified pedal cyclist 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": "Unspecified superficial injury of other specified part of neck, sequela"}, {"role": "assistant", "content": "S10.80XS — Unspecified superficial injury of other specified part of 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": "Corrosion of second degree back of unspecified hand, subsequent encounter"}, {"role": "assistant", "content": "T23.669D — Corrosion of second 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": "Traumatic rupture of volar plate of left middle finger at metacarpophalangeal and interphalangeal joint, sequela"}, {"role": "assistant", "content": "S63.433S — Traumatic rupture of volar plate of left 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": "Observation and evaluation of newborn for other specified suspected condition ruled out"}, {"role": "assistant", "content": "Z05.89 — Observation and evaluation of newborn for other specified suspected 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": "Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela"}, {"role": "assistant", "content": "S06.8A3S — Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour 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": "Osteitis deformans of right upper arm"}, {"role": "assistant", "content": "M88.821 — Osteitis deformans of 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": "Driver of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter"}, {"role": "assistant", "content": "V74.5XXA — Driver of bus 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": "Major laceration of superior mesenteric artery, sequela"}, {"role": "assistant", "content": "S35.222S — Major laceration of superior mesenteric 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": "Glaucoma secondary to eye inflammation, left eye, moderate stage"}, {"role": "assistant", "content": "H40.42X2 — Glaucoma secondary to eye inflammation, left 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": "Displaced transverse fracture of left acetabulum, initial encounter for open fracture"}, {"role": "assistant", "content": "S32.452B — Displaced transverse fracture 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": "Other specified injury of lesser saphenous vein at lower leg level, unspecified leg, sequela"}, {"role": "assistant", "content": "S85.499S — Other specified injury 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": "Benign carcinoid tumor of the ileum"}, {"role": "assistant", "content": "D3A.012 — Benign 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": "Carcinoma in situ of scrotum"}, {"role": "assistant", "content": "D07.61 — Carcinoma in situ of 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": "Nondisplaced fracture of triquetrum [cuneiform] bone, right wrist, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.114K — Nondisplaced fracture of triquetrum [cuneiform] bone, 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": "Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis"}, {"role": "assistant", "content": "N07.7 — Hereditary nephropathy, not elsewhere classified 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": "Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, initial encounter"}, {"role": "assistant", "content": "V21.31XA — Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, initial encounter"}]}
{"messages": [{"role": "system", "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 hepatic failure"}, {"role": "assistant", "content": "K91.82 — Postprocedural hepatic 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": "Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified"}, {"role": "assistant", "content": "F19.159 — Other psychoactive substance abuse 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 osteoporosis with current pathological fracture, left humerus, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.822D — Other osteoporosis with current pathological fracture, 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": "Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S42.292G — Other displaced fracture of upper end 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": "Maternal care for fetal problem, unspecified, third trimester, not applicable or unspecified"}, {"role": "assistant", "content": "O36.93X0 — Maternal care for fetal problem, unspecified, 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": "Unspecified fracture of left talus, sequela"}, {"role": "assistant", "content": "S92.102S — Unspecified fracture of left 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": "Disorders of visual cortex in (due to) vascular disorders, right side of brain"}, {"role": "assistant", "content": "H47.641 — Disorders of visual cortex in (due to) vascular disorders, right 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": "Salter-Harris Type IV physeal fracture of upper end of radius, unspecified arm, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S59.149K — Salter-Harris Type IV 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": "Other nonrheumatic mitral valve disorders"}, {"role": "assistant", "content": "I34.89 — Other nonrheumatic mitral valve 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": "Occupational exposure to dust"}, {"role": "assistant", "content": "Z57.2 — Occupational exposure to dust"}]}
{"messages": [{"role": "system", "content": "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 middle finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.632D — Displaced fracture of distal phalanx of right 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": "Anterior subluxation of right radial head, sequela"}, {"role": "assistant", "content": "S53.011S — Anterior subluxation of right 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": "Myopia, right eye"}, {"role": "assistant", "content": "H52.11 — Myopia, 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": "Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, subsequent encounter"}, {"role": "assistant", "content": "S06.8AAD — Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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 delayed healing"}, {"role": "assistant", "content": "S42.415G — Nondisplaced simple 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": "Other chronic osteomyelitis, left tibia and fibula"}, {"role": "assistant", "content": "M86.662 — Other chronic osteomyelitis, left 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": "Displaced comminuted fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S82.252Q — Displaced comminuted fracture of shaft 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": "Cytokine release syndrome, grade 3"}, {"role": "assistant", "content": "D89.833 — Cytokine release syndrome, grade 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": "Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, sequela"}, {"role": "assistant", "content": "S76.919S — Strain of unspecified muscles, fascia and tendons at thigh level, 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": "Toxic effect of venom of other spider, undetermined, sequela"}, {"role": "assistant", "content": "T63.394S — Toxic effect of venom of other 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": "Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S82.254K — Nondisplaced comminuted 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": "Pedal cycle driver injured in noncollision transport accident in traffic accident, sequela"}, {"role": "assistant", "content": "V18.4XXS — Pedal cycle driver 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": "Foreign body sensation, nose"}, {"role": "assistant", "content": "R09.A1 — Foreign body sensation, nose"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter"}, {"role": "assistant", "content": "S63.258D — Unspecified dislocation 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": "Unspecified sequelae of cerebral infarction"}, {"role": "assistant", "content": "I69.30 — Unspecified sequelae of 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": "Hypertrophy of tongue papillae"}, {"role": "assistant", "content": "K14.3 — Hypertrophy 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": "Puncture wound with foreign body, right knee, sequela"}, {"role": "assistant", "content": "S81.041S — Puncture wound with foreign body, 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": "Underdosing of unspecified anesthetics, subsequent encounter"}, {"role": "assistant", "content": "T41.46XD — Underdosing of unspecified anesthetics, subsequent encounter"}]}
{"messages": [{"role": "system", "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 shoulder, subsequent encounter"}, {"role": "assistant", "content": "T22.259D — Burn of second 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": "Maternal care for (suspected) damage to fetus from alcohol, fetus 3"}, {"role": "assistant", "content": "O35.4XX3 — Maternal care for (suspected) damage to fetus from alcohol, 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 specified complications of surgical and medical care, not elsewhere classified, subsequent encounter"}, {"role": "assistant", "content": "T88.8XXD — Other specified complications of surgical and medical care, 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": "Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, undetermined, sequela"}, {"role": "assistant", "content": "T46.6X4S — Poisoning by antihyperlipidemic and antiarteriosclerotic 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": "Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester"}, {"role": "assistant", "content": "O98.912 — Unspecified maternal infectious and parasitic 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": "Unspecified sprain of left wrist, initial encounter"}, {"role": "assistant", "content": "S63.502A — Unspecified sprain 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": "Toxic effect of venom of hornets, undetermined, initial encounter"}, {"role": "assistant", "content": "T63.454A — Toxic effect of venom of hornets, 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": "Malignant neoplasm of peripheral nerves of trunk, unspecified"}, {"role": "assistant", "content": "C47.6 — Malignant neoplasm of peripheral nerves 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": "Disorder of continuity of bone, unspecified"}, {"role": "assistant", "content": "M84.9 — Disorder of continuity of bone, 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": "Type 1 diabetes mellitus with other oral complications"}, {"role": "assistant", "content": "E10.638 — Type 1 diabetes mellitus with other oral 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": "Unspecified dislocation of right thumb, initial encounter"}, {"role": "assistant", "content": "S63.104A — Unspecified dislocation 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": "Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, assault, sequela"}, {"role": "assistant", "content": "T44.3X3S — Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, 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": "Adverse effect of unspecified narcotics, subsequent encounter"}, {"role": "assistant", "content": "T40.605D — Adverse effect of unspecified narcotics, subsequent encounter"}]}
{"messages": [{"role": "system", "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 30 minutes or less, initial encounter"}, {"role": "assistant", "content": "S06.5X1A — Traumatic subdural hemorrhage 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": "Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck"}, {"role": "assistant", "content": "C81.41 — Lymphocyte-rich Hodgkin 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": "Puncture wound without foreign body of other part of head, initial encounter"}, {"role": "assistant", "content": "S01.83XA — Puncture wound without foreign body 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 osteochondral fracture of left patella, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S82.012E — Displaced osteochondral 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": "Intentional self-harm by drowning and submersion in natural water, subsequent encounter"}, {"role": "assistant", "content": "X71.3XXD — Intentional self-harm by drowning and submersion in natural water, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.215A — Unspecified nondisplaced 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": "Adolescent idiopathic scoliosis, thoracic region"}, {"role": "assistant", "content": "M41.124 — Adolescent idiopathic 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": "Pathological fracture in other disease, unspecified tibia and fibula, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.669G — Pathological fracture in other disease, unspecified tibia and 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": "Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S02.11DG — Type II occipital condyle 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": "Nondisplaced avulsion fracture of unspecified ischium, sequela"}, {"role": "assistant", "content": "S32.616S — Nondisplaced avulsion fracture of unspecified ischium, sequela"}]}
{"messages": [{"role": "system", "content": "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 transverse colon, initial encounter"}, {"role": "assistant", "content": "S36.501A — Unspecified injury 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": "Ultralight, microlight or powered-glider explosion injuring occupant, sequela"}, {"role": "assistant", "content": "V95.15XS — Ultralight, microlight or powered-glider 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": "Nondisplaced dome fracture of right acetabulum, sequela"}, {"role": "assistant", "content": "S32.484S — Nondisplaced dome 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": "Nondisplaced fracture of shaft of first metacarpal bone, unspecified hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.246P — Nondisplaced fracture of shaft of first metacarpal bone, 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": "Displaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing"}, {"role": "assistant", "content": "S82.242J — Displaced spiral 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": "Antepartum hemorrhage with afibrinogenemia, third trimester"}, {"role": "assistant", "content": "O46.013 — Antepartum hemorrhage 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": "Alcohol dependence with withdrawal delirium"}, {"role": "assistant", "content": "F10.231 — Alcohol dependence with withdrawal 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 or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye"}, {"role": "assistant", "content": "E09.3591 — Drug or chemical induced diabetes mellitus with proliferative 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": "Hallucinogen use, unspecified, uncomplicated"}, {"role": "assistant", "content": "F16.90 — Hallucinogen 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": "Unspecified injury of femoral vein at hip and thigh level, unspecified leg, sequela"}, {"role": "assistant", "content": "S75.109S — Unspecified injury 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": "Other fracture of upper end of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S52.099C — Other fracture of upper end 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": "Other contact with alligator, initial encounter"}, {"role": "assistant", "content": "W58.09XA — Other contact with alligator, initial encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Unspecified parasitic disease"}, {"role": "assistant", "content": "B89 — Unspecified parasitic 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": "Central perforation of tympanic membrane, bilateral"}, {"role": "assistant", "content": "H72.03 — Central perforation 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": "Nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S72.365C — Nondisplaced segmental 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": "Accidental discharge from other specified firearms, subsequent encounter"}, {"role": "assistant", "content": "W34.09XD — Accidental discharge from other specified firearms, subsequent encounter"}]}
{"messages": [{"role": "system", "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 anterior segment of eye, unspecified"}, {"role": "assistant", "content": "Q13.9 — Congenital malformation of anterior 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": "Ankylosis of ear ossicles, unspecified ear"}, {"role": "assistant", "content": "H74.319 — Ankylosis 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": "Partial traumatic transmetacarpal amputation of left hand, subsequent encounter"}, {"role": "assistant", "content": "S68.722D — Partial traumatic transmetacarpal amputation 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": "Contact with and (suspected) exposure to uranium"}, {"role": "assistant", "content": "Z77.012 — Contact with and (suspected) exposure to uranium"}]}
{"messages": [{"role": "system", "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 angiotensin-converting-enzyme inhibitors, initial encounter"}, {"role": "assistant", "content": "T46.4X5A — Adverse effect of angiotensin-converting-enzyme inhibitors, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 I or II with delayed healing"}, {"role": "assistant", "content": "S52.356H — Nondisplaced comminuted fracture of shaft of radius, unspecified 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": "Dislocation of unspecified parts of unspecified shoulder girdle, sequela"}, {"role": "assistant", "content": "S43.306S — Dislocation of unspecified parts of unspecified 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": "Abnormal innervation syndrome right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.513 — Abnormal innervation syndrome 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": "Laceration of popliteal artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S85.019D — Laceration of popliteal 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": "Displaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.261N — Displaced segmental fracture of shaft 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": "Abnormal results of other function studies of eye"}, {"role": "assistant", "content": "R94.118 — Abnormal results of other function studies 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": "Toxic effect of fusel oil, intentional self-harm, subsequent encounter"}, {"role": "assistant", "content": "T51.3X2D — Toxic effect of fusel oil, 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 comminuted fracture of shaft of radius, unspecified arm, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.353D — Displaced comminuted 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": "Sprain of unspecified rotator cuff capsule, sequela"}, {"role": "assistant", "content": "S43.429S — Sprain of unspecified rotator cuff capsule, sequela"}]}
{"messages": [{"role": "system", "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 merchant ship, subsequent encounter"}, {"role": "assistant", "content": "V91.30XD — Hit or struck by falling object due to accident to 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": "Splenomegaly, not elsewhere classified"}, {"role": "assistant", "content": "R16.1 — Splenomegaly, 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 medial condyle of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.432E — Displaced fracture of medial condyle 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": "Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 5"}, {"role": "assistant", "content": "O35.04X5 — Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, 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": "Person on outside of three-wheeled motor vehicle injured in collision with other nonmotor vehicle in traffic accident, sequela"}, {"role": "assistant", "content": "V36.7XXS — Person on outside of three-wheeled motor vehicle 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": "Subluxation of proximal interphalangeal joint of other finger, sequela"}, {"role": "assistant", "content": "S63.238S — Subluxation 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": "REM sleep behavior disorder"}, {"role": "assistant", "content": "G47.52 — REM sleep behavior 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 spleen, subsequent encounter"}, {"role": "assistant", "content": "S36.00XD — Unspecified injury of spleen, subsequent encounter"}]}
{"messages": [{"role": "system", "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 specified part of neck, subsequent encounter"}, {"role": "assistant", "content": "S11.82XD — Laceration with foreign body 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": "Injury of other nerves at hip and thigh level, right leg, subsequent encounter"}, {"role": "assistant", "content": "S74.8X1D — Injury of other nerves 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": "Corrosion of first degree of right foot, subsequent encounter"}, {"role": "assistant", "content": "T25.521D — Corrosion of first degree 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": "Unspecified subluxation of right little finger, initial encounter"}, {"role": "assistant", "content": "S63.206A — Unspecified subluxation 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": "Other nondisplaced fracture of upper end of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.294A — Other nondisplaced fracture of upper end 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": "Discoid lupus erythematosus of right upper eyelid"}, {"role": "assistant", "content": "H01.121 — Discoid lupus erythematosus 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": "Unspecified fracture of left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.92XP — Unspecified fracture of 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": "Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.051D — Age-related osteoporosis with current pathological fracture, 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": "Displaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.451K — Displaced supracondylar fracture without 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": "Other injury of flexor muscle, fascia and tendon of right middle finger at forearm level, initial encounter"}, {"role": "assistant", "content": "S56.193A — Other injury of flexor 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": "Other psychoactive substance dependence with withdrawal, uncomplicated"}, {"role": "assistant", "content": "F19.230 — Other psychoactive substance dependence 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": "Nondisplaced fracture of lesser tuberosity of left humerus, initial encounter for open fracture"}, {"role": "assistant", "content": "S42.265B — Nondisplaced fracture of lesser tuberosity 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": "Salter-Harris Type I physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S99.219G — Salter-Harris Type I physeal fracture of phalanx of unspecified 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": "Toxic effect of carbon tetrachloride, assault, subsequent encounter"}, {"role": "assistant", "content": "T53.0X3D — Toxic effect of carbon tetrachloride, 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": "Toxic effect of mercury and its compounds, assault, initial encounter"}, {"role": "assistant", "content": "T56.1X3A — Toxic effect of mercury 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": "Subluxation of T12/L1 thoracic vertebra, sequela"}, {"role": "assistant", "content": "S23.170S — Subluxation of T12/L1 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": "Underdosing of diagnostic agents, sequela"}, {"role": "assistant", "content": "T50.8X6S — Underdosing of diagnostic 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": "Leakage of vascular dialysis catheter, sequela"}, {"role": "assistant", "content": "T82.43XS — Leakage of vascular 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": "Child sexual exploitation, suspected, subsequent encounter"}, {"role": "assistant", "content": "T76.52XD — Child sexual 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": "Laceration with foreign body of nose, subsequent encounter"}, {"role": "assistant", "content": "S01.22XD — Laceration with 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": "Labor and delivery complicated by vascular lesion of cord, fetus 4"}, {"role": "assistant", "content": "O69.5XX4 — Labor and delivery complicated by vascular lesion of cord, 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 other blood vessels at ankle and foot level, left leg, initial encounter"}, {"role": "assistant", "content": "S95.892A — Other specified injury 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": "Nondisplaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.016P — Nondisplaced 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": "Contusion of middle front wall of thorax, initial encounter"}, {"role": "assistant", "content": "S20.214A — Contusion of middle 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": "Immersion foot, left foot, initial encounter"}, {"role": "assistant", "content": "T69.022A — Immersion foot, 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": "Unstable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture"}, {"role": "assistant", "content": "S32.042A — Unstable burst fracture of fourth 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": "Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela"}, {"role": "assistant", "content": "S06.324S — Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela"}]}
{"messages": [{"role": "system", "content": "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, sequela"}, {"role": "assistant", "content": "S72.034S — Nondisplaced midcervical fracture 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": "Transient synovitis, unspecified site"}, {"role": "assistant", "content": "M67.30 — Transient synovitis, 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": "Papovavirus infection, unspecified"}, {"role": "assistant", "content": "B34.4 — Papovavirus 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": "Sprain of metatarsophalangeal joint of right lesser toe(s), initial encounter"}, {"role": "assistant", "content": "S93.524A — Sprain of metatarsophalangeal joint of right 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": "Neoplasm of unspecified behavior of brain"}, {"role": "assistant", "content": "D49.6 — Neoplasm of unspecified behavior 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": "Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M84.552G — Pathological fracture in neoplastic disease, 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": "Laceration with foreign body of right buttock, initial encounter"}, {"role": "assistant", "content": "S31.812A — Laceration with foreign body 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": "Contusion of left back wall of thorax, subsequent encounter"}, {"role": "assistant", "content": "S20.222D — Contusion 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": "Displaced transverse fracture of shaft of right femur, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S72.321P — Displaced transverse 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": "Malignant neoplasm of right optic nerve"}, {"role": "assistant", "content": "C72.31 — Malignant neoplasm of right 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": "Other place in hospital as the place of occurrence of the external cause"}, {"role": "assistant", "content": "Y92.238 — Other place 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": "Poisoning by macrolides, assault, subsequent encounter"}, {"role": "assistant", "content": "T36.3X3D — Poisoning by macrolides, 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": "Laceration of head of pancreas, unspecified degree, subsequent encounter"}, {"role": "assistant", "content": "S36.230D — Laceration of head of pancreas, 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": "Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S52.042E — Displaced fracture of coronoid process 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": "Displaced fracture of lateral condyle of right humerus, initial encounter for closed fracture"}, {"role": "assistant", "content": "S42.451A — Displaced fracture of lateral condyle 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": "Dislocation of septal cartilage of nose, sequela"}, {"role": "assistant", "content": "S03.1XXS — Dislocation of septal cartilage 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": "Sprain of metatarsophalangeal joint of unspecified lesser toe(s), subsequent encounter"}, {"role": "assistant", "content": "S93.526D — Sprain of metatarsophalangeal joint 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": "Other headache syndrome"}, {"role": "assistant", "content": "G44.89 — Other headache 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": "Babesiosis due to Babesia duncani"}, {"role": "assistant", "content": "B60.02 — Babesiosis due to Babesia duncani"}]}
{"messages": [{"role": "system", "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 kidney"}, {"role": "assistant", "content": "D17.71 — Benign lipomatous neoplasm of kidney"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Influenza due to other identified influenza virus with gastrointestinal manifestations"}, {"role": "assistant", "content": "J10.2 — Influenza due to other identified influenza virus with gastrointestinal manifestations"}]}
{"messages": [{"role": "system", "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 derailment without antecedent collision, sequela"}, {"role": "assistant", "content": "V82.7XXS — Occupant of streetcar injured in derailment without antecedent 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": "Displaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.622K — Displaced fracture of middle phalanx of right middle 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": "Accidental discharge from other specified firearms, initial encounter"}, {"role": "assistant", "content": "W34.09XA — Accidental discharge from other specified firearms, initial encounter"}]}
{"messages": [{"role": "system", "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 small intestine"}, {"role": "assistant", "content": "C17.8 — Malignant neoplasm of overlapping sites 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": "Pulsatile tinnitus, left ear"}, {"role": "assistant", "content": "H93.A2 — Pulsatile tinnitus, 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": "Recession of chamber angle, right eye"}, {"role": "assistant", "content": "H21.551 — Recession of chamber angle, 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": "Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity"}, {"role": "assistant", "content": "I80.299 — Phlebitis and thrombophlebitis of other deep vessels 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 oblique fracture of shaft of right ulna, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S52.234Q — Nondisplaced oblique 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": "Otitis media, unspecified, unspecified ear"}, {"role": "assistant", "content": "H66.90 — Otitis media, unspecified, 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": "Crushing injury of unspecified thumb, subsequent encounter"}, {"role": "assistant", "content": "S67.00XD — Crushing 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": "Cystocele, unspecified"}, {"role": "assistant", "content": "N81.10 — Cystocele, 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 analeptics and opioid receptor antagonists, sequela"}, {"role": "assistant", "content": "T50.7X6S — Underdosing of analeptics and opioid receptor 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": "Retained (nonmagnetic) (old) foreign body in lens, left eye"}, {"role": "assistant", "content": "H44.732 — Retained (nonmagnetic) (old) foreign body in lens, 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": "Long term (current) use of opiate analgesic"}, {"role": "assistant", "content": "Z79.891 — Long term (current) use of opiate analgesic"}]}
{"messages": [{"role": "system", "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 1 hour to 5 hours 59 minutes, initial encounter"}, {"role": "assistant", "content": "S06.6X3A — Traumatic subarachnoid hemorrhage 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": "Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S49.011P — Salter-Harris Type I physeal fracture of upper end 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": "Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.026K — Nondisplaced fracture of olecranon process without intraarticular extension of unspecified 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": "Leakage of other specified internal prosthetic devices, implants and grafts, subsequent encounter"}, {"role": "assistant", "content": "T85.638D — Leakage of other specified internal 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": "Toxic effect of manganese and its compounds, assault, initial encounter"}, {"role": "assistant", "content": "T57.2X3A — Toxic effect of manganese 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": "Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture"}, {"role": "assistant", "content": "S72.021A — Displaced fracture of epiphysis (separation) (upper) 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": "Unspecified fracture of right femur, subsequent encounter for open fracture type I or II with malunion"}, {"role": "assistant", "content": "S72.91XQ — Unspecified 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": "Unspecified fracture of shaft of left ulna, subsequent encounter for closed fracture with routine healing"}, {"role": "assistant", "content": "S52.202D — Unspecified 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": "Thromboembolism in pregnancy, second trimester"}, {"role": "assistant", "content": "O88.212 — Thromboembolism 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": "Acquired deformity of pinna, left ear"}, {"role": "assistant", "content": "H61.112 — Acquired deformity of pinna, 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": "Salter-Harris Type III physeal fracture of upper end of right tibia, sequela"}, {"role": "assistant", "content": "S89.031S — Salter-Harris Type III physeal fracture of upper 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": "Sedative, hypnotic or anxiolytic abuse, uncomplicated"}, {"role": "assistant", "content": "F13.10 — Sedative, hypnotic or anxiolytic abuse, 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": "Torsion of right fallopian tube"}, {"role": "assistant", "content": "N83.521 — Torsion of right 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": "Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S32.444G — Nondisplaced fracture of posterior column [ilioischial] 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": "Poisoning by thyroid hormones and substitutes, accidental (unintentional), initial encounter"}, {"role": "assistant", "content": "T38.1X1A — Poisoning by thyroid hormones and substitutes, 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": "Contact with hay derrick, sequela"}, {"role": "assistant", "content": "W30.2XXS — Contact with hay derrick, sequela"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Iatrogenic neonatal hypoglycemia"}, {"role": "assistant", "content": "P70.3 — Iatrogenic neonatal hypoglycemia"}]}
{"messages": [{"role": "system", "content": "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 4"}, {"role": "assistant", "content": "O31.8X14 — Other complications specific to multiple gestation, 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 fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S82.62XH — Displaced fracture of lateral malleolus of left 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": "Legal intervention involving manhandling, unspecified person injured, sequela"}, {"role": "assistant", "content": "Y35.819S — Legal intervention involving manhandling, 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": "Drowning and submersion due to merchant ship overturning, initial encounter"}, {"role": "assistant", "content": "V90.00XA — Drowning and submersion due to merchant ship overturning, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 pulmonary blood vessels, sequela"}, {"role": "assistant", "content": "S25.409S — Unspecified injury of unspecified 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": "NIHSS score 18"}, {"role": "assistant", "content": "R29.718 — NIHSS score 18"}]}
{"messages": [{"role": "system", "content": "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 radius, right arm, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.361H — Displaced segmental 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": "Pathological fracture, right radius, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "M84.433K — Pathological fracture, 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": "Occupant of railway train or railway vehicle injured due to collision with military vehicle, sequela"}, {"role": "assistant", "content": "V81.83XS — Occupant of railway train or railway vehicle injured due to collision 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": "Chronic vascular disorders of intestine"}, {"role": "assistant", "content": "K55.1 — Chronic vascular disorders 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": "Other specified bullous disorders"}, {"role": "assistant", "content": "L13.8 — Other specified bullous 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 deep peroneal nerve at ankle and foot level, right leg, sequela"}, {"role": "assistant", "content": "S94.21XS — Injury of deep peroneal 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": "Other X-linked adrenoleukodystrophy"}, {"role": "assistant", "content": "E71.528 — Other X-linked adrenoleukodystrophy"}]}
{"messages": [{"role": "system", "content": "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 pedal cycle in traffic accident, sequela"}, {"role": "assistant", "content": "V71.9XXS — Unspecified occupant of bus 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": "Unspecified injury of extensor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter"}, {"role": "assistant", "content": "S66.202A — Unspecified injury of extensor 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": "Displaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S72.422K — Displaced fracture of lateral condyle 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": "Corrosion of left eyelid and periocular area, sequela"}, {"role": "assistant", "content": "T26.52XS — Corrosion 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": "Assault by drowning and submersion after push into swimming pool, initial encounter"}, {"role": "assistant", "content": "X92.2XXA — Assault by drowning and submersion after push into 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": "Single liveborn infant, delivered vaginally"}, {"role": "assistant", "content": "Z38.00 — Single liveborn infant, delivered vaginally"}]}
{"messages": [{"role": "system", "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), bilateral"}, {"role": "assistant", "content": "H26.233 — Glaucomatous flecks (subcapsular), 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": "Struck by volleyball, initial encounter"}, {"role": "assistant", "content": "W21.06XA — Struck by volleyball, initial encounter"}]}
{"messages": [{"role": "system", "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 other motor vehicles in nontraffic accident, subsequent encounter"}, {"role": "assistant", "content": "V49.09XD — 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": "Other fracture of upper end of unspecified radius, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.189P — Other fracture of upper end 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": "Military operations involving fragments from munitions, military personnel, subsequent encounter"}, {"role": "assistant", "content": "Y37.250D — Military operations involving fragments from munitions, 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": "Nondisplaced trimalleolar fracture of right lower leg, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S82.854M — Nondisplaced trimalleolar fracture of right 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": "Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye"}, {"role": "assistant", "content": "E10.3531 — Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not 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": "Dislocation of other carpometacarpal joint of left hand, initial encounter"}, {"role": "assistant", "content": "S63.055A — Dislocation of other carpometacarpal joint 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": "Subluxation of unspecified parts of right shoulder girdle, initial encounter"}, {"role": "assistant", "content": "S43.301A — Subluxation of unspecified parts of right 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": "Nondisplaced fracture of proximal phalanx of right little finger, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S62.646D — Nondisplaced fracture of proximal phalanx of right little 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": "Crushing injury of other finger, initial encounter"}, {"role": "assistant", "content": "S67.198A — Crushing injury 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": "Bilateral femoral hernia, with gangrene, not specified as recurrent"}, {"role": "assistant", "content": "K41.10 — Bilateral femoral hernia, with 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": "Burn of first degree of shoulder and upper limb, except wrist and hand, unspecified site, subsequent encounter"}, {"role": "assistant", "content": "T22.10XD — Burn 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": "Primary open-angle glaucoma, right eye, moderate stage"}, {"role": "assistant", "content": "H40.1112 — Primary open-angle glaucoma, right 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": "Posterior subluxation of unspecified ulnohumeral joint, subsequent encounter"}, {"role": "assistant", "content": "S53.123D — Posterior 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": "Toxic effect of other specified inorganic substances, assault, subsequent encounter"}, {"role": "assistant", "content": "T57.8X3D — Toxic effect of other specified inorganic substances, 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 fracture of shaft of unspecified clavicle, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S42.026P — Nondisplaced fracture of shaft of unspecified 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": "Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "M80.829G — Other osteoporosis with current pathological fracture, 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 disorders of sclera"}, {"role": "assistant", "content": "H15.89 — Other disorders of sclera"}]}
{"messages": [{"role": "system", "content": "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 turtle, subsequent encounter"}, {"role": "assistant", "content": "W59.29XD — Other contact with 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": "Crushed between other unpowered watercraft and other watercraft or other object due to collision, initial encounter"}, {"role": "assistant", "content": "V91.18XA — Crushed between other unpowered watercraft 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": "Pedestrian injured in nontraffic accident involving other motor vehicles, sequela"}, {"role": "assistant", "content": "V09.09XS — Pedestrian injured in nontraffic accident involving other motor vehicles, sequela"}]}
{"messages": [{"role": "system", "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 eye syndrome of bilateral lacrimal glands"}, {"role": "assistant", "content": "H04.123 — Dry eye syndrome 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": "Adverse effect of selective serotonin and norepinephrine reuptake inhibitors, sequela"}, {"role": "assistant", "content": "T43.215S — Adverse effect of selective serotonin and norepinephrine reuptake inhibitors, sequela"}]}
{"messages": [{"role": "system", "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 flank without penetration into peritoneal cavity, subsequent encounter"}, {"role": "assistant", "content": "S31.116D — Laceration without foreign body of abdominal wall, 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": "Psychophysiologic insomnia"}, {"role": "assistant", "content": "F51.04 — Psychophysiologic 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": "Nondisplaced fracture of shaft of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.355P — Nondisplaced fracture of shaft 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": "Nondisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion"}, {"role": "assistant", "content": "S82.245N — Nondisplaced spiral 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": "Unspecified foreign body in trachea causing asphyxiation, sequela"}, {"role": "assistant", "content": "T17.400S — Unspecified foreign body in trachea 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": "Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites"}, {"role": "assistant", "content": "C83.99 — Non-follicular (diffuse) 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": "Jumping or diving into natural body of water striking bottom causing other injury, sequela"}, {"role": "assistant", "content": "W16.622S — Jumping or diving into natural body of water striking bottom 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": "Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf"}, {"role": "assistant", "content": "I70.542 — Atherosclerosis of nonautologous biological bypass graft(s) of the left 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": "Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S82.246P — Nondisplaced spiral 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": "Atrophy of vulva"}, {"role": "assistant", "content": "N90.5 — Atrophy 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": "Quadruplets, some liveborn"}, {"role": "assistant", "content": "Z37.62 — Quadruplets, some 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": "Minor laceration of femoral artery, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S75.019D — Minor laceration 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": "Nondisplaced fracture of unspecified tibial tuberosity, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S82.156G — Nondisplaced fracture of unspecified tibial tuberosity, 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 flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter"}, {"role": "assistant", "content": "S56.104D — Unspecified 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": "Displacement of breast prosthesis and implant, sequela"}, {"role": "assistant", "content": "T85.42XS — Displacement 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": "Salter-Harris Type IV physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S59.049G — Salter-Harris Type IV 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": "Nondisplaced fracture of base of second metacarpal bone, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.340P — Nondisplaced fracture of base of second 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": "Homonymous bilateral field defects, left side"}, {"role": "assistant", "content": "H53.462 — Homonymous bilateral field defects, 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": "Osteonecrosis due to previous trauma of right ulna"}, {"role": "assistant", "content": "M87.234 — Osteonecrosis due to previous trauma 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": "Accidental handgun discharge, sequela"}, {"role": "assistant", "content": "W32.0XXS — Accidental handgun discharge, sequela"}]}
{"messages": [{"role": "system", "content": "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 dorsal vein of right foot, initial encounter"}, {"role": "assistant", "content": "S95.291A — Other specified injury of dorsal vein 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": "Spotting complicating pregnancy, unspecified trimester"}, {"role": "assistant", "content": "O26.859 — Spotting 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": "Other acute osteomyelitis, unspecified hand"}, {"role": "assistant", "content": "M86.149 — Other acute osteomyelitis, 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": "Sequelae of tuberculosis of other organs"}, {"role": "assistant", "content": "B90.8 — Sequelae of tuberculosis of other 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": "Sprain of interphalangeal joint of left thumb, subsequent encounter"}, {"role": "assistant", "content": "S63.622D — Sprain of interphalangeal joint 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": "Other fracture of upper and lower end of left fibula, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.832B — Other fracture of upper and lower end 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 unspecified muscle and tendon at ankle and foot level, unspecified foot, initial encounter"}, {"role": "assistant", "content": "S96.919A — Strain of unspecified muscle and tendon 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": "Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "M80.812D — Other osteoporosis with current pathological fracture, 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": "Neuromuscular scoliosis, cervicothoracic region"}, {"role": "assistant", "content": "M41.43 — Neuromuscular scoliosis, 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": "Displaced oblique fracture of shaft of left radius, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S52.332M — Displaced oblique fracture of shaft 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": "Other displaced fracture of sixth cervical vertebra, sequela"}, {"role": "assistant", "content": "S12.590S — Other displaced fracture of sixth 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": "Preterm labor second trimester with preterm delivery third trimester, fetus 3"}, {"role": "assistant", "content": "O60.13X3 — Preterm labor second trimester with preterm delivery third 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": "Transient visual loss, right eye"}, {"role": "assistant", "content": "H53.121 — Transient visual loss, 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": "Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter"}, {"role": "assistant", "content": "S94.22XA — Injury of deep peroneal nerve 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": "Displaced fracture of body of unspecified talus, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S92.123K — Displaced fracture of body 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": "Commercial fixed-wing aircraft fire injuring occupant, subsequent encounter"}, {"role": "assistant", "content": "V95.34XD — Commercial fixed-wing aircraft 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": "Unspecified injury to L5 level of lumbar spinal cord, initial encounter"}, {"role": "assistant", "content": "S34.105A — Unspecified injury to L5 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": "Other adverse effects, not elsewhere classified, sequela"}, {"role": "assistant", "content": "T78.8XXS — Other adverse effects, 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": "Idiopathic chronic gout, multiple sites, with tophus (tophi)"}, {"role": "assistant", "content": "M1A.09X1 — Idiopathic chronic gout, multiple sites, 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": "Maternal care for Anti-A sensitization, first trimester, fetus 5"}, {"role": "assistant", "content": "O36.1115 — Maternal care for Anti-A sensitization, 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": "Conjunctivitis due to Acanthamoeba"}, {"role": "assistant", "content": "B60.12 — Conjunctivitis due to Acanthamoeba"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S82.856M — Nondisplaced 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": "Other specified bursopathies, left hand"}, {"role": "assistant", "content": "M71.842 — Other specified bursopathies, 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 lunate [semilunar], left wrist, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.122B — Displaced fracture of lunate [semilunar], 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": "Burn of unspecified degree of left scapular region, subsequent encounter"}, {"role": "assistant", "content": "T22.062D — Burn of unspecified 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": "Unspecified fracture of left lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC"}, {"role": "assistant", "content": "S82.92XC — Unspecified fracture of left 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": "Nondisplaced dome fracture of right talus, initial encounter for open fracture"}, {"role": "assistant", "content": "S92.144B — Nondisplaced dome fracture of right 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": "Fall on and from ladder, initial encounter"}, {"role": "assistant", "content": "W11.XXXA — Fall on and from ladder, initial encounter"}]}
{"messages": [{"role": "system", "content": "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, intra-abdominal lymph nodes"}, {"role": "assistant", "content": "C83.83 — Other non-follicular 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": "Pyemic and septic embolism in pregnancy, first trimester"}, {"role": "assistant", "content": "O88.311 — Pyemic and septic embolism 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": "Infective myositis, left toe(s)"}, {"role": "assistant", "content": "M60.077 — Infective myositis, 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": "Superficial foreign body, unspecified lower leg, sequela"}, {"role": "assistant", "content": "S80.859S — Superficial foreign body, 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": "Nondisplaced oblique fracture of shaft of left ulna, subsequent encounter for closed fracture with malunion"}, {"role": "assistant", "content": "S52.235P — Nondisplaced oblique fracture of shaft 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": "Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris"}, {"role": "assistant", "content": "I25.702 — Atherosclerosis of coronary artery bypass graft(s), unspecified, 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": "Chronic embolism and thrombosis of right subclavian vein"}, {"role": "assistant", "content": "I82.B21 — Chronic embolism and thrombosis of right subclavian 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": "Laceration with foreign body of other finger without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S61.228D — Laceration with foreign body of other 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": "Partial traumatic amputation of left ear, sequela"}, {"role": "assistant", "content": "S08.122S — Partial traumatic amputation 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": "Laceration without foreign body of left great toe without damage to nail, subsequent encounter"}, {"role": "assistant", "content": "S91.112D — Laceration without foreign body of left 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": "Displaced comminuted fracture of shaft of left tibia, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S82.252B — Displaced comminuted 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": "Poisoning by other antiprotozoal drugs, undetermined, initial encounter"}, {"role": "assistant", "content": "T37.3X4A — Poisoning by other antiprotozoal 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 proximal phalanx of right ring finger, sequela"}, {"role": "assistant", "content": "S62.614S — Displaced fracture of proximal 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": "Salter-Harris Type II physeal fracture of upper end of unspecified fibula, subsequent encounter for fracture with routine healing"}, {"role": "assistant", "content": "S89.229D — Salter-Harris Type II physeal fracture of upper end of unspecified 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": "Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side"}, {"role": "assistant", "content": "I69.033 — Monoplegia of upper limb following nontraumatic subarachnoid 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": "Displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with delayed healing"}, {"role": "assistant", "content": "S62.251G — Displaced fracture of neck 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": "Pedal cycle passenger injured in collision with other pedal cycle in nontraffic accident, initial encounter"}, {"role": "assistant", "content": "V11.1XXA — Pedal cycle passenger injured in collision with other 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": "Other specified injuries of unspecified part of neck, initial encounter"}, {"role": "assistant", "content": "S19.80XA — Other specified injuries of unspecified 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": "Nondisplaced transverse fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing"}, {"role": "assistant", "content": "S52.326F — Nondisplaced transverse fracture of shaft 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": "Superficial foreign body of unspecified elbow, initial encounter"}, {"role": "assistant", "content": "S50.359A — Superficial 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": "Congenital laryngomalacia"}, {"role": "assistant", "content": "Q31.5 — Congenital laryngomalacia"}]}
{"messages": [{"role": "system", "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 traffic accident, subsequent encounter"}, {"role": "assistant", "content": "V52.5XXD — Driver of pick-up truck or van 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": "Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, sequela"}, {"role": "assistant", "content": "T84.629S — Infection and inflammatory reaction due to internal fixation device of unspecified bone of 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 unspecified phalanx of left ring finger, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.605B — Fracture of unspecified 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": "Unspecified lesions of oral mucosa"}, {"role": "assistant", "content": "K13.70 — Unspecified lesions of oral mucosa"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Other heparin-induced thrombocytopenia syndrome"}, {"role": "assistant", "content": "D75.828 — Other heparin-induced thrombocytopenia 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": "Intentional self-harm by drowning and submersion while in bathtub, initial encounter"}, {"role": "assistant", "content": "X71.0XXA — Intentional self-harm by drowning and submersion while in bathtub, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 nonunion"}, {"role": "assistant", "content": "S52.324M — Nondisplaced transverse 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": "Anterior dislocation of proximal end of tibia, right knee, sequela"}, {"role": "assistant", "content": "S83.114S — Anterior 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": "Acute eczematoid otitis externa, unspecified ear"}, {"role": "assistant", "content": "H60.549 — Acute eczematoid 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": "Toxic effect of strychnine and its salts, assault, initial encounter"}, {"role": "assistant", "content": "T65.1X3A — Toxic effect of strychnine and its salts, 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": "Underdosing of other fibrinolysis-affecting drugs, sequela"}, {"role": "assistant", "content": "T45.696S — Underdosing of other fibrinolysis-affecting 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": "Corrosion of unspecified degree of multiple left fingers (nail), not including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.432D — Corrosion of unspecified 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": "Unspecified fracture of unspecified forearm, initial encounter for open fracture type I or II"}, {"role": "assistant", "content": "S52.90XB — Unspecified fracture of unspecified forearm, 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 splenic vein, subsequent encounter"}, {"role": "assistant", "content": "S35.329D — Unspecified 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": "Neoplasm of unspecified behavior of retina and choroid"}, {"role": "assistant", "content": "D49.81 — Neoplasm of unspecified behavior of retina and choroid"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Grey baby syndrome"}, {"role": "assistant", "content": "P93.0 — Grey baby 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": "Pathological fracture in neoplastic disease, right hand, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "M84.541P — Pathological fracture in neoplastic disease, 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": "Unspecified injury of other blood vessels at ankle and foot level, unspecified leg, sequela"}, {"role": "assistant", "content": "S95.809S — Unspecified injury of other blood vessels at ankle and foot 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": "Burn of third degree of right ear [any part, except ear drum], sequela"}, {"role": "assistant", "content": "T20.311S — Burn of third degree of right ear [any part, except ear drum], sequela"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S62.642P — Nondisplaced 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": "Pain in left toe(s)"}, {"role": "assistant", "content": "M79.675 — Pain in 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": "Histiocytic sarcoma"}, {"role": "assistant", "content": "C96.A — Histiocytic sarcoma"}]}
{"messages": [{"role": "system", "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 other specified veins"}, {"role": "assistant", "content": "I82.890 — Acute embolism and thrombosis of other specified veins"}]}
{"messages": [{"role": "system", "content": "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, subsequent encounter for open fracture type I or II with nonunion"}, {"role": "assistant", "content": "S72.091M — Other fracture of head and 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": "Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, assault, sequela"}, {"role": "assistant", "content": "T42.8X3S — Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, 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": "Acquired total absence of pancreas"}, {"role": "assistant", "content": "Z90.410 — Acquired total absence of pancreas"}]}
{"messages": [{"role": "system", "content": "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 dorsal vein of left foot, sequela"}, {"role": "assistant", "content": "S95.292S — Other specified injury of dorsal vein 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": "Burn of second degree of right toe(s) (nail), initial encounter"}, {"role": "assistant", "content": "T25.231A — Burn of second 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 apophyseal fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.133E — Displaced apophyseal 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": "Asphyxiation due to being trapped in a car trunk, intentional self-harm, initial encounter"}, {"role": "assistant", "content": "T71.222A — Asphyxiation due to being trapped in a car trunk, 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 specified injury of blood vessel of left little finger, subsequent encounter"}, {"role": "assistant", "content": "S65.597D — Other specified injury 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": "Unspecified abnormal finding in specimens from male genital organs"}, {"role": "assistant", "content": "R86.9 — Unspecified abnormal finding 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": "Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation"}, {"role": "assistant", "content": "K35.219 — Acute appendicitis with generalized peritonitis, with abscess, unspecified as to 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": "Unspecified fracture of fourth metacarpal bone, left hand, subsequent encounter for fracture with nonunion"}, {"role": "assistant", "content": "S62.305K — Unspecified fracture of fourth 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": "Hypertrophy of bone, left ulna"}, {"role": "assistant", "content": "M89.332 — Hypertrophy of bone, left 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": "Complete traumatic amputation of left forearm, level unspecified, initial encounter"}, {"role": "assistant", "content": "S58.912A — Complete traumatic amputation of left 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": "Sinus barotrauma, subsequent encounter"}, {"role": "assistant", "content": "T70.1XXD — Sinus barotrauma, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "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, left leg"}, {"role": "assistant", "content": "I70.492 — Other atherosclerosis of autologous vein bypass graft(s) of the extremities, 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": "Hypertrophy of bone, right shoulder"}, {"role": "assistant", "content": "M89.311 — Hypertrophy of bone, 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": "Injury of unspecified nerve at ankle and foot level, unspecified leg, subsequent encounter"}, {"role": "assistant", "content": "S94.90XD — Injury of unspecified nerve at ankle and foot 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": "Leakage of insulin pump, sequela"}, {"role": "assistant", "content": "T85.633S — Leakage of insulin pump, sequela"}]}
{"messages": [{"role": "system", "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, bilateral"}, {"role": "assistant", "content": "H35.343 — Macular cyst, hole, or pseudohole, 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 cheek and temporomandibular area, initial encounter"}, {"role": "assistant", "content": "S01.432A — Puncture wound without foreign body of left cheek and temporomandibular 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": "Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with malunion"}, {"role": "assistant", "content": "S92.405P — Nondisplaced unspecified fracture of left 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": "Anaphylactic reaction due to egg with reactivity to baked egg, initial encounter"}, {"role": "assistant", "content": "T78.081A — Anaphylactic reaction due to egg with reactivity to baked egg, initial encounter"}]}
{"messages": [{"role": "system", "content": "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 dorsal artery of right foot, sequela"}, {"role": "assistant", "content": "S95.091S — Other specified injury of dorsal 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 extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with delayed healing"}, {"role": "assistant", "content": "S52.551H — Other extraarticular 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": "Acquired stenosis of left external ear canal, unspecified"}, {"role": "assistant", "content": "H61.302 — Acquired stenosis of left external ear canal, 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 other specified muscles and tendons at ankle and foot level, left foot, initial encounter"}, {"role": "assistant", "content": "S96.822A — Laceration 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": "Other secondary gout, left ankle and foot"}, {"role": "assistant", "content": "M10.472 — Other secondary gout, 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": "Primary blast injury of ear, bilateral, initial encounter"}, {"role": "assistant", "content": "S09.313A — Primary blast injury of ear, 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": "Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen"}, {"role": "assistant", "content": "D78.01 — Intraoperative hemorrhage and hematoma of the spleen complicating 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": "Unspecified fracture of lower end of right ulna, initial encounter for closed fracture"}, {"role": "assistant", "content": "S52.601A — Unspecified 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": "Corrosion of first degree of multiple left fingers (nail), including thumb, subsequent encounter"}, {"role": "assistant", "content": "T23.542D — Corrosion of first 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": "Laceration without foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter"}, {"role": "assistant", "content": "S21.112A — Laceration without 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": "Unspecified maternal hypertension, complicating childbirth"}, {"role": "assistant", "content": "O16.4 — Unspecified maternal hypertension, 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": "Displaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with routine healing"}, {"role": "assistant", "content": "S72.412E — Displaced unspecified condyle fracture of lower end 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 open wound, unspecified hip, sequela"}, {"role": "assistant", "content": "S71.009S — Unspecified open wound, 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 specified injury of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter"}, {"role": "assistant", "content": "S76.999A — Other specified 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": "Maternal care for other rhesus isoimmunization, third trimester, fetus 5"}, {"role": "assistant", "content": "O36.0935 — Maternal care for other rhesus isoimmunization, 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": "Puncture wound with foreign body of right upper arm, initial encounter"}, {"role": "assistant", "content": "S41.141A — Puncture wound with foreign body 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": "Unspecified injury of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter"}, {"role": "assistant", "content": "S66.501D — Unspecified 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": "Puncture wound without foreign body of left breast, initial encounter"}, {"role": "assistant", "content": "S21.032A — Puncture wound without foreign body of 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": "Poisoning by unspecified antipsychotics and neuroleptics, undetermined, sequela"}, {"role": "assistant", "content": "T43.504S — Poisoning by unspecified antipsychotics and neuroleptics, 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 with foreign body, left thigh, sequela"}, {"role": "assistant", "content": "S71.142S — Puncture wound with 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": "Displaced fracture of head of unspecified radius, subsequent encounter for closed fracture with nonunion"}, {"role": "assistant", "content": "S52.123K — Displaced fracture of head 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": "Chronic combined systolic (congestive) and diastolic (congestive) heart failure"}, {"role": "assistant", "content": "I50.42 — Chronic combined systolic (congestive) and diastolic (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": "Chloasma"}, {"role": "assistant", "content": "L81.1 — Chloasma"}]}
{"messages": [{"role": "system", "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 20-29% third degree corrosion"}, {"role": "assistant", "content": "T32.62 — Corrosions involving 60-69% of body surface with 20-29% 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": "Toxic effect of other halogen derivatives of aromatic hydrocarbons, assault, initial encounter"}, {"role": "assistant", "content": "T53.7X3A — Toxic effect of other halogen derivatives of aromatic hydrocarbons, 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": "Luxation of globe, right eye"}, {"role": "assistant", "content": "H44.821 — Luxation of globe, 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": "Burns involving 70-79% of body surface with 0% to 9% third degree burns"}, {"role": "assistant", "content": "T31.70 — Burns involving 70-79% 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": "Person boarding or alighting from bus injured in collision with fixed or stationary object, subsequent encounter"}, {"role": "assistant", "content": "V77.4XXD — Person boarding or alighting from bus injured in collision with fixed or stationary 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": "Breakdown (mechanical) of insulin pump, initial encounter"}, {"role": "assistant", "content": "T85.614A — Breakdown (mechanical) of insulin pump, initial encounter"}]}
{"messages": [{"role": "system", "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, initial encounter for open fracture"}, {"role": "assistant", "content": "S62.109B — Fracture of unspecified carpal bone, unspecified 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": "Underdosing of hydantoin derivatives, sequela"}, {"role": "assistant", "content": "T42.0X6S — Underdosing of hydantoin derivatives, sequela"}]}
{"messages": [{"role": "system", "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 right lower limb, except ankle and foot, subsequent encounter"}, {"role": "assistant", "content": "T24.301D — Burn 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": "Glaucoma secondary to eye inflammation, bilateral, indeterminate stage"}, {"role": "assistant", "content": "H40.43X4 — Glaucoma secondary to eye inflammation, bilateral, 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": "Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris"}, {"role": "assistant", "content": "I25.728 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of 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": "Underdosing of local antifungal, anti-infective and anti-inflammatory drugs, initial encounter"}, {"role": "assistant", "content": "T49.0X6A — Underdosing of local antifungal, anti-infective and anti-inflammatory 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": "Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing"}, {"role": "assistant", "content": "S52.264G — Nondisplaced segmental fracture of shaft of ulna, 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": "Unspecified fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion"}, {"role": "assistant", "content": "S82.409R — Unspecified 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": "Adverse effect of other agents primarily acting on the respiratory system, sequela"}, {"role": "assistant", "content": "T48.995S — Adverse effect of other 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": "Other specific joint derangements left foot, not elsewhere classified"}, {"role": "assistant", "content": "M24.875 — Other specific joint derangements left foot, 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": "Encounter for supervision of normal first pregnancy, third trimester"}, {"role": "assistant", "content": "Z34.03 — Encounter for supervision of normal first 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": "Fall on and from ladder, subsequent encounter"}, {"role": "assistant", "content": "W11.XXXD — Fall on and from ladder, subsequent encounter"}]}
{"messages": [{"role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification."}, {"role": "user", "content": "Cicatricial lagophthalmos right eye, unspecified eyelid"}, {"role": "assistant", "content": "H02.213 — Cicatricial lagophthalmos 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": "Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter"}, {"role": "assistant", "content": "V91.33XD — Hit or struck by falling object due to accident to 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": "NIHSS score 15"}, {"role": "assistant", "content": "R29.715 — NIHSS score 15"}]}
{"messages": [{"role": "system", "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 subclavian vein, bilateral"}, {"role": "assistant", "content": "I82.B23 — Chronic embolism and thrombosis of subclavian vein, bilateral"}]}