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[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced fracture of olecranon process without intraarticular extension of right ulna, subsequent encoun...
[ { "role": "system", "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 shoulder and upper limb, except wrist and hand, unspecified site, init...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Laceration of blood vessel of left little finger, sequela" }, { "role": "assistant", "content...
[ { "role": "system", "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 colitis, unspecified with other complication" }, { "role": "assistant", "content":...
[ { "role": "system", "content": "You 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, accidental (unintentional), sequela" }, { "...
[ { "role": "system", "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 unspecified radius, sequela" }, { "role": "assistant", "content": "S52...
[ { "role": "system", "content": "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 forearm, subsequent encounter" }, { "role": "assistant", ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Rh incompatibility with acute hemolytic transfusion reaction, subsequent encounter" }, { "role": ...
[ { "role": "system", "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 palm, initial encounter" }, { "role": "assistant", "conte...
[ { "role": "system", "content": "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 IIIA, IIIB, ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Injury of oculomotor nerve, left side, sequela" }, { "role": "assistant", "content": "S04.12X...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Assault by hot household appliances, sequela" }, { "role": "assistant", "content": "X98.3XXS ...
[ { "role": "system", "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 trisomy" }, { "role": "assistant", "content": "Q92.2 — Partial trisomy" } ]
[ { "role": "system", "content": "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 metatarsal, subsequent encounter for fracture with delayed healing"...
[ { "role": "system", "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 other powered watercraft, subsequent encounter" }, {...
[ { "role": "system", "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, subsequent encounter" }, { "role":...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other inflammatory diseases of prepuce" }, { "role": "assistant", "content": "N47.7 — Other i...
[ { "role": "system", "content": "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, generator, subsequent encounter" ...
[ { "role": "system", "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 arteries of extremities, unspecified" }, { "role": "assistant", "c...
[ { "role": "system", "content": "You 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, accidental (unintentional), initial encounter" }, { "role": "as...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Cement embolism of pulmonary artery with acute cor pulmonale" }, { "role": "assistant", "cont...
[ { "role": "system", "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 right hip" }, { "role": "assistant", "conten...
[ { "role": "system", "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 due to stepping into hole or opening, initial encounter"...
[ { "role": "system", "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, intra-abdominal lymph nodes" }, { "role": "assistant"...
[ { "role": "system", "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, sequela" }, { "role": "assistant", "conte...
[ { "role": "system", "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 knee, initial encounter" }, { "role": "assistant", "content": "S8...
[ { "role": "system", "content": "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 I or II with nonunio...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Epiphora due to excess lacrimation, right lacrimal gland" }, { "role": "assistant", "content"...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Rheumatoid nodule, right shoulder" }, { "role": "assistant", "content": "M06.311 — Rheumatoid...
[ { "role": "system", "content": "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, sequela" }, { "role": "as...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced Maisonneuve's fracture of right leg, subsequent encounter for open fracture type IIIA, IIIB,...
[ { "role": "system", "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 other inhalant-induced disorder" }, { "role": "assistant", "content": "F1...
[ { "role": "system", "content": "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 left dominant side" },...
[ { "role": "system", "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 ligament of unspecified ankle, sequela" }, { "role": "assistant", "content": ...
[ { "role": "system", "content": "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 open fracture type I or ...
[ { "role": "system", "content": "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 I or II with ro...
[ { "role": "system", "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 artery, initial encounter" }, { "role": ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Toxic effect of contact with stingray, intentional self-harm, initial encounter" }, { "role": "as...
[ { "role": "system", "content": "You are 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 closed fracture" }, {...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, lef...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Non-pressure chronic ulcer of neck limited to breakdown of skin" }, { "role": "assistant", "c...
[ { "role": "system", "content": "You are 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, subsequent encounter for closed fracture with malunion" }...
[ { "role": "system", "content": "You 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 index finger, sequela" }, { "role": "assistant", ...
[ { "role": "system", "content": "You 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, initial encounter" },...
[ { "role": "system", "content": "You are 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 delayed ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Laceration of muscle, fascia and tendon at neck level, subsequent encounter" }, { "role": "assist...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Whipple's disease" }, { "role": "assistant", "content": "K90.81 — Whipple's disease" } ]
[ { "role": "system", "content": "You are 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, initial encounter for open fractu...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester" },...
[ { "role": "system", "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 little finger, subsequent encounter" }, { "role": "assistant",...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Internal nasal valve collapse, dynamic" }, { "role": "assistant", "content": "J34.8202 — Inte...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Separation of muscle (nontraumatic), unspecified shoulder" }, { "role": "assistant", "content...
[ { "role": "system", "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 anterior fascicular block" }, { "role": "assistant", "content": "I44.4 — Left anterior f...
[ { "role": "system", "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 keratitis, left eye" }, { "role": "assistant", "content": "H16.332 — Sclerosing ke...
[ { "role": "system", "content": "You are 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 ...
[ { "role": "system", "content": "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 II...
[ { "role": "system", "content": "You are 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 no...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced segmental fracture of shaft of radius, right arm, sequela" }, { "role": "assistant",...
[ { "role": "system", "content": "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 IIIA, IIIB,...
[ { "role": "system", "content": "You 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 or brachial vein, unspecified side, initial encounter" }, { "r...
[ { "role": "system", "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, initial enco...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other motorcycle driver injured in noncollision transport accident in nontraffic accident, subsequent enc...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other injury of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, sequela...
[ { "role": "system", "content": "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 lens" }, { "role": "assistant", "content": "H27.10 — Unspecified d...
[ { "role": "system", "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 radioactive isotopes, subsequent encounter" }, { "role": "assistant", "content": ...
[ { "role": "system", "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 withdrawal delirium" }, { "role": "assistant", "c...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Pannus (corneal), bilateral" }, { "role": "assistant", "content": "H16.423 — Pannus (corneal)...
[ { "role": "system", "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 left clavicle, subsequent encounter for fracture with nonun...
[ { "role": "system", "content": "You 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, subsequent encounter" }, { ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Spondylolisthesis, thoracolumbar region" }, { "role": "assistant", "content": "M43.15 — Spond...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Contusion of unspecified eyelid and periocular area, sequela" }, { "role": "assistant", "cont...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other sickle-cell disorders with cerebral vascular involvement" }, { "role": "assistant", "co...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Bacterial infection, unspecified" }, { "role": "assistant", "content": "A49.9 — Bacterial inf...
[ { "role": "system", "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, initial encounter for fracture" }, { ...
[ { "role": "system", "content": "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 II...
[ { "role": "system", "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 leukemia of unspecified cell type, in relapse" }, { "role": "assistant", "content": "C9...
[ { "role": "system", "content": "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 closed fracture with dela...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other injury of muscle and tendon of unspecified wall of thorax, sequela" }, { "role": "assistant...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Malignant neoplasm of brain, unspecified" }, { "role": "assistant", "content": "C71.9 — Malig...
[ { "role": "system", "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 other procedure" }, { "...
[ { "role": "system", "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, subsequent encounter" }, { "role": "assistant", ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Laceration of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or I...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Struck by baseball bat, sequela" }, { "role": "assistant", "content": "W21.11XS — Struck by b...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Dysarthria following other nontraumatic intracranial hemorrhage" }, { "role": "assistant", "c...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Obstructed labor due to incomplete rotation of fetal head, fetus 1" }, { "role": "assistant", ...
[ { "role": "system", "content": "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 e...
[ { "role": "system", "content": "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, subsequent encounter" }, { "role": "assistant", "content": "W56.0...
[ { "role": "system", "content": "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 traff...
[ { "role": "system", "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, subsequent encounter" }, { "role": "assist...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encount...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Paralytic ectropion of left eye, unspecified eyelid" }, { "role": "assistant", "content": "H0...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced oblique fracture of shaft of unspecified tibia, subsequent encounter for closed fracture with m...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Poisoning by tricyclic antidepressants, undetermined, sequela" }, { "role": "assistant", "con...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other osteonecrosis of right ulna" }, { "role": "assistant", "content": "M87.834 — Other oste...
[ { "role": "system", "content": "You 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, intentional self-harm, sequela" }, { "role"...
[ { "role": "system", "content": "You 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, multiple sites" }, { "role": "assistant"...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Smith's fracture of left radius, initial encounter for closed fracture" }, { "role": "assistant",...
[ { "role": "system", "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 Methicillin susceptible Staphylococcus aureus" }, { "role": "assistant", "co...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or ...