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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": "Puncture wound of abdominal wall with foreign body, right flank with penetration into peritoneal cavity, ...
[ { "role": "system", "content": "You are 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 closed fracture with routine healin...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with rout...
[ { "role": "system", "content": "You 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, assault, 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": "Toxic effect of latex, intentional self-harm, 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": "Puncture wound with foreign body of unspecified part of neck, 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": "Hypertonic, incoordinate, and prolonged uterine contractions" }, { "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 fracture of lower end of unspecified ulna, initial encounter for open fracture type I or 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": "Displaced fracture of medial wall of left acetabulum, subsequent encounter for fracture with routine heal...
[ { "role": "system", "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 foot, subsequent encounter for fracture with routine h...
[ { "role": "system", "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 antiepileptic and sedative-hypnotic drugs, 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": "Displaced trimalleolar fracture of left lower 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": "Non-Hodgkin lymphoma, unspecified, in remission" }, { "role": "assistant", "content": "C85.9A...
[ { "role": "system", "content": "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 right eye, upper and lower eyelids" }, { "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": "Congenital absence of unspecified hand and finger" }, { "role": "assistant", "content": "Q71....
[ { "role": "system", "content": "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, second trimester" }, { "role": "assistant", "content": "O43.1...
[ { "role": "system", "content": "You 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 right foot, subsequent encounter" }, { "role": "assis...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced fracture of fourth metatarsal bone, left foot, subsequent encounter for fracture with maluni...
[ { "role": "system", "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 intrathoracic lymph nodes" }, { "role": "assistant", "content": "A15.4 — Tube...
[ { "role": "system", "content": "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 delayed h...
[ { "role": "system", "content": "You 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), 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": "Foreign body in conjunctival sac, right eye, sequela" }, { "role": "assistant", "content": "T...
[ { "role": "system", "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, 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": "Cocaine abuse with intoxication with perceptual disturbance" }, { "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": "Subluxation of proximal interphalangeal joint of left index finger, 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": "Blister (nonthermal) of oral cavity, sequela" }, { "role": "assistant", "content": "S00.522S ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Ovarian streak" }, { "role": "assistant", "content": "Q50.32 — Ovarian streak" } ]
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced spiral fracture of shaft of left fibula, subsequent encounter for 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": "Displaced fracture of middle phalanx of left little finger, subsequent encounter for fracture with maluni...
[ { "role": "system", "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 hand, initial encounter for fracture" }, { "rol...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with 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": "Toxic effect of other specified inorganic substances, accidental (unintentional), 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": "Pathological fracture, right hand, subsequent encounter for fracture with malunion" }, { "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 ossification of muscle, left shoulder" }, { "role": "assistant", "content": "M61.512 — ...
[ { "role": "system", "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 nontraffic accident, subsequent encounte...
[ { "role": "system", "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 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": "Other dysplasia of prostate" }, { "role": "assistant", "content": "N42.39 — Other dysplasia o...
[ { "role": "system", "content": "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 closed fracture with malu...
[ { "role": "system", "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 conjunctivitis" }, { "role": "assistant", "content": "A36.86 — Diphtheritic conj...
[ { "role": "system", "content": "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 elbow" }, { "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": "Major depressive disorder, recurrent, severe with psychotic symptoms" }, { "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": "Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye" }, { "role": "assi...
[ { "role": "system", "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 small intestine, 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": "Car passenger injured in collision with pedestrian or animal in nontraffic accident, 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 car occupant injured in collision with two- or three-wheeled motor vehicle in nontraffic acci...
[ { "role": "system", "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, assault, sequela" }, { "role": "assistant", "content": "T61.03XS — ...
[ { "role": "system", "content": "You are 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, assault, initial encounter" }, { "role": "assis...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Unspecified physeal fracture of right calcaneus, subsequent encounter for fracture with 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": "Hepatic veno-occlusive disease" }, { "role": "assistant", "content": "K76.5 — Hepatic veno-oc...
[ { "role": "system", "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 lower eyelid" }, { "role": "assistant", "content": "H02.5...
[ { "role": "system", "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 fishing boat, sequela" }, { "role": "assistant", "content": "V93....
[ { "role": "system", "content": "You are 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 routine 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": "Displaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type ...
[ { "role": "system", "content": "You are 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 acetabulum, initial encounter for open fracture" }, { "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 first degree of unspecified multiple fingers (nail), including thumb, 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": "Posterior subluxation of unspecified ulnohumeral joint, initial encounter" }, { "role": "assistan...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Poisoning by barbiturates, undetermined, subsequent encounter" }, { "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": "Problems related to multiparity" }, { "role": "assistant", "content": "Z64.1 — Problems relat...
[ { "role": "system", "content": "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 foot, subsequent 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": "Presence of other specified devices" }, { "role": "assistant", "content": "Z97.8 — Presence o...
[ { "role": "system", "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, initial encounter for 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": "Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, subsequent encou...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with routine h...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Mixed cellularity Hodgkin lymphoma, lymph nodes of inguinal region and lower limb" }, { "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": "Electric (assisted) bicycle passenger injured in collision with other nonmotor vehicle in traffic acciden...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or III...
[ { "role": "system", "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, intra-abdominal lymph nodes" }, { "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": "Other hypochondriacal disorders" }, { "role": "assistant", "content": "F45.29 — Other hypocho...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Viral conjunctivitis, unspecified" }, { "role": "assistant", "content": "B30.9 — Viral conjun...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Anodontia" }, { "role": "assistant", "content": "K00.0 — Anodontia" } ]
[ { "role": "system", "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 knee, 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": "Other mechanical complication of internal left hip prosthesis, 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": "Abnormal radiological finding on antenatal screening of mother" }, { "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": "Rosacea conjunctivitis, right eye" }, { "role": "assistant", "content": "H10.821 — Rosacea 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": "Adverse effect of vitamins, subsequent encounter" }, { "role": "assistant", "content": "T45.2...
[ { "role": "system", "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 corneal pigmentations, bilateral" }, { "role": "assistant", "content": "H18.013 — An...
[ { "role": "system", "content": "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, left hand, 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": "Other specified injury of unspecified innominate or subclavian artery, 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": "Displaced longitudinal fracture of left 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 osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture wi...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced midcervical fracture of unspecified femur, subsequent encounter for closed fracture with delaye...
[ { "role": "system", "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, subsequent encounter" }, { "role": "assistan...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Exposure to industrial wiring, appliances and electrical machinery, 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": "Displaced oblique fracture of shaft of left fibula, 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": "Cardiac complications of anesthesia during labor and delivery" }, { "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": "Unspecified dislocation 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": "Interstitial myositis, unspecified ankle and foot" }, { "role": "assistant", "content": "M60....
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Fracture of orbital roof, unspecified side, subsequent encounter for fracture with routine 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": "Unspecified superficial injury of right hip, 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": "Nodular sclerosis Hodgkin lymphoma, lymph nodes of 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": "Nutritional optic neuropathy" }, { "role": "assistant", "content": "H46.2 — Nutritional optic...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Intentional self-harm by other gas, air or spring-operated gun, 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 non-in-line roller-skating accident, subsequent encounter" }, { "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": "Hemorrhage in early pregnancy, unspecified" }, { "role": "assistant", "content": "O20.9 — Hem...
[ { "role": "system", "content": "You are 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 great toe, subsequent encounter for fracture with non...
[ { "role": "system", "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 hydrocephalic fetus, fetus 5" }, { "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 superficial vein at shoulder and upper arm level, right arm, subsequent 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": "Unspecified fracture of lower end of right humerus, subsequent encounter for 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": "Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return ...
[ { "role": "system", "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 index finger without damage to nail, subsequent encounter" ...