messages
listlengths
3
3
[ { "role": "system", "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 cardiac implants and grafts" }, { "role": "assistant", "content": "Z95.818 ...
[ { "role": "system", "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, 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": "Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for open fracture ty...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Nondisplaced comminuted fracture of shaft of right fibula, initial encounter for 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": "Cocaine dependence with cocaine-induced psychotic disorder with delusions" }, { "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": "Multiple endocrine neoplasia [MEN] syndrome, unspecified" }, { "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": "Corrosion of unspecified degree of head, face, and neck, unspecified site, 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": "Displacement of permanent sutures, 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": "Maternal care for (suspected) fetal abnormality and damage, unspecified, fetus 5" }, { "role": "a...
[ { "role": "system", "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, initial 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": "Stress fracture, unspecified ulna and radius, 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": "Complete transverse atypical femoral fracture, right leg, 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": "Burn due to localized fire on board fishing boat, initial 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": "Monoarthritis, not elsewhere classified, right elbow" }, { "role": "assistant", "content": "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": "Anterior dislocation of left radial head, 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": "Other nondisplaced fracture of upper end of left humerus, subsequent encounter for fracture with nonunion...
[ { "role": "system", "content": "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 forearm, 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": "Leakage of nephrostomy catheter, initial encounter" }, { "role": "assistant", "content": "T83...
[ { "role": "system", "content": "You are 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 nonunion" ...
[ { "role": "system", "content": "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 routi...
[ { "role": "system", "content": "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 elbow, 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": "Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consc...
[ { "role": "system", "content": "You are 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, subsequent encounter for fracture with routine hea...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Displaced transverse fracture of shaft of right tibia, subsequent encounter for closed fracture with 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": "Irritant contact dermatitis due to solvents" }, { "role": "assistant", "content": "L24.2 — Ir...
[ { "role": "system", "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, left side, 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": "Laceration of other blood vessels at wrist and hand level of left arm, 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": "Contact with unspecified machinery, 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": "Contusion of unspecified part of colon, subsequent encounter" }, { "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": "Deep endometriosis of the cecum" }, { "role": "assistant", "content": "N80.532 — Deep endomet...
[ { "role": "system", "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 retromolar area" }, { "role": "assistant", "content": "C06.2 — Malignan...
[ { "role": "system", "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, right eye" }, { "role": "assistant", "content": "H33.41 — Trac...
[ { "role": "system", "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, initial en...
[ { "role": "system", "content": "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, without behavioral disturbance, psychotic disturbance, mood disturbance, ...
[ { "role": "system", "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 lower limb, except ankle and foot, 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": "Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours witho...
[ { "role": "system", "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 T10/T11 thoracic vertebra, 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": "Corrosion of first degree of left forearm, sequela" }, { "role": "assistant", "content": "T22...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Injury of visual cortex, left side, sequela" }, { "role": "assistant", "content": "S04.042S —...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Complete traumatic amputation at level between elbow and wrist, left arm, 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 displaced fracture of seventh cervical vertebra, subsequent encounter for fracture with routi...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Toxic effect of fluorine gas and hydrogen fluoride, undetermined, sequela" }, { "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": "Displaced fracture of trapezium [larger multangular], unspecified wrist, subsequent encounter for fractur...
[ { "role": "system", "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, unspecified leg, 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": "Allergic contact dermatitis due to food in contact with the skin" }, { "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": "Blister (nonthermal), right thigh, 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": "Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg" ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Supraceliac aneurysm of the thoracoabdominal aorta, without rupture" }, { "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": "Salter-Harris Type I physeal fracture of upper end of right femur, sequela" }, { "role": "assista...
[ { "role": "system", "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 fishing boat, 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": "Coronal craniosynostosis, unilateral" }, { "role": "assistant", "content": "Q75.021 — Coronal...
[ { "role": "system", "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 other site of trunk, initial 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": "Nondisplaced fracture of lateral cuneiform of left foot, initial encounter for open 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": "Driver of pick-up truck or van injured in noncollision transport accident in nontraffic accident, 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": "Puncture wound without foreign body of right shoulder, sequela" }, { "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": "Injury of median nerve at forearm level, right arm, 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": "Burn of third degree of unspecified shoulder, initial 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": "Pathological fracture, left humerus, 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": "Multiple endocrine neoplasia [MEN] type IIA" }, { "role": "assistant", "content": "E31.22 — 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": "Lymphocyte function antigen-1 [LFA-1] defect" }, { "role": "assistant", "content": "D84.0 — L...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Puncture wound of abdominal wall with foreign body, unspecified flank without penetration into peritoneal...
[ { "role": "system", "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, 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": "Intentional self-harm by hot tap water, sequela" }, { "role": "assistant", "content": "X77.1X...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Malignant melanoma of right lower limb, including hip" }, { "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": "Crushing injury of right thumb, sequela" }, { "role": "assistant", "content": "S67.01XS — Cru...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other specified helminthiases" }, { "role": "assistant", "content": "B83.8 — Other specified ...
[ { "role": "system", "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 cons...
[ { "role": "system", "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 assisted reproductive fertility procedure cycle" }, { "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 superficial bite of other finger, initial 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": "Nondisplaced fracture of head of right radius, 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": "Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, subsequent encounter 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": "Bedroom of single-family (private) house as the place of occurrence of the external cause" }, { "...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Intentional collision of motor vehicle with other motor vehicle, 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": "Displaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II w...
[ { "role": "system", "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, 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 pilon fracture of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC" ...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other motorcycle passenger injured in collision with fixed or stationary object in nontraffic accident, s...
[ { "role": "system", "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 lower leg, subsequent encounter" }, { "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": "Puncture wound with foreign body of right cheek and temporomandibular area, 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": "Contusion of right little finger without damage to nail, initial encounter" }, { "role": "assista...
[ { "role": "system", "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 unspecified severity" }, { "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": "Paraphilia, unspecified" }, { "role": "assistant", "content": "F65.9 — Paraphilia, unspecifie...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Minor laceration of unspecified part of pancreas, initial 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": "Acute lymphangitis of other sites" }, { "role": "assistant", "content": "L03.898 — Acute lymp...
[ { "role": "system", "content": "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, 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": "Polyhydramnios, third trimester, not applicable or unspecified" }, { "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": "Other recurrent and persistent immunoglobulin A nephropathy" }, { "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": "Acute on chronic slipped upper femoral epiphysis, stable (nontraumatic), bilateral hips" }, { "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": "Contusion of lower back and pelvis, 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": "Assault by unspecified larger firearm discharge, 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": "Corrosions involving 90% or more of body surface with 80-89% third degree corrosion" }, { "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": "Poisoning by antithrombotic drugs, undetermined, 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": "Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarc...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Other injury of extensor muscle, fascia and tendon of right index finger at forearm 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": "Rheumatoid nodule, unspecified hand" }, { "role": "assistant", "content": "M06.349 — Rheumato...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Unspecified bacterial pneumonia" }, { "role": "assistant", "content": "J15.9 — Unspecified ba...
[ { "role": "system", "content": "You are a certified medical coder. Given a clinical description, return the most accurate ICD-10-CM code with justification." }, { "role": "user", "content": "Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, sequela" }, { "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": "Displaced fracture of cuboid bone of unspecified foot, initial encounter for open 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": "Squamous cell carcinoma of skin, unspecified" }, { "role": "assistant", "content": "C44.92 — ...
[ { "role": "system", "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 unspecified humerus, initial encounter for closed fracture" }, { ...