9/13/2013 7 ICD-10-CM Injury Coding for Orthopedics â¢35 year old presented to the emergency department with a painful, right wrist. Upon examination the wrist is swollen and there is pain with palpation of the wrist area with limited grip strength of the right hand.CD-10-CM Injury Coding for Orthopedics Example A â¢ 78 year-old Patricia comes to the office complaining of pain in her wrist. She states she fell yesterday evening. She caught herself on both hands, but immediately had pain in her wrist. Plain films where obtained.
1 Puppy classes usually cost less than adult dog classes or classes specifically geared toward dogs with behavior issues. 2  Private classes with a trainer, which could be at the client's home or at the trainer's place of business, usually cost from $30 to $100 per hour-long session -- so about $240 to $600 for six sessions. Amazon has a selection of dog training books starting under $10. 2  Some shelters offer low-cost training, starting at about $35 and up for several weeks of classes. 3  The cost is usually lower for a dog adopted from that shelter. 4  Some boarding training programs offer a discount for a second dog from the same household.
1 Breeding a litter of four puppies could run you upwards of $8,000. 2  The costs noted below would be what it would cost for a litter of four. 3  Others have noted that you should be prepared to spend at least $100 per month, per puppy.4  When complications are involved, this can double if not triple the estimates noted above. According to Omalmalamutes.com, it can cost an average of $7,788 for a litter of four Malamute Puppies without complications to as much as $23,899 for a litter of 12 with no complications.