Question

Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...

Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s). STRESS TEST (OUTPATIENT) FINDINGS: The patient is a 62-year-old female who has paroxysmal atrial tachycardia and takes Inderal 40 mg four times a day and Lanoxin 0.25 mg daily for this. She has also complained of some chest discomfort and has had some mild hypertension for which she takes Dyazide once a day. She is referred to take an outpatient stress test to rule out coronary artery disease. The patient was prepared in the usual fashion. Electrodes were applied to the chest. She was taken at 1.6 metabolic equivalents (METs), 3 METs, 6 METs, and 9 METs during her exercise on the treadmill. During that time, her pulse rate increased linearly from 60 up to 150. The systolic blood pressure increased from 140 to 160. The blood pressure at the final MET level apparently was not recorded. During the course of the test, the patient did not really complain of chest pain, but she did become quite noticeably tired and short of breath, complaining of some tightness in her chest and feelings of weakness and dizziness. The rhythm strips at 1.6, 3, and 6 METs did not show any real ST segment depression. However, at the 6-MET level, there was noted about a 1/2-mm horizontal ST segment depression. At 9 METs, the changes were somewhat more pronounced with about a 1-2 mm. ST segment depression was actually horizontal to downward sloping. With these changes at 9 METs, I would think that this is sort of a borderline test with indeed some signs of positive at 9 METs. At this point, I would think this lady probably could be watched. She is essentially asymptomatic at rest and at low levels of exercise. I will continue her medications and see her frequently in the office if her, symptoms increase. It may be that she should be restressed or at any rate that she should have yearly stress tests to keep tabs on the status of her coronary arteries. If the symptoms worsen and so forth, it might be worth referral for further studies. DIAGNOSES: Paroxysmal atrial tachycardia. Chest pain. Hypertension. Rule out coronary artery disease.

0 0
Add a comment Improve this question Transcribed image text
Answer #1

ICD 10 CM Codes

Principal I48.0 Paroxysmal atrial fibrillation

Secondary :

R07.9 Chest pain, unspecified

I10 Primary essential hypertension

I25.10 Rule out coronary artery disease

HCPCS codes :

T1502 Administration of oral/intramuscular/ subcutaneous medication by health care agency / professional .per visit.

CPT Medicine codes

Lanoxin : 80162

Inderal : 84149

Dyazide : 3650

Add a comment
Know the answer?
Add Answer to:
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and...

    Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) for the following case. ELECTROENCEPHALOGRAM (EEG) COMPLAINT: Seizure. CURRENT MEDICATIONS: Phenobarbital, Theo-Dur, Peri-Colace. STATE OF PATIENT DURING RECORDING: Awake. Current Procedural Terminology© 2016 American Medical Association. All Rights Reserved. DESCRIPTION OF EEG: The background is not well developed. Much muscle tension artifact is superimposed; electrode artifact also present at times. No spike-wave discharges, paroxysmal slowing, or...

  • Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...

    Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual sterile fashion....

  • Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...

    Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. 4. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. ton POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual...

  • Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...

    Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) 8. Lisa Morales is a type 1 diabetic patient who presents for the refilling of her insulin pump. The pump is identified as a Paradigm model number 515/715, and 250 units per milliliter of insulin was placed in the pump. The patient is discharged.

  • Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...

    Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. 5. PREOPERATIVE DIAGNOSIS: Mass of lung. POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung. OPERATION PERFORMED: Bronchoscopy and right upper lobectomy. The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in...

  • Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...

    Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. OPERATION: Ful-term vaginal delivery of a term male, with midline episiotomy repaired and rupture of membranes. This very pleasant 23-year-old gravida 1, para o female presented to the obstetrical suite in ostetrician is currently out...

  • Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...

    Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. 8. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient was a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she was seen in the ambulatory suite for further examination...

  • Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...

    Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Respiratory insufficiency due to ALS. POSTOPERATIVE DIAGNOSIS: Severe respiratory insufficiency due to ALS. OPERATION PERFORMED: Tracheostomy. The patient, a 45-year-old male with ALS, has been experiencing severe shortness of breath of a progressive nature over the last several weeks. After discussion of all risks, the decision has been...

  • Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...

    Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...

  • Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...

    Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level 11 and CPT modifier(s). Do not assign ICD-10-CM external cause codes. With the patient under general anesthesia, a vertical midline scrotal incision was made, carried down through the skin and subcutaneous tissues. With use of the cautery, the hemiscrotum was entered. The left testicle was delivered into the wound. There was no active bleeding, and the testicle was sent for analysis....

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT