What is the professional code and the cpt ICD-cm- codes for this case Presenting Complaint: Head congestion T 38 P 68 R 22 BP 110/72 History: This 33-year-old female established patient comes into the office with congestion, sinus discomfort, and headache. Her ears have been popping. The throat is somewhat sore but she has not been coughing, She is currently on no medication. Physical Examination: She is alert and in no acute distress. HEENT: Ears are clear. TMs pearly bilaterally. Maxillary sinuses are tender with palpation. Nose: Positive rhinorrhea. Pharynx: Positive postnasal discharge. Slight erythema. Neck: Supple and shotty lymphadenopathy Lungs: Clear to auscultation. Abdomen: Soft, nontender with good bowel sounds. Cardio: Regular rate and rhythm Assessment: Acute sinusitis Disposition: Amoxicillin 500 mg one po t.i.d ×7 days. Increase fluids and follow up with me in 7 to 10 days if symptoms are not resolved.
A code of proffesion conduct is a necessary component to any proffesion to maintain standards for the individuals within that proffesion to adhere. It brings about responsibility accountability And trust to the individuals that proffesion serves.
Acute maxillary sinusitis unspecified J01. 00 is a specific ICD 10 CM code that can be used for reimbursement purposes.
What is the professional code and the cpt ICD-cm- codes for this case Presenting Complaint: Head...
What is the professional code and the cpt Icd10- cm codes for this case? Presenting Complaint: Motorcycle accident with laceration, left leg T 37 P 72 R 18 History: Patient was involved in a motorcycle accident one hour prior to this ER visit, falling on his left leg and sustaining a laceration to the pretibial area. He experienced no loss of consciousness or head trauma. This was the patient’s first time on a motorcycle, and he was unsure of how...
What is the rationale for this case? What is the rationale for the ICD-10-CM codes for the case? Admited: 1/2/20XX Discharged: 1/2/20XX HISTORY OF PRESENT ILLNESS: This patient is a 31-year-old male, who was brought to the Emergency Department on the afternoon of admission following an apparent syncopal episode, which occured one time. He states that he had been in Chicago with his family. He started driving home and he has no recollection of events from that time until he...
What is the professiona code and cpt icd-10-cm codes for this case? Reason for Visit: General history and physical, yearly exam, seen a year ago by me. HPI: Harry is here today for a general history and physical. He reports that he is currently feeling well and has no major concerns today. Chronic Medical Problems: Positive history of hypertension. Currently takes hydrochlorothiazide 25 mg 1 by mouth daily for this. He reports no headache, no visual changes, no chest pain,...
What is the professional code and the cpt icd-10-cm code for this case? Admitting Diagnosis: Suicide attempt. Inpatient Consult requested by Internal Medicine Provider, Dr. Smith. HPI: The patient is a 17-year-old girl with Salicylate overdose as a suicide attempt. She has a three-year history of depression, suicide attempts and self-mutilating behavior. She had a determined suicide attempt last night at about 1900 by an overdose of aspirin. She has been depressed chronically and has had over 10 suicide attempts,...
What is the rationale for this case? What is the rationale for the ICD-10- codes for this case? HPI: 9 Yrs 2 Mos female established patient who presents to the office with compliants of throat pain and neck pain since yesterday afternoon. Better with motrin (12.5ml, last dose at 0630 this morning). Worse with sitting down or laying down. No abdominal pain. Has slight headache at base of head. No new rashes (follows with dermatology for eczema, given a cream...
What is the professional code and the cpt ICD-10-cm codes for this case? HPI: The patient is an 11-year-old child who was admitted for abdominal pain. Today I am completing the initial H & P. He was sent over from his primary care physician’s office because of this pain. Mom states that the pain started today at about 1400 in the afternoon when it just suddenly hit him. He started to bend over and writhe in pain. It seems to...
Chief Complaint: Facial Pain History of Present Illness: A 40 y.o. female comes to the clinic for a recheck following a 10-day course of antibiotics for sinusitis. She states that the fever has dissipated, but she continues to have pressure and stuffiness over the right eye. Her mucus is thick yellow, but she has no green or bloody mucous. HA is relieved by Tylenol or Advil. She has been using nasal spray and decongestants with minimal relief. She denies ST,...
what is the professional code and cpt icd-10-cm codes for this case? Initial visit, 45 year old new patient. Patient gives history of: 1.Alcoholism-drinks 2 bottles of hard liquor per week. Not interested in quitting yet, wants to work on smoking cessation first. Doesn’t drive 2.Smoker-2 packs per day; wants to quit. 3.Anxiety/depression-is on paxil 4.Mitral valve prolapse 5.Hypothryroidism 6.GERD (gastroesophageal reflux disease) 7.Status post total abdominal hysterectomy and bilateral salpingo-oopherectomy 8.Status post cholecystectomy 9.Sinusitis 10.Urinary incontinence 11.Low back pain...
what is the rationale for this case? What is the rationale for the secondary ICD-10-CM codes? Discharge Summary The patient was admitted primarily because of uremic symptomatology, namely hyperkalemia/bradycardia and generalized weakness. The patient was admitted because of the aforementioned symptoms. The patient was then taken to ICU for emergent hemodialysis. The patient tolerated the dialysis procedure without any problems. The patient has remained hemodynamically stable throughout this hospitalization. Consultations during this hospitalization including the following: Dr. Elhart of cardiology...
What is the professional code and ICD-10-CM codes for this case? The patient is a 34-year-old woman seen in the office last week because of breast discomfort. Her breasts are very uncomfortable because she was immediately premenstrual, so I suggested that she return to the office this week. Her last period began last Sunday. She states that all the breast discomfort has resolved and none is present today. PHYSICAL EXAMINATION: GENERAL: She is a well-developed, well-nourished woman of stated age...