Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Question

Question

Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Physician office Gender: F Age: 87

Chief complaint: status post hip replacement

History: problem-focused history of patient whom I saw last week.

Examination: expanded problem-focused MS exam

Medical decision making: Straight forward. Patient is improving.

In what setting was the service provided?
What type of service was provided?
Is the patient new or established?
What CPT code(s) is/are assigned to this patient’s claim?
What ICD-10 code(s) is/are used for this claim

science nursing

Add a comment Improve this question Transcribed image text

Answer 1

Answer #1

a.The service is provided in the physician office

b.The patient has received a service of focused MS examination

c.It is an established patient because the patient has already underwent a surgery

d.CPT code:Expanded problem focused examination refers to examination of the affected part

expanded problem focused MS exam:99202

e.ICD-10 Code

Status post hip replacement :Z96.651

Add a comment

Answer 2

Similar Homework Help Questions

Abstracting the Level of Service with E/M Codes Read the mini medical record of each patient’s...

Abstracting the Level of Service with E/M Codes Read the mini medical record of each patient’s encounter and answer the following questions. OFFICE Gender: F Age: 48 Status: Established Chief Complaint: annual preventive care visit History: pure hypercholesterolemia Examination: comprehensive preventive care exam Medical Decision Making: Cholesterol seems to be well controlled. No new problems. In what setting was the service provided? What type of service was provided? Is the patient new or established? What code range is applicable for...
CPT CODING Evaluation and Management Coding 1. A new patient is seen in the office for...

CPT CODING Evaluation and Management Coding 1. A new patient is seen in the office for otalgia. The history is problem focused, the examination is problem focused, and the medical decision-making complexity is straightforward. Code: 2. An established patient is seen in the office for otalgia. The history and exam is expanded problem focused and the medical decision-making component is straightforward. Code: 3. An established patient is seen in the office for suture removal that is done by the physician’s...
Physician Office—Family Practice Patient: Jake Atkins Chief Complaint: “My stomach hurts, and I feel full of...

Physician Office—Family Practice Patient: Jake Atkins Chief Complaint: “My stomach hurts, and I feel full of gas.” Expanded Problem Focused History: This 37-year-old established male patient presents with epigastric pain in the mid-abdominal region associated with constant nausea and vomiting. He is unable to keep down food or liquids. Pain is “severe and constant.” The patient has had an estimated 18-pound weight loss over the past month. He reports eating 12 pieces of bacon at a holiday breakfast last week,...

Pearson Comprehensive Medical Coding Chapter 28

Established patient office visit with a comprehensive history, comprehensive examination, and high-complexity medical decision making, resulting in a decision for major surgery the next day. CPT Code(s) A 45-year-old male presents to the ER, where an open fracture of the left radius is diagnosed. Patient is admitted and ER physician requests surgery consult. Surgeon performs comprehensive history, comprehensive examination, and medical decision making of high complexity. Surgery is scheduled for the next day. (Code for the surgeon only). CPT Code(s) A new...
Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint...

Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint of abdominal pain for 3 days. She is also experiencing indigestion for which she has been taking over-the-counter antacids. Allergies: The patient is allergic to Cipro. Review of Systems: The patient is complaining of abdominal pain without nausea and vomiting. There is no chest pain or shortness of breath reported by the patient. Physical Examination: HEENT: No findings Heart: RSR without murmur Neck: Supple....
7. Questions about a patient's marital status and occupation are conslu a. family history c. past...

7. Questions about a patient's marital status and occupation are conslu a. family history c. past history d. social history Chapter 9 140 This 35-year-old single female has just recently moved to area. S: Patient needs refill on medication for hypertension. Patient also complains of "sorenesg" of her right elbow. No recent O: Limited range of motion, right elbow. Tenderness upon palpation. BP 140/80. A: Possible tennis elbow. Send for radiographs of elbow this 8. Dr. Merriweather treated a new...

Chief Complaint: 75-year-old woman who fell on her left hip. History: Judy Smith, a 75-year-old white...

Chief Complaint: 75-year-old woman who fell on her left hip. History: Judy Smith, a 75-year-old white female, was brought to the emergency room by her son after falling in her kitchen. She has had no major health problems in the past, but she has led an inactive lifestyle and has smoked cigarettes for over 40 years. Judy stated that she spilled water on the kitchen floor while making breakfast and forgot it was there, only minutes later to walk to...
Record Number: 80-50-77 Age: 77 Gender: Female Length of Stay: 5 Days Service Type: Inpatient Discharge...

Record Number: 80-50-77 Age: 77 Gender: Female Length of Stay: 5 Days Service Type: Inpatient Discharge Status: To Home Health Diagnosis/Procedure: Peritrochanteric Right Hip Fracture Mild Hypertension Total Right Hip Arthroplasty DISCHARGE SUMMARY PATIENT: JOY INPATIENT RECORD NUMBER: 80-50-77 ADMITTED: 09-15-XX DISCHARGED: 09-20-XX PHYSICIAN: DR. ALEX, M.D. DISCHARGE DIAGNOSIS: Peritrochanteric right hip fracture. Mild hypertension. PROCEDURE(S): Total right hip arthroplasty. HISTORY OF THE PRESENT ILLNESS: This is a 77-year-old white female who presented to the emergency room with complaint of...
LOCATION: Hospital Emergency Department PATIENT: Kristie Mooney PHYSICIAN: Paul Sutton, M.D. CHIEF COMPLAINT: Generalized abdominal pain....

LOCATION: Hospital Emergency Department PATIENT: Kristie Mooney PHYSICIAN: Paul Sutton, M.D. CHIEF COMPLAINT: Generalized abdominal pain. SUBJECTIVE: This is a 31-year-old white female who has history of hypertension and is on Hyzaar. No other significant ongoing medical problems, taking no other medication. No known allergies. LMP three weeks ago. Denies being sexually active. She presents to the Emergency Room with a history of generalized abdominal pain, but more prominently in the right upper quadrant, that started suddenly this evening at...

Case 1-2 LOCATION: Inpatient, Hospital PATIENT: Sorrento Hernandez PHYSICIAN: Rolando Ortez, MD CHIEF COMPLAINT: Prematurity with...

Case 1-2 LOCATION: Inpatient, Hospital PATIENT: Sorrento Hernandez PHYSICIAN: Rolando Ortez, MD CHIEF COMPLAINT: Prematurity with respiratory difficulty. HISTORY: This is a 30 weeks, 1 day gestation female infant with birth weight of 1808 grams. Mom is a 26-year-old gravida 2, now para 2 mom. Her blood type is O positive, antibody negative, RPR nonreactive, rubella immune, hepatitis B surface antigen negative, HIV negative, GC negative, chlamydia negative, Group B Strep status unknown. Mom’s MSAFP was elevated at 14.2 with...

Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Homework Answers

Add Answer to:
Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Post as a guest

Earn Coins

Abstracting the Level of Service with E/M Codes Read the mini medical record of each patient’s...

CPT CODING Evaluation and Management Coding 1. A new patient is seen in the office for...

Physician Office—Family Practice Patient: Jake Atkins Chief Complaint: “My stomach hurts, and I feel full of...

Pearson Comprehensive Medical Coding Chapter 28

Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint...

7. Questions about a patient's marital status and occupation are conslu a. family history c. past...

Chief Complaint: 75-year-old woman who fell on her left hip. History: Judy Smith, a 75-year-old white...

Record Number: 80-50-77 Age: 77 Gender: Female Length of Stay: 5 Days Service Type: Inpatient Discharge...

LOCATION: Hospital Emergency Department PATIENT: Kristie Mooney PHYSICIAN: Paul Sutton, M.D. CHIEF COMPLAINT: Generalized abdominal pain....

Case 1-2 LOCATION: Inpatient, Hospital PATIENT: Sorrento Hernandez PHYSICIAN: Rolando Ortez, MD CHIEF COMPLAINT: Prematurity with...

Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Homework Answers

Add Answer to: Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient

Post as a guest

Earn Coins

Add Answer to:
Physician office Gender: F Age: 87 Chief complaint: status post hip replacement History: problem-focused history of patient