Gladys Swain slipped from a sidewalk curb and twisted her right ankle. Because of the severe pain she was suffering and the inability to bear weight on the foot, she sought treatment at her neighborhood hospital emergency department. The treating physicians were fairly confident that Ms. Swain had an ankle injury. The physician completed a problem-focused history regarding the injury and a problem-focused physical examination of her right foot and ankle. The MDM complexity was straightforward. The patient was immediately...
what are the CPT codes FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED UNLESS THE QUESTION STATES OTHERWISE. ALSO, FOR ALL SERVICES FURNISHED IN A HOSPITAL SETTING, ASSUME THAT THE HOSPITAL (AND NOT THE PHYSICIAN) FURNISHED THE TECHNICAL COMPONENT (EX. EQUIPMENT, NON-PHYSICIAN PERSONNEL, ETC.) 1. A primary care physician took a two view chest x-ray (frontal and lateral views) in his office. The films were sent to a radiologist (who was not affiliated with the primary care...
What is the CPT E/M code? And what are the ICD-10-CM Diagnosis codes? HPI: Patient is 6 Yrs male who presents to the ER with left ankle injury last night. Twisted his ankle while playing. No having pain and swelling of left lateral ankle. Able to ambulate but with a limp. No numbness or tingling. No other injuries. Past Medical History: Past Medical History: ENVIRONMENTAL ALLERGIES Past Surgical History: No past surgical history on file. Immunizations: Immunizations Up to Date:...
What is the rationale for this case? What is the rationale for the ICD-10-CM secondary codes? HPI: Patient is 6 Yrs male who presents to the ER with left ankle injury last night. Twisted his ankle while playing. No having pain and swelling of left lateral ankle. Able to ambulate but with a limp. No numbness or tingling. No other injuries. Past Medical History: Past Medical History: ENVIRONMENTAL ALLERGIES Past Surgical History: No past surgical history on file. Immunizations: Immunizations...
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...
Chief Complaint: 72-year-old woman who fell on her right hip. of the right l History: Margaret Donovan, a 72-year-old white female, was brought to the emergency room son-in-law after falling in her bathtub. She was previously in good health, despite leading a rela sedentary lifestyle and having a 30-pack-year history of cigarette smoking. The only medica currently takes is Inderal (propranolol) for mild hypertension. She fell upon entering the her right leg slipped out from under her; she landed on...
instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Do not assign place of occurrence, activity code, or external cause status code unless instructed to do so for the case. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. I need the code not the category Case 1 Emergency Department Note Justin was brought to the emergency room with a broken left tibia. Justin...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Do not assign place of occurrence, activity code, or external cause status code unless instructed to do so for the case. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 Emergency Department Note Justin was brought to the emergency room with a broken left tibia. Justin was sky diving and, due to a...
what are the service codes and icd 10 cm code? CASE 7-12E KUB The report referances that this KUB is done prior to barium study A banium study is a study in wich barium is used as a contrast or transplanted pancreas site. There are vascular or surgical dips tver the left sacroiliac joint, midportion, and that is again either the site of the transplanted kidney or site of the pancreas transplant presumably Bowel gas pattern is nonspecific. No distended...
Code the following reports utilizing CPT codes, ICD-10-CM codes, and apply any applicable modifiers. Assignment #1 Description: The right upper lobe wedge biopsy shows a poorly differentiated non-small cell carcinoma with a solid growth pattern and without definite glandular differentiation by light microscopy. GROSS DESCRIPTION: A. Received fresh labeled with patient's name, designated 'right upper lobe wedge', is an 8.0 x 3.5 x 3.0 cm wedge of lung which has an 11.5 cm staple line. There is a 0.8 x...