A 65-year-old is seen by her cardiologist for preoperative e…
A 65-year-old is seen by her cardiologist for preoperative evaluation for clearance for removal of her gallbladder due to gallstones. The cardiologist notes that she has hypertension. Medication is given to control her hypertension. What diagnosis codes are reported?
Read DetailsA 55-year-old patient had several episodes of fecal incontin…
A 55-year-old patient had several episodes of fecal incontinence. A colonoscopy had been performed one year ago with normal results. Anorectal manometry was performed to determine the pressure on the sphincter muscles. The test indicated a mild relaxation of the sphincter. Biofeedback training was prescribed. What CPT® and ICD-10-CM codes are reported?
Read DetailsA 26-year-old female with a one-year history of a left tympa…
A 26-year-old female with a one-year history of a left tympanic membrane perforation. She has extensive tympanosclerosis with a nonhealing perforation. Her options, including observation with water precautions or surgery, were discussed. The patient wished to proceed with surgery. With use of the operating microscope, the surgeon performs a left lateral graft tympanoplasty. What CPT® code is reported?
Read DetailsA patient is seen for three extra visits during the third tr…
A patient is seen for three extra visits during the third trimester of her pregnancy because of her history of pre-eclampsia during her previous pregnancy putting her at risk for a recurrence of the problem during this pregnancy. No problems develop, but the patient ended up delivering at 31 weeks. The three extra visits took place during week 30. What diagnosis code(s) is/are reported for these three extra visits?
Read DetailsThe patient is a pleasant 51-year-old male with morbid obesi…
The patient is a pleasant 51-year-old male with morbid obesity, weighing approximately 560 pounds with a BMI of 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found to have erythema, edema and possible areas of eschar on the scrotum. He was transferred to the hospital, evaluated and found to be stable with cellulitis and suspect early Fournier’s gangrene. What are the appropriate ICD-10-CM codes reported?
Read DetailsA 47-year-old male was treated in the ED after being involve…
A 47-year-old male was treated in the ED after being involved in a fight at a local pub. The patient sustained two lacerations, one to the left cheek and one to the left forearm. Abrasions were also on the left cheek. What ICD-10-CM codes are reported?
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