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A four-year-old female presents for a well-child exam. The patient was previously diagnosed with asthma, is taking inhaled steroids, and has symptoms of coughing, wheezing, and dyspnea. The provide...
Yes, the acu...
An adult patient diagnosed with hypertension presents for an annual physical examination. During the visit the patient’s blood pressure is noted to be elevated, and the physician adjusts the anti...
Yes, this is...
A 59-year-old patient presents for his yearly physical exam. The patient has preexisting chronic obstructive pulmonary disease (COPD). During the examination, the patient has complaints of shortnes...
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A patient, who is a smoker with chronic obstructive pulmonary disease (COPD), presents for an annual health check. How is this visit coded?
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Coding Clinic, First Quarter 2015, page 21, advised the assignment of code J96.10, Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia, as the principal diagnosis ...
The chronic ...
Some payers are denying claims when heart failure or sepsis codes are sequenced as the principal diagnosis because they are misinterpreting the “code first” note at categories I50, Heart failur...
The “code ...
Please clarify which guidelines in the ICD-10-CM Official Guidelines for Coding and Reporting apply to physical therapists reporting diagnoses for outpatient physical therapy treatments. For exampl...
Yes. The gui...
A patient was diagnosed with a right traumatic anterior cruciate ligament (ACL) tear and presents for outpatient physical therapy treatment. The physician’s prescription documents, right ACL tear...
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A patient was referred to outpatient physical therapy ten days post discharge from the acute care hospital burn center. He had suffered third degree burns to both the right and left lower leg and t...
Active wound...
A patient sustained a Colles’ fracture of her left upper extremity after slipping and falling on an icy sidewalk four months ago. At that time, she was admitted and the fracture treated by open r...
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