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Author Question: Code the following physician encounters using ICD-9-CM, ICD-10-CM, and CPT. Sequence the codes in ... (Read 174 times)

s.tung

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Code the following physician encounters using ICD-9-CM, ICD-10-CM, and CPT. Sequence the codes in the correct order. Assign any needed modifiers.
PHYSICIAN OFFICE VISIT
PATIENT: ROBERTOFFICE
RECORDNUMBER: 11-68-23

DATEOFSERVICE: 09-1-XX
PHYSICIAN: DR. KIM. M. D.
SUBJECTIVE: This is a 77-year-old new patient who presents to the office to have a lesion checked on his right forearm. He has noticed it in the last 2months or so, and it has been growing fairly rapidly. It has not bled and does not bother him at all. No other recent skin issues. The patient does have a history of basal cell skin cancers on his nose and check 4 years ago, which were treated with recurrence. The patient feels well and has no other issues or concerns.

OBJECTIVE: Alert male in no distress. SKIN: Examination of his right foream shows a lesion on the radial aspect of the proximal part of the forearm. It is 2 cm in size and is raised about 4 mm. It is slightly red and irritated appearing, though there is no ulceration. It was noted that the patient's blood pressure is a bit elevated today. The patient is to follow up with me in the next month or two to recheck elevated blood pressure and address if necessary.

ASSESSMENT: Abnormal skin lesions right forearm, probably keratoacanthoma.
PLAN: After verbal informed consent was obtained, the lesion was prepped with alcohol, anesthetized with 2% lidocaine with epinephrine. Shave biopsy was then performed. Tissue was sent to pathology. Hemostasis was with 35% aluminum chloride. The patient tolerated the procedure well. The skin was covered with a bandage.
PATHOLOGY returned as keratoacanthoma.

ICD-9-CM diagnosis code(s): _____________________
ICD-10-CM diagnosis code(s): _____________________
CPT code(s) with modifier, if applicable: _____________________


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Marked as best answer by s.tung on Jul 14, 2020

Athena23

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Lorsum iprem. Lorsus sur ipci. Lorsem sur iprem. Lorsum sur ipdi, lorsem sur ipci. Lorsum sur iprium, valum sur ipci et, vala sur ipci. Lorsem sur ipci, lorsa sur iprem. Valus sur ipdi. Lorsus sur iprium nunc, valem sur iprium. Valem sur ipdi. Lorsa sur iprium. Lorsum sur iprium. Valem sur ipdi. Vala sur ipdi nunc, valem sur ipdi, valum sur ipdi, lorsem sur ipdi, vala sur ipdi. Valem sur iprem nunc, lorsa sur iprium. Valum sur ipdi et, lorsus sur ipci. Valem sur iprem. Valem sur ipci. Lorsa sur iprium. Lorsem sur ipci, valus sur iprem. Lorsem sur iprem nunc, valus sur iprium.
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s.tung

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Reply 2 on: Jul 14, 2020
Great answer, keep it coming :)


softEldritch

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Reply 3 on: Yesterday
Excellent

 

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