Using the coding techniques you have learned, carefully read through the case study and determine the most accurate diagnosis code(s). Remember, check the chapter-specific, subchapter-specific, and category-specific notations within the Tabular List. Then, determine the most accurate procedure code(s) along with any modifier(s), if appropriate. BROADMORE IMAGING CENTER 234 DOPPLER ROAD • ANYTOWN, FL 32711 • 407-555-5977 PATIENT: EVANS, ELAINE ACCOUNT/EHR #: EVANEL001 DATE: 08/18/25 INDICATION: Low oxygen saturation Procedure: Single view frontal, feeding tube placement PROCEDURE: Fluoro procedure; chest one view, inspiration INDICATION: Low oxygen saturation A progress portable examination of the chest is obtained and compared to one dated 20 March 2023. There is some infiltrate developing in the right lower lobe that was not present on the previous study and is very worrisome for pneumonia. Patchy areas of atelectasis are seen in the left lower and left midlung. The heart is normal in size. There is a soft tissue density behind the heart consistent with hiatal hernia. IMPRESSION: Interval change in the appearance of the chest. There are areas of pneumonia developing in the right lower lobe. FLUOROSCOPIC FEEDING TUBE PLACEMENT: Indication: Need for nourishment in unresponsive patient. Attempts to place a feeding tube fluoroscopically were unsuccessful. There is a prominent hiatal hernia. The distal stomach extends ventrally to pass through the esophageal hiatus. Because these are not steerable or directable tubes, it is not possible to actually place the tip of the catheter where one would like. Multiple attempts at advancing the catheter beyond the hiatus into the distal stomach or duodenum were unsuccessful utilizing gravity technique, etc. The procedure was terminated. IMPRESSION: Unsuccessful attempt at feeding tube placement.
Using the coding techniques you have learned, carefully read through the case study…
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