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. MORRIS, SHALLERT & ASSOCIATES Allergy & Immunology 975 CENTRAL AVENUE • SOMEWHERE, FL 32811 • 407-555-4321 PATIENT: WRIGHT, LEA ACCOUNT/EHR #: WRIGLE001 Consulting Physician: Marcus Morris, MD Attending Physician: Willard B. Reader, MD Dr. Reader asked me to consult on this patient, due to PMH of HIV-positive status. Patient was admitted by Dr. Reader into the cardiology unit with a chief complaint of shortness of breath of approximately 1-week duration. PMH: HIV positive in March 2015; manifestation of AIDS in August 2018. Patient reports that she has lost approximately 12 pounds within the last 4 weeks. T 102.58 Weight 115 lb. Height 5 feet 7 inches Red and blue skin lesions are noted in her mouth, specifically the upper palate. Lesions biopsied earlier today are positive for Kaposi’s. Explained diagnosis and treatment options with patient and family at bedside. They will call me when a decision is made. DX: Kaposi’s sarcoma of the palate, secondary to AIDS Marcus Morris, MD Be sure to list the codes, one code per box, in the correct sequence, from top to bottom, and in the proper row. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example Procedure: 43846-74 or for Anesthesia: 00797-P2. The number of spaces provided does not indicate the number of codes required to accurately report this encounter
Using the coding techniques you have learned, carefully read through the case study…
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