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, PAUL ACCOUNT/EHR #: WRIGPA001 S: This new Pt is a 5-year-old male brought to this office by his father. He has been suffering from fatigue and appears to be experiencing moderate edema. The father states that, 2 weeks ago, the boy had a sore throat. This was treated with over-the-counter medications. O: Height 3930 Weight 45 lb. R 23. BP 100/80. UA reveals proteinuria and hematuria. CBC indicates RBC, WBC and mixed cell casts common in urinary sediment. Elevated serum creatinine levels, and low creatinine clearance with impaired glomerular filtration evident. Elevated antistreptolysin-O titers, elevated streptozyme and anti-DNase titers, and low serum complement levels. Throat culture shows group A beta-hemolytic Streptococcus. The complete renal ultrasound is unremarkable. A: Acute poststreptococcal glomerulonephritis secondary to streptococcal pharyngitis P: Bed rest, fluids; Diet should be no/low sodium; Rx diuretic; antibiotic 7-10 days; Return in 2 weeks for follow-up
Using the coding techniques you have learned, carefully read through the case study…
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