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. FAMILY DOCTORS ASSOCIATES 123 MAIN STREET • ANYTOWN, FL 32711 • 407-555-1234 PATIENT: FRANKLIN, FRANCES ACCOUNT/EHR #: FRANFR001 S: This 57-year-old female came for her routine physical exam. Pt does not smoke, drinks alcohol occasionally, and exercises three times per week. Pt states she has no specific health concerns at this time. O: Height 5 feet 3 inches Weight 145 lb. R 20. HEENT: unremarkable; Respiratory: unremarkable; Musculoskeletal: age appropriate. No sign of osteoporosis. Bone density appropriate, as per test results. Discussed the importance of keeping up her exercise regimen. A: Pt is in good health P: Follow-up prn Comprehensive metabolic panel, awaiting results Schedule screening mammogram Schedule screening colonoscopy
Using the coding techniques you have learned, carefully read through the case study…
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