CASE SCENARIOS Identify all procedures that need to be coded for billing purposes in the following situations. Using the most current CPT manual or an encoder such as TruCode, determine the correct CPT codes. 1. Monique Jones is a new patient who saw Dr. Walden to report feeling tired all the time. She stated that she was exhausted even after a full 8 hours of sleep at night. Monique said that she did not have much of an appetite and that she had been eating mostly salads and chicken with a bowl of fruit as snacks, She is not overweight and her blood pressure and other vital signs were normal. Dr. Walden decided to perform a complete blood count, an electrolyte panel, and a lipid panel. She also ordered a urinalysis, an iron-binding capacity, and a vitamin test. The provider asked the patient if she had noticed any blood in her urine or stool, and she denied blood in the urine but did mention she had several episodes of diarrhea. Dr. Walden added an occult blood test and a stool culture to check for pathogens. The physician placed Monique on multivitamin therapy and told her to return in 1 week to discuss her laboratory test results. She spent approximately 30 minutes with Monique, taking a detailed history and performing a detailed examination, making low-complexity medical decisions. Monique scheduled her appointment for the following week and left the clinic. Diagnosis: Abdominal pain Procedure: Esophagogastroduodenoscopy with biopsy The patient was premedicated and brought to the endoscopy suite where his throat was anesthetized with Cetacaine spray. He then was placed in the left lateral position and given Versed IV. An Olympus gastroscope was advanced into the esophagus, which was well visualized with no significant spasms. Subsequently the scope was advanced into the distal esophagus, which was essentially normal. Then the scope was advanced into the stomach, which showed evidence of erythema and gastritis. The pylorus was intubated and the duodenal bulb visualized. The duodenal bulb showed severe erythema suggestive of duodenitis. Biopsies of both the duodenum and the stomach were obtained. The scope was withdrawn. The patient tolerated the procedure well. CPT code 43236 is a similar code with submucosal injection. Can this be used if the physician usually performs it, but forgot to document?
[Expert Solution]: CASE SCENARIOS Identify all procedures…
Need help with your Renal, Fluid & Electrolytes case study or NCLEX preparation? Connect with a verified Nursing expert now.