HIT 251 CODING PRACTICUM (MEDICINE SECTION ENCOUNTERS) What are the CPT and ICD-
ID: 1730608 • Letter: H
Question
HIT 251 CODING PRACTICUM (MEDICINE SECTION ENCOUNTERS)
What are the CPT and ICD-10-CM codes?
Medicine 021 CLINIC PROGRESS NOTE This patient presents to the physician’s office for an examination after a C-section the previous week. LOCATION: Outpatient, Clinic PATIENT: Beth Olgia PHYSICIAN: Gary Sanchez, M.D. SUBJECTIVE: Beth came in today for a postoperative exam. She underwent a Csection last week along with a tubal ligation. She was discharged on Monday of this week and is back in for a staple removal. Her blood pressure is still up, and today it is 170/102. Dr. Naraquist has been following this. She says her blood sugars have been okay. Dr. Naraquist is following her blood sugars. CURRENT MEDICATIONS: 1. Prenatal vitamins once a day. 2. Peri-Colace 1 b.i.d. 3. Darvocet p.r.n. 4. Labetalol 600 mg q.a.m., 200 mg at 3 p.m., and 600 mg at bedtime. ALLERGIES: None OBJECTIVE: Her wound is healing okay. The staples are removed. I told her not to do any heavy lifting over 20 pounds for the next five weeks, also no intercourse. She is to see us back again in five weeks.
Explanation / Answer
Solution:
Professional Services: 99024 (Post Op, Visit)
ICD-10-CM DX: Z48.02 (Attention [to], sutures), Z48.816 (Aftercare, following
surgery, specified body system, genitourinary)
ICD-9-CM DX: V24.2 (Examination, postpartum, routine follow-up), V58.32 (Attention
to, sutures), V58.76 (Aftercare, following surgery NEC, of, genital organs)
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