what is the professional code and cpt icd-10-cm codes for this case? Initial visit, 45 year old new patient. Patient gives history of: 1.Alcoholism-drinks 2 bottles of hard liquor per week. Not interested in quitting yet, wants to work on smoking cessation first. Doesn’t drive 2.Smoker-2 packs per day; wants to quit. 3.Anxiety/depression-is on paxil 4.Mitral valve prolapse 5.Hypothryroidism 6.GERD (gastroesophageal reflux disease) 7.Status post total abdominal hysterectomy and bilateral salpingo-oopherectomy 8.Status post cholecystectomy 9.Sinusitis 10.Urinary incontinence 11.Low back pain Denies: chest pain or shortness of breath Active Outpatient Medications (including Supplies): CALCIUM 250MG/VITAMIN D 125 UNT TAB TAKE 1 TABLET BY MOUTH TWICE A DAY AS A MINERAL SUPPLEMENT LEVOTHYROXINE NA (SYNTHROID) 0.025MG TAB TAKE ONE TABLET BY MOUTH EVERY DAY FOR THYROID REPLACEMENT LORATADINE 10MG TAB TAKE ONE TABLET BY MOUTH EVERY DAY FOR ALLERGIES NICOTINE 14MG/24HR PATCH APPLY 1 PATCH TOPICALLY EVERY MORNING FOR 7 DAYS DO NOT SMOKE WHILE USING NICOTINE PATCH NICOTINE 21MG/24HR PATCH APPLY 1 PATCH TOPICALLY EVERY MORNING FOR 7 DAYS PAROXETINE HCL 40MG TAB TAKE ONE TABLET BY MOUTH EVERY DAY FOR DEPRESSION Xanax .5 Vioxx 50 Vicoden extra strength 750 Zyrtec PE: 140/80 No distress. Husky smoker's voice. Fundi poorly visualized. Pupils equally round and reactive to light, CNS intact. Thyroid normal, no nodules. No LAD. Chest clear to auscultation. Coronary regular. Abdomen soft, non tender. No lower extremity edema Assessment and Plan 1. General physical exam 2. Alcoholism-drinks 2 bottles of hard liquor per week. Not interested in quitting yet, wants to work on smoking cessation first. Doesn’t drive. Discussed substance abuse treatment. Patient is interested in mental health clinic referral 3. Smoker-2 packs per day, wants to quit. Will recommend nicotine patches 4. Anxiety/depression-is on Paxil, also takes Xanax. Told patient will not prescribe Xanax with ethanol use. Will consult mental health clinic 5. Hypothryroidism-will check TSH levels today 6. GERD-lifestyle modifications for now 7. Sinusitis, chronic-do not carry Zyrtec, will prescribe Claritin 8. Low back pain-patient will continue Vioxx from outside provider 9. Mammogram within last 6 months, on calcium 10. Skin lesions-refer to dermatology 11. Return to clinic in 3 months
A code of professional conduct is a necessary component to any profession to maintain standards for the individuals within that profession to adhere. It brings about accountability, responsibility and trust to the individuals that the profession serves.
ICD -10-CM code is the tenth version of international classification of disease and is used by the healthcare workers to code a disease and is also used by the insurance company's for reimbursement purpose.
ICD -10-CM code for :-
- Alcoholism is F10.20
- Smoker is F17.200
- Anxiety is F41.9
- Mitral valve prolapse I34.1
- Hypothyroidism is E03.8
- Sinusitis is J01.91
- Gastroesophageal reflux is K21.9
- Urinary incontinence is R39.81
- Low back pain is M54.5
CPT code is the current procedural terminology used by the healthcare workers to code a procedure and is also used by the insurance company's for reimbursement purpose.
CPT code :-
- Total abdominal hysterectomy is 58200
- Bilateral salpingo -oopherectomy is 58953
- Post cholecystectomy is 47563
what is the professional code and cpt icd-10-cm codes for this case? Initial visit, 45 year...
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