RadiologyExamination: Gastric-emptying studyReason for the e…

RadiologyExamination: Gastric-emptying studyReason for the examination: This is a study of elimination for gastroparesis, abdominal cramping, and pain.Interpretation: One millicurie of technetium-99m sulfur colloid was given through a gastrostomy tube in saline. The normal half-time of clearance of liquid material from the stomach is 12 minutes. The patient’s clearance is 50 minutes, which is a fourfold increase in time and is compatible with a marked delay in gastric emptying.Select the appropriate ICD-10-CM and CPT code(s):

DigestiveJeremy presented to the ED complaining of severe od…

DigestiveJeremy presented to the ED complaining of severe odynophagia after eating chicken wings. Upon initial x-rays, no perforation of the esophagus was noted. The gastrointestinal specialist was called, and the patient was taken to the endoscopy suite. There, with the patient under moderate sedation, the gastroenterologist performed an esophagoscopy and removed a small chicken bone lodged in the esophagus above the diaphragm. Select the appropriate ICD-10-CM and CPT code(s):

MedicineHolter Monitor ReportHistory: This is a 36-year-old…

MedicineHolter Monitor ReportHistory: This is a 36-year-old male referred for evaluation of syncope episodes and dizziness. He also has a history of depression and anxiety.A Holter monitor was placed on April 2 for 24 hours. Recording revealed sinus rhythm with three VPCs and three isolated APCs. There were no SVTs, no VTs, and no pauses. The patient had multiple complaints of dizziness, anxiety, panic, and feeling near syncopal. Rhythms at these times documented normal sinus rhythm at rates between 80 and 104 beats per minute. No significant arrhythmias.Impression: Normal HolterSelect the appropriate ICD-10-CM and CPT code(s):

Evaluation and ManagementDr. Green works for a house-call ph…

Evaluation and ManagementDr. Green works for a house-call physician service. She was called to evaluate a new patient, an 88-year-old bedridden woman who has developed a painful rash on her posterior left side of the trunk, extending from C6 to C7 around the right side and ending midline on the anterior trunk just below the sternum. The physician performs a detailed history and a detailed examination and medical decision making is of low complexity. She diagnoses the patient with shingles. Select the appropriate codes.

PathologySpecimen site: Cervical biopsyPre-operative Diagnos…

PathologySpecimen site: Cervical biopsyPre-operative Diagnosis: Severe squamous dysplasia, consistent with CIN III (high-grade dysplasia)Gross description: Cervical biopsy: One fragment of gray-white tissue, measuring 0.5 centimeters in diameter. Totally submitted with a request for levels. Submitted request for stains.Microscopic description: Sections of the cervical biopsy show high-grade dysplasia, consistent with CIN III. No evidence of invasive malignancy is present.Select the appropriate ICD-10-CM and CPT code(s):