A 55-year-old male has had several episodes of tightness in…

A 55-year-old male has had several episodes of tightness in the chest. His provider ordered a PTCA (percutaneous transluminal coronary angioplasty) of the left anterior descending coronary artery. The procedure revealed atherosclerosis in the native vessel. It was determined a stent would be required to keep the artery open. The stent was inserted during the procedure.

A patient visits the ED for ringing in the ears, nausea, vom…

A patient visits the ED for ringing in the ears, nausea, vomiting and drowsiness. During the history taking, the provider learns the patient has been taking 2 aspirins every hour for the last three days. After examination and performing blood tests the provider diagnoses the patient with aspirin poisoning. What ICD-10-CM codes are reported?

A patient has a fine needle aspiration with the specimen sen…

A patient has a fine needle aspiration with the specimen sent to cytopathology for examination. Once the specimen is reviewed, it is found to be inadequate to perform the test. A new specimen must be obtained which is then examined and a diagnosis is confirmed. What modifier is appropriate to indicate that two specimens were examined?

Dr. X asks Dr. Y to look at a 55-year-old male who is in a n…

Dr. X asks Dr. Y to look at a 55-year-old male who is in a nursing facility for decubitus ulceration. Dr. Y is unable to obtain history due to current mental status. He obtains a history from Dr. X because the patient is unable to provide a history. An exam along with low MDM is performed. Dr Y. recommends to Dr. X that the patient needs to go to the surgical suite for debridement of the ulcerations. Since the patient is unstable at the moment due to elevated blood pressure and a UTI, they decide to delay surgery and to keep monitoring the patient until he stabilizes. Written report is documented. What CPT® code is reported?