Learning Goal: I’m working on a rocket science question and need guidance to hel
Learning Goal: I'm working on a rocket science question and need guidance to help me learn.FIRST QUARTER 1. Emergency and Radiology Services Gladys Swain slipped from a sidewalk curb and twisted her right ankle. Because of the severe pain she was suffering and the inability to bear weight on the foot, she sought treatment at her neighborhood hospital emergency department. The treating physicians were fairly confident that Ms. Swain had an ankle injury. The physician completed a problem-focused history regarding the injury and a problem-focused physical examination of her right foot and ankle. The MDM complexity was straight-forward. The patient was immediately sent to the radiology department for an x-ray. A two-view x-ray of the right ankle was completed. The radiologist confirmed a simple non-displaced closed fracture of the medial malleolus. The patient then returned to the emergency department, where the physician immobilized the ankle. The patient was referred to an orthopedic surgeon. Code the emergency department service and the radiology service. 2. Evaluation and Management, Home Service George White, an established patient of Dr. York, needed to be seen for his recent inguinal hernia, which has been giving him problems for several days. Mr. White’s wife was also ill and no one else was available to bring Mr. White to the physician’s office, so the physician decided to visit Mr. White at home. After performing a problem-focused interval history and problemfocused physical examination, Dr. York concluded that Mr. White was improving but should remain at home for the next 2 weeks. The MDM complexity was straightforward. 3. Emergency, Radiology, and Pathology/Laboratory Services A 26-year-old female presented to the Emergency Department with complaint of severe headaches of 16-hour duration. A detailed history and examination were performed. The MDM was of moderate complexity. Following are the services that were provided: Service Description CPT/HCPCS Code(s) ED service Glucose, body fluid Total protein (serum) Smear Gram stain Fluid cell count/differential Aerobic culture of lumbar fluid, bacteria Lumbar puncture Fluoroguidance, spinal CT, brain w/o contrast Morphine, 10 mg Subcutaneous injection The physician would bill the ED visit, spinal tap, and fluoroguidance with modifier -26. The drug would be billed by the hospital as well as the CT scans and labsFirst Quarter 1. Emergency and Radiology Services (Fill in the missing information) CPT Codes: (Evaluation and Management, Emergency Department ), 73600 (Radiology, Ankle) ICD-10-Codes: S82.54 Fracture, traumatic, ankle, medial malleolus [displaced]), (Fall, _____, _____, ____) 2. Evaluation and Management, Home Service CPT Code: 99347 ICD-10-Code: (_____) (Hernia, inguinal) (continued on back of page...) 3. Emergency, Radiology, and Pathology/Laboratory Services Service Description CPT/HCPCS Code(s) Emergency Department _____99284_________ Glucose, body fluid ___________________ Total protein (serum) ___________________ Smear Gram stain ___________________ Fluid cell count with differential _____ 89051________ Aerobic culture of lumbar fluid, bacteria ___________________ Lumbar puncture, diagnostic ___________________ Fluoroscopic, spine ______77003________ CT, brain without contrast ___________________ Morphine Sulfate, 10 mg __________(HCPCS Code) Subcutaneous injection ___________________ The physician would bill the ED visit, spinal tap, and fluoroguidance with modifier -26. The drug would be billed by the hospital as well as the CT scans and labs Requirements: min

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