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Pediatric Coding:

See How Hypoxia and Hospitalization Discussions Affect E/M Selection

Question: Our pediatrician evaluated a 9-month-old established patient whose parent reported three days of cough, rhinorrhea, nasal congestion, and low-grade fever, with worsening breathing difficulty the morning of the appointment. The infant had been lethargic and eating less than usual. Examination revealed tachypnea, respiratory distress, wheezing, crackles, and low oxygen saturation. An in-office respiratory syncytial virus (RSV) test was positive, [...]
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