Diana2032
Networker
Good afternoon,
I'm new to E& M coding and I'm coding and in-pt consultation where the pt is unable to provide hx nor ROS because he speaks no English, the note reads "the family recently noticed foul-smelling drainage around his PEG site. History is obtained from chart review as the patient does not provide any history, nor is he able to speak English. The patient was found to be increasingly lethargic and the family became concerned and brought him to the hospital. Since being in the hospital the pt was found to have migration of the PEG tube into his tranfers colon with possibly peritonitis and other infectious issues. I was asked to help assist in the management of his chronic atrial fibrillation". I'm coding for the cardiologist seeing the pt. So far I can only get Location.....Please help!!!
Thank you,
D.B, CPC, CPMA, CCA
I'm new to E& M coding and I'm coding and in-pt consultation where the pt is unable to provide hx nor ROS because he speaks no English, the note reads "the family recently noticed foul-smelling drainage around his PEG site. History is obtained from chart review as the patient does not provide any history, nor is he able to speak English. The patient was found to be increasingly lethargic and the family became concerned and brought him to the hospital. Since being in the hospital the pt was found to have migration of the PEG tube into his tranfers colon with possibly peritonitis and other infectious issues. I was asked to help assist in the management of his chronic atrial fibrillation". I'm coding for the cardiologist seeing the pt. So far I can only get Location.....Please help!!!
Thank you,
D.B, CPC, CPMA, CCA
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