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Wiki Help with Coding this correctly

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MrsAllen07

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Hello I need help figuring this out.

A patient was admitted to the hospital because he was suffering acute abdominal
pain. He was also intoxicated, and his medical history indicated that he has been
alcohol dependent for several years and had gone on a binge every three to four
months. The current binge apparently started three days ago. The abdominal
pain proved to be due to acute pancreatitis and he was treated with nasogastric
suction, administration of IV fluids, and pain control. The patient was observed for
possible withdrawal reaction and standby orders; multiple vitamins were given.
The physician instructed him to continue with his home meds: Lisinopril,
Glucophage, Albuterol Inhaler and concurred with the intern?s assessment of
patient?s history in the H&P:

?Medical History: Radial Fx s/p ORIF ?94, Heavy Smoker, 1 pk/day, HTN,
DM, Asthma? :confused:

Dx/POA
Px
CPT
 
some help

577.1, 303.01 (if drinks regularly/303.02 if only occasionally but then that really doesn't sound like an alcoholic), v58.69, 305.1, 401.9, 250.00 , 493.90. I would not code the fx hx as does not seem relevant and the and pain is a sx for the pancreatitis so no need to code that. I'm not sure if you are coding for office, output or input so not sure about the pxs.

MrsAllen07 said:
Hello I need help figuring this out.

A patient was admitted to the hospital because he was suffering acute abdominal
pain. He was also intoxicated, and his medical history indicated that he has been
alcohol dependent for several years and had gone on a binge every three to four
months. The current binge apparently started three days ago. The abdominal
pain proved to be due to acute pancreatitis and he was treated with nasogastric
suction, administration of IV fluids, and pain control. The patient was observed for
possible withdrawal reaction and standby orders; multiple vitamins were given.
The physician instructed him to continue with his home meds: Lisinopril,
Glucophage, Albuterol Inhaler and concurred with the intern?s assessment of
patient?s history in the H&P:

?Medical History: Radial Fx s/p ORIF ?94, Heavy Smoker, 1 pk/day, HTN,
DM, Asthma? :confused:

Dx/POA
Px
CPT
Click to expand...
 
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