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Knee Immobilizer Code?

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170
Location
Fontana
Best answers
0
tell me something.....does the plan indicate use 29530? I belive it's a simple supply....pt is medi-Cal.
ED Coder used 924.11, E917.9, E849.9
(xray report says NO SIGNIFICANT ABNORMALITY NOTED)

51 year old male came here due to Lt knee injury while hit to hard object 1 week ag,then he was running and knee became swelling and pain.denied any other injury.

Review of Systems
Constitutional: Negative for fever and chills.
HENT: Negative.
Eyes: Negative.
Cardiovascular: Negative.
Respiratory: Negative.
Gastrointestinal: Negative.
Genitourinary: Negative.
Musculoskeletal:
Lt knee pain
Neurological: Negative for loss of consciousness.
Psychiatric: Negative for memory loss.
All other systems reviewed and are negative.
There is no problem list on file for this patient.

BP 117/70 | Pulse 81 | Temp 98.1 °F (36.7 °C) | Resp 18 | Wt 77.111 kg (170 lb) | SpO2 100%

Physical Exam
Constitutional: He is oriented. He appears well-developed and well-nourished.
HENT:
Head: Atraumatic.
Musculoskeletal: Normal range of motion.
Lt knee:sl swelling and tenderness at anterior lateral aspect,no ligament laxity,no effusion.full ROM for extension and flexion
X ray Lt knee:mild DJD,no fracture
Neurological: He is alert and oriented.

Impression:Lt knee contusion

PLAN:
Reassurance
Motrin 800mg every 8 hrs prn#30
ACE bandage
Follow up with his own doctor

Dr. MD
Emergency Department

THANX 4 UR NPUT!!!!!
 
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