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Thread: Well Women Exam

  1. #1
    Join Date
    Apr 2007

    Default Well Women Exam

    AAPC: Back to School
    Please help to code this.
    57 year old female comes into office for well women exam S/P hysterectomy. No complaints or symptoms. Smokes 6 cigarettes per day. Medications synthroid, metoprolol, zocor, linsinopril, premarin, aspirin. Physical exam: complete physical exam. No pap or pelvic exam done. Breast exam was done.
    The list of dx:
    1.Normal well women exam/annual physical
    2. CAD, stable
    3. Aterial hypertension, benign, well controlled
    4. Hypothyroidism
    5. Hyperlipidemia

    Labs to include CBC, CMP, Lipids and TSH

  2. #2
    Join Date
    Apr 2007
    First Hill, Seattle WA

    Default Cpe

    I'd code that out as V70.0.. Was the GYN exam deferred because of the TAH? Was that in the note? Nothing else was done, pt had no complaints..it's a physical..
    Jeannie Ryder, CPC, CEMC
    AHIMA-Approved ICD-10-CM/PCS Trainer

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