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Thread: only use the 1995 guidelines

  1. #1
    Join Date
    Apr 2007

    Default only use the 1995 guidelines

    AAPC: Back to School
    what level do you get out of this.

    Pt complaining of persistent low back pain radiating to legs.
    States Physical Therapy is helpful, takes Advil prn for pain.

    PE: Gait is slight shuffling in nature. On lumbosacral spine examination, there is marked decreased in
    range of motion and extension at 10 to 20 degrees. There is spasm in the lumbar paraspinal muscles and
    trigger point area is noted.

    IMPRESSION: Lumbar radiculopathy, lumbar spinal stenosis, and myofascial pain. Continue Advil
    every six hours as needed, and continue PT. Return for F/U visit in two-three months unless something
    develops before that.

    Thank You

    Just seeing where the E/M coding world opion is at, you know. Checking which way the wind is blowing. To make sure I'm going in the right direction.

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    99213 (EPF Hx; EPF Px; EPF MDM)

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