Dr. Hansen, an orthopedist, is seeing Andrew, a 72-year-old established male patient today who has complaints of severe knee pain in both knees and repeated falls over the past 2 months. Dr. Hansen completes a detailed history and exam, including X-rays of each knee which show worsening osteoarthritis. Because the patient has been experiencing repeated falls, Dr. Hansen provides the patient with an adjustable tripod cane with instructions for safe use. Dr. Hansen recommends the patient begin taking OTC glucosamine chondroitin sulfate, oxycodone for pain as needed, and schedules the patient for a follow-up appointment in one month.

- E&M code: ___
- ICD-10-CM code: _
- ICD-10-CM code: _
- CPT code: _
- HCPCS code: _____

Question

18-07-2024
Medicine

College

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Dr. Hansen, an orthopedist, is seeing Andrew, a 72-year-old established male patient today who has complaints of severe knee pain in both knees and repeated falls over the past 2 months. Dr. Hansen completes a detailed history and exam, including X-rays of each knee which show worsening osteoarthritis. Because the patient has been experiencing repeated falls, Dr. Hansen provides the patient with an adjustable tripod cane with instructions for safe use. Dr. Hansen recommends the patient begin taking OTC glucosamine chondroitin sulfate, oxycodone for pain as needed, and schedules the patient for a follow-up appointment in one month.

- E&M code: ___
- ICD-10-CM code: _
- ICD-10-CM code: _
- CPT code: _
- HCPCS code: _____

Answer :

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Final answer:

The question relates to assigning E&M, ICD-10-CM, CPT, and HCPCS codes for a medical visit due to knee pain and falls. Specific codes cannot be given here but can be found in the respective coding manuals. The codes should reflect the detailed history, exam, x-rays, and cane instructions provided.

Explanation:

The student has asked for coding for a medical scenario involving Dr. Hansen, an orthopedist, and a patient with severe knee pain and repeated falls. Given the scenario, it is likely that an Evaluation and Management (E&M) code for an established outpatient visit with a detailed history and exam would be appropriate. Specific codes cannot be provided without access to the current year's CPT manual, which includes the range of E&M codes. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes needed would be for osteoarthritis of the knee and possibly another for the history of falls. The exact ICD-10-CM codes should be looked up in the ICD-10-CM manual to ensure accuracy. The Current Procedural Terminology (CPT) code would pertain to the X-rays taken of each knee. Again, the specific code can be found in the CPT manual. For the cane provided, a Healthcare Common Procedure Coding System (HCPCS) code would be used, and the specific code can be located in the HCPCS manual.