Coding Corner Question: Coding Scenario for 1997 Musculoskeletal Exam

Assessment: The patient has possible general primary osteoarthritis. X-rays were ordered of shoulders and knees. Celecoxib 100 mg BID was recommended as needed and possible side effects, which are few, were discussed. I have also recommended ROM and quad strengthening exercises, which were demonstrated with patient participation and written information was given. Her neurologic exam is normal, but if her feeling of unsteadiness persists, she should see her primary care physician (PCP) for further evaluation. Her medical records are ordered from her PCP. She is scheduled to return to the office in four weeks.

How should this visit be coded using the 1997 musculoskeletal examination guidelines?

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Systemic sclerosis (SSc), a subtype of scleroderma, is a rare, complex autoimmune disease characterized by widespread vasculopathy of the small arteries and fibroblast dysfunction.1,2 It has been described as a fibrosing microvascular disease, because vascular injury precedes and leads to tissue fibrosis.3 The resulting Raynaud’s phenomenon, pain, skin thickening and tightening, and multi-organ involvement have…

Take the challenge. CPT codes: 99203/99243 ad goes here:advert-1ADVERTISEMENTSCROLL TO CONTINUEICD-10: M25.521, M25.522, M25.561, M25.562 History—Comprehensive: The history of present illness is extended, the review of systems is complete, and the past medical, family and social history are documented. All three of the HPI, ROS and PFSH are needed to achieve the history level as…

First Appearances I watched the old man, his back painfully bent, shuffle toward the scale. A blocky rigidity draped over him. His feet seemed stuck to the floor. His head hung heavily over his chest. Observing him from the end of the hallway, instead of a face, I saw only a mound of shaggy, matted…

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Coding Corner Answer: Coding Scenario for 1997 Musculoskeletal Exam

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