Instructions Read Emergency Assignment Help: How to Answer This Question
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Original Question
Instructions: Read the Emergency Department scenario and assign code(s) for ED services as appropriate. There is no need to code external cause of injury codes for these exercises. Patient referred to me by Dr. Brown on 9/19. Dr. Brown had seen the patient twice as an outpatient for problems with swallowing and pain and discomfort in his throat. She believed there was a problem in the throat, possibly a strep pharyngitis. The patient came to the hospital ED, arriving at 1600 on 9/19. Shortly thereafter, I interviewed the patient. During the course of the interview, it became apparent that his symptoms were those of esophageal obstruction; I quickly arranged for him to go to the radiology department for a barium swallow, which was perplexing in that there appeared to be an obstruction of an unusual type. The radiologist was called in and evaluated the obstruction, and then we talked with Dr. Ardell concerning the apparent lesion. Dr. Ardell thought the lesion was too high for him to do gastroscopy safely. For this reason, they suggested (and I concurred) that we refer him to an ear, nose, and throat specialist at the county clinic. The patient was in full agreement with this. No laboratory studies were done at this time. His respirations were 20, blood pressure 120/66, weight 178, all recorded by the nurses. DIAGNOSIS: Esophageal obstruction. Assign code(s) for ED physician services. ICD-10-CM: CPT:
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