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Instructions: Assign the appropriate CPT E & M level, procedures and ICD-10-CM code(s) for the physician office encounter. When there are multiple CPT codes, always sequence E & M level first. When there are multiple ICD-10-CM codes, sequence first-listed diagnosis first. 77-year-old who fell while deer hunting approximately 10 days ago. He has a history of falling, and has recurrent right chest pain. He also has some dyspnea on exertion. He has chronic COPD and mild emphysema but is restricting his breathing and has pain with each breath. He is afebrile, vitals normal. No signs of trauma. Denies closed head injury. Palpation of neck was negative. Palpation along right chest revealed an area of increased tenderness. X-rays suggests fracture of the costochondral joint in this rib. No infiltrate or effusion. Right rib fracture, suspect 8th rib. Mild atelectasis. Patient given Toradol 30 mg IM in the office and prescribed Toradol for five days. Heat and Aspercreme recommended. Forced deep inhalation was recommended especially due to his history of COPD. Please choose from the following list the appropriate secondary diagnosis(es). Select all that apply. a. R07.9 b. R07.89 c. J98.11 d. J44.1 e. J44.0 f. J44.9
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