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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. Patient presents to physician’s office complaining of pain after a box fell on her left foot. There is ecchymosis and tenderness of the base of the proximal phalanx of her left foot. Skin is intact. Motion and sensation of toes are intact. There is good capillary refill. 2 V X-rays of the foot demonstrate no fracture. DIAGNOSIS: Contusion, left foot, possible fracture, left proximal phalanx middle toe. Instructed to elevated foot with ice, take Ibuprofen as needed. If she develops increased pain and other symptoms, she would return. Choose the correct ICD-10-CM first-listed diagnosis code. Select only one (1). a. S90.32X b. S90.222A c. S90.31XA d. S90.32XA

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