Coding Assignment Code Explained for Students (Easy Guide)

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Original Question

Coding Assignment (ICD code) History of Present Illness: The patient is a 27-year-old female here today for a follow up visit for depression and anxiety. This is a known condition and I have been treating the patient for over 1 year. She is not accompanied by anyone else today. She reports some increased additional stress to her previous symptoms. She is having some difficulty at work but reports she feels like she is coping well. She has minimal situation sadness but increased anxiety with stress. Denies any suicidal or homicidal ideations. Past Family/Social History: n/a Review of Systems: no sadness, anxiety, or irritability presently Physical Exam: Constitution: appearance WNL, appropriate dress, appears stated age Psych: speech normal rate and tone; thought content; no SI/HI or psychotic symptoms; associations: intact; orientation x3; mood and affect: euthymic and appropriate; Judgment and insight: good Assessment: _____ Depression, stable (Whats the ICD code?) _____ Anxiety, slightly increased from the last visit (Whats the ICD code?) Plan: Stable on SSRI for depression – continue on same dose Anxiety has increase so we will give Buspar 10 mg BID in addition to SSRI Follow up in 4 weeks Total time spent 15 minutes CPT_____99213_______

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