Get Answer: What Code This Question Guide

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Original Question

What is the CPT code for this scenario. “Patient returns for recheck of gait instability; there is no change in gait instability; when he had head CT and had to lie quietly with neck extended, gait instability much more for 20-30 minutes after test; meds – Warfarin, digoxin, Verapamil. Alert, ataxic gait with foot slapping and instability on tandem, mild distal weakness and wasting, barely detectable DTRs, impaired vibration below hips, impaired position sense in toes; head CT revealed diffuse atrophic changes; EMG revealed distal demyelinating axonal neuropathy. GHb and TSH unremarkable. Gait disorder with central/peripheral components in context of cervical spondylosis and peripheral neuropathy. B12/folate [I can find no evidence in chart these have ever been done], revisit one month. Time spent with the patient was 15 minutes”

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