What Correct Codes Explained for Students (Easy Guide)
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Original Question
What are the correct codes for this case? Outpatient—Physician’s Office Patient Name: Mary Ballard Diagnosis: Cholinergic toxic syndrome A 40-year-old established patient visited the physician’s office after experiencing symptoms of dizziness, headaches, excessive salivation, and lacrimation. Five days ago, the patient was started on treatment of 5 mg pilocarpine hydrochlorothiazide (HCTZ) tablets, 3 times each day for dry mouth. That treatment was prescribed for the side effect of dry mouth, which resulted from radiation therapy for cancer of the larynx. The patient stated she took more of the pilocarpine HCTZ medication than prescribed because she was hoping for faster results. A detailed history and physical were performed along with a drug assay, which revealed that the patient was experiencing cholinergic toxic syndrome as a reaction to the overdose of pilocarpine HCTZ. The physician ordered 0.02 mg atropine sulfate to be injected intramuscularly to counteract the cholinergic toxic syndrome reaction. The physician spent 30 minutes discussing with the patient the importance of taking the pilocarpine HCTZ medication as prescribed. T44.1X1A, 99214, 80299, J0461, J0461,96372-25
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