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Coding Corner Questions: January

Staff  |  Issue: January 2015  |  January 1, 2015

ICD-10 Case Studies

Case 1

A 68-year-old female patient has a follow-up visit for her gout pain. She is complaining of pain in her lower back. The patient is currently on methotrexate 10 mg weekly and infliximab. After a full examination, the rheumatologist diagnosed the patient with drug-induced gout. The patient is 5’4”, weighs 280 lbs. and is morbidly obese, with a BMI of 40.2 kg/m2. The patient is assessed as having an acute flair of drug-induced gout.

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Case 2

A 48-year-old male patient presents for a follow-up visit for systemic lupus erythematosus with lung involvement. The patient states he has shortness of breath and is also experiencing mild chest pain when he tries to take a deep breath. He was seen by a pulmonologist last year, when he was diagnosed with pulmonary hypertension.

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Case 3

A 35-year-old male patient presents for a follow-up visit for his diagnosis of seronegative inflammatory rheumatoid arthritis. He reports pain in both wrists and the left elbow and left knee. The patient is on methotrexate 10 mg weekly.

Case 4

A 72-year-old female patient returns for a follow-up visit for her diagnosis of osteoporosis. She complains of pain on the left side of her back. She had a pathological fracture of her left hip last year, which she had recovered from.

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Filed under:Billing/CodingConditionsFrom the CollegeGout and Crystalline ArthritisOsteoarthritis and Bone DisordersPractice Support Tagged with:BillingCodingGoutlungLupusOsteoporosisRheumatoid arthritisrheumatology

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