SOLVED1339

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. 10-month-old presents for initial office visit. Mom reports that the baby’s nose appears to be stuffed up and she has developed a low-grade fever in the past 1-2 days. She has been eating OK. Parents have been giving her Pedialyte. No history of ear infections, nausea, vomiting, or diarrhea. She has had a cough along with her runny nose. Current on no medications She is afebrile, temperature 97.7, other vitals also normal. Ears normal, nose reveals some green discharge, throat is red, erythematous. Lungs clear to auscultation Cardiovascular normal. RSV was negative. ASSESSMENT: Acute pharyngitis Patient given 500 mg IM Rocephin in office and prescription for next 10 days. Please choose from the following list the appropriate additional CPT procedures.
SCIENCE
HEALTH SCIENCE
NURSING

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