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After comparing this patient encounter summary and the progress note, where does the coding manager find that education is needed? Progress Note for 5-1-20XX S This 10-year-old fell on the playground, cutting his right hand. O There is a superficial palmar laceration measuring 2.0 cm. A 2.0 cm palmar laceration, washed with Betadine, anesthetized with 1% lidocaine and closed with one simple stitch of 5-0 nylon. Triple antibiotic ointment applied. P Suture removal in one week. Patient Encounter Summary: Date CPT Code Code Description Diagnosis Diagnosis Description 5-1-20XX 13131 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm S61.411A Laceration without foreign body of right hand, initial encounter 5-1-20XX 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making S61.411A Laceration without foreign body of right hand, initial encounter A higher level of office visit should have been coded. Modifier 59 should have been added to the office visit. The documentation does not support the codes assigned. The local anesthetic should have been coded. correct answer
SCIENCE
HEALTH SCIENCE
NURSING

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