Posted: December 10th, 2022
Today, Dr. Hansen, an orthopedist, is attending to Andrew, a 72-year-old male patient with a well-established medical history. Andrew has reported experiencing severe knee pain in both knees and has had multiple falls over the past two months. Dr. Hansen conducts a comprehensive assessment, involving a detailed medical history and physical examination, resulting in a moderately complex medical decision-making process. Additionally, X-rays of each knee reveal a deterioration in Andrew’s osteoarthritis condition. Given the patient’s recurrent falls, Dr. Hansen has equipped Andrew with an adjustable tripod cane and provided instructions on its safe use. Dr. Hansen recommends Andrew to start taking over-the-counter glucosamine chondroitin sulfate, anti-inflammatories for pain management as needed, and schedules a follow-up appointment in one month.
E&M code: [Insert appropriate E&M code]
ICD-10-CM code for worsening osteoarthritis: [Insert appropriate ICD-10-CM code]
ICD-10-CM code for essential hypertension: [Insert appropriate ICD-10-CM code]
CPT code for right knee diagnostic arthroscopy with synovial biopsy: [Insert appropriate CPT code]
HCPCS code for the adjustable tripod cane: [Insert appropriate HCPCS code]
Andrew returned for his follow-up visit last week with increased pain and edema in his right knee, leading to the scheduling of an arthroscopy. Today, he is presenting at the surgical center for a right knee diagnostic arthroscopy with a synovial biopsy. The anesthesia is administered to this 72-year-old male patient by a Certified Registered Nurse Anesthetist (CRNA) under the medical supervision of a physician. Apart from osteoarthritis, Andrew has a well-controlled case of essential hypertension. After the procedure, the patient was placed in a prefabricated canvas longitudinal knee immobilizer.
CPT code for the right knee diagnostic arthroscopy with synovial biopsy: [Insert appropriate CPT code]