sankoe@keystoneruralhealth.com
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Note Reads:
Patient here today for a recheck of swelling. She continues to have swelling. She reports it may be "slightly improved" since stopping Tradjenta. During last visit her Tradjenta was held.
She is asking to stop her other medications including statin and insulin. She believes swelling was worsened by all these medications. She would like to hold them and slowly restart each one to see what is causing her swelling.
SHe is on rosuvastatin for hyperlipidemia. This will be held at this time to see if her swelling and muscle aches in arms improves.
Patient denies any fever/chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea or black/tarry stools.
Provided coded R22.33, E78.2, E11.65
After review I feel it should be coded as R22.33 and E78.5
Would it be appropriate to code E11.65? Or am I correct with just coding the R22.33 and E78.5 and removing E11.65.
Patient here today for a recheck of swelling. She continues to have swelling. She reports it may be "slightly improved" since stopping Tradjenta. During last visit her Tradjenta was held.
She is asking to stop her other medications including statin and insulin. She believes swelling was worsened by all these medications. She would like to hold them and slowly restart each one to see what is causing her swelling.
SHe is on rosuvastatin for hyperlipidemia. This will be held at this time to see if her swelling and muscle aches in arms improves.
Patient denies any fever/chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea or black/tarry stools.
Provided coded R22.33, E78.2, E11.65
After review I feel it should be coded as R22.33 and E78.5
Would it be appropriate to code E11.65? Or am I correct with just coding the R22.33 and E78.5 and removing E11.65.