ebredehoeft
Networker
I need some second opinions.
I have this:
99202 dx V70.0 V04.89 V05.3 V05.4
90633 SL v70.0 V05.3
90716 SL v70.0 v05.4
90658 SL v70.0 V04.89
I look at the notes to check for a CC and I see
Reason for visit :Well Child Check, establish care
10 year old girl here with mom to establish.
Sleeps well and eats well. Is doing well in school. Enjoys reading and swimming. Enjoys her friends. Drinks a lot of water. Occasionally has sodas. Has periodic sore throats. No nasal congestion.
Subjective:
HPI Comments: No sore throat symptoms today.
Review of Systems
Constitutional: Negative for fever and chills.
HENT: Negative for ear pain, nosebleeds and congestion.
Respiratory: Negative for cough and shortness of breath.
Cardiovascular: Negative for chest pain and palpitations.
Gastrointestinal: Negative for nausea, vomiting, abdominal pain and diarrhea.
Genitourinary: Negative for dysuria and urgency.
Musculoskeletal: Negative for myalgias and joint pain.
Skin: Negative for rash and itching.
Neurological: Negative for dizziness, tingling, tremors and headaches.
Endo/Heme/Allergies: Does not bruise/bleed easily.
Psychiatric/Behavioral: Negative for depression. The patient is not nervous/anxious and does not have insomnia.
Objective:
Filed Vitals:
12/30/2010 2:51 PM
BP: 110/60
Pulse: 70
Temp: 98 °F (36.7 °C)
TempSrc: Oral
Resp: 10
Height: 4' 10" (1.473 m)
Weight: 90 lb (40.824 kg)
SpO2: 98%
Physical Exam
Constitutional: She appears well-developed and well-nourished.
HENT:
Right Ear: Tympanic membrane normal.
Left Ear: Tympanic membrane normal.
Nose: No nasal discharge.
Mouth/Throat: Mucous membranes are dry. Oropharynx is clear.
Eyes: Conjunctivae and extraocular motions are normal. Pupils are equal, round, and reactive to light.
Neck: Normal range of motion. Neck supple.
Cardiovascular: Regular rhythm, S1 normal and S2 normal.
Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress.
Abdominal: Soft. She exhibits no distension. No tenderness. She has no guarding.
Musculoskeletal: Normal range of motion.
Neurological: She is alert.
Skin: Skin is warm and dry.
Assessment and Plan: Well child check
Immunization need
Varicella, flu and Hep A vaccine
Shouldn't this be a preventive visit not a problem focused visit for one? and Then dx for 90658 should be V0481
Also shouldn't V70.0 be for preventative visits not problem focused?
Please let me know what your thoughts are.
I have this:
99202 dx V70.0 V04.89 V05.3 V05.4
90633 SL v70.0 V05.3
90716 SL v70.0 v05.4
90658 SL v70.0 V04.89
I look at the notes to check for a CC and I see
Reason for visit :Well Child Check, establish care
10 year old girl here with mom to establish.
Sleeps well and eats well. Is doing well in school. Enjoys reading and swimming. Enjoys her friends. Drinks a lot of water. Occasionally has sodas. Has periodic sore throats. No nasal congestion.
Subjective:
HPI Comments: No sore throat symptoms today.
Review of Systems
Constitutional: Negative for fever and chills.
HENT: Negative for ear pain, nosebleeds and congestion.
Respiratory: Negative for cough and shortness of breath.
Cardiovascular: Negative for chest pain and palpitations.
Gastrointestinal: Negative for nausea, vomiting, abdominal pain and diarrhea.
Genitourinary: Negative for dysuria and urgency.
Musculoskeletal: Negative for myalgias and joint pain.
Skin: Negative for rash and itching.
Neurological: Negative for dizziness, tingling, tremors and headaches.
Endo/Heme/Allergies: Does not bruise/bleed easily.
Psychiatric/Behavioral: Negative for depression. The patient is not nervous/anxious and does not have insomnia.
Objective:
Filed Vitals:
12/30/2010 2:51 PM
BP: 110/60
Pulse: 70
Temp: 98 °F (36.7 °C)
TempSrc: Oral
Resp: 10
Height: 4' 10" (1.473 m)
Weight: 90 lb (40.824 kg)
SpO2: 98%
Physical Exam
Constitutional: She appears well-developed and well-nourished.
HENT:
Right Ear: Tympanic membrane normal.
Left Ear: Tympanic membrane normal.
Nose: No nasal discharge.
Mouth/Throat: Mucous membranes are dry. Oropharynx is clear.
Eyes: Conjunctivae and extraocular motions are normal. Pupils are equal, round, and reactive to light.
Neck: Normal range of motion. Neck supple.
Cardiovascular: Regular rhythm, S1 normal and S2 normal.
Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress.
Abdominal: Soft. She exhibits no distension. No tenderness. She has no guarding.
Musculoskeletal: Normal range of motion.
Neurological: She is alert.
Skin: Skin is warm and dry.
Assessment and Plan: Well child check
Immunization need
Varicella, flu and Hep A vaccine
Shouldn't this be a preventive visit not a problem focused visit for one? and Then dx for 90658 should be V0481
Also shouldn't V70.0 be for preventative visits not problem focused?
Please let me know what your thoughts are.
