grandmacora
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This is a new pt exam with the 95 quidlines what do you find please help thanks so much
as a coder I am questioning what I code today
Physical exam: Patient is a very pleasant male. He is alert and oriented x3 and very cooperative. Examination of the left foot demonstrates slight prominence at the vase of the fifth metatarsal. There is no swelling. There is no erythema. He has tenderness to palpation directly over this area. This reproduces where he's been having his pain. He has slight discomfort laterally with peroneal strength testing but has good strength. There is no instability around the ankle.
Height: 5 feet 8 inches, weight 135 pounds, blood pressure 147/67
as a coder I am questioning what I code today
Physical exam: Patient is a very pleasant male. He is alert and oriented x3 and very cooperative. Examination of the left foot demonstrates slight prominence at the vase of the fifth metatarsal. There is no swelling. There is no erythema. He has tenderness to palpation directly over this area. This reproduces where he's been having his pain. He has slight discomfort laterally with peroneal strength testing but has good strength. There is no instability around the ankle.
Height: 5 feet 8 inches, weight 135 pounds, blood pressure 147/67