We are having a lot of issues with our Pain Management. A patient comes in for pain management due to back, hip and leg pain due to sacroiliitis, lumbar degenerative disc disease, lumbar radiculopathy, lumbar spondylosis.
The following dx are under Impression and Recommendations:
Problem # 1: MYOFASCIAL PAIN (ICD-729.1) (ICD10-M79.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 2: SACROILIITIS (ICD-720.2) (ICD10-M46.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 3: LUMBAR SPINAL STENOSIS (ICD-724.02) (ICD10-M48.06)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 4: LUMBAR RADICULOPATHY (ICD-724.4) (ICD10-M54.16)
Assessment: Unchanged
His updated medication list for this problem includes:
Norco 7.5-325 Mg Oral Tablet (Hydrocodone-acetaminophen) ..... 1 tablet twice to three times daily
Orders:
99214 Detailed Est (CPT-99214)
Problem # 5: LUMBAR SPONDYLOSIS (ICD-721.3) (ICD10-M47.896)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 6: LUMBAR POSTLAMINECTOMY SYNDROME (ICD-722.83) (ICD10-M96.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Can someone tell me which diagnosis to use there is some discrepancy in our office how to code this.
Thanks
The following dx are under Impression and Recommendations:
Problem # 1: MYOFASCIAL PAIN (ICD-729.1) (ICD10-M79.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 2: SACROILIITIS (ICD-720.2) (ICD10-M46.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 3: LUMBAR SPINAL STENOSIS (ICD-724.02) (ICD10-M48.06)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 4: LUMBAR RADICULOPATHY (ICD-724.4) (ICD10-M54.16)
Assessment: Unchanged
His updated medication list for this problem includes:
Norco 7.5-325 Mg Oral Tablet (Hydrocodone-acetaminophen) ..... 1 tablet twice to three times daily
Orders:
99214 Detailed Est (CPT-99214)
Problem # 5: LUMBAR SPONDYLOSIS (ICD-721.3) (ICD10-M47.896)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Problem # 6: LUMBAR POSTLAMINECTOMY SYNDROME (ICD-722.83) (ICD10-M96.1)
Assessment: Unchanged
Orders:
99214 Detailed Est (CPT-99214)
Can someone tell me which diagnosis to use there is some discrepancy in our office how to code this.
Thanks