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Trammellsoappeds
Trammellsoappeds
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incontinence.
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A: ASSESSMENT / ANALYSIS:
Determine and list the Level of the visit based on the CPT
documentation criteria (separate handout, in Medatrax, and
probably available in clinic)
o Level of Visit 99214
List and number in PRIORITY order the possible diagnoses
(problems) you have identified.
o 1. 564.0 Constipation (most likely)
o 2. 560.3 Impaction of intestine
o 3. 197.5 Large intesting and rectum (neoplasm)
Identify the ICD-9 code for each diagnosis
o Identify any procedure codes if appropriate
These diagnoses are the conclusions you have drawn from the
subjective and objective data.
Other
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