A 28-year-old female patient is returning to her provider’s office with complaints of RLQ pain and heartburn with a temperature of 100.2. The provider performs a detailed history, detailed exam and determines the patient has mild appendicitis. The provider prescribes antibiotics to treat the appendicitis in hopes of avoiding an appendectomy. What are the correct CPT® and ICD-10-CM codes for this encounter?

The options:

a.99202, R10.31, K37

b.99213, K37

c.99214, K37, R12

d.99203, R50.9, R12, R10.31, K374

The CORRECT ANSWER IS c.

c.99214, K37, R12

Explanation:

This is a confirmed patient E/M level of service which comes as a result of the signs and symptoms which made her check back to her provider for the appointment.

Code 99214 is suitable in cases where two out of three essential units are met for a confirmed patient.

Based on the ICD-10-CM guidelines I.B.4., an important diagnosis is stated and recorded after its confirmed.

On careful examination of the ICD-10-CM Alphabetic Index for Appendicitis which leads us to K37.

Guideline I.B.5 pinpoints to whatever Clinical manifestations seen to be a key part of the important diagnosis/disease activities.

Heartburn can not be regarded as a symptom often observed with appendicitis. Thus, we can record this using an extra code, references to guideline I.B.6.

From the guideline I.B.6 the Alphabetic Index for Heartburn would guide us straight to R12.

relative dating involves things like higher layers are most recent than rocks lower in the sequence. this can be extended to the known sequence of fossils. rocks containing rabbit fossils are later than those containing dinosaur fossils.  

absolute dating methods mainly use radioactive elements that have known rates of decay and produce recognizable products. for example potassium 40 decays to produce argon. once a rock has solidified the argon is trapped. by measuring the argon and potassium0 you can get an accurate number for the age.  

some other methods are good for archaeological ages. dendrochronology involves recognizing the sequence of tree rings. the orientation of magnetized particles in baked clay can be used to date a fire.

hope this .. .

the transfer of energy between two molecules spaced just nanometers apart plays a key role in many technologies, including photovoltaics, quantum information systems, lighting, and sensors, as well as in biophysics to measure nanometer distances and in photosynthesis. but an open question in this area is what effect, if any, the surrounding photonic environment has on this nanoscale energy transfer. by designing and performing a carefully controlled experiment to answer this question, scientists have settled the debate and found clues to improving the efficiency of many of the technologies that rely on this process.

explanation: