An established 47-year-old patient presents…

                An established 47-year-old patient presents to the provider’s office after falling last night in her apartment when she slipped on water on the kitchen floor. She is complaining of low back pain and no tingling or numbness. Provider documents that she has full range motion of the spine, with discomfort. Her gait is within normal limits. Straight leg raising is negative. She requested no prescription medication. It is recommended to use heat, such as a hot water bottle. Take Ibuprofen as needed for pain. Provider’s Assessment: Lower Back Muscle Strain. What E/M and ICD-10-CM codes are reported for this service?

                A patient is seen in the gastroenterologist’…

                A patient is seen in the gastroenterologist’s clinic for a diagnostic colonoscopy. When performing the service, the physician notes suspicious looking polyps and removes three using a snare technique to send to pathology for further testing. What CPT® coding is reported?

               Meredith has breast cancer on the left side,…

               Meredith has breast cancer on the left side, diagnosed by an excisional biopsy performed last week. Today she is having a radical mastectomy, Urban type, and concurrently a single pedicle TRAM flap reconstruction with supercharging. What CPT® codes are reported?