Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She began her career as a health records supervisor in a multi-specialty clinic.įollowing that she worked in the managed care industry as a contracting and coding specialist for a major HMO.
POLYP CFR RIDES CODE
However, the inflammatory polyps are complicated by intestinal obstruction, so code K51.412 is reported. When this reference is checked, the code provided is K51.40, which is reported for uncomplicated inflammatory polyps. The patient tolerated the procedure well, and after adequate recovery she is discharged home with a prescription for Azathioprine orally and cortisone enemas. Visual exam is significant for inflammationulceration of multiple small areas involving the rectum and descending colon. Informed consent is obtained and the patient is sedated for a colonoscopy without bowel prep. There is tenderness and guarding with deep palpation on the upper and lower left quadrants. Oral mucosa is moist and pink with a few scattered aphthous ulcers noted on the posterior pharynx.Ībdomen appears slightly distended, with bowel sounds high-pitched and hyperactive. On examination this is a thin, almost emaciated-looking patient, impeccably groomed and appearing somewhat younger than her stated age. Temperature is recorded at 100.2, HR 88, RR 12, BP 12870, Wt. She was advised to schedule a colonoscopy at that time but did not return until today. On review of her medical history, her last flare was almost 10 years ago and was resolved with cortisone enemas. PMH is significant for ulcerative colitis diagnosed in college and treated with sulfazine for a few years. She is having 4-6 loose stools per day, each containing blood and mucous. One difference between ICD-9-CM and ICD-10-CM is that in ICD-10-CM, codes for ulcerative colitis are combination codes that also identify complications of the disease. It typically starts in the rectum and affects a continuous bowel segment. Use with quotation marks to find variations of that exact phrase or to remember words in the middle of a phrase. Call for an appointment today, or use the online booking feature.Add an asterisk within a search as a placeholder for any unknown or wildcard terms. The expert team at Atkins Expert Sinus Care welcomes new patients to the practice and looks forward to helping them breathe easier. Other sinus procedures available at Atkins Expert Sinus Care include septoplasty, ClariFix® cryotechnology, functional endoscopic sinus surgery (FESS), polyp removal, inferior turbinate reduction, VivAer® treatment for nasal valve stenosis, and post-surgical stents that keep nasal passages open. Most major insurance plans cover sinuplasty, or sinus surgery, which has an extremely high success rate. He offers innovative TruDi balloon sinuplasty in-office under local or IV anesthesia, without the need for hospitalization.
Atkins has performed more balloon sinus surgeries than any other physician in the area and has helped many people relieve their symptoms without surgery. The Atkins Expert Sinus Care team offers in-office testing, including nasal endoscopy, CT scans, and allergy testing.ĭr. Atkins takes time to listen to individual needs and address all potential causes of unpleasant symptoms. The team offers the latest advances in sinus procedures to relieve unpleasant symptoms, such as fatigue, chronic nasal drainage, congestion, frequent sinus infections, blocked sinus passages, sinus pressure, and sinus headaches.ĭr.
People experiencing nasal congestion, chronic sinus infections, deviated septums, nasal valve stenosis, narrow sinus passages, nasal polyps, allergies, immune problems, or previous failed sinus surgery can turn to Dr. They specialize in revolutionary TruDi™ balloon sinuplasty (BSP), a minimally invasive procedure that produces better patient outcomes with less pain and downtime than traditional sinus surgeries.
Atkins Expert Sinus Care is a premier sinus treatment practice located in San Antonio, Texas, led by board-certified otolaryngologist James Atkins, MD, and his highly trained team.
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