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This week will be a mixture of Evaluation and Management Codes and Office or outpatient procedures. Some will be solo, and some will be a combined service and a few will be found in sections other than Medicine. Remember that when you code an office visit and a procedure, if you code both, the notes have to support both and a modifier may be appropriate. For this assignment, please use any or all of the following HCPC; CPT, or ICD-10 Codes when applicable. .
Office Procedure:
Procedure: Aspiration injection right deltoid bursa. The point of maximal tenderness was identified, skin was prepped with
alcohol. A 25-gauge, 1 ½-inch needle was advanced to the humerus and then aspirated. 1 cc of 0.25 % Marcaine mixed with 80 mg
Depo-Medrol was deposited. Needle was withdrawn. Band-Aid was applied. Post injection she had marked improvement; increased range of motion consistent with good placement of the medication. She was started on Cerefolin, plus NAC and Aricept starter pack was given with email away script. Follow-up in 3 months and we will reassess her dementia at that time.
What are the ICD-10, CPT and HCPCS codes for the above scenario?
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