Forum - Questions & Answers

Sep 27th, 2012 - kgbkfan1

no code?

Patient in for follow-up appointment status-post mastectomy on 2/10/xx. Hospital course was complicated by atrial fibrillation and embolism, requiring embolectomy. Patient also developed pleural effusion requiring pleuracentesis. Patient has now been discharged from the hospital for 10 days. Other than some incisional pain, patient seems to be doing well. No major complaints: denies shortness of breath, nausea loss of appetite, fever, or pain in extremities. Energy levels seems to be returning to normal. Incision sites are examined, with no erythema or infection notes. Sutures removed. Patient is instructed not to lift, push or pull objects and to return to activities slowly. Wound care is reviewed. Patient is instructed to follow-up 2 weeks or sooner if complaints.

CPT® Code:__________



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