tci E/M Coding Alert - 2023 Issue Q3

Case Study: Can You Navigate Coding a Celiac Dx?

Find out whether a diagnosis encounter levels best with MDM or time. Coders navigate complex diagnoses and medical conditions all the time. Find out whether you can parse through a diagnosis of celiac disease with this case study. The case: A 16-year-old established patient presents to the pediatrician complaining of abnormal weight loss, frequent bloating, and excessive flatulence, and is currently also experiencing functional diarrhea. The medical record shows a family history of irritable bowel syndrome (IBS), celiac disease, and a previous dermatitis herpetiformis diagnosis that resulted in a rash that has yet to resolve. The clinician ordered serology...

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