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Marian, age 67, visited her OB/GYN because she began to experience postmenopausa
Marian, age 67, visited her OB/GYN because she began to experience postmenopausal bleeding. She also mentioned occasional urinary incontinence. What might diagnostic and treatment procedures be performed that the coder should be aware of to code properly? [Tips: Think about common services that may transpire (i.e., colposcopy, pap smear, or possibly a biopsy). What else may be performed or recommended during this time, perhaps a consultation with a urologist? Depending on diagnostic findings, what may the treatment include (i.e., medication or surgical intervention)]
Juana has a slipped disk and undergoes a spinal fusion. A bone dowel is applied at the time of surgery. Is the bone dowel included in the code for the spinal fusion? Please explain your answer. [Tips: Fusions are reported with codes from the Musculoskeletal System subsection, based on the approach used (i.e., anterior, posterior, anterolateral, or posterolateral). Think about would you report the application of the bone dowel separately with add-on codes (22853-22859) or not?]
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