Experiencing occasional rectal bleeding

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On 1/15/2020, patient, Jason Jones visited his surgeon, Dr. Mariah Keith. The patient had been experiencing occasional rectal bleeding. The surgeon performed a colonoscopy that extended to the cecum. A biopsy was taken of tissue from the ascending colon. The source of the bleeding was not found. At this visit, the patient also complained of lower back pain and the surgeon ordered a lower back x-ray. The x-ray was done at this same visit. The diagnosis submitted for the visit was rectal bleeding, ____K62.5_____.

1. Assign CPT codes for all procedures performed during this encounter.

2. Utilizing medical necessity guidelines, discuss any issues with the linkage between diagnosis and procedure codes submitted for this encounter. Will the provider be reimbursed for all procedures? Why/why not? Please be specific in your response.

Reference no: EM133957443

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