[Answered]: Scenario 3 Stan Shields patient presented to the…

Scenario 3 Stan Shields patient presented to the emergency department complaining of vomiting coffee-ground material several times within the past 2 hours. He has excruciating abdominal pain and has been unable to eat for the past 24 hours. He is dizzy and light-headed. His Two stools today have been black and tarry. While in the emergency department, he vomited bright-red blood and some coffee-ground material. The physician inserted a nasogastric tube and attached it to suction with fluoroscopy guidance to evaluate the source of bleeding and assist in the management of upper gastrointestinal bleeding. An abdominal exam showed a fluid wave consistent with ascites. An IV of lactated ringers was started, and CBC and clotting studies were drawn. A high-complexity medical decision-making was documented. A GI consultant was called, and the patient was taken to Endoscopy Department for further evaluation of upper GI bleeding. Diagnosis: hematemesis, rule out esophageal varices; blood loss anemia (CBC review) acute; ascites. Code the services for the Emergency Room Physician. After reviewing note 3, answer the following questions: Provide the ICD-10-CM Diagnosis Code (s) K92.0 for Hematemesis, I85.00 for Esophageal Varices, D50.0 for Iron deficiency anemia secondary to blood loss, and R18.8 for other ascites. Where did encounter occur? Emergency Room Is the patient new or established? New Provide the Evaluation and Management Code (E/M) and applicable modifier (s) 99285 Provide the CPT Code of the Procedure Performed