Question: a 67yearold woman came to the surgery center for a...
A 67-year-old woman came to the surgery center for a scheduled diagnostic arthroscopy of her right shoulder because of constant pain on rotation of the shoulder. Prior to entering the operating room she told the nurse, “I have been feeling weak, depressed, and tired ever since my last visit.” The surgeon performs a re-examination with a detailed history, expanded problem focused physical, and moderatecomplexity decision making prior to the surgery. The findings were negative and the procedure was performed uneventfully.
What is the appropriate procedure/services?
What are those services CPT codes?
What are those services ICD 10 Diagnosis codes?