Case Assignment: Abnormal Findings

Case Assignment: Abnormal Findings
Case Assignment: Abnormal Findings
Case Assignment: Abnormal Findings
Using a friend, family member, or colleague, perform a detailed men’s health history. Document the history and the expected normal physical examination findings in the SOAP note format. Even though your patient may have abnormal findings, you must document the expected normal exam findings for the system. If you would like to include the abnormal findings they should be noted in parenthesis next to the normal expected findings. The complete subjective and objective sections must be included. You may include the assessment and plan portion of the SOAP note, but these sections will not be graded. You should devise a chief complaint so that you may document the OLDCART (HPI) data. You must use the chief complaint of penile discharge, rectal bleeding, or frequent urination. You should also focus the ROS based on the patient’s chief complaint and the body systems being examined. Refer to the SOAP Note Format document in Course Resources as necessary. This will be the same format that faculty will follow during the immersion weekend. Please note the first post is due by Tuesday, 11:59 p.m. MT. During a routine exam, should a diagnosis or condition be discovered, it should be coded as an
additional code. Pre?existing and chronic conditions and history codes may also be included as additional
codes as long as the examination is for administrative purposes and not focused on any particular
Some of the codes for routine health examinations distinguish between “with” and “without” abnormal
findings. Code assignment depends on the information that is known at the time the encounter is being
coded. For example, if no abnormal findings were found during the examination, but the encounter is
being coded before test results are back, it is acceptable to assign the code for “without abnormal
findings.” When assigning a code for “with abnormal findings,” additional code(s) should be assigned to
identify the specific abnormal finding(s).
Encounters for general medical examinations with abnormal findings
The subcategories for encounters for general medical examinations, Z00.0?, provide codes for with and
without abnormal findings. Should a general medical examination result in an abnormal finding, the
code for general medical examination with abnormal finding should be assigned as the first?listed
diagnosis. A secondary code for the abnormal finding should also be coded.
Our Coding for Pediatrics manual states that even a minor finding that may not be addressed with a
separate E/M service would merit reporting of Z00.121. Likewise a BMI that the physician considers
abnormal would support reporting of Z00.121 and the appropriate BMI code.
October 1, 2017
Based on this, any abnormality that is present at the time of the routine examination may lead to
reporting Z00.121 and a secondary code to describe the finding. This may include, but not limited to an
acute injury, an acute illness, an incidental or trivial finding that is diagnosed in the patient’s chart, an
abnormal screen, an abnormal exam finding (eg, scoliosis), a newly diagnosed chronic condition, or a
chronic condition that had to be addressed (excluding medication refill) due to an exacerbation or being
uncontrolled or new issues arising related to the chronic condition.
Do not report “with abnormal findings” for a chronic condition that is stabl

So much stress and so little time? Take care of yourself: let us help you with your task on
Case Assignment: Abnormal Findings
Get a 20% Discount on this Paper
Get Help Now
Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Get personalized services with Do My Homeworkk
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Classic English Literature
Much appreciated - thank you very much!
Customer 452493, April 13th, 2022
A well-researched paper. Delivered before the deadline as well. Extremely pleased !!
Customer 452445, August 20th, 2021
Business Studies
I can't even explain how much your help meant to me. Thnk you always
Customer 452443, November 15th, 2021
M5A1 Outline and Thesis
Paper was late
Customer 452457, November 15th, 2021
Thank you!
Customer 452493, March 16th, 2022
Thank you
Customer 452445, September 8th, 2021
Great services.
Customer 452443, November 22nd, 2021
Thank you
Customer 452445, August 20th, 2021
Although the paper did not make it at the requested time, the writer did reach out to me and asked for a short extension which I was okay with.
Customer 452493, March 16th, 2022
National Security Intelligence and Security Analysis
Customer 452457, November 3rd, 2021
Classic English Literature
Customer 452493, April 19th, 2022
Wow! I should never have doubted you guys. Thank you for the excellent grade
Customer 452443, August 27th, 2021
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Order your essay today and save 15% with the discount code ESSAYHELP