AAPC - Chapter 20 Practical
Applications
CASE 1
10-Year-antique mounted affected person (The patient is set up.) presents these days for nicely
infant take a look at (Patient affords for a preventive examination.) with mom with complaints of
common urination at some point of the day.
The affected person has two sisters and sees dad sporadically. Lives in a smoke free
environment. One dog, one rabbit.
Denies dysuria, stomach ache, or rashes, all other structures are reviewed and poor.
Patient going into 4th grade with correct grades. No parental issues. Patient cooperates
however does have a tendency to returned communicate. Doing nicely on Concerta
Exam
General: Normal
Head: Normal
Eyes: Normal
Ears: Normal
Nose: Normal
Mouth/throat: Normal
Neck: Normal
Abdomen: Normal
Rectal: Not tested
Genitals: Normal
, Skin: 3mm papule on dorsal R hand with out disruption of creases
Urinalysis: Ketones, nitrite, leukocytes everyday; trace blood, low precise gravity. (Urinalysis lab
check accomplished inside the workplace)
Couns - ANS-99393-25
17110
90471
90716
81002
Z00.121
F90.Nine
B07.Nine
R35.0
Z23
CASE 2
Pre-method Diagnosis: Asthma
Post-method Diagnosis: Asthma (Post procedural analysis used for coding.)
Procedure: Psychophysiological Therapy Biofeedback
The affected person returned to health center with daily diary documenting domestic top go with
the flow readings and bronchial asthma signs and symptoms. Diary was assessed and
discussed with patient. Patient reviews reduced dosing with inhaled steroids and fewer
asthmatic episodes. Lungs and breathing resistance assessed. Lungs clear, no wheezes or
rhonci mentioned. (Psychophysiological training.)
HRV biofeedback become achieved the use of a physiograph. (Biofeedback documentation.)
ECG statistics have been collected from the left arm and proper leg, and were digitized at 510
Hz. EEG biofeedback gadget connected and baroreflex advantage turned into assessed with
beat-to-beat BP recordings and digitized at a rate of 252 samples in step with 2nd. The sensor
changed into positioned at the participant's right center finger, and the hand become elevat -
ANS-90875
J45.909
CASE 3
Performed in the workplace
Pre-system Diagnosis: Gastro-esophageal reflux ailment (GERD), Heartburn
Post-technique Diagnosis: GERD (Post system diagnosis used for coding.)
Applications
CASE 1
10-Year-antique mounted affected person (The patient is set up.) presents these days for nicely
infant take a look at (Patient affords for a preventive examination.) with mom with complaints of
common urination at some point of the day.
The affected person has two sisters and sees dad sporadically. Lives in a smoke free
environment. One dog, one rabbit.
Denies dysuria, stomach ache, or rashes, all other structures are reviewed and poor.
Patient going into 4th grade with correct grades. No parental issues. Patient cooperates
however does have a tendency to returned communicate. Doing nicely on Concerta
Exam
General: Normal
Head: Normal
Eyes: Normal
Ears: Normal
Nose: Normal
Mouth/throat: Normal
Neck: Normal
Abdomen: Normal
Rectal: Not tested
Genitals: Normal
, Skin: 3mm papule on dorsal R hand with out disruption of creases
Urinalysis: Ketones, nitrite, leukocytes everyday; trace blood, low precise gravity. (Urinalysis lab
check accomplished inside the workplace)
Couns - ANS-99393-25
17110
90471
90716
81002
Z00.121
F90.Nine
B07.Nine
R35.0
Z23
CASE 2
Pre-method Diagnosis: Asthma
Post-method Diagnosis: Asthma (Post procedural analysis used for coding.)
Procedure: Psychophysiological Therapy Biofeedback
The affected person returned to health center with daily diary documenting domestic top go with
the flow readings and bronchial asthma signs and symptoms. Diary was assessed and
discussed with patient. Patient reviews reduced dosing with inhaled steroids and fewer
asthmatic episodes. Lungs and breathing resistance assessed. Lungs clear, no wheezes or
rhonci mentioned. (Psychophysiological training.)
HRV biofeedback become achieved the use of a physiograph. (Biofeedback documentation.)
ECG statistics have been collected from the left arm and proper leg, and were digitized at 510
Hz. EEG biofeedback gadget connected and baroreflex advantage turned into assessed with
beat-to-beat BP recordings and digitized at a rate of 252 samples in step with 2nd. The sensor
changed into positioned at the participant's right center finger, and the hand become elevat -
ANS-90875
J45.909
CASE 3
Performed in the workplace
Pre-system Diagnosis: Gastro-esophageal reflux ailment (GERD), Heartburn
Post-technique Diagnosis: GERD (Post system diagnosis used for coding.)
