Assign ICD-10-CM codes to diagnoses and CPT or HCPCS level IIcodes to procedures and services in each case scenario. Be sure toreport CPT and HCPCS modifiers where appropriate.
The patient was referred by his primary care physician to seeDr. Pearson because of severe back pain. Dr. Pearson feels heshould have surgery, but the patient states the pain is relieved byregular chiropractic care and does not want to have back surgery.After a problem-focused examination and a complete radiologicexamination of the lumbosacral spine, including bending views, Iconsulted with Dr. Pearson and concluded the patient is probablydoing as well with a chiropractor as with orthopedic treatment. Idid not recommend surgery at this time