Medicos Para La Familia Page 5

FAMILY MEDICINE-ER OFFICE Emergency and Urgent Care Update 09-1-21 Office Surgery JOINT PAIN ICD-9 CODES Patient Name: ______Ankle 719.47 Multiple joints 719.49 Date: ______Arm,distal 719.43 Shoulder719.41 INTRA SERVICE-CRITICAL CARE TIME Hand 719.44 Hip strain 843.9 Each 15 minutes adult 99145 $ 30 Back Strain 847.2 Leg, lower 719.46 Each 15 minutes child under age 5 99143 $ 30 Arthropathy NOS 716.90

IV Infusion 31-60 minutes 96360 $ 60 FRACTURES TREATMENT IV Infusion each additional hour 96361 $ 30 Nasal-[ICD-9=816.00] 21335 $ 400 IV Med Injection 96374 $ 30 Radius[ICD-9=813.81] CARE OF MISCARRIAGE distal w/o manipulation ______25600 $400 Dilation and Curettage 59812 $400 distal with manipulation ______25605 $600 Plus injections for analgesia, antibiotics, path,US Finger[ICD-9= 816.00] w/o manipulation ______25611 $200 REMOVAL OF DEBRIS/LESIONS with manipulation ______25620 $400 Subcutan/complex 10121 $200 Foot[metatarsal ICD-9=825.5] Muscle/simple 20520 $200 Metatarsal fx w/o manip ______28470 $300 Muscle/complex 20525 $200 Toe w/o manipulation[ICD-9=826.0] Corn/warts/callus 99526 $200 Great toe ______28490 $100 Other toe ______28510 $100 OPTHALMOLOGY[FBR=Foreign Body Removal] Ankle[ICD-9=824.8] Chalazion.excision[RVU 3.39] 67800 $200 dist fib w/o manipulation ______27786 $400 FBR/conjunct/superficial 65205 $100 CAST FBR/conjunct/embedded 65210 $200 Long Arm ______29105 $100 FBR/cornea/slit lamp 65222 $500 Forearm, elbow to finger ______29075 $100 EAR, NOSE, AND THROAT[FBR+] Hand/wrist ______29085 $100 FBR/exter ear canal 69200 $200 SPLINT Impacted cerumen 69210 encounter form Finger 29130 $40 FB Removal intranasal 30300 $200 Long Arm ______29105 $ 80 Ant/nasal hemor/initial 30901 $100 Forearm, elbow /wrist ______29125 $ 80 Ant/nasal hemor/complex 30903 $200 Leg Epistaxis/post/init 30905 $100 Short leg splint ______29515 $100 Epistaxis/post/sub 30906 $200 Long leg splint ______29508 $150 Laryng/diagnostic spaghetti scope STRAP 31575 $200 Elbow/wrist strap ______29260 $ 50 Drainage/ext ear simple 69000 $200 Shoulder ______29240 $ 50 Drainage/ext ear abscess 69020 $200 WRAP ORTHOPEDICS Ace wrap ______A4460 $ 10 OSTEOPATHIC MANIPULATION 1-2 Regions 98925 $70 ICD-9 Code------sacroiliitis 720.2 REDUCTIONS-Nonoperative; ie,closed Physician’s Signature: DX: ICD-9 Code 834.00 finger dislocation Carpometacarpal 26700 $300 Date: Interphalangeal 26770 $300