AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Well-Child Examination with Abnormal Findings

A four-month-old female infant is seen for a well exam. The mother reports that the baby has had a runny nose for one week. The baby has been fussy, but without fever, cough, vomiting or diarrhea. On examination, the tympanic membrane was noted to be red and bulging. The patient is diagnosed with acute right suppurative otitis media. How would this encounter be coded? ...

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