tci E/M Coding Alert - 2022 Issue Q4

Diagnosis Focus: Walk Yourself Through Coding Spinal Stenosis

Hint: Patients may require multiple encounters before the provider pinpoints a Dx. A patient exhibiting signs and symptoms of spinal stenosis may visit your provider’s office numerous times and receive various diagnostic tests. Coders, therefore, need to nimbly navigate the coding process while incorporating each visit and test. Keep reading for information on how providers diagnose spinal stenosis and how coders should figure out what to report. Consider These Symptoms Signs and symptoms of spinal stenosis may include neck pain; weakness or numbness in shoulders, arms, and legs; hand clumsiness; gait imbalance disturbance; and burning or tingling involving...

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