Answered

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A 48-year-old man came in to the emergency department complaining of vomiting material resembling coffee grounds several times within the past hour. He has abdominal pain and has been unable to eat for the past 24 hours. He is dizzy and lightheaded. Two stools today have been black and tarry. While in the emergency department, he vomited bright-red blood and some material resembling coffee grounds. A nasogastric tube was inserted by the ED physician and attached to suction. An abdominal exam showed a fluid wave consistent with ascites. CBC and clotting studies were drawn. A detailed history and physical exam with high-complexity medical decision making were documented. A GI consultant was called and the patient was taken to the Endoscopy for further evaluation of upper GI bleeding. Diagnosis: Hematemesis, rule out esophageal varices; blood loss anemia, acute; ascites. Which of the follow is the correct diagnosis and CPT procedure assignment for the independent ED physician?
A. K92.0, D62, R18.8, 99285, 43752
B. K92.0, R10.9, R42, 99284-25, 91105
C. R18.0, K92.0, D50.0, 99284, 43752
D. K92.0, D62, R18.8, 99284-25, 43752

Sagot :

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