Question: Instructions: Review each case scenario, identify the coding error(s), and enter the corresponding letter(s) to describe the error(s). Patient underwent physical therapy high complexity evaluation

Instructions: Review each case scenario, identify the coding error(s), and enter the corresponding letter(s) to describe the error(s).

Patient underwent physical therapy high complexity evaluation for right dominant side hemiplegia due to CVA (stroke).

Procedure code entered: 97163.

Diagnosis code entered: I69.35.

Identify the coding error(s):

a. Code is incomplete (e.g., missing digits).

b. Procedure codes are unbundled.

c. Medical necessity not met.

d. Code is inappropriate for patient's age.

e. Code reported is incorrect (e.g., wrong code).

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