A patient came into the pain clinic for management of chronic neck and shoulder pain after a motor vehicle crash one year ago
A patient came into the pain clinic for management of chronic neck and shoulder pain after a motor vehicle crash one year ago. The vehicle she was driving struck a bus on a country road. The pain extended down into her left hand, and the patient had difficulty lifting or moving anything with that hand. She also reported inability to sleep well due to pain. Her attending physician requested that Dr. Jones, a pain specialist, take over the care for her pain. Dr. Jones performed a medically appropriate history and physical exam and medical decision-making of low complexity. He and the patient discussed the injection of Marcaine and steroids into the cervical plexus for relief. The patient agreed to this plan, and after consents were signed, the injection was performed. The patient noted approximately 40 percent relief in pain almost immediately. Dr. Jones requested that the patient come back in one week and again in two weeks for another injection. Diagnosis: Cervicobrachial syndrome due to motor vehicle collision one year ago. Assign the correct diagnosis and CPT codes (including E/M) for this scenario. a. M53.1, S14.2XXS, V44.5XXS, 99203-25, 64499 b. G89.21, M54.2, M25.512, S14.2XXS, V44.5XXS, 99242-25, 64499 C. M53.1, S14.2XXS, V44.5XXS, 99212-25, 64415 d. M53.1, $14.2XXD, V44.5XXD, 99203-25, 64415
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