Sleep Apnea Coding Dental Appliances

Medical Coding Basics Cardiology Part 2

I grabbed another one, and again it is herefor a sixmonth check. These are routine, very common cases where a person has a cardiacproblem. Again, I'm going to go ahead and slide down to the bottom. I always like towork from the bottom up. I see that our patient has sleep apnea, hypertension and hypercholesterolemia. Then, he not only listed what the diagnosiswas, but actually tells you what he's doing about it or the status of it. Sleep apnea,using oral device as prescribed; so he's probably got a sleep apnea machine that hesleeps with. Hypertension, well controlled on above medication. Now, even though it saysit's well controlled, he has to take a medication

or he would have hypertension; so that isdefinitely codable. Then, same thing with his cholesterol, it's adequately controlledon above medication. The plan is, everything is going to continue and he wants to do anecho and office visit in six months. I'm going to slide back up to the top andI'm going to start looking at our problem list, again you don't code off of a problemlist because it can be copied and pasted. Again, you want to follow your office or yourcompany's guidelines about things like that problem list. Here we've got a person with afib, but nowhe's made a point to say “none since 20XX.�

That tells me that I'm not going to codethat, either saying “No, he does not have it.�It's not that they're taking medicationis the reason why they don't have it. He's saying that there's not been any reported.Hypertension, hyperlipidemia and sleep apnea and that they're using that oral device,the machine. Then, I'm going to go down to look at thesemedications, Cardizem… I know what all of these are, but I went ahead and wrote downwhat some of these are because if you are not familiar, you need to be familiar withthe medications. You can go to drugs , webmd , there's all kinds, just Googleit, it will tell you.

I'm going to go to this history, the thingsthat jumped out at me, one, the palpitations he didn't address it. In other words, thepalpitations aren't something that we're going to worry about. He is using his oraldevice as prescribed. That constitutes the sleep apnea. They did a lab for the cholesteroland the triglycerides. Now we know he's actively being treated. Again, they checkedthe blood pressure. Over here, look, nothing is wrong here with the cardiovascular, scannedall of these, nothing jumps out at you. And you need to know these terms, “BS x4quads� you need to know what they mean. “No carotid bruits,� they're talkingabout the carotid arteries. The “neck veins

are flat� meaning they're not bulgingout that would indicate an issue with your blood pressure. “No murmurs, clicks, orgallops� if you don't know what a murmur, a click, and a gallop sounds like, you canactually go to YouTube and you can hear them. It's really cool, different types of breathingtoo. So, we're limited to – because I alwayswant to code things sleep apnea, hypertension, and the hypercholesterolemia. This persongot a 99214 as well. The pure hypercholesterolemia is 272.0, the 401.9 for the hypertension,and sleep apnea is 780.57. Those are very, very common codes especially the first two.You probably have them memorized even though

you're not supposed to memorize codes, youreally can't help it when you do them over and over. What about those medicationsé Cardizem isused for hypertension. Metoprolol is Lopressor and you may see that advertised on TV, a bloodpressure medication, beta blocker. What about this one,that it's like, “Huh! I don'tknow what that medication was.â€� It's actually Tambocor and it's for an irregular heartbeatrhythm, and Pravastatin is for cholesterol. Again, those are the things that you needto be aware of when you're doing cardiology. You need to know medications pretty well.Don't worry if you don't know them very

How To Stop Snoring or Sleep Apnea Symptoms

two causes of snoring and sleep apneaand how to alleviate both loud snoring and sleep apnea are causedby two simple fact sleeping in a horizontal supine positionwhere gravity pulls all relaxed mouth and throat components downward when sleeping on a horizontal bad that that eight issues of the throatsoft palate an attack structure fall downward which blocked the breedingairway causing loud snoring in apnea most snoring in apnea problems are dueto excessive baddy tissues and enlarge

soft palate tom structure due to beingoverweight according to webmd dot com sleep apnea and loud snoring are themain causes for seven major health problems high blood pressure heartdisease type two diabetes weight gain adult asthma g_e_ r_d_ and car accidentsdue to daily petite from not getting enough rest falsely to overcome the effects of gravitys recommend sleeping in a recliner uncomfortable or adjustable bed veryexpensive or a bed

insurance rarely covers them due to costto keep it or so inclined at thirty degrees are more fortunately there's nowa patented products that will allow you to sleep on your own bed while enjoyingsteep torso inclination of up to forty degrees as s recommend this newpatented product is called the comfort plus thirty or c_ plus thirty andthey'll ask you incline your torso up to forty degrees to reduce your loudsnoring aunt or your apnea appa so that a fraction of the cost c_plus thirty lets you enjoy morerestful sleep by respecting the law of

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