History: This 16-year-old female is seen in the office today by Dr. Jacobs, after falling off a curb and twisting her right ankle. She is normally a patient of Dr. Anderson, who is out of town this week. She states that she has pain surrounding the entire foot and ankle. Seems unable or unwilling to bear weight. Physical Examination: Ankle and foot examined. Foot is warm to touch. Some swelling and bruising noted around the lateral aspect of the ankle. X-ray is negative for fracture. (Exp. Problem) Impression: Sprained right ankle. (MDM Low) Plan: Elevation; ice to affected area. Weight bearing only as tolerated. Return for follow-up p. r.n. Assign the correct E/M code and ICD-10 code for the services
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History: This 16-year-old female is seen in the office today by Dr. Jacobs, after falling off a curb...
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