question archive Sandy Tyler was admitted to the hospital on July 4 for treatment of a fractured pelvis, which he sustained while parasailing earlier in the day

Sandy Tyler was admitted to the hospital on July 4 for treatment of a fractured pelvis, which he sustained while parasailing earlier in the day

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Sandy Tyler was admitted to the hospital on July 4 for treatment of a fractured pelvis, which he sustained while parasailing earlier in the day. On July 5, his attending physician (an orthopedic surgeon) wrote a physician’s order requesting a neurologist to consult with the patient regarding numbness of his left foot.

Which diagnosis should the orthopedic surgeon report to justify inpatient E/M services? Which diagnosis should the neurologist report to justify inpatient E/M consultation services?

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