Figure 1

KennethAllen

Orthopedic Surgery

Quick Quiz

A new patient with an ankle sprain. How would you code this encounter?

You have a new patient referral to your clinic for an ankle sprain. She has not been seen by your group before. The injury occurred 5 days ago and she has an X-ray with her showing no fractures. After performing an appropriate exam and evaluation, you recommend over the counter anti-inflammatories and acetaminophen for pain control, and prescribe a physical therapy course for ankle rehab with as needed follow up if she does not achieve return to full activity in 3 months. How would you code this patient encounter?