It’s important to a good and long living life.
A combining form meaning “prior, original, first” (archegonium; archetype); in scientific coinages, a synonym of archi- (archesporium)
B. 15-day supply for 2 X the copay
Answer:
Arterial blood gas (ABG) results from a 68-year-old woman with difficulty breathing show:
- Oxygenation (PaO₂): hypoxemia
- pH: acidosis
- PaCO₂: Hypercapnia
- HCO₃⁻: normal
whose interpretation is: <u>respiratory acidosis</u>.
Hypercapnia can produce symptoms such as confusion, drowsiness or lethargy, headache, nausea and vomiting and, in severe states, can cause severe unconsciousness and coma.
Explanation:
Respiratory acidosis is due to a failure in the breathing process that produces <u>hypoventilation</u>, decreasing the partial pressure of oxygen (PaO₂) —hypoxemia— and increasing the partial pressure of CO₂ (PaCO₂), called hypercapnia.
- <u><em>Acidosis</em></u><em> is the result of the accumulation of CO₂ in the body, which is reflected as a decrease in </em><em>pH</em><em> below 7.35, with no change in bicarbonate content.</em>
- <u><em>Hypoxemia</em></u><em> is the decrease of PaO₂ below 60 mmHg.</em>
- <u><em>Hypercapnia</em></u><em> is the increase of PaCO₂ in ABG above 45 mmHg.</em>
- <em>Normal </em><em>bicarbonate</em><em> </em><em>(HCO₃⁻) </em><em>values range from 22 to 28 mEq/L in ABG. This compound can be altered in metabolic acidosis.</em>
<u>Hypercapnia mainly affects the nervous system</u>, producing symptoms that alter the state of consciousness of the affected, also producing headache and even nausea and vomiting.
From 2010, Medicare stopped paying for all consultation codes from the CPT evaluation and management, except for telehealth consultation G-codes.
As of the first of the year 2010, the Centers for Medicare & Medicaid Services (CMS) stopped providing coverage for consultation codes. It is difficult enough to comprehend the coding policy; but, today there is a mix of the coverage policy and the coding policy, and one is required to differentiate between the two.
CMS has removed funding for consultation codes and transferred their relative value units (RVUs) to other assessment and management codes. CMS has said that it does not feel there is much effort involved in the consultation codes beyond the routine evaluation and management activities related to report writing.
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