Endometriosis, Uterine Fibroids, and Estrogen Dominance
Now, when we have a stage called estrogen dominance estrogen proliferates tissue when it's dominant. Estrogen within itself is very good. I helps us with our brain tissue, our memory. It helps us to think clearly, prevents foggy brain and all this other stuff. Estrogen in itself is very goodit's not bad. But when you have an estrogen dominance situation where the estrogen is very dominant over the progesterone, you're going to have all these symptoms and you're going to have a proliferation of tissue. For instance, if a woman comes in with cysts on her ovaries or cysts in her breasts.
Or she has fibroids on the inner uterine lining, or she has endometriosis these are all tissues that are being proliferated. They are increasing because she's got too much estrogen in her. Thus, we have a lot of increase in the amounts of hysterectomies because women are getting large fibroids and they're bleeding heavy, heavy, heavy, so they have anemia. I went through this myself, personally, in my forties. I had a lot of estrogen dominance but back then we didn't know exactly what to do. And so, I ended up having a hysterectomy because every time.
ICD10 Coding Annual Physical with Chronic Conditions
Laureen Q Annual Physical ICD10 question, if a patient is in for an annual physical and has chronic conditions like diabetes mellitus or hypertension, would you use Z00.01 Alicia Chandra knows this one. Chandra A Z00.01 is annual preventive or adult preventive examination with abnormal findings. As we talked about earlier, abnormal findings means we found something during that exam that we didn't already know that the patient had. Chronic conditions would be things we already knew the patient had. The thing that I go back to with that and then determining whether we knew it ahead.
Of time, look at some of your documentation guidelines. If you really want to think about it, I'm going to cite inpatient for a minute, but if you look at your Present on Admission Guidelines, they tell you any chronic condition that patient had before they were admitted are considered present on admission. It's kind of the same thought, they come in and do a preventive exam, we knew they had hypertension, we knew they had diabetes, we knew they had whatever. Even if we write them a script to refill those meds, it's not that we found something abnormal.
During this exam. It's simply that we gave them a script for their chronic conditions. Laureen Very good. Alicia If it is a new condition, they'll document that they'll be doing counseling on they're sending them to the diabetes nurse and getting counseling on nutrition that this is a new finding but Chandra And then in that case, then they also have to make sure that anytime they use the code that says they did a preventive with an abnormal finding they need an additional code to identify what that abnormal finding is. That's typically where they're going.
As women, every month we have period, and with this period the hormones change estrogen go up, and then go down. If these changes is not smooth, and we can ends up different kind of medical issues. One is the fibroids. Fibroids is a benign tumor in the uterus. It can grow as big as a cantaloupe, and press your bladder, causing urine problems, or causing severe cramps, bleeding. Acupuncture can help to reduce the fibroids size, so that we can have less pain. If we have less pain, then we can function better. So, if women have.
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