Home Made Oil For Joint Pain II II
Welcome to health care at home Most of our viewers are keen to know, that which oil they should use in joints pain. so, let me do on thing, let us make one oil I will make you teach this oil here, You make this oil at home use this oil in your joints pain even if you have any type of pain in the muscles then there also you message with this oil then there also you will get relief in any type of pain. You need not to purchase any oil from the market because you can make this oil at home. So, what all you require for that let me tell you
Here i have 100 ml of sesame oil I have 75 gm of garlic with me and ginger in the equal quanitity Bay leaf, cloves, cinnamon Aloe vera apart from that Fenugreek seeds Bhimseni Camphor Will use some turmeric powder and along with this we have carom seeds Now what we have to do, we have to take out the extract of all these ingredients into the oil
How to doé that i will tell you will prepare this oil Firstly, i have 100 ml of sesame oil, that i will put it into the pan And we have to put it on the low flame doesn't require to be put on the high flame, put it on the low flame,if you are cooking on the gas cook it for a long time and till the time the oil gets hotter i will grate these garlic, you can even grind it into the grinder. or you can do the way i am grating grate it like this
Garlic works really well in joints pain If you have complaint of joint pain then you can even take raw garlic and you should as much as raw garlic in access quantity Because it cut down gas reduced the cholesterol Garlilc is very good for your health. Those who are allergic from the smell of garlic You must understand that its smell is the main power and very important for your body Garlic even kills the insects of stomach if you have
Our oil is heat up and now firstly will put 12 spoon of cloves and along with this put almost 2 cinnamon in this And moment the cloves cinnamon floats on the oil will put almost 2 spoon of fenugreek seeds What all ingredients were are putting will burn them Its not food we are making oil so, let is burn completely Don't get worried let them burn on the low flame
So, we have grated the garlic, same way will grate the ginger Here ginger is also used in equal quantity, it also has lots of healing properties to remove your pain, ginger works really well so, our fenugreek seeds is almost burnt and now will put carom seeds as equal to fenugreek seeds almost 3 spoon of carom seeds and let the carom seeds get burnt as well and now you may add in this 34 bay leaf crush them and put them into the pan
ICD10 Coding of Osteoarthritis ICD10 Coding Guidelines
Chandra: A: For the ICD10 for osteoarthritis,the guidelines actually state that you should use the multiple osteoarthritis code unlessthe specific codes are more appropriate for the circumstantial coding, and basically itcomes down to the payer rules. If you're seeing a patient simply to manage their osteoarthritisand they've got osteoarthritis in multiple joints, maybe they got in their left shoulder,their right shoulder, their left elbow and their left hip. Most providers are going toreport that with a multiple osteoarthritis code. The times that you would break into the specificjoint and laterality would be when you're
trying to prove or substantiate medical necessityfor certain things, like if you were evaluating a patient or planning to do a hip replacementon that same patient, they may have osteoarthritis and all these different joints but you'refocused on the hip joint, specifically the left hip joint. So, your claim should havethe specific code to say, â€œSpecifically we're dealing with osteoarthritis of theleft hip,â€� then you could add additional codes, say â€œthey also have it here, here,and here,â€� but for our purposes we want that specificity. That's really the onlytime that she usually going to come into play, it all comes down to payment, unfortunately.
Laureen: Is this the guidelineé Alicia: M15 â€“ M19 are the codes that we'relooking at, that's it. Chandra: Yeah. Usually there's a multiplesites option, for categories where there's no multiple site, code should be used to indicatethe different sites involved. Alicia: M15.3 secondary multiple arthritisé Chandra: That's secondary. When you'retalking M15, remember secondary is the result of something else. These are more than likely,I think they're M19s if I remember correctly. Alicia: Yeah, I was thereâ€¦
Laureen: I just wanted to share this is howyou can be your own consultant and basically answer your own questions. Not that we don'tlove doing it, but this is what I typed in as they were talking â€œICD10 guidelinessite and lateralityâ€� boom! It brought me right here, I opened it up. I typed in â€œsiteand lateralityâ€� and it brought me right to it. Google is your friend, double checkit, but when you have questions like that, that's how we startall of these questions and then we try double check each other. Chandra: Especially when you have ICD10 questions.My colleagues and myâ€¦
ICD10 Coding Tutorial Initial Encounter vs Subsequent
Q: ICD10 initial encounter vs. subsequentIf a patient had an injury and went to the ER forinitial treatment and sutures were placed. When they came to our office for suture removal,would that be an initial encounter as it is the first time at our office with this diagnosiséOr would it be subsequenté A: I kind of went out on steroids and gaveyou a lot of additional information on this, because the answer is actually simple, soI added some extra stuff on there. Laureen: Oh! It looks like one of your lovelygraphic ones.
Alicia: It is and it's got a lot of informationon it, so I'm sorry. Laureen: That's OK. Alicia: That means Laureen has to slide downas I'm talking. So, of course I had to give you a pictureof some sutures and I was very nice and only did a simple one. The answer to the questionis for ICD10, and I just picked a particular laceration was S51.811D â€“ laceration withoutforeign body of right forearm, subsequent encounter. The reason this is classified asa subsequent encounter when you go from having something done in an ER and then they cometo you, it's because initial and subsequent
doesn't follow, like CPT it follows theprocedure itself, the actual injury. So, the first time it was treated is always the initialencounter and then after that it's always the subsequent encounter until it moves onto something else, like, a sequela. So, it's not how many times the patient is necessarilyseen, it's how many times this particular diagnosis is used; so think of it that way. Now, in addition, the CPT gets a little confusingwith this as well, so I wanted to explain some information that I found on that. A newpatient range is going to be 99201 99203 and an established patient range is goingto be 99211 99215. All of that is determined
on the documentation. So, let's look atsome information that you need to be aware of when you're looking at the documentation,some of the stuff that you're going to want to abstract. For diagnosis, there is a code â€“ and I gaveyou the ICD10 and the ICD9 Encounter for removal of sutures (not a code that can beused as first listed diagnosis). So, that â€˜S' code that we used earlier would beyour first diagnosis, subsequent encounter and then you would use this â€˜Z' code forthe reason they're there, to have the sutures removed.
In addition, I was told that in some casesthat Z09 Encounter for followup examination after completed treatment for conditions otherthan malignant neoplasm. This does not translate or convert from 9 to 10 as well because inICD9, it's V67.09, that a lot of people will use and it's a followup examinationfollowing other surgery; whereas, Z09 is much more specific. But remember that this is healedwithout more treatment; so that â€œsâ€� that's the medical abbreviation for â€œwithout.â€�Again, this code would be there's no more treatment. Then, you want to know â€“ did the providerevaluate for infection, healing, erythema
or edemaéThis is something that is probably going to be done when they come in to have their suturesremoved just to make sure that the wound is looking OK, not just having those stitchespulled out. They're doing an assessment while they do that as well. As we scroll down we're going to see somemore things that you want to keep in mind. Wound care instructions given and noted inchart by provideré That's classified as part of that EM as well. Were diagnosis,prognosis or risk discussedé Again, did the patient ask: Is this going to scaré Am I goingto have problems with scarringé Maybe if the