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[Expert Solution]: The father of a 6-year-old male child…

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The father of a 6-year-old male child brought him to the pediatrician’s office for a ­follow-up visit to re-examine him for the acute otitis media with effusion in his left ear that was diagnosed three days before this visit. Once again, the physician noted fluid present in the middle ear but this time found the infection to be resolving in the left ear. The tympanic membrane was intact. No evidence of fluid was obvious in the right ear. The physician advised the parent that an appointment will be made for the child with an otolaryngologist to determine if a myringotomy with insertion of a ventilating tube will be necessary. In addition, the physician examined the patient’s surgical sites for healing after his ­operation three weeks ago for his juvenile scoliosis where magnetic rods that could be remotely lengthened (reducing the need for multiple surgical procedures) had been percutaneously inserted for his early-onset thoracic scoliosis. The MAGEC rods would be lengthened periodically to correct the scoliosis. Although the surgical procedure took place prior to this office visit, assign codes for the juvenile idiopathic scoliosis and growth rod insertion for practice. In addition, code the reason(s) for the office visit today.

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