A 55-year-old male has had several episodes of tightness in…

A 55-year-old male has had several episodes of tightness in the chest. His provider ordered a PTCA (percutaneous transluminal coronary angioplasty) of the left anterior descending coronary artery. The procedure revealed atherosclerosis in the native vessel. It was determined a stent would be required to keep the artery open. The stent was inserted during the procedure.

Removal of a malfunctioning AMS 700 inflatable penile prosth…

Removal of a malfunctioning AMS 700 inflatable penile prosthesis and all components and implantation of an inflatable multi-component AMS Tambocor 14 mm diameter 15 mm length with 2 cm rear tip extender bilaterally in the same surgery session. What CPT® code is reported for this service?

A 4-year-old is brought into the ED crying. He cannot bend h…

A 4-year-old is brought into the ED crying. He cannot bend his left arm after his older sister pulled it. The provider performs an X-ray and it shows the patient has Nursemaid’s elbow. The ED provider reduces the elbow successfully. The patient can move his arm again after the reduction. What ICD-10-CM codes are reported?

A 43-year-old female is seen in the emergency room with seve…

A 43-year-old female is seen in the emergency room with severe epistaxis. She said this is a common occurrence for her during the cold dry months of winter and this is why she is here for the third time this week. Extensive posterior cautery and packing is again required to control the hemorrhage. What CPT® code is reported for the procedure? (Note: Do not code the E/M)

The patient has a history of unstable angina, hypertension,…

The patient has a history of unstable angina, hypertension, and chronic systolic heart failure. He is seen in the ED after prolonged chest pain that was not relieved by medication. Cardiac enzymes are elevated, and EKG shows anterior infarct. A decision was made to perform a cardiac catheterization and coronary angiography. Left heart catheterization was performed in order to perform a left ventriculogram. He tolerated the procedure well and will be discharged. His final diagnosis is chronic systolic heart failure and hypertension. The two conditions are unrelated. What ICD-10-CM code(s) is/are reported?

A 26-year-old gravida 2 para 1 female has been spotting and…

A 26-year-old gravida 2 para 1 female has been spotting and has been on bed rest. She awoke this morning with severe cramping and bleeding. Her husband brought her to the hospital. After examination, it was determined she has an incomplete early spontaneous abortion. She is in the 12th week of her pregnancy. She was taken to the OR and a dilation and curettage (D&C) was performed. There were no complications from the procedure. She will follow-up with me in the office. She has had four antepartum visits during her pregnancy.