Mr. Johnson, age 82, who has been in poor health with diabetes and associated peripheral neuropathy, is having a fem-pop bypass. The anesthesiologist documents he has severe systemic disease. What coding is correct for anesthesia?
What is the correct ICD-10-CM code for a 50-year-old patient…
What is the correct ICD-10-CM code for a 50-year-old patient who has been diagnosed with elevated blood pressure but does not have a history of hypertension?
A physician states he performed a comprehensive EP study wit…
A physician states he performed a comprehensive EP study with induction of arrhythmia in the hospital. The report shows bundle of His recording, pacing and recording of the right atrium, and induction of arrhythmia by electrical pacing. What CPT® coding is reported?
What is the code for ultrasound evaluation of a fetus and mo…
What is the code for ultrasound evaluation of a fetus and mother, usually performed early in pregnancy (first trimester), to confirm fetal age, set an anticipated delivery date, for qualitative assessment of amniotic fluid volume/gestational sac shape and examination of the maternal uterus and adnexa?
An elderly male patient presents to the ED complaining of a…
An elderly male patient presents to the ED complaining of a high fever the day prior to the encounter and of extreme lethargy. He has a history of benign hypertension which has been elevated. On arrival he was examined by his primary care physician and admitted, with possible urinary tract infection and concern for his elevated blood pressure. He was noted to have hematuria and a urine culture is performed. Positive UTI and pseudomonas showed in the urine culture and IV antibiotics were administered. During the course of the day, his fever decreased, and his lethargy improved. As the IV fluids were decreased, he resumed a benign hypertensive state. On the next hospital day, his primary care physician noted the urine was clear and he was discharged on oral antibiotics. What ICD-10-CM codes should be reported?
A patient is seen to have an esophageal motility procedure w…
A patient is seen to have an esophageal motility procedure with acid perfusion study performed. What CPT® code(s) is/are reported?
A 35-year-old type II diabetic is feeling weak. The physicia…
A 35-year-old type II diabetic is feeling weak. The physician performs a stat glucose test in which a finger stick is done placing the drop of blood on a reagent strip. The test indicates the patient is hypoglycemic. The physician gives the patient some glucose supplements and performs another stat glucose test using the same lab test as before 30 minutes later. The second test shows the glucose levels returned to normal. How are the lab tests reported?
A young child is taken to the OR to reduce a meconium plug b…
A young child is taken to the OR to reduce a meconium plug bowel obstruction. A therapeutic enema is performed with fluoroscopy. The patient is in position and barium is instilled into the colon through the anus for the reduction. What CPT® code is reported by the independent radiologist for the radiological service?
A 43-year-old female presents to the provider for a diabetic…
A 43-year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM codes are reported?
A 32-year-old patient with an ophthalmoplegic migraine is no…
A 32-year-old patient with an ophthalmoplegic migraine is not responding to medication and is admitted to the observation unit. What ICD-10-CM code is reported?