Medical Coding Chapter 20 Review

Cardiac Emergencies and Procedures

• CPR Code: For cardiopulmonary resuscitation (CPR), use CPT® code 92950.
• Apnea Monitoring: Code 94774 is reported for apnea monitoring in children, covering device attachment, data downloads, interpretation, and reporting.

Pediatric Sedation and Wound Management

• Moderate Sedation: Use codes 99152 and 99153 for moderate sedation in pediatric patients, specific to the duration of service.
• Laceration Repair: A 5-year-old requiring sutures under sedation is treated; sedation duration affects coding for services.

Pulmonology and Cardiac Evaluations

• Lung Function Evaluation: CPT® code 94667 for therapeutic chest manipulation was performed on a cystic fibrosis patient.
• Pacemaker Evaluation: Use code 93288 to report evaluation of a dual-chamber pacemaker’s function and parameters.

Treatment Applications in Urgent Care

• Inhalation Treatment: For albuterol nebulizer treatments, report codes 94640 twice (followed by modifier 76 for multiple treatments) and J7609 for each dose.
• Asthma Diagnosis: Use ICD-10 code J44.1 for chronic obstructive asthma with exacerbation.

Electromyography and Prosthetic Training

• EMG for ALS: CPT® code 95861 is reported for needle electromyography of two upper extremities in an ALS patient.
• Prosthesis Training: Report code 97761 twice for training on an artificial hand after wrist amputation.

Congenital Anomalies and Surgical Interventions

• Ventricular Septal Defect (VSD): Use codes 93581 for transcatheter closure of VSD and Q21.0 for the congenital condition.
• Therapeutic Phlebotomy: Report code 99195 for de-ironing treatment related to hemochromatosis, with ICD-10 code E83.119.

Neurological and Psychiatric Evaluations

• WADA and EEG Testing: Report codes 95958 for the WADA test, G93.40 for encephalopathy, R41.82 for altered mental status, and Z94.4 for post-liver transplant status.
• Psychotherapy for Autism: Use codes 90832 for a 30-minute session, combined with 90785 for interactive complexity, and F84.0 for autism diagnosis.

Home Healthcare and Respiratory Management

• Home Oxygen Management: CPT® code 99503 is utilized for home care respiratory therapy, while ICD-10 codes I50.9 and J96.11 are reported for congestive heart failure and chronic respiratory failure with hypoxia, respectively.

Eye Examination Notes

• Eye Examination for Iritis: A 50-year-old male with a history of iritis scheduling an eye examination after two years highlights the importance of regular assessments.### Ophthalmology Examination Codes
• CPT® Code: 92012 for established patient with intermediate examination
• ICD-10-CM Code: Z01.00 for normal eye examination
• Routine ophthalmoscopy included in CPT® codes 92002-92014
• Differential between new and established patient determined by E/M guidelines

Diabetic Foot Ulcer Coding

• ICD-10-CM Code: E11.621 for type 2 diabetes with foot ulcer
• Additional ICD-10-CM Code: L97.519 for non-pressure chronic ulcer of the right foot (unspecified severity)
• Default coding for diabetes when type not specified is E11-
• Reference to guidelines for coding complications and site of ulcer is crucial

End Stage Renal Failure and Dialysis Coding

• CPT® Code: 90945 for peritoneal dialysis evaluation
• ICD-10-CM Codes:
  • I12.0 for hypertensive heart and chronic kidney disease stage 5
  • N18.6 for end-stage renal disease requiring dialysis
  • Z99.2 to identify dialysis status
  • N25.81 for secondary hyperparathyroidism
• Combination of hypertension and CKD coding is essential (I12 and N18 categories)

Substance Abuse Treatment Coding

• CPT® Code: 90834 for individual psychotherapy (45-minute session)
• ICD-10-CM Code: F10.20 for alcohol dependence without mention of intoxication
• Treatment focus is on patient compliance and progress in recovery within a partial hospitalization program

Allergy Testing Coding

• CPT® Code: 95004 for scratch tests with allergenic extracts
• Code reported twice for multiple allergens tested (cat and dog)
• Provider documented test interpretation and results following allergen exposure testing