Questions and Answers
What is the correct CPT code for a psychotherapy session lasting 30 minutes?
90832
What ICD-10-CM code is associated with autism?
F84.0
What CPT and ICD-10-CM codes are reported for a patient with congestive heart failure on home oxygen?
99503, I50.9, J96.11
What is the ICD-10-CM code for a diabetic foot ulcer on the right foot?
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What CPT code is reported for peritoneal dialysis with one provider evaluation?
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What CPT and ICD-10-CM codes are reported for a 32-year-old ETOH dependent female in a partial hospitalization program?
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What CPT code is appropriate for skin tests for allergies involving scratch testing?
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What CPT® code is reported for CPR?
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What CPT® code(s) is/are reported for the apnea monitoring?
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What CPT® code is reported for moderate sedation during laceration suturing?
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What CPT® code is reported for manipulation of the chest wall?
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What CPT® code is reported for the pacemaker evaluation?
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What codes are reported for inhalation treatment?
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What CPT® and ICD-10-CM codes are reported for needle electromyography?
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What codes are reported for training with a prosthesis?
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What codes are reported for catheterization and closure of a ventricular septal defect?
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What codes are reported for therapeutic phlebotomy for hemochromatosis?
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What CPT® and ICD-10-CM codes are reported after an EEG and WADA test?
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What CPT® codes are reported for hydration therapy in sickle cell crisis?
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What CPT® and ICD-10-CM codes are reported for Rh immunization in pregnancy?
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What CPT® and ICD-10-CM codes are reported for gastroesophageal reflux?
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This patient with chronic myeloid leukemia needs irrigation of the access port before chemotherapy.
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Study Notes
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
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Description
Test your knowledge on CPR coding with this Chapter 20 review quiz. Understand the appropriate CPT® code for cardiopulmonary resuscitation and enhance your medical coding skills. Perfect for medical students and professionals looking to refresh their coding knowledge.
