Coding For Multiple E/M Services and an Injection

How strong are you at coding for multiple E/M services? Test your knowledge and see if you can determine the right way to code this scenario. Hint: There are CPT, HCPCS, and ICD-10-CM codes needed.      Question:  A 51-year old female patient is seen for a follow-up visit for her seronegative rheumatoid arthritis that […]

Making Assumptions About Hypertension and Heart Disease in ICD-10-CM

If you understand the FY 2021 ICD-10-CM coding guidelines involving causal relationships and the word “with” in the Alphabetic Index of the ICD-10-CM coding manual, coding for hypertension and heart disease in ICD-10-CM should not be difficult. Question:  Patient has congestive heart failure due to hypertension. Assign the ICD-10-CM code(s). Answer: I11.0, I50.9 Hypertension is another […]

Hypertension and Kidney Disease: Is There a Causal Relationship?

Question: A patient has hypertension, chronic kidney disease, renal failure, and is currently on dialysis. Patient is a former smoker who quit 3 years ago. Assign the ICD-10-CM codes. Answer: I12.0, N18.6, Z99.2, Z87.891 Hypertension, otherwise known as high blood pressure, is a leading cause of chronic kidney disease (CKD), according to kidney.org. Hypertension can […]

CPT Coding for Psychotherapy for Gender Dysphoria

This post was originally published on June 27, 2018, and updated on February 6, 2020. In this coding scenario, you will learn one patient’s experience with gender dysphoria and how to assign the correct CPT code for psychotherapy for gender dysphoria based on who was involved in the counseling and how much face-to-face time was […]