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 […]

Depression With Anxiety and Thoughts of Suicide in ICD-10

Depression can be a big problem in not only adults but in children and adolescents as well. This coding scenario involves assigning the appropriate codes for depression with anxiety and thoughts of suicide in ICD-10.  Question:  A 16-year-old male who has been seeing his physician for anxiety and depression for a few years has become highly […]

Making Assumptions About Hypertension and Heart Disease

If you understand the coding guidelines involving causal relationships and the word “with” in the Alphabetic Index of the ICD-10-CM coding manual, making assumptions about hypertension and heart disease 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 First of all, we need to know […]

A Simple Belly Ache or Crohn’s Disease With An Abscess?

Coding for Crohn’s disease with an abscess doesn’t have to be difficult as long as you know the coding guidelines and what to look for in the documentation. Anatomy of the digestive system will also help here.  Question: Patient is a 72-year-old male admitted to the hospital after having complaints of a “belly ache.” Patient has […]