A 76-year-old female was admitted for intravenous antibiotic therapy to treat pneumonia due to pseudomonas bacteria, and a level 3 initial inpatient visit was provided. On the second and third days, the patient had not yet responded to treatment, which was noted after an expanded problem-focused examination and interval history. On day 4, the patient showed significant improvement and the doctor recorded a problem-focused history and examination. On day 5, the patient was discharged home and the doctor spent 30 minutes in discharge day management. Select the appropriate CPT and ICD-10-CM codes for the physician visits.

Question

Quizplus · Accepted Answer

The correct coding reflects the level of care provided on each day, including the initial inpatient visit coded as 99223 (level 3 initial inpatient visit), subsequent inpatient visits on the second and third days coded as 99232 (reflecting the expanded problem-focused examination and interval history), a subsequent inpatient visit on day 4 coded as 99231 (problem-focused history and examination), and discharge day management coded as 99238. The ICD-10-CM code J15.1 is specific for pneumonia due to Pseudomonas, which matches the patient's diagnosis.

A 76-Year-Old Female Was Admitted for Intravenous Antibiotic Therapy to Treat