A 45-year-old patient with BCBS is seen by a consultant at the request of her internal medicine physician for opinion and management recommendations regarding her subacute bronchitis. The consultant performs a comprehensive history and exam with decision making of moderate complexity. He returns the patient to her primary physician and sends a report discussing his findings and recommendations. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The appropriate CPT code is 99244, which is for an office consultation with a comprehensive history and exam and moderate complexity decision making. The ICD-10-CM code J20.9 is for acute bronchitis, unspecified, which aligns with the diagnosis of subacute bronchitis.

A 45-Year-Old Patient with BCBS Is Seen by a Consultant