Clinical History: Symptoms of SOB, chest pain on inspiration, as well an oxygen saturation of 84.
Study performed: Ventilation and perfusion studies of the lungs.
Interpretation: Particularly positive ventilation and perfusion lung scan. There are no segmental defects to suggest a pulmonary embolus.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a ventilation and perfusion lung scan is 78582, which is used for a study that includes both ventilation and perfusion. The symptoms described (shortness of breath (SOB), chest pain on inspiration, and low oxygen saturation) are coded as R06.00 for dyspnea and R07.1 for chest pain on breathing, respectively. The interpretation notes do not support a diagnosis of pulmonary embolism, hence codes related to pulmonary embolism (I26.93, I26.94) are not appropriate.

Clinical History: Symptoms of SOB, Chest Pain on Inspiration, as Well