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 involves 99223 for the initial inpatient visit at level 3, 99232 for the subsequent inpatient visits on days 2 and 3 which were more complex due to the lack of response to treatment, 99231 for the simpler visit on day 4, 99238 for the discharge day management, and J15.1 for the pneumonia caused by Pseudomonas.

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