A 14-year-old boy who is a new patient presents with acute contact dermatitis. During the expanded problem-focused history, the doctor learns that the boy just came back from a camping trip and was out in the woods when his skin began to itch. The examination was also expanded. The physician sends the patient home with a prescription and instructs him to return if the condition does not improve in a few days. While checking all of the patient's immunizations, the physician notes that the patient is in need of a tetanus vaccination, so that is also given. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for the office visit is 99202, as this was an office visit for a new patient with an expanded problem-focused history and examination. The code 90471 is used for the immunization administration, and 90714 is the specific code for the tetanus vaccination. The ICD-10-CM code L25.5 is used for unspecified contact dermatitis due to plants, which aligns with the patient's symptoms after a camping trip. Z23 is the appropriate code for the encounter for immunization. The other options include incorrect codes for the situation described or unnecessary modifiers and codes.

A 14-Year-Old Boy Who Is a New Patient Presents with Acute