Jerry is a 55-year-old diabetic with ESRD. At the beginning of September, Jerry began home-based dialysis services. However, on September 18, he was admitted to the hospital where he remained until September 25 when he was discharged home. Dialysis continued on alternate days while he was in the hospital, and physician visits with expanded problem-focused history and examinations were done on those days in between. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct coding involves 90970 for home-based dialysis services for the entire month (including the days in the hospital as it's a monthly code), 99223 for the initial hospital visit, 99232 for subsequent hospital visits (done on three occasions as indicated by the history and examinations), and 90935 for the in-hospital dialysis sessions on four occasions. The ICD-10-CM codes E11.22 (diabetes with chronic kidney disease) and N18.6 (end-stage renal disease, ESRD) accurately reflect Jerry's medical conditions.

Jerry Is a 55-Year-Old Diabetic with ESRD