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 codes for this scenario are 99202 for the office visit for a new patient with an expanded problem-focused history and examination, 90471 for the immunization administration, and 90714 for the tetanus vaccination. The ICD-10-CM codes are L25.5 for contact dermatitis and Z23 for the encounter for immunization. The scenario describes a new patient office visit with an expanded problem-focused history and examination due to acute contact dermatitis, likely from exposure during a camping trip, and the administration of a needed tetanus vaccine, which aligns with these codes.

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