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 reflects the level of care provided on each day, including the initial inpatient visit coded as 99223 for a detailed level service, subsequent inpatient visits on the second and third days coded as 99232 for a detailed level service due to the patient not responding to treatment, a subsequent inpatient visit on the fourth day coded as 99231 for a straightforward level service due to improvement, and discharge day management coded as 99238 for 30 minutes spent. The ICD-10-CM code J15.1 is correct for pneumonia due to Pseudomonas.

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