An established patient presents to the office with an acute, deep cough, along with wheezing. The patient has a history of allergies along with chronic rhinitis. After an expanded problem-focused exam, the physician learns that the patient's home has just been found to have mold in the walls. The physician has spent an additional 15 minutes providing resources and counseling with the patient regarding the effects of mold and treatment of his URI. The physician has also recommended lab tests and x-rays. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code is 99213 for an established patient with an expanded problem-focused exam and additional counseling. The ICD-10-CM codes are J06.9 for acute upper respiratory infection, Z77.120 for contact with mold, and Z87.09 for a personal history of other diseases of the respiratory system.

An Established Patient Presents to the Office with an Acute