Clinical History: Symptoms of SOB, chest pain on inspiration, as well an oxygen saturation of 84.
Study performed: Ventilation and perfusion studies of the lungs.
Interpretation: Particularly positive ventilation and perfusion lung scan. There are no segmental defects to suggest a pulmonary embolus.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a ventilation and perfusion lung scan is 78582, which is used for a lung scan that includes both ventilation and perfusion. The symptoms described, such as shortness of breath (SOB) and chest pain on inspiration, are coded as R06.00 (Dyspnea, unspecified) and R07.1 (Chest pain on breathing), respectively. The interpretation of the lung scan did not confirm a pulmonary embolus, so the ICD-10-CM code for pulmonary embolism (I26.99) is not appropriate here.

Clinical History: Symptoms of SOB, Chest Pain on Inspiration, as Well