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 includes both ventilation and perfusion studies. The symptoms described, shortness of breath (SOB) and chest pain on inspiration, correspond to the ICD-10-CM codes 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 codes related to pulmonary embolism (I26.99) are not appropriate in this context.

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