Jerry is a 55-year-old diabetic with ESRD. At the beginning of September, Jerry began home-based dialysis services. However, on September 18, he was admitted to the hospital where he remained until September 25 when he was discharged home. Dialysis continued on alternate days while he was in the hospital, and physician visits with expanded problem-focused history and examinations were done on those days in between. Select the appropriate CPT and ICD-10-CM codes.

Question

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Jerry's condition involves End-Stage Renal Disease (ESRD, coded as N18.6 in ICD-10-CM) and diabetes (E11.22 for diabetes with chronic kidney disease). The CPT codes reflect home-based dialysis services before hospitalization (90970), the initial hospital visit (99223), subsequent hospital visits (99232 X 3), and in-hospital dialysis (90935 X 4). The count of 90970 X 22 accounts for the days in September excluding the hospital stay.

Jerry Is a 55-Year-Old Diabetic with ESRD