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 involves 99223 for the initial inpatient visit at level 3, 99232 for the subsequent inpatient visits on days 2 and 3 which involved an expanded problem-focused examination and interval history, 99231 for the problem-focused history and examination on day 4, 99238 for the discharge day management, and J15.1 for the pneumonia due to Pseudomonas.

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