AMA CPT® Assistant - 2015 Issue 8 (August)

ICD-10-CM Case Scenario (August 2015)

August 2015 page 7 ICD-10-CM Case Scenario A 53-year-old female is seen in a follow-up for chronic hypoxic respiratory failure, pulmonary heart disease, and hypertensive heart disease. She has been experiencing ongoing shortness of breath and swelling of the lower leg. A recent computed tomographic (CT) scan demonstrates emphysematous interstitial lung disease. In addition, predominantly peripheral and basilar ground glass and reticular opacities are unchanged from a prior CT scan of the chest. Currently, the patient is taking furosemide, spironolactone, valsartan, bisacodyl, sucralfate, amlodipine, and metoprolol succinate. Examination: Blood pressure = 145/92 mm Hg; heart rate = 98 bpm...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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