Crohn's Disease Treated with Hyperalimentation (Spring 1993)
Spring 1993 pages 5-11
Case-by-Case
Crohn's Disease Treated with Hyperalimentation
A 22-year-old female, Betsy Jones, came to Dr. Smith's office with her parents; her chief complaint was severe diarrhea. This was the first time Dr. Smith provided services to Betsy, although her parents were established patients of his. Betsy had not seen any other physician for her current problem. Betsy's diarrhea began one year ago, and has progressed to five to seven semi-formed to watery stools per day, accompanied by mid-abdominal crampy pain. Over the last two months, there has been a decrease in appetite and a 20-pound weight...
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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article is a spring 1993 CPT® Assistant case study focused on inpatient coding in a complex Crohn’s disease hospitalization. It explains how physician evaluation and management services, a flexible sigmoidoscopy with biopsy, a consultation, and central venous catheter placement are reported, along with the related ICD-9-CM diagnosis and symptom coding discussed in the case. It is useful for coders, billers, and compliance staff who work with hospital E/M, procedural coding, and coordination-of-care scenarios.
Why This Topic Matters
The case illustrates how multiple services provided during one hospitalization are distinguished and grouped for reporting, especially when evaluation and procedures occur on the same day. It also shows how the article ties clinical findings to the code selection framework used in the early 1990s.
Article Sections
Case-by-Case
Introduces the patient scenario and the hospital course used to frame the coding discussion.
Discussion
Reviews how the encounter is coded across the admission, procedure, consultation, and follow-up hospital services discussed in the case.
Glossary of Terms
Provides case-specific terminology definitions used to support understanding of the clinical narrative.
What You Will Learn
How a hospitalization case study is organized for coding analysis
Which broad types of inpatient services are discussed in the case
How related diagnosis and symptom coding is presented in a case-study format
How the article frames coding for procedures performed during the same stay
How terminology used in the case is defined for reference
Who Should Read This
Medical coders
Billing professionals
Compliance staff
Coding educators
Healthcare documentation reviewers
Codes Discussed
CPT: 99222
ICD-9-CM: 276.5
ICD-9-CM: 783.2
ICD-9-CM: 558.9
ICD-9-CM: 780.6
ICD-9-CM: 789.3
ICD-9-CM: 565.1
ICD-9-CM: V18.0
ICD-9-CM: V18.5
CPT: 45331
CPT: 99252
CPT: 36491
CPT: 99232
ICD-9-CM: 555.0
Modifiers Discussed
CPT: -25
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