Question

19

HIT 251 CODING PRACTICUM (MEDICINE SECTION ENCOUNTERS)

What are the CPT and ICD-10-CM codes?

Patient: Jack Doe

Date of birth: 1/1/1945

Study Date: 2/1/current year

Indication: COPD, Increasing dyspnea on exertion

Physician: Lisa Jones, MD

Procedure: Pulmonary Stress Test Test Protocol: The patient exercised on a cycle ergometer to 53 watts for 6 minutes on a ramp protocol of 10 watts/min of graded exercise. Exercise was stopped due to fatigue and shortness of breath. No Chest pain noted. Spirometry REF Pre Meas % Pre Ref Post Meas% Post Chg % FVC Liters 3.47 3.70 106 FEV1 Liters 2.89 3.20 111 FEV6 Liters 3.43 3.70 108 FEV1/FVC % 83 87 FEF25-75% 3.14 4.00 127 PEF L/sec 6.68 7.31 109 FIVC Liters 3.41 3.37 99 FIF50%L/sec 3.60 MVV L/min 110 LLN(FEV1/FVC)% 73

Exercise Oximetry: On six minute walk test the patient was able to walk 1300 feet. The oxygen saturation fell to 93% from 97%. Conclusions: Patient performed test on a 10 watt ramp with good effort.

Impression: COPD

Answer 1

TheCPT and ICD -10 - CM Codes: is j44.o,120.9 , J00-J99 is for disease of the respiratory system and J40-J47 is for chronic lower respiratory disease and J44 is for other chronic obstructive pulmonary disease. coding and sequences for copd are dependent on the physican documentation in the medical record and application of the official coding , CPT code is used to report services and procedures by physicians( respiratory system CPT codes varies from 30000-32999)