medical claims and billing

posted by Misty

I may be over thinking this but I want to be sure I have it correct before I move on. I noticed another person had previously asked this question but I didn't see any answers or suggestions so I'll go ahead and ask it again. My scenario is as follows: Chester has an appointment for a check-up on his asthma. He is wheezy and having labored breathing. His established physician performs a problem focused exam and history. No further treatment is recommended for it. Chester is to return in three months for a checkup on his atopic asthma. So I know that the CPT code is 99212 and I'm pretty certain that the ICD-9-CM code is V70 because the physician isn't diagnosing this patient with a new ailment he's just doing a checkup on an already existing problem...am I right?

  1. Writeacher

    I have no idea what those codes are, but your logic seems sound. It's not a new ailment.

  2. stephanie

    Kathy, a 33 year old established patient sees Dr. Owens in her office for what she thinks is a sinus infection. Her history and exam are both expanded problem focused with the decision of making low complexity. Her diagnosis is acute sinusitis. What is the CPT Code and ICD-9-Cm code?

  3. Brit

    you must be taking the exact test i am right now :) That is what i came up with.

  4. glenda

    Icd-9-cm code is 461.
    Cot code is 461.1

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