Medical/billing questions (ICD-9 and CPT codes)
1.) A 6 year old comes to a pediatric office with dental cavities and needs pre-op clearance for dental surgery.
The provider selects CPT code 99242 (for pre-op consultation) and ICD-9 code 521.00 (for dental cavities).
How should the biller/coder code this claim?
2.) A 5 year old comes to a pediatric office with strabismus
The provider selects CPT code 99242 (for pre-op consultation) and ICD-9 code 378.9 (for strabismus).
How should the biller/coder code this claim?
3.) An 11 month old baby comes to a pediatric office for primary pulmonary hypertension, and URI. He also comes in for a synagis shot due "Ostium secundum type atrial septal defect".
The provider selects ICD-9 code 416.0 (for primary pulmonary hypertension), ICD-9 code 465.9 (for URI), ICD-9 code 745.5 (for Ostium secundum type atrial septal defect) and CPT code 99213 (for the office visit).
If the child receives the synagis shot in 3 divided doses, how should the biller/coder code this claim?
4.) A 5 month old baby comes to a pediatric office for nasal cavity and sinuses. He also comes in for a synagis shot due to being a preterm infant that is 2,500 grams or over
The provider selects ICD-9 code 478.19 (nasal cavity and sinuses) and ICD-9 code 765.19 (for other preterm infants, 2,500 grams and over), and CPT code 99213 (for the office visit).
If the child receives the synagis shot in 2 divided doses, how should the biller/coder code this claim?
5. A 5 month old baby comes to a pediatric office for nasal cavity and sinuses and residual hemorrhoidal skin tags. He also comes in for a synagis shot due to being a preterm infant that is 2,500 grams or over.