The physician is on the hospital floor for the medical manag…

The physician is on the hospital floor for the medical management of a 56-year-old patient who he admitted one day ago with chest pain due to aspiration pneumonia. Patient indicates no chest pain at present, but still SOB and some swelling in his lower extremities. Patient was tachypneic yesterday; examination of the lungs reveals course crackles in both bases, right worse than left. The physician writes instructions to continue with intravenous antibiotic treatment and respiratory support with ventilator management. He reviewed chest X-ray and labs that were ordered yesterday. Patient is improving and a pulmonary consultation has been requested. What CPT® code is reported?

A 60-year-old female with uncontrolled intraocular pressure…

A 60-year-old female with uncontrolled intraocular pressure and early cataracts is seen for a laser trabeculoplasty. This is her first treatment application. She will be examined over the next three months to ensure the normal inflammations subside. What CPT® code is reported?

A patient presents with right upper quadrant pain, nausea an…

A patient presents with right upper quadrant pain, nausea and other symptoms of liver disease as well as complaints of decreased urination. Her physician orders an albumin; bilirubin, both total and direct; alkaline phosphatase; total protein; alanine amino transferase; aspartate amino transferase, and creatinine. What CPT® code(s) is/are reported?

A patient suffering from cirrhosis of the liver from alcohol…

A patient suffering from cirrhosis of the liver from alcohol abuse presents with a history of coffee ground emesis (bleeding). The surgeon diagnoses the patient with esophageal gastric varices. Two days later, in the hospital GI lab, the surgeon ligates the varices with bands via an UGI endoscopy. What CPT® and ICD-10-CM codes are reported?

Friends brought a young male with type 1 diabetes to the eme…

Friends brought a young male with type 1 diabetes to the emergency department (ED), in a comatose state. He was admitted with ketoacidosis and was resuscitated with saline hydration via insulin drip. After regaining consciousness, the patient reported that the morning of admission he was experiencing nausea and vomiting and decided not to take his insulin because he had not eaten. He was treated with intravenous hydration and insulin drip. By the following morning, his laboratory work was within normal range and he was experiencing no symptoms. What ICD-10-CM code(s) are reported?