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Thread: ER CODING-CPT coding

  1. #1

    Default ER CODING-CPT coding

    AAPC: Back to School
    I am a student just getting started and I am wondering about an assignment I have. It is a review class. We received he following scenerios, and I am confused: I did the first one and want to know if I am on the right track: the question reads as follows:

    Patient presented to the emergency room with acute shortness of breath, fever, and hypoxia. The patient was treated with IV antibiotics, steroids, fluids and discharged home.
    Diagnosis: acute exacerbation of COPD, asthma, probable pneumonia,

    I got the following codes:
    PDX 493.2, 496, 786.05, 780.60,799.02 did not code pneumonia as stated probable

    I also feel that since it is ER, i should use a 9928x coode for the er visit?
    my problem is how do i code the iv abx? i can not find a cpt code for iv abx, but i find one in the ICD(CM book, how is this done...please help

  2. #2
    Join Date
    Apr 2007
    Lafayette, LA


    are you coding for the facility or the physician?

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    If You are coding for the physician then the IV admin and drug admin goes to the hospital. The hospital will use the same dx codes, a 9928x code or the G code depending on payer, and the cpt code for IV admin and any IV push drugs given.

    Debra A. Mitchell, MSPH, CPC-H

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