tci E/M Coding Alert - 2023 Issue Q1

You Be the Coder: Consider These Details in Asthma Encounter

Question: An established patient recently visited our pulmonology practice for a follow-up of their moderate persistent asthma. The pulmonologist performed spirometry with maximal voluntary ventilation before and after albuterol administration. Following review of the results, the pulmonologist considered the dose of the patient’s current albuterol medication and maintained it. How do we code this encounter? Washington Subscriber Answer: You’ll need two CPT® codes and one ICD-10-CM code to report this encounter. Starting with the evaluation and management (E/M) code, you’ll assign 99213 (Office or other outpatient visit for the evaluation and management of an established patient...

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