Coding Question #1:
A 72-year old man with diabetes, hypertension, and coronary artery disease presented 1 day earlier with respiratory failure secondary to pulmonary edema requiring intubation and mechanical ventilation. You saw him in consultation on admission and see him on the second day where he remains on IV nitrates and alpha- and beta-blockers for control of hypertension and symptoms. He remains supported by mechanical ventilation. You spend 78 min evaluating and managing his medical problems, including review of his radiographs, assessing ventilatory function, and meeting with his family. What would the correct billing code be for this interaction?
A. 99233
B. 99254
C. 99291 x 1 and 99292 x 1
D. 99292 x 3
E. I don’t know; I don’t do the coding.
Case Puzzlers are a brief clinical vignette on various educational topics. Developed by members of the American College of Chest Physicians' NetWorks, it provides you an opportunity to sharpen your skills.