Question

What CPT® and ICD-10-CM codes are reported for a returning two-year-old child seen in the pediatrician's office with stridor and a 'bark' like cough, diagnosed with stridulous croup and given a nebulizer breathing treatment using breathable Epinephrine to improve PO2 levels?

Answer 1

The appropriate CPT® code for the procedure is 94664, and the ICD-10-CM code for the diagnosis of stridulous croup is J05.0. These codes are used for billing and statistical purposes in healthcare.

Step-by-step explanation:

The CPT® and ICD-10-CM codes for a two-year-old child diagnosed with stridulous croup and treated with a nebulizer breathing treatment using breathable Epinephrine are 94664 for the demonstration and/or evaluation of the patient for the nebulizer treatment, and J05.0 for acute obstructive laryngitis (croup) with stridor as the ICD-10-CM code. It is important to code both the procedure performed and the specific diagnosis.

When coding for medical procedures, it is crucial to accurately reflect the services provided along with the correct diagnosis. The procedure code (CPT®) captures what was done to the patient, while the diagnosis code (ICD-10-CM) captures the medical condition that necessitated the procedure. This ensures appropriate billing and facilitates the tracking of healthcare statistics.