icd 10 code for wellness exam with abnormal findings

When I’m billing for a follow-up note, and I have a dx list like the following:ĭo I have to be actively managing the HTN, DM and sz, in order to be able to bill a 99232 or is the mention of the numerous medical conditions and fact that they are on meds for them enough to warrant the higher code?Ī: The key concept here is that you get credit for co-morbid conditions that in any way impact the management of the problems that you are dealing with. Q: I’m a psychiatrist working in an inpatient unit. If you are doing the 'well' visit and are also addressing those other issues (and have some HPI and A/P for those issues) - then that is when you bill both the wellness CPT code and the sick visit CPT code (i.e.99393, 99213-25) AND the two types of ICD-10 codes, Z00.121 and H66.41 (OM right ear for example). Regardless of how other issues arise - you report the additional specific diagnosis codes with the Z00.121. These can be either diagnoses or signs and symptoms encountered during the visit, or other issues addressed during the encounter such as pre-existing problems or complaints. The Z00.121 codes are used to report a well child visit with abnormal findings. Q: When do I use ICD-10 codes Z00.121 instead of Z00.129?Ī: You use a Z00.129 (Child well w/out abnormal findings) when you aren't either dealing with or reporting any other problems along with the well-visit. If you know what the BMI is you should be able to assign it to either E66.01, E66.3 (overweight) or E66.8 other obesity. You'd only use this if you didn't know the BMI or the reason for it. So the E codes loosely map to specific BMI's. To report specific BMI's in addition to the E codes use code Z68.xx. This table would give you E66.01 for BMIs over 40. E66.9 is unspecified obesityĪ range of BMI's can be assigned to various 'categories of obesity: Can you clarify when to use each of these codes?Ī: The E codes E66.01 and E66.9 are used to describe various types of obesity, in words.Į66.01 is morbid (severe) obesity from excess calories. She has a laminated cheat sheet card that says E66.9 is for BMIs 30-39 and E66.01 is for BMIs >40. We have been coding E66.9 for Body Mass Indexes (BMIs) between 30-34 and E66.01 for BMIs > 35. Q: One of our physicians is getting conflicting information regarding the ICD-10 codes E66.01 and E66.9.

Icd 10 code for wellness exam with abnormal findings