Forum - Questions & Answers
Documentation and Diagnosis
The patient has chronic asthma for which he takes medication and an inhaler. after examining the patient, the doctor detemines that the patient has viral pneumonia and a nebulizer treatment is performed in the office. The doctor lists the codes of : 99214, 94640, and J7609.
In my opinion the diagnosis is: Viral Pneumonia, and chronic asthma.
Is this correct? As I cannot get my software to accept any codes under either one of these diagnosis. will not accept any of the 480 codes or anything from asthma.
Thank you,
re: Documentation and Diagnosis
What ICD you using? Your reasoning looks good and the CPT's are fine.