How should the biller or coder code the claim


Medical/billing questions (ICD-9 and CPT codes)

1.) A 6 year old comes to a pediatric office with dental cavities and needs pre-op clearance for dental surgery.

The provider selects CPT code 99242 (for pre-op consultation) and ICD-9 code 521.00 (for dental cavities).
How should the biller/coder code this claim?


2.) A 5 year old comes to a pediatric office with strabismus 

The provider selects CPT code 99242 (for pre-op consultation) and ICD-9 code 378.9 (for strabismus).

How should the biller/coder code this claim?


3.) An 11 month old baby comes to a pediatric office for primary pulmonary hypertension, and URI. He also comes in for a synagis shot due "Ostium secundum type atrial septal defect".

The provider selects ICD-9 code 416.0 (for primary pulmonary hypertension), ICD-9 code 465.9 (for URI), ICD-9 code 745.5 (for Ostium secundum type atrial septal defect) and CPT code 99213 (for the office visit). 
If the child receives the synagis shot in 3 divided doses, how should the biller/coder code this claim?


4.) A 5 month old baby comes to a pediatric office for nasal cavity and sinuses. He also comes in for a synagis shot due to being a preterm infant that is 2,500 grams or over

The provider selects ICD-9 code 478.19 (nasal cavity and sinuses) and ICD-9 code 765.19 (for other preterm infants, 2,500 grams and over), and CPT code 99213 (for the office visit). 

If the child receives the synagis shot in 2 divided doses, how should the biller/coder code this claim?

5. A 5 month old baby comes to a pediatric office for nasal cavity and sinuses and residual hemorrhoidal skin tags. He also comes in for a synagis shot due to being a preterm infant that is 2,500 grams or over. 

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Other Subject: How should the biller or coder code the claim
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