Coding Corner Answer: January Coding Challenge

Answer: 99204-25 77080, 77082

ICD 9: 733.01, V13.51

ICD 10: M81.0, Z87.310

As of January 2010, Medicare no longer acknowledges consultation codes 99241–99245. Therefore, the patient would be considered a new patient.

99204:

The history was comprehensive.
The exam was comprehensive.
The medical decision making was of moderate complexity.
This was a new patient visit, so consider all three components—history, exam, and medical decision making—to determine its level. This visit would be a 99204.

77080: Dual-energy X-ray absorptiometry, bone-density study, 1 or more sites; axial skeleton (e.g. hips, pelvis, spine)

77082: vertebral fracture assessment

For ICD-10, coding of categories M80, osteoporosis with current pathological fracture, and M81, osteoporosis without pathological fracture, require documentation of whether or not the patient has currently or ever had a pathological fracture.

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