Three different types of codes (ICD-10 , CPT, HCPCS) are assigned for this case including E/M codes and laboratory codes
Three different types of codes must be reported for office visits: ICD-10 codes for diagnoses that includes A38.8, J02.0, CPT codes (including E/M codes for procedures) that includes 99214, 87880, 96372, and HCPCS codes that includes J0561 × 12 for medical supplies used during the appointment.
Codes in ICD-10:
Scarlet fever with additional complications, A38.8
CPT Codes for J02.0 Streptococcal pharyngitis:
99214 Evaluation and management of an established patient during an office or other outpatient visit that calls for at least two of the following three essential elements:
- A thorough history;
- A thorough investigation;
- Moderately complicated medical decision-making.
87880 Streptococcus, group A, infectious agent antigen detection by immunoassay with direct optical observation (This is the code for the rapid strep test)
96372 Subcutaneous or intramuscular administration of a chemical or medicine for treatment, prevention, or diagnosis
Code HCPCS:
J0561 X 12
Penicillin G benzathine injection, J0561, 100,000 units (This is the code for the Bicillin L-A administered).We divide the doctor's 1.2 million Bicillin L-A units used by 100,000 to get the 12 doses we need to report (J0561 X 12).
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