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John is returning to the physician's office 2 weeks postsurgery for an application of new long...

Question:

John is returning to the physician's office 2 weeks postsurgery for an application of new long leg cast. The patient required surgery due to a traumatic fracture of the lower leg. What is the ICD-10 code? What is the CPT code? What are the modifiers?

CPT Code Modifiers

A CPT code is used to report different procedures done and diagnoses made by medical or surgical staff.. The modifier is added when extra information not given by the CPT code on its own is needed. There are a number of modifiers, some examples include:

  • Modifier 23: This modifier is used to indicate unusual anaesthesia
  • Modifier 33: This modifier is used to indicate that the service provided was preventative
  • Modifier 62: This modifier is used to indicate two surgeons provided the service

Answer and Explanation: 1

The CPT code for the application of a long cast to the leg is 29345. Since, this application was done postsurgery, we must add the modifier 58. So, the complete CPT code is 29345-58. The ICD-10 code for an unspecified fracture of an unspecified lower leg is S82.90XA.

Hence, the code set is S82.90XA, 29345-58.


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What is a Diagnosis Code? - Definition & Uses

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Chapter 1 / Lesson 6
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A diagnosis code is a combination of letters and numbers that represents a certain medical condition, procedure, symptom, or disease. Understand the definition and uses of a diagnosis code, and explore the International Classification of Diseases (ICD) coding system.


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