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9 Cards in this Set

  • Front
  • Back
This patient was diagnosed with a seizure disorder
Primary DX (Index to Diseases)
Seizure, Disorder, intractable or nonintractable. 345.90 or 1
Secondary Diagnoses codes
DIAGNOSIS: Seizure disorder, hypokalemia, hyponatremia. (Insufficient potassium and sodium)
Secondary Diagnoses codes (Index to Diseases)
The code listed is 276.8; hypopotassemia. This patient was also diagnosed with hyponatremia. To locate this code, turn in the “Index to Diseases” to the main term hyponatremia. The code listed is 276.1; hyposmolality and/or hyponatremia.
To code for the infusion of the normal saline and potassium turn to the
CPT Index” to the main term hydration; this lists codes 96360-96361. The code for the first hour is 96360; intravenous infusion, hydration; initial, 31 minutes to 1 hour.

1. Infusion Therapy (96365-96368, 96379
The infusion took 3 hours so the code 96361; intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure), needs to be reported twice for the additional two hours of infusion.
Primary CPT Code 9630
Seconary CPT Codes 9631, 9631
Runs a definite and prescribed course, is transient in nature and is not likely to permanently alter health status, or has a good prognosis with management/compliance.
Self–limited or minor problem
A diagnosis which is already known to the physician and is stable or improved since the last examination.
Established problem (to examiner) stable or improved
A diagnosis which is already known to the physician and is worse since the last examination.
Established problem (to examiner) worsening
A diagnosis which is determined during this encounter and does not require any further investigation.
New problem (to examiner) no additional work up planned
A diagnosis which is determined during this encounter and requires further investigation to determine the cause
New problem (to examiner) additional work up planned