Using your CPT and ICD-10-CM codebooks, assign codes for the following encounter

Question

Using your CPT and ICD-10-CM codebooks, assign codes for the following encounter: A patient presents to the neurology clinic for assessment of apraxia at the request of her primary care physician. The patient has a history of CVA and has expressive aphasia. She is unable to carry out purposeful movements, even though she has normal muscle tone and coordination. A full assessment is performed using the Boston Diagnostic Aphasia Examination including interpretation and report (one hour). The consulting neurologist conducts a detailed history and examination, performs medical decision making of low complexity, and dictates a complete report to the requesting physician, along with the finding of the aphasia assessment. There are 4 codes

Explanation / Answer

Aparaxia CPT code -R47
CPT code for Assessing Aphaxia: 784.3
If Assessment of aphaxia with special references the Boston diagnostic aphasia Examination CPT code : 96105
Diagnostic Index patient already having a history of CVA..cerebro vascular accident ICD-10 -CM -163.9
Patient Came to clinic for assessment of Apraxia at the request of her primary care physician..so the patient is not a new patient ..she is establishe patient..Establishe patient defined as some one who has been seen by the physician in the same speciality with in the previous three years..
Office consultation for a new or established patient with detailed history and examination and medical decision making of low comlexity for 40minutes E/M code : 99243..

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