Answer :
To determine the appropriate ICD-10-CM and CPT codes for this scenario, we need to break down the details of the patient's visit and the procedures performed.
Diagnosis Code (ICD-10-CM):
- The patient, Mrs. Jones, is experiencing repeated pain in her left knee due to osteoarthritis. The specific ICD-10-CM code for osteoarthritis of the left knee is M17.12.
Procedure Codes (CPT):
- Arthrocentesis (Aspiration/Injection of Joint): This is the procedure where fluid is drawn from a joint (in this case, the knee). The appropriate CPT code for an aspiration or injection procedure in a large joint, like the knee, is 20610.
- Injection of Dexamethasone: Dexamethasone sodium phosphate is the medication injected. The HCPCS code for dexamethasone is J1100, with each unit representing 1 mg. Since 5 mg is administered, you would code this as J1100 5u.
- No Evaluation and Management (E/M) service was performed or documented, so any options that include an E/M code (e.g., 99212) are not applicable here.
Based on the details provided, the correct choice is:
A) M17.12, 20610, J1100 5u
This option correctly codes the diagnosis and procedures done for Mrs. Jones's knee on this visit.