CPT EVALUATION AND MANAGEMENT GRADED A+
NEW PATIENT ️A NEPHROLOGIST SEES A PATIENT FOR THE FIRST TIME. THE PATIENT'S PRIMARY
CARE PHYSICIAN REFERRED THE PATIENT TO THIS SPECIALTY, BUT DID NOT REQUEST AN OPINION FORM
THE NEPHROLOGIST. HOW WOULD YOU CODE THE VISIT?
HISTORY, EXAM, AND MEDICA...
CPT EVALUATION AND MANAGEMENT GRADED A+
NEW PATIENT ✔️A NEPHROLOGIST SEES A PATIENT FOR THE FIRST TIME. THE PATIENT'S PRIMARY
CARE PHYSICIAN REFERRED THE PATIENT TO THIS SPECIALTY, BUT DID NOT REQUEST AN OPINION FORM
THE NEPHROLOGIST. HOW WOULD YOU CODE THE VISIT?
HISTORY, EXAM, AND MEDICAL DECISION MAKING ✔️WHICH OF THE FOLLOWING DESCRIBES THE
THREE COMPONENTS OF AN EVALUATION AND MANAGEMENT (E/M) CODE?
EXPANDED PROBLEM FOCUSED HISTORY, EXPANDED PROBLEM FOCUSED EXAM, AND LOW COMPLEXITY
MEDICAL DECISION MAKING ✔️IN ORDER TO BILL 99282. WHICH OF THE FOLLOWING KEY
COMPONENTS MUST BE MET?
99231 ✔️A 2 YEAR OLD BOY WITH BACTERIAL PNEUMONIA IS HOSPITALIZED AND HAS HAD 5 DAYS OF
ANTIBIOTIC THERAPY. TODAY THE CHILD DEVELOPED A FEVER OF 101 F WITH MILD RASH ON HIS
TORSO. IN A SUBSEQUENT HOSPITAL VISIT, THE ATTENDING PHYSICIAN PERFORMED A PROBLEM
FOCUSED HISTORY AND EXAMINATION. THE MDM COMPLEXITY WAS LOW.
99282 ✔️A MALE PATIENT PRESENTS TO THE EMERGENCY DEPARTMENT WITH A WRIST SPRAIN
SUSTAINED IN A SOFTBALL GAME WHEN THE PATIENT SLID INTO HOME. THE PATIENT IS IN APPARENT
PAIN WITH A SWOLLEN WRIST, WHICH HE IS UNABLE TO FLEX. AN EXPANDED PROBLEM FOCUSED
HISTORY AND PHYSICAL EXAMINATION ARE DONE, RADIOGRAPHS SHOW A FRACTURE OF THE DISTAL
RADIUS. THE MDM COMPLEXITY WAS LOW.
99285 ✔️THE EMS BROUGHT A 31 YEAR OLD MOTOR VEHICLE ACCIDENT PATIENT TO THE EMERGENCY
DEPARTMENT. AFTER A COMPREHENSIVE HISTORY, A COMPREHENSIVE EXAM, AND MEDICAL DECISION
MAKING OF HIGH COMPLEXITY, THE PROVIDER DETERMINES THE PATIENT HAS MULTIPLE INTERNAL
INJURIES AND NEEDS IMMEDIATE SURGERY. WHAT LEVEL ED CODE IS REPORTED?
99203 ✔️A NEW PATIENT VISITS THE INTERNAL MEDICINE CLINIC TODAY FOR DIABETES, CHRONIC
CONSTIPATION, ARTHRITIS, AND A HISTORY OF CARDIAC DISEASE. THE PHYSICIAN PERFORMS A
DETAILED HISTORY, COMPREHENSIVE EXAM, AND A MEDICAL DECISION MAKING OF MODERATE
COMPLEXITY. WHAT CPT CODE SHOULD BE REPORTED?
99222 ✔️THE PHYSICIAN ADMITTED AN 18 MONTH OLD INFANT TO THE HOSPITAL FROM HIS OFFICE
TO RULE OUT SEPSIS. THE INFANT IS CRYING INCONSOLABLY. HE HAS A LARGE AMOUNT OF GAS IN HIS
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