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CPT CODES The Evaluation and Management Services Exam 2024!!
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CPT CODES The Evaluation and Management Services Exam 2024!!
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CPT CODES The Evaluation andManagement Services Exam
2024!!
A second opinion is requested by a 90-year-old patient whose
ophthalmologist recently diagnosed the patient with bilateral senile
cataracts. Her regular ophthalmologist has recommended surgical removal
of the cataracts and implantation of lenses. The patient presents to the clinic
stating that she is concerned about the necessity of the procedure at this
time. During the detailed history, the patient states that she has had
decreasing vision over the last year or two but has always had excellent
vision. She cannot recall any eye trauma in the past. The physician
conducted a detailed visual examination and confirmed the diagnosis of the
patient's ophthalmologist. The medical decision making was of low
complexity. - -99243
-The attending physician requests a consultation for an inpatient from an
interventional radiologist for a second opinion about a 63-year-old male with
abnormal areas within the liver. The recommendation for a CT-guided biopsy
is requested, which the attending has recommended be performed. During
the comprehensive history, the patient reported right upper quadrant pain.
His liver enzymes were elevated. Previous CT study revealed multiple low
attenuation areas within the liver (infection versus tumor). The laboratory
studies were creatine, 0.9; hemoglobin, 9.5; PT and PTT, 13.0/31.5 with an
INR of 1.2. The comprehensive physical examination showed that the lungs
were clear to auscultation and the heart had regular rate and rhythm. The
mental status was oriented times three. Temperature, intermittent low-grade
fever, up to 101°F, usually occurred at night. The CT-guided biopsy was
considered appropriate for this patient - -99255
-A cardiology consultation is requested for a 71-year-old inpatient for recent
onset of dyspnea on exertion and chest pain. The comprehensive history
reveals that the patient cannot walk three blocks without exhibiting
retrosternal squeezing sensation with shortness of breath. She relates that
she had the first episode 3 months ago, which she attributed to indigestion.
Her medical history is negative for stroke, tuberculosis, cancer, or rheumatic
fever but includes seborrheic keratosis and benign positional vertigo. She
has no known allergies. A comprehensive physical examination reveals a
pleasant, elderly female in no apparent distress. She has a blood pressure of
150/70 with a heart rate of 76. Weight is 131 pounds, and she is 5 foot 4
inches. Head and neck reveals JBP less than 5 cm. Normal carotid volume
and upstroke without bruit. Chest examination shows clear to auscultation
with no rales, crackles, crepitation - -99255
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