Question

The other expert answed this situation is “new outpatient” based on the blue link, for me I think this’s established outpatient cuz established pt only meet 2 of 3 key component. Please give me a clear explanation.

V Delia presented to her current primary doctor complaining of a sore right knee due to falling down her stairs at home. During the examination the provider noted a bruised swollen toe that appeared broken. The provider ordered x-rays for the knee and toe. Results indicated no breaks. The provider documented an expanded problem focused medical decision making. The provider listed Delia's diagnoses as follows: 1. Sprained right knee medial collateral ligament. 2. bruised left fifth digit toe. The doctor prescribed the following plan of treatment. Provide brace on knee for three weeks. Ice and elevate both knee and toe three times a day for three weeks. Return if pain persists or swelling worsens. Below are descriptions of three EM Codes. Decide which one you would assign and explain why. Identify code here and explain your answer history and examination and straightforward Established Outpatient: CPT Code 992 E/M Problem Focused History E/M Problem Focused Exam 1. E/M Straightforward Medical Decision 2. Established Outpatient: CPT Code 99213 EM Expanded Problem Focused History EM Expanded Problem Focused Exam -EM Low Complexity Medical Decision 3. New Outpatient: CPT Code 99202 E/M Expanded Problem Focused History . E/M Expanded Problem Focused Exam CM Straighorwand Medical Decison l From the case from question 36, what would be the first listed condition and what code would you assign for this condition? Identify code here

Answer 1

Answer:-1 &2

CPT Codes 99212 and 99213 can utilized for charging by a wide range of restorative experts who need to survey a patient's conduct. However, remember that despite fact that it is ordinarily utilized for social evaluations, it is utilized by a bigger variety of clinicians than just specialists or therapists

When you think of a primary care doctor using CPT Code 99212, let’s look at a simple scenario. A patient with existing history has an office visit for a routine health examination for a prescription refill for chronic pain. Often, when patients are experiencing chronic pain, they may also have feelings associated with depression. In this case

Some medicinal services suppliers may discover it somewhat hard to choose when to charge for these two codes. CPT Codes 99212 and 99213 might be a piece of this equivalent group of codes, yet the directions that should be pursued for repayment are exceptionally different.

An example of a physician billing with CPT Code 99213 could be an existing patient that has scheduled an appointment for neck pain. Maybe has been occurring for several years. The patient could possibly be using anti-inflammatory and muscle relaxants.

The patient could be utilizing hostile to inflammatory and muscle relaxants. The patient may likewise be treating tension related with this torment with a low-portion anxiolytic prescription. Amid this visit, there are no new drugs recommended for some other diseases, and the finding continues as before. For this situation, conduct appraisal apparatuses might be utilized by the doctor to ensure that the tension dimensions have not declined since the past visit.

3. New outpatient is the appropriate response as Delia is the outpatient division tolerant who accompanied the dissensions of fall and with minor wounds were by the related problem focused history was collected and analyzed, the examination was done on the areas were problem arises and the medical decision was taken up.

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