Question

5. Dr. Russell admitted Mr. Jones to the hospital. Due to a sudden change in Mr. Jones health status, Dr. Russell discharged him that same day. Should this encounter be coded an initial inpatient hospital care (99221-99223), observation or inpatient care services (99234-99236), or hospital discharge services (99238-99239)? 6. Dr. Davis (an internist) "admitted Mrs. Partridge to observation and asked Dr. George (a neurologist) to consult on the case (the request was documented in Mrs. Partridge's medical record by Dr. George). That same day Dr. George took Mrs. Partridge's history, performed and examination and ordered medication for her from the hospital pharmacy. Dr. George dictated a consultant's report which was immediately place in the patients chart. Should Dr. George's encounter be coded as initial observation care (99218-99220), an outpatient consultation (99241-99245), or an inpatient consultation (99251- 99255)? 7. Dr. Edwards saw Mrs. Moore, who has no current medical problems, for an annual physical. Dr. Edwards took Mrs. Moore's history and performed an examination. No problems were discovered. Should Dr. Edward's services in the office be coded as an office visit (99201-99215) or a preventive medicine service (99381-99397)? 8. Same as above except during the course of the examination Dr. Edwards discovered a significant problem that required additional history, a more extensive examination and a prescription. Should the entire encounter be coded as an office visit (99201-99215), a preventive medicine service (99381-99397). or both? 9. Dr. Warren saw Ms. Terry for treatment of a STD. Dr. Warren took Ms. Terry's history, performed an examination, wrote a prescription and spent 15 minutes counseling Ms. Terry on techniques for reducing her risk of another STD in the future. The entire encounter lasted 20 minutes. Should Dr. Warren's services be coded as an office visit (99201-99215) or individual preventive medicine counseling (99401-99404)?

Answer 1

perfosme on samte dak o admission al the othes OP Coutpatont) Sorvices provided by that admission hould be considacol as mitial hoortal brebsorwaion care Sor hee the amswer is-99 234-99236) when thysiclan with mebect to tha 7.D Edward 's Services fhe ffice be Cedled as reventive medicune Sorvtce (99391-99397) becaue here there s pattent ter vehich auy estza intervention is heeded'. and the pahlent has ho cusrart madical problems diagnosed i the mo case 8 The entime encounter should be a codad Cpfice visit as well as a Gs an preventie medicuie Service because the paheut has Pxtsa headed imvestigation to be dane amd the bathent hay ho cussant medical problenu how