Question

Case 5.4 E/M

Using the most recent CPT code book available to you, find the following Evaluation and Management codes.

5. Annual physical examination of established patient, male, age forty-two.

6. Emergency department visit for a new patient with rash over entire trunk after exposure to poison ivy.

7. Initial intensive care for E/M of critically ill baby, fifteen days old.

8. Home visit for E/M of established patient with congestive heart failure (CHF); caregiver phoned report of sudden difficulty breathing and profuse sweating.

9. Medical conference of physician and psychiatrist to discuss patient’s care; approximately thirty minutes.

10. Patient, age twenty-eight, office visit for basic evaluation for life insurance.

Answer 1

5. 99396 for annual physical examination of established patient, aged 40-64 years.

6. 99285 for emergency department visit of new patient. L23.7 for allergic reaction from poison ivy.

7. 99477 for initial hospital care of critically-ill neonate who is of 28 days or younger, and requires intensive care.

8. 99347 include home visit of established patient for E/M. 150.20 for congestive heart failure. 99495 for transitional care management (caregiver communicated through phone for complex medical situation).

9. 99367 for medical team conference of physicians related to different fields. It is done to review patient care. It does not include patient or patient’s family. It takes around 30 minutes.

10. 99201 for office visit.