Question

COUCO which a comprehensive and medical decision which a comprehensive on were performed and made until after the initial i a. True b. False 2.26. Select the appropriate E/M code for a new patient office visit in which a ce history and comprehensive physical examination were performed and medienensya making was of straightforward complexity. - 2.27. Select the appropriate E/M code for an established patient visit in which a con history and expanded problem-focused physical examination were perform medical decision making was of low complexity. . 2.28. When counseling consumes more than half the total visit time, may be used as the criterion for assigning the E/M code. 2.29. Observation E/M codes (99218-99220) are used when anno a. A patient is admitted and discharged on the same date. b. A patient is admitted for routine nursing care following surgery. C. A patient does not meet admission criteria. d. A patient is placed in designated observation status. 2.30. A physician sees a patient in his office in the morning, then again in the early afternoon, at which time he sends the patient to the hospital in observation status. Later that day he visits the patient in the hospital and admits him as a full inpatient. What E/M codes should be assigned for this day of care? a. Two E/M codes for the office visits, one for the observation care, and one for the inpatient admission b. One code combining the two office visits, one for the observation care, and one for the inpatient admission c. One code for the observation care and one for the inpatient admission d. One code for the inpatient admission only 2.31. History, physical examination, and medical decision making are the components considered in assigning an E/M code.

Answer 1

1) Evaluation and management codes are billed for the visit done by the patients to a provider in their office. A new patient is defined as the patient who doesn't receive any kind of consultation or care from the qualifies physician or other health care professionals belonging to same speciality or different speciality within three years of duration. The E&M code selected is 99204 for new patient office visit that meets a comprehensive history ( requires a chief complaint, four elements in history of present illness,and a MDM ,at least 10 review of organ systems).

2) Evaluation and management codes are billed for the visit done by the patients to a provider in their office.Established patient visit refers to he patient who receives any kind of consultation or care from the qualifies physician or other health care professionals belonging to same speciality or different speciality within three years of duration.The E&M code selected is 99213 as the documentation shows comprehensive history, expanded problem focuses exam ( that meets at least six organ systems examination), low complexity medical decision making ( two problem points and two data points).

3) Observation codes refers to E & M services to a patient admitted in observation unit and then got discharged on the same day. Observation might be initial and subsequent observe visit. Observation visits are short term treatments where the patient can be changed into inpatient or discharged based on his disease condition.

4) History, physical examination and decision making are the key elements or components in assigning evaluation and management codes.

5)Social history includes tobacco use and alcohol use.