E/M code needed.
A 35-year-old female was admitted to the substance abuse
treatment
center for management of her drug addiction. Her addictive
medicine
physician had asked a gynecologist to evaluate her complaints of
severe
pelvic pain, The gynecologist could hot identify any specific
pathology
that might be causing the problem. The patient continued to
complain
of worsening pelvic and rectal pain, and a second consultation
was
sought. The second gynecologist performed a complete
head-to-toe
physical examination and talked to the patient at great lengths to
gather
her medical history of present illness, including her complete
past
medical, family and social history The second gynecolgist
recommended an immediate laparoscopic examination to rule out
multiple conditions such as endometriosis and other uterine
and
ovarian pathology. The physician indicates the patient is in a
high-risk
category. Code the second gynecologist services.
Code the second gynecologist services.
HISTORY
99223 patient admitted due to problems of high severity
PHYSICAL EXAMINATION
Z00.00 - Encounter for general adult medical examination without abnormal finding
MEDICAL DECISION MAKING
moderate risk
E/M code needed. A 35-year-old female was admitted to the substance abuse treatment center for management...
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