Assigning Evaluation and Management Codes

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Assigning Evaluation and Management Codes

Assigning Evaluation and Management Codes

Siobham A Lamar

University of Phoenix/Axia College

Assigning Evaluation and Management Codes

For scenario number 1, I chose the E/M code 99205. The reason why I chose this code is because the patient is new and has a comprehensive history. My next step leaves me to choose between code 99204 and 99205, leading to examination. The patient is also comprehensive so there is still a choice between 99204 and 99205. Next I look at the medical decision making and since there are various unexplained symptoms the doctor was unable to make a decision leading to high complexity, ruling out E/M code 99204. For scenario number 2, I chose the E/M code 99202. The reason why I chose this code is because I assumed that the patient is new and his or her history is an expanded problem (more than one condition), as well as the examination. The examination shows that there is an infection of the patient. With the results of the examination shows the issue, the medical decision making was straightforward. For scenario number 3, I chose the E/M code 99211. Reasoning for this code is because it is clear that the patient is an established patient. In the scenario, it was also obvious that the patient did not see the doctor and was observed by the patient, hence to the E/M code 99211. For scenario number 4, I chose the E/M code 99214. I chose this code because the patient is returning for checkup, meaning that she is an established patient. Her examination is detailed because it is apparent why she is there for her checkup. For scenario number 5, I chose the E/M code 99215. The patient is an established patient because he or she is there for a routine 6 month check-up where there are no symptoms. Since the patient is in the office for a routine checkup, the history is comprehensive. The examination is also comprehensive because there was a full extent...
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