1. Marsha Vargo visits her regular physician complaining of right…

Question Answered step-by-step 1. Marsha Vargo visits her regular physician complaining of right… 1. Marsha Vargo visits her regular physician complaining of right eye pain and inflammation. Dr. Hansom performs a problem-focused history, expanded problem focused examination, and makes a low complexity medical decision. He prescribes some medication and sends Marsha home. Code for Dr. Hansom.· 99201 Office visit, new patient, problem focused history and examination, straightforward medical decision making· 99202 Office visit, new patient, expanded problem focused history and examination, straightforward medical decision making· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making 2. Ms. June Bugg comes to Dr. Liming’s office (as a new patient) complaining of a sore wrist. She indicates she fell off her exercise bike. Dr. Liming does an expanded problem-focused H&P, orders an x-ray, and makes a straightforward medical analysis. He prescribes some Motrin and explains his findings to Ms. Bugg. Code for Dr. Liming.· 99201 Office visit, new patient, problem focused history and examination, straightforward medical decision making· 99202 Office visit, new patient, expanded problem focused history and examination, straightforward medical decision making· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making 3. Mrs. Zachary is seen at her family practitioner’s office with a complaint of stomach pain. Dr. Jones performs a detailed H&P and makes a low complexity medical analysis. He then orders some tests to be done next week. Code for Dr. Jones’ office.· 99202 Office visit, new patient, expanded problem focused history and examination, straightforward medical decision making· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making· 99214 Office visit, established patient, detailed history and examination, moderate medical decision making 4. Nora Nathan goes to see an gynecologist, Dr. Park, for some abnormal uterine bleeding. Dr. Park has never seen Mrs. Nathan before so he does a comprehensive H&P. He evaluates Mrs. Nathan’s complaint and makes a low complexity decision to recommend she have a diagnostic D&C. Code for Dr. Park.· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99204 Office visit, new patient, comprehensive history and examination, moderate complexity decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making· 99214 Office visit, established patient, detailed history and examination, moderate complexity decision making· 99215 Office visit, established patient, comprehensive history and examination, high complexity decision making 5. Earl Eitsall is seen by Dr. Orfan as an established patient for evaluation of his chronic cholecystitis which is complicated by ASHD and morbid obesity. His physician performs an expanded problem-focused history, a detailed exam and makes a moderate complexity medical decision to place the patient on new medication and once again try and convince him to have his gallbladder removed. Code for Dr. Orfan.· 99202 Office visit, new patient, expanded problem focused history and examination, straightforward medical decision making· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making· 99214 Office visit, established patient, detailed history and examination, moderate complexity decision making 6. Mr. Terry Taylor comes to Dr. Johnson’s office to get his sutures removed. Terry is a regular patient of his,but another physician placed the sutures while Mr. Taylor was on vacation. Beacuase the sutures are superfically located on the skin of his arm and the healing looks good, the nurse removes the stiches after taking Mr. Taylor’s vital signs. Mr. Taylor is then sent home. Code for the doctor’s office.· 99201 Office visit, new patient, problem focused history and examination, straightforward medical decision making· 99202 Office visit, new patient, expanded problem focused history and examination, straightforward medical decision making· 99211 Office visit for the evaluation of an established patient, that may not require the presence of a physician. Usually the presenting problem is minimal.· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99213 Office visit, established patient, expanded problem focused history and examination, low complexity medical decision making 7. Jane Parker, a 45-year-old woman, presents to her physician’s office for her annual exam. She has not had any illnesses over the past 5 years and now returns to see Dr. Howser for the exam. Since the physician has not seen her for a few years, he does a detailed history and physical exam. Not finding any problems, Dr.Howser wishes her well and reminds her to return if she has any problems. Code for Dr. Howser.· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99214 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99386 Initial comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, new patient, 40-64 years· 99396 Periodic comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, established patient, 40-64 years 8. A 52-year-old was found unconscious in a park and was brought to the emergency department by ambulance. A comprehensive physical examination was performed , and the medical decision making was of high complexity. The ED physician, Dr Lawson, documents that he was unable to obtain a history due to the unconscious and serious condition of the patient and that the problems are of high severity and pose an immediate signifcant threat to the patient’s life or physiologic function. Code for Dr. Lawson.· 99203 Office visit, new patient, detailed history and examination, low complexity medical decision making· 99284 Emergency department visit, new or established patient, detailed history and examination, moderate complexity medical decision making (problem is of high severity and requireurgent evaluation but do not pose an immediate threat to the patient’s life)· 99285 Emergency department visit, new or established patient, comprehensive history and examination, high complexity medical decision making (problem is of high severity and poses an immediate threat to the patient’s life)· 99291 Critical care, evaluation and management of the critically ill or critically injured patient, first 30-74 minutes 9. Mrs. Doah brings her 8-year-old daughter Shannon (est. patient) to Dr. Jones for a regular annual checkup. Shannon has no problems. Code for Dr. Jones.· 99201 Office visit, new patient, problem focused history and examination, straightforward medical decision making· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99383 Initial comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, new patient; late childhood (5 through 12 years)· 99384 Initial comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, new patient; late childhood (12 through 17 years)· 99393 Periodic comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, established patient; late childhood (5 through 11 years)· 99394 Periodic comprehensive preventative medicine E&M of an individual including an age and gender appropriate history, examination, new patient; late childhood (12 through 17 years) 10. Jason Bourne was having chest pains and came to the Emergency Room where the ER physician decided to admit him to the cardiac unit under the care of Dr Hart, a cardiologist. Dr Hart decided to keep the Mr Bourne in the unit for several days to run tests and possibly perform a bypass operation. On the second and third day, Jason’s family doctor, Dr Welby, paid him a visit to see how he was doing. Dr Welby performed a problem focused interval history and a problem focused exam. Code for Dr Welby for the visit on the third day.· 99212 Office visit, established patient, problem focused history and examination, straightforward medical decision making· 99224 Subsequent observation care, problem focused interval history, problem focusedexamination, straightforward or low complexity decision making· 99221 Initial hospital care, detailed or comprehensive history and examination, straightforward or low complexity medical decision making· 99231 Subsequent hospital care, problem focused interval history, problem focused examination, straightforward or low complexity decision making Health Science Science Nursing Share QuestionEmailCopy link Comments (0)