Question

A new patient visits the internal medicine clinic today for diabetes, chronic constipation, arthritisand a history of cardiac disease. The provider performs a detailed history, comprehensive examand a medical decision making of moderate complexity. What CPT® code is reported?
a.99213
b.99214
c.99203
d.99204

Answer 1

Answer:

C. 99203.

Explanation:

The CPT code here deals with a patients history, examination and medical decision making which comes in different levels and also works according to being an old or new intake. It also comes with different fees attached to it.

In the case of CPT code 99203 or say other outpatient(this could be a new or first timer) visits for analysis and treatment of a new patient, which always demands key factors ranging from: 1). A detailed history; 2). A detailed examination; and 3). Medical decision making of low complexity. Physicians normally spend few time with the outpatient and guardian to discus vital issues before proceeding.

Answer 2

Answer:

c.99203

Explanation:

The phrase “three of three” means that components: history, exam, and medical decision-making (MDM)  must meet or exceed the requirements of the E/M code descriptor while “two of three” means two of the components must meet or exceed the code requirements. For a new patient three of the components are used

A method used to provide the correct E/M service level and code is writing the letters H, E, M (H = History, E = Exam, M = MDM), and marking the level of each key component as you go through.

For the above question: since the patient is new; the three components would be used

History: detailed = supports a level 3 new patient service

Exam: detailed = supports a level 3 new patient service

MDM: moderate = supports a level 4 new patient service

So:

H: Det = 3

E: Det = 3

M: Mod = 4

In this case, because all three components must meet the code descriptor requirements, proper coding is 99203.