Question

A new patient is seen by Dr. Smith and she completed a detailed history and examination with medical decision making of low capacity. The correct E/M code is

Answer 1

Answer:

E/M means the " Evalution and Management". E/M coding is the process of physicians in evaluating patients and managing their medical care encounters are translated into 5 digit CPT codes. This codes are helpful and important fcators of physicians service to determine the level of service that physician provide.

The 7 components are very important to determine the E/M services are : 1.History, 2. Examination, 3. Medical decision making, 4.counseling, 5. coordination of care, 6. Nature of presenting the problem, 7.Time.

History, Examination, Medical decision making are the main important factors in deciding the code of E/M services.

There are 4 types of recognised medical decision making used in the assiging the level of E/M service code are :

1. Straight forward: Minimum number of diagnosis, management , minimum level of risk of complications and mortality

2. Low complexity: Limited number of diagnosis, management,low level of risk of complications and low mortality.

3. Moderate complexity: moderate number of diagnosis, managements and Moderate level of risk of complications and moderate mortality

4. High complexity: extensive number of diagnosis, managements and High level of risk of complications and high level of mortality.

Doctor Smith seen new patient and she completed a detailed history and examination with medical decision making of low capacity. The correct E/M code is 99203 (30).

in this case , the doctor provided detailed history, detailed examination and low complexity level of medical decision making happend and this is assigined with correct code is 99203 with 30 minutes are spend  with pateint for  face to face counseling by physician.