CPT 4 / Evaluation and Management Section / Provide the Code for the Following ( Use Modifier if Necessary )

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Handout 1/25/10. provides the code for the following.

inittial office visit, 25-year-old male, with boil on back: physician took a brief history , performed a limited examination of the back, and there were little risk of complications and minimal treatment options.

99201

office visit, established patient is a 67-year-old female, with controlled diabetes mellitus, complaining of lack of sensation in her feet, expanded problem-focused history and examination

99213

first hospital visit, admitting physician, comprehensive history, examination, and moderate decision making

99222

initial office consultation; detailed history and examination, low complexity medical decision making

99243

annual comprehensive physical examination for 11-year-old new patient

99383

medical disability examination by physician employed by state

99456

hospital visit to previously admitted patient, problem-focused history and examination, 10 minutes spent at bedside

99231

emergency department service for patient following a car accident; comprehensive history and examination, highly complex decision making

99285

discharge of patient from nursing home, 45 minute encounter

99316

home visit for established patient, straightforward case, problem-focused examination

99347

first visit to provide consultation on hospitalized patient, minor problems, brief visit

99251

direction of EMS care

99288

one hour of critical care

99291

subsequent care of critically ill and unstable infant, 25 days old, in intensive care

99296

subsequent care for new patient in a long -term care facility; patient regaining movement and has an excellent prognosis

99307

supervision of hospice patient care (25 minuted spent in one month)

99377

55--minute medical conference, with other health care providers, related to the patient's overall care

99368

one-hour physician attendance as standby during delivery; mother has uncontrolled diabetes mellitus

99360

brief telephone call by physician to patient

99441

75 minutes of group counseling for risk-factor reduction

99414 x 2

newborn care provided on parents' home

99432

comprehensive annual examination for established 65-year-old patient

99397

primary care physician sends a patient to a cardiologist for an evaluation of a complicated vascular problem; during the hour-long encounter, the specialist performs a comprehensive history and examination, and follows up the visit with a written report to the PCP: MDM was moderate

99244

thoracic surgeon provides a second opinion on the appropriateness of a single bypass procedure as requested by a third-party payer; a detailed history and examination are obtained; MDM is of low complexity

99243 - 32

during an annual physical examination, a 45-year-old established patient complains of general tiredness and severe shortness of breath during mild activity; physician performs a detailed cardiovascular assessment with additional detailed history; following complex MDM, the physician also schedules an immediate heart study

99214 - 25, 99396

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