E/M Services
Test
Select the Correct CPT Code(s):
1. Ms. Barb Wire, a new patient of ours, falls off her exercise bike while working her way down to 450 lbs. and injures her wrist. Upon presentation in your office, your doctor completes a brief history of the incident with a problem pertinent system review and examines the wrist in an expanded problem focused exam. He orders some x-rays and makes a straightforward decision. He prescribes some Motrin and explains to Ms. Wire his findings.
2. Ms. Sandy Beach has been a patient of yours for the past two weeks. She has been complaining of headaches that have persisted for six months. During this particular visit to your office, your doctor, Dr. U. Ken Too, questions Ms. Beach about the history of the headaches covering three elements of the history of present illness, examines two body areas and completes an extensive re-examination of her neurologically. He obtains all pertinent past family information concerning headaches and completes a detailed examination of her medical records and tests performed during the visit. After considering all the information he has obtained from the tests and records on Ms. Beach, Dr. Too determines that the diagnoses options are limited, the amount of data reviewed is moderate and the risk of mortality is low.
3. Mr. T. Bone comes to your office to get his sutures removed. He is a regular patient of yours. The sutures were placed by another doctor when Mr. Bone was on vacation. Because the sutures are superficially located on the skin of Mr. Bone’s arm and the healing looks good, the nurse removes the stitches and sends Mr. Bone home.
4. Ms. I. Kerri Nuff, a 95-year-old patient, presents herself in your office for the first time complaining of general malaise. Upon completion of a comprehensive history and a comprehensive exam, you decide that there are several diagnoses that may apply to Ms. Nuff’s case and, because of her age, her risk of complications is moderate. You decide that Ms. Nuff should be admitted to the hospital for further tests. Ms. Nuff is admitted on the same day.
5. A 85 year old patient of yours is admitted to the hospital by an orthopedist to test for possible bone cancer. As the internist for the patient, you are asked to treat her for diabetes. During your initial visit to see the patient you review two elements of the HPI, check her feet for ulcers and make a straight-forward decision to continue the patient’s treatment.
cmba/rvwtest/e-mvst Page # 2