1. A new patient, a 10-year old
1. A new patient, a 10-year old girl, presents with acute contact dermatitis. Medically appropriate history and exam was performed. Decision-making is straightforward. The patient is given a prescription for the dermatitis with the instructions to return to the office if the condition does not improve in a few days. What is the E/M code? 2. An established patient with a history of allergic rhinitis presents to the office with acute exacerbation of coughing and wheezing, which is thought to be secondary to an upper respiratory infection. A medically appropriate history and exam was performed. Currently, the patient has low-complexity decision-making. What is the E/M code? 3. An 18-month-old toddler was admitted to the hospital with a third episode of wheezing and respiratory distress. The patient has had a decreased appetite and has a low-grade fever. A comprehensive history is taken with a complete multisystem examination. There are extensive diagnoses and management options and an extensive amount of data to be reviewed. Decision- making is high complexity. What is the E/M code? 4. An initial observation of a 35-year-old woman with a 6-day history of nasal congestion, postnasal drip, halitosis and frontal headache was performed. History is detailed with a detailed examination of the patient. There are limited diagnoses and management options and a low risk of complication. Decision-making is low complexity. What is the E/M code? 5. A follow-up examination of a 40-year-old man who is insulin-dependent reveals rectal bleeding after using the bathroom and pain from prolonged sitting. The patient is to have a fasting blood sugar test and stool culture. A medically appropriate history and exam were performed. The patient has multiple symptoms with a moderate risk of complications and moderate-complexity decision-making. What is the E/M code? 6. A 45-year-old woman with pneumonia is admitted to a hospital. A comprehensive history and examination were completed with minimal diagnoses or management options and minimal risk of complications. Decision-making is straightforward. What is the E/M code?
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