Assign Appropriate E/M Codes for the Following Five Cases

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Assign appropriate E/M codes for the following five cases: • Initial consultation is performed for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. A comprehensive history and examination is performed. This patient is a new patient and it is necessary to get the patients health and family history. Since the patient is a new patient she needs a comprehensive amount of data. It is very important to get the history to figure out what may be causing these symptoms. The best code for this scenario is 99205. • A 30-year-old patient presents complaining of flu-like symptoms characterized by unremitting cough, sinus pain, and thick nasal discharge. An examination reveals bronchitis and sinus infection. The patient is prescribed a 5-day course of Zithromax. The complaints addressed were very detailed. The examination revealed what was wrong with the patient and the decision was also detailed. I would code this scenario 99202. • Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function. A nurse reviews the results and advises the patient that tests are normal, and no change in dosage is indicated. This patient is an established patient that needs routine blood work. For this scenario I would choose code 99211 because this patients an established patient and has no changes. • A 62-year-old diabetic female presents for check-up and dressing change of on left foot. An examination reveals the wound is healing. The nurse applied new dressing and patient will return for a check-up in one week. This patient has a history of wounds on her left foot. The nurse applied new dressing in the wound and medical decision was established. I would code this scenario 99212. • A mother brings in her 6-month-old male child for a routine wellness

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