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41.Mr. Beck was recently seen in the hospital by Dr. Johnson, who is his PCP. Dr. Johnson usually treats Mr. Beck for his stomach issues, but he has not had any problems in the last four years, so he has not scheduled any follow-up appointments. Mr. Beck was recently weed-eating in his backyard when a rock flew up and hit him in the eye. Dr. Johnson was the on-call physician, who treated Mr. Beck for his eye injury. He recommended that Mr. Beck schedule a follow-up visit the next week. Will Dr. Johnson bill the follow-up visit as a new patient or as an established patient?
42.A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else. Is this statement true or false?
A 36-year-old woman with a history of multiple complicated ectopic pregnancies presented to the clinic for abdominal hysterectomy. Two days ago, an advanced interstitial uterine ectopic pregnancy was discovered and after careful consideration the patient elected to have a full hysterectomy. After the patient was prepped and anesthetized, the obstetrician performed a full incisional hysterectomy with removal of ectopic pregnancy, without removal of ovaries. Patient tolerated the procedure well and was sent to post-operational recovery.
How should the OB code for this surgical procedure?
45.PRE-PROCEDURAL NOTE PATIENT: Carter, Clara AGE: 46 DATE: 04/10/2014 PREOPERATIVE DIAGNOSIS: Primary Malignancy, Thyroid PROCEDURE PLANNED: Thyroidectomy Patient is being treated unsuccessfully for primary malignancy of the thyroid and has elected to have a subtotal removal of the left thyroid. The physician will perform a partial thyroid lobectomy without isthmusectomy. How should the physician code for the procedure?
