Practice Quiz

Medical Coding

Category - Evaluation and Management

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A down’s syndrome 40 year old is being admitted to a domiciliary home. She does not have any known medical conditions, but is being removed from her home due to inadequate care with social services being the custodians of her care at this time. The physician spends 20 minutes with the patient and facility staff and the medical decision making is straightforward as he completes a problem-focused history and examination. What would the correct evaluation and management code be for this new patient?
  1. 99324
  2. 99325
  3. 99326
  4. 99327
Explanation
Answer: A - 99324 is the correct code for a new patient in a domiciliary home where a problem-focused history and examination is performed as well as straightforward decision making.
Code 99325 is incorrect because this is the code for a low-complexity medical decision making encounter. Codes 99326 and 99327 are both incorrect because these codes are for an evaluation and management that is of moderate complexity.
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