Practice Quiz

Medical Coding

Category - Evaluation and Management

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A physician provides supervision of a 49-year-old patient, in a domiciliary environment, requiring complex and interdisciplinary care changes and revisions to care plans, due to having been diagnosed with cancer and having uncontrolled hypothyroidism and diabetes. This supervising physician spends more than 35 minutes per month talking with the legal guardian, the in-home nurse, and reviewing laboratory results and making changes to her medications. What evaluation and management CPT code should be used for this patient’s care plan oversight?
  1. 99374
  2. 99375
  3. 99377
  4. 99378
Explanation
Answer: B - 99375 is the correct code for supervision of a patient in a domiciliary home that involves more than 30 minutes of care.
Code 99374 is incorrect because this code is for supervision of patients in a domiciliary home, but is meant for 15-29 minutes of time involvement. Codes 99377 and 99378 are incorrect because these codes are for supervision of hospice patients.
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