Practice Quiz

Medical Coding

Category - Evaluation and Management

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A physician visits one of his homebound patients, who has been complaining about right hip pain after she fell three days ago. She is now unable to bear weight and pain is worsening. He performs a comprehensive examination and his medical decision making is considered moderate complexity because he is organizing transportation for the patient to the hospital for suspected hip fracture and has spent 40 minutes with the patient and the patient’s son discussing her care. What is the correct evaluation and management code for this patient?
  1. 99347
  2. 99348
  3. 99349
  4. 99350
Explanation
Answer: C - 99349 is the correct code for an established patient home visit that involved a detailed examination and moderate-complexity medical decision making.
Code 99347 is incorrect because this code is for an established patient but is problem focused and involves straightforward medical decision making. Code 99348 is incorrect because this code involves low-complexity medical decision making. Code 99350 is incorrect because this code involves moderate-to-high-complexity medical decision making along with comprehensive history and/or examination.
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