Practice Quiz

Medical Coding

Category - Evaluation and Management

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A rural doctor is called to the home of a friend of one of his elderly patients, who is a new patient to him. She was having difficulty breathing and has had a cough for more than three weeks. He performed a detailed history and a detailed examination and spent more than 45 minutes with the patient, causing his encounter to be considered moderate complexity. What is the correct CPT evaluation and management code for a new patient receiving a home visit?
  1. 99341
  2. 99342
  3. 99343
  4. 99344
Explanation
Answer: C - 99343 is the correct code for a new patient home visit that involves a detailed history and examination and moderate-complexity medical decision making.
Code 99341 is incorrect because this new patient home visit included a problem-focused history and examination as well as straightforward medical decision making. Code 99342 is incorrect because this visit involves a new home visit with an expanded problem-focused history and examination and low-complexity medical decision making. Code 99344 is incorrect because this code for a new patient home visit involves a comprehensive history and examination as well as moderate-complexity medical decision making.
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