Practice Quiz

Medical Coding

Category - Evaluation and Management

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The physician performed an annual examination on a 47-year-old male new patient with a history of congenital heart disease. What is the correct E&M code?
  1. 99387
  2. 99386
  3. 99396
  4. 99397
Explanation
Answer: B - The correct E&M code is 99386 (Periodic Comprehensive Preventive Medicine, New Patient, 40-64 Years of Age). The patient is new to the physician, so the codes: 99396 and 99397 are incorrect.99396 and 99397 are used for established patients. Furthermore, code 99387 is used for patients at least 65 years old.
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