Medical Coding

Category - Evaluation and Management

The physician saw the disabled patient during a home visit. The patient recently moved to be closer to her family therefore she is considered a new patient. The physician performs a detailed history and an expanded problem-focused examination. Due to the lack of risk and small amount of data to be analyzed, the MDM is of low complexity. What is the correct evaluation and management service code?
  1. 99342
  2. 99343
  3. 99348
  4. 99349
Explanation
Answer: A - The correct evaluation and management code is 99342 (Home Visit For New Patient, Level Two). Codes 99348 and 99349 are not correct, because the patient is new to the physician. Code 99343 is also not correct. Although the patient’s history places her at the 99343 level, the examination and MDM are at a lower level, which results in a code of 99342.
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