Medical Record: (**E/M code range: 99213-99215) A 10-year-old established patient presents today for well child check with mother. The patient has…
Medical Record: (**E/M code range: 99213-99215)
A 10-year-old established patient presents today for well child check with mother. The patient has two sisters and sees dad sporadically. Lives in a smoke free environment. 1 dog, 1rabbit.
Patient going into fourth grade with good grades. No parental concerns. Patient cooperates but does tend to back talk. Doing well on Concerta.
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Order Paper NowExamination of systems normal.
Counseled patient on the use of seat belts, bicycle/skate helmets, gun safety, water/sun safety.
Assessment:Well Child Check, ADHD,
Plan: Refill Concerta 18 mg PO q AM
Answer 3 question:
- Describe the steps you would take to find the correct code for this case.
- Assign the procedure code and explain why you chose the code that you did.
- What affect did the E/M guidelines have on your choice of code? Explain how you used the guidelines.