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Assignment: Assigning Evaluation and Management (E/M) Codes
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Resources:Figure 5.3 on p. 161, and Table 5.4 on p. 165 of Medical Insurance
Assign appropriate E/M codes for the following five cases:
Initial consultation performed for a 43-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. A comprehensive history and examination is performed.
A 32-year-old patient presents complaining of flu-like symptoms characterized by unremitting cough, sinus pain, and thick nasal discharge. An examination reveals bronchitis and sinus infection. The patient is prescribed a 7-day course of Zithromax.
Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function. A nurse reviews the results and advises the patient that tests are normal, and no change in dosage is indicated.
A 78-year-old diabetic female presents for check-up and dressing change of wound on left foot. An examination reveals the wound is healing. The nurse applied new dressing and patient will return for a check-up in one week.
A mother brings in her 4 ½ month-old baby for a routine wellness check. An examination reveals the child to be in good health and making adequate progress.
Provide the rationale you used to assign a particular E/M code in 2 to 3 complete sentences for each of the case studies.
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