Ciara Santos
12/04/2023
MCCG 240
Week 6: Discussion
Case 2:
The 99214-25 E/M code is for a long-term patient with a thorough interval history and examination. The
medical decision-making process is rather difficult. This code is used when the patient's insulin
prescription is adjusted, and the patient is advised to take his insulin with his meals as recommended.
The clinic appointment is in five days. There are no operations conducted, hence the procedure code is
N/A. Because no modifications are required, the modifier is N/A.
At lunchtime, the patient had a severe case of hyperglycemia. The patient neglected to eat breakfast and
did not take his insulin medicine with it. The patient feels dizzy, fatigued, and unable to communicate.
The patient's wife wanted to take him to the Wells Care clinic to see Dr. Greene, but the patient refused
to go to the clinic or the ER and only consented to be seen if the doctor came to the house.
Mr. Mark has refused to take his insulin medicine at breakfast on multiple occasions. At 13:50, Dr.
Greene arrived at the patient's house and completed a full interval history and examination. The medical
decision-making process was rather difficult. Dr. Greene changed the patient's insulin dosage and
recommended Mr. Mark to take his insulin with his meals as directed. The clinic appointment is in five
days.
The patient is a 78-year-old man who is suffering from a severe case of hyperglycemia. The patient
missed breakfast and failed to take his insulin, resulting in lightheadedness, weariness, and inability to
talk. The patient's wife offered to accompany him to the Wells care clinic, but he refused and instead
agreed to be seen only if the doctor came to his house.
