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School
St. Johns River State College *
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Course
2255C
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
1
Uploaded by ProfessorRabbit3417
HIM 2255C
1.
A physician provides E/M services for a patient in acute hysteria who has been admitted to the
emergency department. After performing a problem-focused history and examination with
straightforward medical decision-making, he determines that the patient is suffering from acute
grief reaction secondary to the death of her granddaughter due to sudden infant death
syndrome (SIDS). At discharge, the patient is in complete control of her actions and is referred to
a SIDS organization.
99281
2.
Dr. Gerald provides preventive medicine services to an established 45-year-old patient who is in
good health and has no complaints. Dr. Gerald obtains a comprehensive history, performes a
comprehensive examination, and counsels the patient on proper diet and exercise.
99396
3.
A physician sees an established patient in his office for evaluation of Type I diabetes
mellitus with nephropathy. In addition to a problem-focused history, he performs an
expanded problem-focused examination that includes a limited examination of the
genitourinary, immunologic, skin, and musculoskeletal systems, and documents all
positive and negative findings. The patient's status does not seem to have changed, and
medical decision-making is of low complexity. The doctor discusses the patient's insulin
dosage, diet, and exercise, and plans to see the patient in six months.
99213
4.
A new patient sees Dr. Reynolds in his office complaining of diarrhea and watery stool the
previous night, as well as nausea, vomiting, and crampy, lower abdominal pain. Dr. Reynolds
provides a detailed history and examination, and medical decision-making of moderate
complexity.
99203
5.
A patient is seen by his primary care physician on January 9, 20XX for flu symptoms. The
following summer (July 5), the patient is seen for a skin rash. Would the July 5th visit be
classified as new or established?
ESTABLISHED PATIENT
6.
Which of the following E/M services rely on documentation of new vs. established patient?
OFFICE VISITS
7.
The patient is seen by a primary care specialist in the Community Partnership for persistent
cough and watery eyes. Five months later, the patient sees an allergist in the same Community
Partnership office. The allergist would identify this patient as:
NEW
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