him215_module_four_worksheet - complete
docx
keyboard_arrow_up
School
Capella University *
*We aren’t endorsed by this school
Course
215
Subject
Medicine
Date
Apr 3, 2024
Type
docx
Pages
3
Uploaded by JudgeRain7834
HIM 215 Module Four Worksheet
1.
What is the CPT code for history and exam of a normal newborn in a hospital setting?
The CPT code for history and exam of a normal newborn in a hospital setting would be 99460 for the initial care (Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant). The CPT code for subsequent days of care would be 99462 (subsequent hospital care, per day, for evaluation and management of normal newborn). 2.
Dr. Smith provided one hour and twenty minutes of critical care services to John Jones (age 64), who is in the intensive care unit with bacterial pneumonia. What are the CPT codes? (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.)
The CPT codes that would be used for this encounter are 99291 x 1, 99292 x 4.
99291 is coded for the “critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes”
(American Medical Association)
. Code 99292 x 4 is coded for “critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes” (American Medical Association)
. 3.
A 10-year-old female established patient presents to the pediatrician complaining of ear pain for
five days. A detailed history is then taken. She had associated fever of 101°F this morning. Dad treated her with ibuprofen. The fever this afternoon is 99° F. She has no chills but a cough along with some difficulty breathing. No nausea or vomiting. No prior history of otitis. Sister was sick earlier this week. The physician performed a detailed exam of the ENT as well as a limited exam of GI, lungs, and heart. Vital signs were taken in the office. The physician diagnosed the patient
with otitis media and an upper respiratory infection, and prescribed an antibiotic. The MDM is stated to be moderate. What is the CPT code?
The CPT code for this encounter should be 99214. “Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical
decision making.” (American Medical Association)
Works Cited
AMERICAN MEDICAL ASSOCIATION. (2022).
Cpt Professional 2023 And E/M Companion 2023 Bundle
. AMERICAN MEDICAL ASSOCIAT.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help