Patient is seen by her primary care physician for headaches. The physician performs a physical exam, reviews data, and outlines management options. Which of the following key components is missing from this case?

Which of the following E/M services rely on documentation of new vs. established patient?

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:

The physician documented the appropriate elements to report complex chronic care management services (99487–99489). If the total duration was 1 hour and 45 minutes, the CPT code assignment would be:

The new patient is seen in the physician’s office for a rash across the lower back. The physician performs a problem-focused history, expanded problem-focused examination with straightforward medical decision-making. What is the appropriate E/M service code?

The physician documents an initial observation care visit with a detailed history, comprehensive examination with moderate medical decision-making. What is the appropriate E/M service code?

A patient was seen by his family practitioner two years ago. A cardiologist in the same group practice now sees this patient for the first time. For E/M code selection for the cardiologist, the patient would be classified as new.

Mrs. Smith was seen by her family physician, Dr. Marks. Mrs. Smith complains she has had a sore throat, breathing problems, and a fever for five days. She is a diabetic patient and has been taking over-the-counter medications that have interfered with her insulin medication. Dr. Marks documented a detailed history, detailed examination, and moderately complex decision-making. Dr. Marks spent 35 minutes with the patient during the examination. How should the physician report this service?

Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physician examination. The physician ordered lab works to rule out pancreatitis, along with an ultrasound of the gallbladder and abdominal x-ray. due to the various diagnosis possibilities and the test reviewed, a moderate medical decision was made.

An established patient return to the physicians office for follow up on his hypertension and diabetes. The physician takes the blood pressure and references the patients last three glucose tests. The patient is still running above normal glucose levels, so the physician decided to adjust the patient's insulin. An expanded history was taken and a physician examination was performed.