1. On the third morning after admission in the hospital, patient's fever has increased to 104 with rapid, shallow breathing and abdominal swelling. The attending physician requests a consultation from infectious disease specialist, who documents a comprehensive history and physical examination, a medical decision making of moderate complexity. And 115 minutes of intraservice time spent at the
patient's bedside, on the patient's floor in conversation with the family, and the radiology department (two floors below) independently reviewing the images of the radiologic scans. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99253
B. 99223
C. 99255
D. 99254
D
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Which element identified by a bullet is documented in the words "patient calmed after a few moments' interruption"?
a. Constitutional: measurement of any 3 of the following 7 vital signs: (1) sitting or standing blood pressure, (2) supine blood pressure, (3) pulse rate and regularity, (4) respiration, (5) temperature, (6) height, (7) weight b. Psychiatric: brief assessment of mental status including: mood and affect (e.g., depression, anxiety, agitation) c. Cardiovascular: auscultation of heart with notation of abnormal sounds and murmurs d. Neurologic: examination of sensation (e.g., by touch, pin, vibration, proprioception)
Patients that have NO signs or symptoms of a disease but who are suspected to have been in an area where a disease is epidemic would be assigned a Z code to describe their:
A) contact/exposure. B) status. C) non-specific. D) miscellaneous.