1. 6/1/2020Patient was in Dr. Lee’s office for a consultation for a… 1. 6/1/2020Patient was in Dr. Lee’s office for a consultation for a left breast mass that came back positive for breast cancer. E/M code: ________________. Dr. Lee Admits patient into the hospital for a partial mastectomy of the left breast. E/M code: _______________. Dr. Lee consults Dr. Chu to perform the surgery. Dr. Chu come in and consults the patient for surgery E/M code: __________. Dr. Chu schedules the procedure for tomorrow at 10:00 am. 2. 6/2/2020 Dr. Lee comes and see the patient to make sure she does not have any questions for him and also reviews blood work. E/M code ___________. Dr. Chu preforms the surgery at 10:00 am. E/M code _____________. At 6:00 pm Dr. Chu checks in on the patient to make sure she is doing well after the procedure. E/M Code: ________. Patient is doing well. 3. 6/3/2020. Both providers see patient and agree she should be able to go home in a couple of days. E/M code ___________, E/M ___________ 4. 6/4/2020. Dr. Chu comes in and signs off that patient is clear to go home. E/M Code: _ _______. Dr. Lee sees patient and discharge her home. It took 83 minutes. Discharge code: __ _________ ______________________________________________________________________________ 1. Patient is seen by Dr. See for a gastroenterology consult in the office. Patients chief complaint is rectal bleeding. Patient states, “I have not had a bowel movement in 2 weeks, and when I do it just pebbles and hard.” Dr. See orders blood test and schedule patient for a colonoscopy for this Thursday. a. E/M Code: ____________________ 2. Same patient comes back to see Dr. See on 6/15/2020 for results from the colonoscopy. Test results are negative, but physician prescribes a stool softener medication patient is to take once a week for a month. Also, patient is instructed to increase fiber and water intact to regulate bowel movements E/M Code: _________________ 1. Physician sees patient in intesive care unit for 1 ½ hours. E/M Code (s) _____________ 2. Physician sees patient in intensive care unit for 2 hours and 6 minutes. E/M Code (s) _ __________Science Health Science MOA 131
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