Medical Billing Coding – Flashcards

Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history?

These elements would be part of the ____ history: employment, education, use of drugs.

What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level of MDM?

The examination is the ____ portion of the E/M service.

The physician must consider multiple diagnoses and management options. There is a moderate amount of data to be reviewed and the risk of complications or death is moderate. What is the level of MDM?