Please also explain rationale. Thanks! r. Bill admitted a patient to observation

Question

Please also explain rationale. Thanks!

r. Bill admitted a patient to observation care services after seeing him in the emer- gency department with severe nausea, vomiting, and dizziness from dehydration. The initial observation services documentation supported a comprehensive history. comprehensive exam, and moderate complexity medical decision making. IVs were started, and the plan was to hydrate the patient and discharge him to home the next morning. The patient, however, had not improved enough the next day (day two) and was observed an additional 24 hours. The subsequent care documentation supported a problem focused examination and low compiexity medical decision making. On day three, the physician's documentation supported an observation care discharge service and the patient was discharged home. Choose the correct sequence of CPT procedure E/M codes for Dr. Bill's observation a. 99219, 99231, 99217 b. 99219, 99224,99217 c. 99283, 99219, 99217 d. 99283, 99231, 99217

Explanation / Answer

Answer is c) 99283,99219,99217

99283: the patient visits emergency department with need of immediate and moderate complex care , and more comprehensive chart notes.

As the patient was having severe nausea, vomiting and dehydration and admitted in emergency department.

99219: Initial observation care, per day, for the evaluation and management of a patient, which requires these components: A comprehensive history; A comprehensive examination and Medical decision making .

For this patient Dr. Bill admitted patient in initial observation care services and was taken comprehensive history and exam.

99217: patient admitted in initial observation care and discharged on another date different from the date of admission .

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