Question

Dr. Howitzer sees Mrs. Jones in Clinic Eight for sudden loss of consciousness while watching the Olympic Torch go by. He is a new provider to the neurology department. Dr. Drake Rinaldi, a prominent member of the neurology faculty at the university saw Mrs. Jones last month. Dr. Howitzer performs a medically appropriate history and exam. Medical decision making of high complexity. The final diagnosis given is transient loss of consciousness. The patient makes a follow-up appointment to see Dr. Rinaldi in one week.

Required:
What is the appropriate diagnosis and E/M code for this visit?

Answer 1

Answer:

The correct answer is - E/M code - 99214, R55.

Explanation:

E/M is the abbreviation of “evaluation and management” which is used for coding various medical processes. It is the process in which Doctors used to translate into five digits CPT codes to encode the procedures performed and facilitate billing.

The correct diagnosis and E/M code for this visit would be 99214, R55

R55 is a CPT code for unconsciousness or fainting. The code for the MDM complexity is 99214.