Assignment: Assigning Evaluation and Management (E/M) Codes

? Resources: Figure 5.3 on p. 161 and Table 5.4 on p. 165 of Medical Insurance

? Due Date: Day 7 [Individual forum]

? Assign appropriate E/M codes for the following five cases:

o Initial consultation for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. Comprehensive history and examination performed.

o 30-year-old patient presents complaining of flu-like symptoms characterized by unremitting cough, sinus pain, and thick nasal discharge. Examination reveals bronchitis and sinus infection. Patient is prescribed a five-day course of Zithromax.

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Course Syllabus Page 14

o Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function. Nurse reviews the results and advises the patient that tests are normal and no change in dosage is indicated.

o 62-year-old diabetic female presents for check-up and dressing change of wound on left foot. Examination reveals that the wound is healing. Nurse applied new dressing and patient will return for check-up in one week.

o A mother brings in her six-month-old male child for routine wellness check. Examination reveals the child to be in good health and making adequate progress.

? Provide the rationale you used to assign a particular E/M code in 2 to 3 complete sentences for each of the case studies.

? Post your answers in your Individual forum.