An established patient was seen in her primary physician's office. The patient fell at home and came to the physician's office for an examination. Due to a possible concussion, the patient was sent to the hospital to be admitted as an observation patient. A detailed history and examination were performed and the medical decision was low complexity. The patient stayed overnight and was discharged the next afternoon.

Question

Quizplus · Accepted Answer

The patient was admitted for observation and discharged the next day, so codes 99218 (initial observation care) and 99217 (observation discharge) are appropriate.

An Established Patient Was Seen in Her Primary Physician's Office