A patient is admitted from the ER at 11:00 p.m. due to a domestic dispute. Patient leaves the hospital AMA at 3:00 a.m. Exam was comprehensive and history was detailed and medical decision-making was moderate.

Question

Quizplus · Accepted Answer

The correct codes are 99221 for the initial hospital care due to the level of service provided (comprehensive exam, detailed history, and moderate decision-making) and 99238 for the discharge management since the patient left AMA (Against Medical Advice) and the time spent was less than 30 minutes.

A Patient Is Admitted from the ER at 11:00 P