A rural doctor is called to the home of a friend of one of his elderly patients, who is a new patient to him. She was having difficulty breathing and has had a cough for more than three weeks. He performed a detailed history and a detailed examination and spent more than 45 minutes with the patient, causing his encounter to be considered moderate complexity. What is the correct CPT evaluation and management code for a new patient receiving a home visit?

Question

Quizplus · Accepted Answer

99343 is the correct code for a new patient home visit that involves a detailed history and examination and moderate-complexity medical decision making.
Code 99341 is incorrect because this new patient home visit included a problem-focused history and examination as well as straightforward medical decision making. Code 99342 is incorrect because this visit involves a new home visit with an expanded problem-focused history and examination and low-complexity medical decision making. Code 99344 is incorrect because this code for a new patient home visit involves a comprehensive history and examination as well as moderate-complexity medical decision making.

A Rural Doctor Is Called to the Home of a Friend