Jonathan is a 12-year-old whose mother took him to his pediatrician for his annual exam. While examining him, his pediatrician discovered that he had an inguinal hernia and performed a problem-focused history, a problem-focused exam, and straightforward medical decision making. The pediatrician is referring Jonathan to a surgeon for the hernia repair, and Jonathan is to return to his pediatrician in 1 year. Choose the appropriate code(s) for Jonathan's visit:

Question

Quizplus · Accepted Answer

The correct codes for Jonathan's visit include 99394 for a preventive care visit for an adolescent (since Jonathan is 12 years old) and 99212-25 for a problem-focused visit related to the discovery of the inguinal hernia, with modifier -25 indicating that a significant, separately identifiable evaluation and management service was performed on the same day as the preventive service.

Jonathan Is a 12-Year-Old Whose Mother Took Him to His