A 19-year-old male was jumping off the roof of his home onto a trampoline. After several successful jumps, he was careless and misjudged the distance on his next jump. He missed the trampoline and landed on the ground, injuring his right foot. The next day the teen was taken to his physician's office. The physician ordered a three-view x-ray of the right foot. The physician performed a detailed history and a detailed examination, and the medical decision making was of moderate complexity. After determining that the teen has suffered a displaced fracture of the first metatarsal of the right foot, the physician refers the teen to an orthopedic surgeon. Select the appropriate code(s) for the family physician:

Question

Quizplus · Accepted Answer

The correct code for the family physician's service is 99214, which represents an office or other outpatient visit that includes a detailed history, detailed examination, and medical decision making of moderate complexity. The diagnosis code S92.311A indicates a displaced fracture of the first metatarsal of the right foot, initial encounter, which matches the patient's condition as described.

A 19-Year-Old Male Was Jumping Off the Roof of His