A patient is seen in the office. His last visit was four years ago, although documentation in his record reveals that the physician has ordered prescription medicine several times in the past three years. The physician performed an expanded problem-focused history; expanded problem focused exam; straightforward medical decision-making. Which CPT code should be reported for the E/M service?

Question

Quizplus · Accepted Answer

The patient is considered a new patient because he has not been seen in the office for over three years. The correct code for a new patient with an expanded problem-focused history and exam, and straightforward medical decision-making is 99202.

A Patient Is Seen in the Office