John Smith is seen by his PCP Dr. Ron Blue at home for his monthly visit in regards to monitoring his diabetes. John's diabetes is still stable as noted the previous month. No changes were made to his medications. The history is problem focused and exam is expanded problem focused. Medical decision making is noted as moderate. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a home visit by a physician for an established patient with a problem-focused history and an expanded problem-focused examination, where the medical decision making is of moderate complexity, is 99348. The correct ICD-10-CM code for stable diabetes without mention of complication is E11.9, indicating type 2 diabetes mellitus without complications.

John Smith Is Seen by His PCP Dr