A 7-year-old female established patient was seen by pediatrician complaining of ear pain x 3 days. A detailed history is then taken. She had associated fever of 101 F yesterday. Mom treated her with Tylenol. The fever this AM is 99 F. She has had some chills and cough as well as some difficulty breathing. No nausea or vomiting. No prior history of otitis. Brother was sick earlier this week. The physician performed a detailed exam of the ENT as well as a limited exam of GI, lungs, and heart. Vital signs were taken in the office. The physician diagnosed the patient with otitis media and an upper respiratory infection and prescribed an antibiotic. The MDM is stated to be moderate.
CPT Code: ____________________
Correct Answer:
Verified
Q31: The code range for Home Services is
Q32: CHART NOTE
CC: This established patient presents to
Q33: History and exam of the normal newborn
Q34: This is a 15-year-old girl, never seen
Q35: Subjective: This 17-year-old patient presents to the
Q37: The _ is a statement describing the
Q38: An initial inpatient consultation with a detailed
Q39: A 40-year-old established patient presents to the
Q40: CLINIC NOTE
CC: Patient presents for routine examination
SUBJECTIVE:
Q41: Match each term with the correct statement
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