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
Q22: This patient is seen in the clinic
Q24: A new patient presents to the physician's
Q25: Dr.Martin provided 1 hour and 20 minutes
Q28: Identify as body (BA) or organ system
Q30: Identify as body (BA) or organ system
Q32: CLINIC NOTE
CC: Patient presents for routine examination
SUBJECTIVE:
Q32: CHART NOTE
CC: This established patient presents to
Q34: This is a 15-year-old girl, never seen
Q38: An initial inpatient consultation with a detailed
Q39: A 40-year-old established patient presents to the
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