QUESTION IMAGE
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Analyze the visible question and options
The question asks: "What E/M code(s) is/are reported?"
The options are:
- 99391, 99212-25
- 99213
- 99391
- 99212
Evaluate the clinical scenario context
Although the full clinical scenario text is cut off at the top (only showing "...Mother will bring..."), we can deduce the correct coding combination based on standard CPT E/M coding guidelines:
- Code
99391represents a periodic comprehensive preventive medicine reevaluation and management of an individual (established patient, infant under 1 year). - Code
99212represents an office or other outpatient visit for the evaluation and management of an established patient (straightforward medical decision making). - Modifier
-25(Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service) is appended to the problem-oriented E/M code (99212) when performed on the same day as a preventive medicine service (99391). - The presence of the combination
99391, 99212-25is the standard way to report a preventive medicine visit during which a significant, separately identifiable problem-oriented service is also addressed and documented.
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- (A) 99391, 99212-25 (Correct answer)
- (B) 99213
- (C) 99391
- (D) 99212