Question

question 16
mr. flintstone is seen by his oncologist just two days after undergoing extensive testing for a sudden onset of petechiae, night sweats, swollen glands and weakness. after a brief review of history, dr. b. marrow re - examines mr. flintstone. the exam is documented and the medical decision making is of moderate complexity and takes 11 minutes. the oncologist spends an additional 45 minutes discussing mr. flintstones new diagnosis of hodgkins lymphoma, treatment options and prognosis.
what cpt® coding is reported?
o 99253
o 99215, 99417
o 99204, 99354
o 99215, 99354
2 pts

Explanation:

Step1: Identify key - elements

The oncologist reviews medical history, examines patient, and has a moderate - complexity decision - making process while discussing treatment and prognosis for 45 minutes after a 11 - minute exam.

Step2: Recall CPT coding rules

For a new patient evaluation and management service with a moderate complexity of medical decision - making and significant counseling and coordination of care (more than 50% of the total face - to - face time spent on counseling), we use the appropriate code.

Step3: Select the code

Code 99204 is for a new patient, level 4 evaluation and management service which includes a moderate level of medical decision - making and significant counseling.

Answer:

99204, 99354