tci E/M Coding Alert - 2017 Issue 12

You Be the Coder: Lesson Learned: Reporting Preventive Service With Problem-Oriented E/M

Question: The physician saw a 39-year-old established male patient for an annual checkup. During the checkup, the physician noted that the patient was persistently coughing. The patient said he has had this persistent productive cough for the past week or so, and it has been fluctuating in intensity. The physician performed a detailed examination of the patient's respiratory and cardiovascular systems. Based on the history, signs and symptoms, and observations during the exam, the physician arrived at the diagnosis of acute bronchitis. He prescribed medication for the problem and called for a review after a week. He also completed...

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