tci E/M Coding Alert - 2020 Issue Q1

Reader Question: Evaluate Elements in This Subsequent Care Scenario

Question: One of our young patients was just hospitalized for acute gastroenteritis and dehydration. The patient was placed on intravenous (IV) hydration, but after the patient stabilized, she refused oral intake. Our pediatrician visited the patient a day after she was admitted, conducted a brief interval history and a limited examination of the patient’s gastrointestinal (GI) system. Then, after reviewing a small amount of data, our provider ordered more IV fluids without additives. What would be the most appropriate E/M code to use in this encounter? South Carolina Subscriber Answer: This particular scenario requires you to use a...

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