Using Techniques Described Assignment Help: How to Answer This Question

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Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves using techniques described. A strong answer should include explanation, application, and examples.

Original Question

Using the techniques described in this chapter, carefully read through the case studies and determine the most accurate E/M code(s) for each case study. 1. Makayla Sorensen, a 4-year-old female, sees Dr. Pitassin, a pediatrician, for the first time with itchy spots all over her body. After a detailed history and a detailed examination, his MDM is of a low complexity. Dr. Pitassin diagnoses her with chickenpox. E/M code: 2. Loretta Stabler, an 81-year-old female, comes to see Dr. Gilman for her semi-annual check-up Dr. Gilman notes he last saw the patient 6 months ago for a regular checkup. Dr. Gilman completes a detailed interval history with a comprehensive head-to-toe physical exam. He reviews and affirms the present medical plan of care. Loretta’s condition is stable, her hypertension and diabetes (type 2) are in good control, and she has no new problems. There are minimal data for Dr. Gilman to review and several diagnoses to consider. The MDM is moderate. E/M code: 3. George Terazzo, an 81-year-old male, collapsed at church during services and was brought to the ED. Dr. Horatio took a comprehensive history, performed a comprehensive examination, and made the decision to admit George into the observation unit of the hospital due to an irregular heartbeat with an unknown cause. MDM is of moderate complexity. E/M code: 4. Sue Appleton, a 46-year-old female, was admitted this morning for observation after an MVA. Dr. Rhodes documents a detailed history and a comprehensive exam with a straightforward MDM. Sue is doing fine; all test results are within normal range. Dr. Rhodes discharges Sue the same afternoon. E/M code: 5. Reisa Haven, a 39-year-old female, was sent by Dr. Alfaya to Dr. Avery, an OB-GYN, for an office consultation. She had been suffering with moderate pelvic pain, a heavy sensation in her lower pelvis, and marked discomfort during sexual intercourse. In a detailed history, Dr. Avery noted the location, severity, and duration of her pelvic pain and related symptoms. In the review of systems, Reisa had positive findings related to her gastrointestinal, genitourinary, and endocrine body systems. Dr. Avery noted that her past medical history was noncontributory to the present problem. The detailed physical examination centered on her gastrointestinal and genitourinary systems with a complete pelvic exam. Dr. Avery ordered lab tests and a pelvic ultrasound in order to consider uterine fibroids, endometritis, or other internal gynecologic pathology. MDM complexity was moderate. E/M code: 6. Catalina King came into the ED with what appeared to be a wrist sprain that she sustained during a baseball game when she slid into home base. She was in obvious pain, and the wrist was swollen and too painful upon attempts to flex. Dr. Ervin performed an expanded problem-focused history and exam before he ordered x-rays. Reports confirmed a simple fracture of the distal radius. MDM was low. E/M code: 7. George Carter was discharged today from the Bracker Nursing Center after Dr. Mintz spent 25 minutes performing a final examination, discussing George’s stay, and providing instructions to George’s wife for continuing care. E/M code: 8. Heather Swann, a 68-year-old female, in good health, is a new patient at Victors Boarding Home. Dr. Cannon comes by to complete Heather’s evaluation and documents an expanded problem-focused history and exam with an MDM of low complexity. E/M code: 9. Marla Olden, a 38-year-old female, G2 P1, was admitted to Weston Hospital to deliver. Marla is considered a high-risk delivery. Dr. Kucherin was on standby for 30 minutes in the event a c-section was necessary. Marla delivered vaginally. Marla and baby are doing well. Code Dr. Kucherin’s services. E/M code: 10. Loretta Reubens, an 18-month-old female, is admitted today by Dr. Smallerman into the pediatric critical care unit because of severe respiratory distress. E/M code:

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