How to Answer Identify Appropriate Code Questions (Complete Guide)

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What This Question Is About

This question relates to identify appropriate code and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves identify appropriate code. A strong answer should include explanation, application, and examples.

Original Question

Identify the appropriate E&M code. Explain your reasoning for that code selection. Case 1: History of Present Illness: Patient has been referred to me by the Emergency room physician today for a follow up visit for her fractured ankle. Patient was playing basketball and twisted her ankle. Patient presents with ankle splint and crutches as she is unable to walk. ROS: Constitutional: Patient unable to stand to get height and weight, 98.6 temperature Musculoskeletal: Pain demonstrated upon touch to ankle Respiratory: Normal Plan: Place ankle cast on patient for 4 weeks with a follow up ankle x-ray to be scheduled at the time. Time: Face to face: 10 minutes Review of xray from ER: 2 minutes Case 2: History of Present Illness: Established patient seen today for yearly follow up on her diabetes and hypertension. Patient was recently in hospital for COVID but feeling well today. Family History: Mother with Chronic Kidney Disease Personal History: Current smoker, status post hysterectomy ROS: Constitutional: Weigh 176lbs, Height, 63”, Temperature 98.7 Eyes: Appear normal Ears, Nose and Throat: Ears and nose normal, slight difficulty hearing Neck: Normal Respiratory: Normal Cardiovascular: Normal, no palpitation Chest: Normal Lymphatic: Lymph nodes of neck appear normal Musculoskeletal: Examination of gait and station is normal Integumentary (skin): Normal, no apparent rashes Neurological: Normal Psychiatric: Oriented and mood and affect is normal Plan: Order CBC and urinalysis, hearing test Time: Face to face: 25 minutes Reviewing recent inpatient admission: 5 minutes Case 3: History of Present Illness: Patient seen in the Emergency Department today for complaints of ear pain and itching of right ear. This has been ongoing for 5 days and mother states she has given Tylenol for relief of pain but nothing is helping. ROS: Constitutional: Temperature 100.5 Eyes: Appear normal Ears, Nose and Throat: R ear- red and L ear- normal, nose slight drainage, throat appears normal Plan: Amoxicillin for 7 days Time: Face to face: 15 minutes

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