Question

At an initial office visit by a patient with a 5-day history of right leg pain, swelling, and a hot spot on the right leg, the physician provides a detailed history and detailed exam, and MDM is moderate. The patient is concerned about thrombophlebitis because there is a family history of this problem. The physician counsels the patient for 40 minutes. The entire visit takes 65 minutes. Which code does the physician use?

Name: at an initial office visit by a patient with a 5 day history of right leg pain swelling and a hot spot on the right leg the physician provides a detailed history and detailed exam and mdm is 15412
Uploaded: 2023-12-29T04:23:56-08:00
Duration: 1 min 57 s
Channel: Dave Kratz
Description: at an initial office visit by a patient with a 5 day history of right leg pain swelling and a hot spot on the right leg the physician provides a detailed history and detailed exam and mdm is 15412

          At an initial office visit by a patient with a 5-day history of right leg pain, swelling, and a hot spot on the right leg, the physician provides a detailed history and detailed exam, and MDM is moderate. The patient is concerned about thrombophlebitis because there is a family history of this problem. The physician counsels the patient for 40 minutes. The entire visit takes 65 minutes. Which code does the physician use?

Added by Lynn D.

Instant Answer

Solved by Expert Dave Kratz

12/29/2023

Step 1

The patient has a 5-day history of right leg pain, swelling, and a hot spot, which suggests a new problem requiring evaluation. This indicates that the visit is likely an office visit for a new patient. Show more…

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At an initial office visit by a patient with a 5-day history of right leg pain, swelling, and a hot spot on the right leg, the physician provides a detailed history and detailed exam, and MDM is moderate. The patient is concerned about thrombophlebitis because there is a family history of this problem. The physician counsels the patient for 40 minutes. The entire visit takes 65 minutes. Which code does the physician use?