[Solved]: Using the E/M Medical Decision Making Grid, code the…

Using the E/M Medical Decision Making Grid, code the following emergency deparment visit and provide the following answers for this coding scenario: 1) E/M Emergency Department CPT Code 2) Number and Complexity of Problems Addressed (Minimal, Low, Moderate, or High) 3) Amount and/or Complexity of Data to be Reviewed and Analyzed (Minimal, Limited, Moderate, or Extensive) 4) Risk of Complications and/or Morbidity or Mortality of Patient Management (Minimal, Low, Moderate, or High) Chief Complaint: Injury to right ankle History: This 32-year-old female patient presents to the emergency room after tripping over her child’s toy and twisting her ankle. She states the pain is sharp, constant and rates it at a 7 out of 10. The patient has no significant past medical history. She is not a smoker. Review of Systems: The patient denies any other injury to skin or musculoskeletal system. No nausea or vomiting. Exam: Constitutional: Vital signs reviewed and normal. She is in no acute distress. Respiratory: Lungs are clear. Cardiovascular: Heart sounds normal. Skin: Dry and intact. Musculoskeletal: Right ankle is swollen with point tenderness over the anterior talo-fibular ligament. Neurologic: Alert and oriented times three. Emergency Department Course: An x-ray was taken of the patient’s right ankle with no fracture noted. Impression: Lateral ankle sprain Plan: Rest, ice, compress and elevate right foot. Follow up with sport’s medicine as needed. Return if condition worsens. Over-the-counter medications such as ibuprofen or naproxen sodium can be taken for pain.