Using the E/M Medical Decision Making Grid, code the following office visit and provide the following answers for this coding scenario: 1) E/M Office visit 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) Coding Scenario: Chief Complaint: Cough and congestion History: Established patient presents to the office with nasal congestion and a runny nose that started about two days ago. This has been associated with a non-productive cough. Physical Exam: General appearance: No acute distress Vital signs: Temperature 98.6 HEENT: Oropharynx is clear with normal posterior pharynx without erythema or exudate. Lungs: Clear to auscultation Assessment: Viral URI Plan: Push fluids, rest, and Tylenol, if needed.
[Answered]: Using the E/M Medical Decision Making Grid, code the…
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