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E&M QUICK CARD HIstoRy ExAM MDM (2 of 3)
HPI ROS PFSH # Dx Data Risk
99221 4+ 2-9 1 Detailed 5-7 2 2 Low
99222 4+ 10+ 3 Comp 8+ 3 3 Mod
99223 4+ 10+ 3 Comp 8+ 4 4 High
99231 1-3 0 0 ProbFoc 1 2 2 Low
99232 1-3 1 0 EProbFoc 2-4 3 3 Mod
99233 4+ 2-9 1 Detailed 5-7 4 4 High
99251 1-3 0 0 ProbFoc 1 1 1 SF
99252 1-3 1 0 EProbFoc 2-4 1 1 SF
99253 4+ 2-9 1 Detailed 5-7 2 2 Low
99254 4+ 10+ 3 Comp 8+ 3 3 Mod
99255 4+ 10+ 3 Comp 8+ 4 4 High
99201 1-3 0 0 ProbFoc 1 1 1 SF
99202 1-3 1 0 EProbFoc 2-4 1 1 SF
99203 4+ 2-9 1 Detailed 5-7 2 2 Low
99204 4+ 10+ 3 Comp 8+ 3 3 Mod
99205 4+ 10+ 3 Comp 8+ 4 4 High
99211 N/A N/A N/A N/A N/A N/A N/A N/A
99212 1-3 0 0 ProbFoc 1 1 1 SF
99213 1-3 1 0 EProbFoc 2-4 2 2 Low
99214 4+ 2-9 1 Detailed 5-7 3 3 Mod
99215 4+ 10+ 3 Comp 8+ 4 4 High
99241 1-3 0 0 ProbFoc 1 1 1 SF
99242 1-3 1 0 EProbFoc 2-4 1 1 SF
99243 4+ 2-9 1 Detailed 5-7 2 2 Low
99244 4+ 10+ 3 Comp 8+ 3 3 Mod
99245 4+ 10+ 3 Comp 8+ 4 4 High
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Through an extensive review of your medical records, our coding and documentation audits help you to identify risk and areas for improvement. We will assist your staff with developing an action plan to meet your goals.
One or more chronic illnesses with mild exacerbation, progression, or side effects of treatment
Two or more stable chronic illnesses
Undiagnosed new problem with uncertain prognosis, eg lump in breast
Acute illness with systemic symptoms, eg, pyelonephritis, pneumonitis, colitis
Acute complicated injury, eg, head injury with brief loss of consciousness
One or more chronic illnesses with severe exacerbation, progression, or side effects of treatment
Acute or chronic illnesses or injuries that pose a threat to life or bodily functions, eg, multiple trauma, acute MI, pulmonary embolus, severe respiratory distress, progressive severe rheumatoid arthritis, psychiatric illness with potential threat to self or others, peritonitis, acute renal failure
DIAgNostIC pRoCEDURE(s) oRDERED
Laboratory tests requiring venipuncture
Chest x-rays
EKG?EEG
Urinalysis
Ultrasound, eg echocardiography
KOH prep
Physiologic tests not under stress, eg, pulmonary functions tests
Non-cardiovascular imaging studies with contrast, eg, barium enema