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Evaluation and Manag

E/M 2018

QuestionAnswer
These elements would be part of the ____ history: employment, education, use of drugs. Social
The HPI must be documented in the medical record by: Physician
The examination is the ____ portion of the E/M service. Objective findings
Critical care codes are reported based on Time
According to information in 99468, what is the age of a neonate? 28 days or younger
Reason for the encounter Chief Complaint
Smoking and Alcohol use are part of Social History
HPI History of present Illness
Review of Systems ROS
Past Medical History History of Asthma since childhood
EPF Expanded Problem Focused
SF Straight forward
MC Moderate complexity
HC High Complexity
PF Problem Focused
Duration Continuous Pain
Location Right Lower Quadrant Pain
Relieved by taking a nap Modifying factors
Associated signs and symptoms Head ache with Nausea and Vomiting
SNF Skilled Nursing Facility
New Patient Patient coming from out of town
Follow up visit Established patient
99201 New Office Visit
99385 Emergency Visit
99220 Hospital Observation
99392 Preventive visit
99251 Inpatient consult code
Created by: jimcer