Nursing Facility Patient Acute Illness

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A nursing facility patient develops an acute illness and is seen by her attending physician. He performs a detailed interval history and a detailed physical examination and performs medical decision making of moderate complexity.
What code should the physician use to report these services?

Source: AHIMA Press. Clinical Coding Workout, 2019. https://my.ahima.org/store/product?id=65592.

1 Comment

  1. Yes, Code 99309 is the correct answer. It fulfills all three key components, 1) a detailed interval history, 2) a detailed examination, and 3) Medical decision making of moderate complexity in addition to Subsequent nursing facility care.

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