a physician provides an office consultation for a new patient. the history and examination levels are comprehensive and the medical decision making is of high complexity. what is the correct code for this situation?
A.99254
B.99244
C.99255
D.99245
Answer is D.
To determine the correct code for this situation, you need to use the Current Procedural Terminology (CPT) guidelines. The CPT codes are used to report medical services and procedures.
In this scenario, the physician provided an office consultation for a new patient, with a comprehensive history and examination levels, and the medical decision making was of high complexity.
To find the correct code, we need to refer to the CPT code descriptions. Let's look at the code options:
A. 99254 - Initial comprehensive preventive medicine evaluation and management for a new patient
B. 99244 - Office consultation for a new or established patient, which requires a detailed history, detailed examination, and medical decision making of moderate complexity
C. 99255 - Office consultation for a new or established patient, which requires a comprehensive history, comprehensive examination, and medical decision making of high complexity
D. 99245 - Initial office consultation for a new or established patient, which requires a comprehensive history, comprehensive examination, and medical decision making of high complexity
Based on the scenario provided, the correct code would be D. 99245, as it aligns with the comprehensive history, comprehensive examination, and medical decision making of high complexity.
Always ensure you refer to the specific CPT guidelines and documentation requirements to accurately code medical procedures and services.