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An 85-year-old woman fell & broke her hip. The hip has been repaired, but now needs long-term nursing care. Admitted to nursing facility 3 days ago and is being seen today in follow-up. Patient is regaining movement and has excellent prognosis. Assign the CPT code(s).
Discharge of patient from nursing home, 45-minute encounter. Assign the CPT code(s).
Initial visit for est pt, seen at Shady Pines Nursing Home, T2DM, COPD, Hyperlipidemia, HTN w/ CAD, asthma, paraplegia, Hypothyroidism. BP 150/94 today. A1c 7.6, above pt goal of 7. SVN tx last night for acute cough. Improved. Discussed tx plan; pt and wife agree. Completed all required paperwork for insurance at pt request. Rx given. Will see in office in 1 wk. Time spent today was 90 minutes. Assign the CPT code(s).
Subsequent follow-up care is provided for a comatose patient transferred to a long-term care center from the hospital two days ago. The resident shows no signs of consciousness on examination but appears to have developed a minor upper respiratory tract infection with a fever and rales heard on auscultation. The physician performs a medically appropriate history and examination with respiratory and cardiovascular status updates. The physician is concerned that the respiratory infection could progress to pneumonia and orders the appropriate treatment. The MDM complexity is moderate. Assign the CPT code(s).
A 72-year-old patient suffered a cerebral vascular accident (CVA). Today, the patient is admitted to a skilled nursing facility (SNF) for rehab and medical care. The principal physician documents a comprehensive history and exam and orders a multidisciplinary rehabilitation care plan for the patient and the continued treatment of the patient’s other medical conditions, including hypertension and diabetes. The MDM complexity is high. Assign the CPT code(s).