E & M Exercises

Work related examination by treating physician including completion of necessary documentation

Attendance at delivery and initial stabilization of newborn

Smoking and tobacco cessation counseling visit for 15 minutes

Telephone evaluation and management services for 15 minutes

Emergency Department service provided at low level MDM 

Periodic Comprehensive preventive medicine service on an established 19-year-old University student

Outpatient office visit evaluation and management service provided for 30 minutes for an established patient

A 15-month-old girl got subsequent inpatient critical care services

What is the level of MDM to be selected when Number and complexity of problems addressed at the Encounter is Minimal, Risk of complications and/or morbidity or mortality of Patient Management is Moderate and Amount and/or Complexity of Data to Be Reviewed and Analyzed is Limited

What is the level of MDM to be selected when Number and complexity of problems addressed at the Encounter is High, Risk of complications and/or morbidity or mortality of Patient Management is Moderate and Amount and/or Complexity of Data to Be Reviewed and Analyzed is Moderate

A 59-year-old patient’s diabetes and hypertension are stable.  Physician ordered EKG and angiogram.  Physician considered minimal risk of morbidity in this patient.  Identify the level of MDM for this established patient during the office visit

A physician provided E/M service to a new patient in campground with moderate level of MDM and an additional 25 minutes time is also spent

An established patient received a weekly vitamin B12 shot by the Registered Nurse

On day 3, attending physician provided moderate level of MDM in the observation care unit

On day 2, cardiologist provided moderate level of MDM in the observation care unit

A physician provided E/M service to a new patient in campground with moderate level of MDM

What is the level of MDM to be selected when Number and complexity of problems addressed at the Encounter is Moderate, Risk of complications and/or morbidity or mortality of Patient Management is Minimal and Amount and/or Complexity of Data to Be Reviewed and Analyzed is Limited

 An office consultation is requested by PCP with a referral to a cardiologist for a 48-year-old patient with his chronic illnesses namely diabetes and hypertension are stable.  Physician ordered EKG, Chest X-ray and angiogram.  Physician considered high risk of morbidity in this patient.  Identify the level of MDM for this patient

What is the level of MDM to be selected when Number and complexity of problems addressed at the Encounter is High, Risk of complications and/or morbidity or mortality of Patient Management is Moderate and Amount and/or Complexity of Data to Be Reviewed and Analyzed is Limited

Life insurance related examination including completion of necessary documentation

Preventive medicine individual counseling for 45 minutes

A 5-year-old girl got initial inpatient critical care services

Minor surgery (example biopsy) comes under which level of MDM

Level of MDM to be used for Over-The-Counter drugs (OTC, nonprescription drugs)

What is the level of MDM when two tests are ordered by the physician (EKG and angiogram)

What is the level of MDM to be used when three tests are ordered by the physician (EKG, Angiogram and Treadmill test)

Two self-limited or minor problems (example: fever and headache) come under which level of MDM

Acute exacerbation of asthma comes under which level of MDM

 A 20-day-old girl got initial inpatient critical care services

Preventive medicine group counseling for 60 minutes

Inpatient or observation consultation Established patient home or residence visit with moderate level MDM

Initial Comprehensive preventive medicine service on a 5-day-old baby girl

Critical care evaluation and management services for 100 minutes

Established patient home or residence visit with moderate level MDM

Principal Care Management service by physician for 45 minutes

Emergency Department service provided at moderate level MDM 

Work related examination by other than the treating physician including completion of necessary documentation

Online digital evaluation and management services for 15 minutes

Smoking and tobacco cessation counseling visit for 7 minutes

Delivery/birthing room resuscitation and provision of positive pressure ventilation and/or chest compressions