George is brought into the emergency room after an accident while cutting fruit, which involves a major injury to his left hand.
After an expanded problem-focused history and physical examination are documented, the high medical decision making recommends emergent major surgery to repair the damaged radial artery and the radial tendons. Which of the following best reflects the performed E/M service and modifier usage? a. Emergency department services; level 5 with modifier 25
b. Emergency department services; level 3 with modifier 57
c. Emergency department services; level 5 with modifier 57
d. No E/M service reportable since this falls within the global period of surgery
Question 2
Joe Black is an established patient for whom I performed an inguinal hernia repair 3 weeks ago. The hernia repair has a 90-day global period of surgery. His hernia was caused by heavy lifting during a move to his new apartment.
Today, Joe presents because of severe headaches, upper left abdominal pain, and heartburn, and he is concerned that he is experiencing a complication from the surgery. Collection of detailed history reveals that the carpet in Joe's new apartment was professionally removed last week because the carpet padding was filled with mold. Performance of detailed physical examination finds sinus congestion, swollen cervical lymph nodes, red conjunctivae, and serous fluid behind left tympanic membrane. Abdominal examination reveals no abnormalities associated with inguinal surgical incision, penis, or testicles. Documentation of low medical decision making shows probability of allergic rhinitis due to mold exposure. Recommend OTC Benadryl, and an immunoglobulin blood test is discussed regarding future allergic reactions. Which of the following best reflects the performed E/M service and modifier usage? a. Office or other outpatient service; established patient; level 3 with modifier 24
b. Office or other outpatient service; established patient; level 4 with modifier 24
c. Office or other outpatient service; established patient; level 3 with modifier 25
d. No E/M service reportable because the visit occurred during the global period of surgery
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