Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable:Location: Family medical centerEncounter Date: 9/7/xxProvider: Snow Valley, MDPatient: Heather WilliamsGender: FAge: 43-year-old established patientChief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate.Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.

Over the past 25 years now the EM codes have changed and modified. The reason for changes are-…

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6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter9: The Medication Order

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Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable:

Location: Family medical center
Encounter Date: 9/7/xx
Provider: Snow Valley, MD
Patient: Heather Williams
Gender: F
Age: 43-year-old established patient
Chief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate.
Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.

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