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Clinical Examples for 99245


Initial office consultation for a 35-year-old multiple-trauma male patient with complex pelvic fractures, for evaluation and formulation of management plan. (Orthopaedic Surgery)

Initial emergency room consultation for 10-year-old male in status epilepticus, recent closed head injury, information about medication not available. (Neurosurgery)

Initial emergency room consultation for a 23-year-old patient with severe abdominal pain, guarding, febrile, and unstable vital signs. (Obstetrics & Gynecology)

Office consultation for a 67-year-old female longstanding uncontrolled diabetic who presents with retinopathy, nephropathy, and a foot ulcer. (Endocrinology)

Office consultation for a 37-year-old male for initial evaluation and management of Cushing’s disease. (Endocrinology)

Office consultation for a 60-year-old male who presents with thyrotoxicosis, exophthalmos, frequent premature ventricular contractions, and congestive heart failure. (Endocrinology)

Initial office consultation for a 60-year-old patient, one year status post occupational herniated cervical disk treated by laminectomy, requiring management of multiple sites of intractable pain, depression, and narcotic dependence. (Pain Medicine)

Office consultation for a 58-year-old man with a history of MI and CHF who complains of the recent onset of rest angina and shortness of breath, The patient has a systolic blood pressure of 90 mmHG and is in Class IV heart failure. (Cardiology)

Emergency room consultation for a 1-year-old with a three-day history of fever with increasing respiratory distress who is though to have crdiac tamponade by the ER physician. (Cardiology)

Office consultation in the emergency room for a 25-year-old male with severe, acute, closed head injury. (Neurosurgery)

Office consultation for a 23-year-old female with Stage II A Hodgkins disease with positive supraclavicular and mediastinal nodes. (Radiation Oncology)

Office consultation for a 27-year-old juvenile diabetic patient with severe diabetic retinopathy, gastric atony, nephritic syndrome, and progressive renal failure, now with a serum creatinine of 2.7, and a blood pressure of 170/114. (Nephrology)

Office consultation for independent medical evaluation of a patient with a history of complicated low back and neck problems with previous multiple failed back surgeries. (Orthopaedic Surgery)

Office consultation for an adolescent referred by pediatrician for resent onset of violent and self-injuious behavior. (Psychiatry)

Office consultation for a 6-year-old male for evaluation of severe muscle and joint pain and a diffuse rash, Patient well until 4-6 weeks earlier, when he developed arthralgia, myalgias, and a fever of 102 degrees for one week. (Rheumatology)

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