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AMA approves E&M documentation changes

The AMA CPT Editorial Panel has approved revised guidelines for new and established office or outpatient visit codes 99202-99215 that woul...

Clinical Examples for 99221


Initial hospital visit following admission for a 42-year-old male for observation following an uncomplicated mandible fracture. (Plastic Surgery/Oral & Maxillofacial Surgery)

Initial hospital visit for a 40-year-old patient with a thrombosed synthetic arteriovenous conduit. (Nephrology)

Initial hospital visit for a healthy 24-year-old male with an acute onset of low back pain following a lifting injury. (Internal Medicine/Anesthesiology/Pain Medicine)

Initial hospital visit for a 69-year-old female with controlled hypertension, scheduled for surgery. (Internal Medicine/Cardiology)

Initial hospital visit for a 24-year-old healthy female with benign tumor of palate. (Oral & Maxillofacial Surgery)

Initial hospital visit for a 14-year-old female with infectious mononucleosis and dehydration. (Internal Medicine)

Initial hospital visit for a 62-year-old female with stable rheumatoid arthritis, admitted for total joint replacement. (Rheumatology)

Initial hospital visit for a 12-year-old patient with a laceration of the upper eyelid, involving the lid margin and superior canaliculus, admitted prior to surgery for IV antibiotic therapy. (Plastic Surgery)

Initial hospital visit for a 69-year-old female with controlled hypertension, scheduled for surgery. (Cardiology)

Hospital admission, examination, and initiation of treatment program for a 67-year-old male with uncomplicated pneumonia who requires IV antibiotic therapy. (Internal Medicine)

Hospital admission for an 18-month-old with 10% dehydration. (Pediatrics)

Hospital admission for a 12-year-old with a laceration of the upper eyelid involving the lid margin and superior canaliculus, admitted prior to surgery for IV antibiotic therapy. (Ophthalmology)

Hospital admission for a 32-year-old female with severe flank pain, hematuria, and presumed diagnosis of ureteral calculus as determined by Emergency Department physician. (Urology)

Initial hospital visit for a patient with several large venous stasis ulcers not responding to outpatient therapy. (Dermatology)

Initial hospital visit for 21-year-old pregnant patient (nine-weeks gestation) with hyperemesis gravidarum. (Obstetrics & Gynecology)

Initial hospital visit for a 73-year-old female with acute pyelonephritis who is otherwise generally healthy. (Geriatrics)

Initial hospital visit for a 62-year-old patient with cellulitis of the foot requiring bed rest and intravenous antibiotics. (Orthopaedic Surgery)

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