Ok, here is the question on the practice test:
63 yr old man wants a 2nd opinion for his sleep apnea. He decides to go to another Dr. Dr. documents a detailed history. He has had it for the past 5 months. Sleep is disrupted by frequent awakenings and getting worse due to anxiety and snoring. Current medication that he is on now is not helping him. Dr. also performs a comprehensive exam and moderate MDM. What CPT code should be reported?
A: 99204
B: 99203
C: 99243
D: 99214
Ok so I eliminate C&D. That leaves me with A&B, of which I choose A. I choose A because Dr. has taken a detailed history, comprehensive exam and moderate MDM. Apparently I'm wrong. It's B. Don't I "code up" on the history, because the exam was comprehensive and MDM was moderate which matches 99204. What am I missing. Any help would be greatly appreciated!! (I'm developing anxiety!)
63 yr old man wants a 2nd opinion for his sleep apnea. He decides to go to another Dr. Dr. documents a detailed history. He has had it for the past 5 months. Sleep is disrupted by frequent awakenings and getting worse due to anxiety and snoring. Current medication that he is on now is not helping him. Dr. also performs a comprehensive exam and moderate MDM. What CPT code should be reported?
A: 99204
B: 99203
C: 99243
D: 99214
Ok so I eliminate C&D. That leaves me with A&B, of which I choose A. I choose A because Dr. has taken a detailed history, comprehensive exam and moderate MDM. Apparently I'm wrong. It's B. Don't I "code up" on the history, because the exam was comprehensive and MDM was moderate which matches 99204. What am I missing. Any help would be greatly appreciated!! (I'm developing anxiety!)