Wiki 99212 or ...?

[renifejn]

Dx: ALL

Patient w/ pre B ALL here for CBC

No pain
Age appropriate function
Allergies-Omnicef

ROS--Integ--abnormal-dropped something on foot

PE
General Appearance-Normal
VS-98/59, 110, 20, 36.3

A/P--ALL Resume MTX at 50% of last dose

(also includes orders for many meds/tx)

 

[LLovett]

I agree with 99212.

Laura, CPC

 

[Karolina]

First question is was the E/M medically necessary, if so is this a separate service in addition to drawing for the CBC. If yes, then I might even consider it a 99213. I see a EPF history and a low MDM.