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Wiki 99212 or ...?

renifejn

Guru
Messages
208
Location
Bolingbrook, IL
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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)
 
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.
 
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