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Which code should be used for a new patient who receives a strep swab, PO tylenol, and is diagnosed with pharyngitis?

A. 99214
B. 99205
C. 99215
D. 99203
E. 99204

User Slugart
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1 Answer

2 votes

Final answer:

The correct code for a new patient diagnosed with pharyngitis after a strep swab and other evaluations would depend on the complexity of the case, which is not fully detailed in the question. Possible codes are 99203 or 99204 for new patients with low to moderate complexity, or 99205 for a new patient with high complexity.

Step-by-step explanation:

The correct code for a new patient who receives a strep swab, PO Tylenol, and is diagnosed with pharyngitis is often determined by the level of complexity of the visit, the examination components, and the medical decision making involved. For this particular scenario, without more specific details on the complexity and time spent, it is challenging to give a definitive answer among the options provided (A. 99214, B. 99205, C. 99215, D. 99203, E. 99204).

The codes 99214 and 99215 are typically used for established patients with moderate to high complexity. In contrast, 99203 and 99204 are used for new patients with low to moderate complexity, and 99205 for new patients with high complexity. Since this is a new patient with presumably low to moderate complexity, codes 99203 or 99204 may be more appropriate, but 99205 could be selected if the medical decision-making and examination are of high complexity due to other complicating factors or high risk. A medical professional would need to evaluate the specific circumstances of the patient encounter to determine the appropriate code.

The terms streptococcal pharyngitis, streptococcal pyrogenic exotoxin, and the implications of these diagnoses on the complexity of the case are critical in determining the proper coding.

User Ssn
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