Respuesta :
The code for a detailed history and examination with a low complexity medical decision-making is typically reported using Evaluation and Management (E/M) coding. The specific E/M code would depend on the coding system being used, such as the Current Procedural Terminology (CPT) codes or the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes.
In the CPT coding system, E/M codes for office or other outpatient services are commonly used. The specific code would be determined by factors such as the level of history, examination, and medical decision-making involved in the encounter.
For example, in CPT coding, a common E/M code for a detailed history and examination with low complexity medical decision-making is 99203 for a new patient or 99213 for an established patient. However, it's important to consult the official coding guidelines and use the appropriate codes based on the specific circumstances of the encounter and the coding system in use.
