To Code an Evaluation and Management (E/M) Service Properly for a New

question 25

Multiple Choice

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

• A) history and examination
• B) history and medical decision making
• C) examination only
• D) history, examination, and medical decision making

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Definitions:

Ordinary Consciousness

A mental state of awareness where an individual is cognizant of their thoughts, feelings, and surroundings during everyday experiences.

Multiple Personalities

A psychiatric disorder wherein an individual exhibits two or more distinct identities or personality states, each with its own pattern of perceiving and interacting with the world, known as Dissociative Identity Disorder (DID).

Dissociative Disorders

Controversial, rare disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings.

Child Abuse

Physical, sexual, or emotional maltreatment or neglect of a child, especially by a parent or other caregiver.