Registered Health Information Administrator (RHIA) — Question 46

In general, all three key components (history, physical examination, and medical decision making) for the E/M codes in CPT should be met or exceeded when

Answer options

• A. the patient is established.
• B. a new patient is seen in the office.
• C. the patient is given subsequent care in the hospital.
• D. the patient is seen for a follow-up inpatient consultation.

Correct answer: B

Explanation

The correct answer is B because a new patient visit requires all three key components to establish a comprehensive assessment. Options A, C, and D do not necessitate the same level of detail for established patients or follow-up care, where some components may be less comprehensive.