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Primary Care Coding Alert

You Be the Coder:
Avoid E/M Determination When Components Don’t Add Up

Question: An established 66-year-old patient presented to our provider. She did not state a specific complaint. The doctor ordered a basic metabolic panel, venipuncture, a dipstick urinalysis, and a complete blood count with differential. Her results came back showing nothing abnormal: the urinalysis dipstick with leukocytes was negative; nitrite negative; urobilinogen: 0.2; protein: trace; pH: 6.0; blood: negative; specific gravity: [...]