You are on call and are asked to come to the emergency department (ED) at your hospital to further evaluate a child the emergency room physician has seen for abdominal pain. You see the child, perform a history and physical examination, and make a diagnosis of cholelithiasis.

Meanwhile, back in the office, the family nurse practitioner in the county health department refers a child to you who was screened for anemia and found to have a hemoglobin level of 10 gm%. You see the child, perform a history, a physical, and some additional tests, and make a diagnosis of iron deficiency secondary to blood loss from milk protein enteropathy.

In both cases, you should pick the Current Procedural Terminology (CPT) code that best reflects the nature of the services provided. Be in compliance with documentation guidelines and CPT rules, but consider which codes properly reimburse for your work.

In the...

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