A pediatrician sees an established patient in the office with symptoms of depression. The patient completes a Patient Health Questionnaire-9 (PHQ-9) and the resulting score is positive. The pediatrician seeks additional objective information through administration and scoring of the Screen for Child Anxiety Related Dis- orders (SCARED) and Mood and Feelings Questionnaire (MFQ). The pediatrician considers the scores in relation to the diagnostic interview of the patient and the patient’s mother and diagnoses anxiety and depression. Documentation states the pediatrician spent 35 minutes total in face-to-face time during the visit (including time spent scoring each questionnaire) with more than 50% spent in counseling and/or coordination of care. The pediatrician reports code 99215 based on the total face-to-face time of the service and diagnosis codes F41.9 (anxiety disorder, unspecified) and F32.9 (major depressive disorder, single episode, unspecified).

Were the codes reported for this encounter correct? The answers appear later in this...

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