Expanded problem-focused refers to a specific approach in medical or clinical assessments where the provider not only addresses the patient's primary issue but also considers related problems that may not be the main focus of the visit. This approach allows for a more comprehensive evaluation of the patient's health, as it encourages the clinician to explore additional symptoms or concerns that might be interconnected. By doing so, it helps in formulating a more holistic treatment plan.
Anything that is expanded should, by definition, be more complex and detailed.
Problem Focused, Expanded Focused, Detailed, and Comperhensive
A phrase used to describe a level of history or physical examination.
A. Problem focused. This type of examination focuses on a specific area or organ system along with the related systems that are directly impacted by the presenting issue. It is more targeted and specific compared to a comprehensive examination, which evaluates the entire body.
Evaluation and Management of an established patient where the provider of service meets two of the following three criteria: expanded problem, focused history expanded problem, focused exam low medical decision making Service typically lasts 15 minutes
99202 is a CPT code for an: Office or other outpatient visit for the evaluation and management of a new patient with an expanded problem focused history and examination, and straightforward medical decision making.
To bill a 99284, the encounter must involve a patient presenting with a moderate to high severity problem that requires a detailed history, examination, and medical decision-making of moderate complexity. The visit usually includes a problem-focused or expanded problem-focused history, an expanded problem-focused examination, and medical decision-making that typically involves moderate risk. Additionally, the visit must occur in an emergency department setting, and documentation must support the level of service billed.
CPT Code 99283- Emergency department visit for the evaluation and management of a patient, which requires these 3 key components:An expanded problem focused history;An expanded problem focused examination; andMedical decision making of moderate complexity.Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.Usually, the presenting problem(s) are of moderate severity.
99252
There is no ICD-9 code to match CPT code 99203 99203 is an evaluation and management (E/M) code 99203 - office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 components: an expanded problem focused history an expanded problem focused exam straightforward decision making
99252
CPT Code 99202 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components:An expanded problem focused history;An expanded problem focused examination; andStraightforward medical decision making.Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.