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A 55-Year-Old Established Female Patient Was Seen for Management of Uncontrolled

Question 558

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A 55-year-old established female patient was seen for management of uncontrolled diabetes due to taking oral corticosteroids for rheumatoid arthritis. She reported elevated glucose readings of 180, 210, 195, and 205 in recent weeks. The physician performed a brief history to update her record since the last visit, a detailed examination, and medical decision making of high complexity. He counseled the patient on diet and lifestyle factors and prevention of serious diabetic manifestations. He decided to start her on insulin to see how she responds. Select the appropriate CPT and ICD-10-CM codes.


A) 99215, 99396, E11.9, M06.9, Z79.4
B) 99214, E09. 9, M06.9, Z79.52
C) 99215, 99401, E11.9, M06.9, Z79.4
D) 99396, E09.9, M06.9, Z79.52

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