What is an example of a Category I code for a physical examination?

Prepare for the Current Procedural Terminology (CPT) Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam today!

The choice of 99213 as a Category I code for a physical examination is appropriate because it specifically refers to an office visit for an established patient, where a level of medical decision-making and evaluation is conducted. This code reflects the process of assessing a patient’s health, which is a key component of a physical examination.

In the context of CPT codes, Category I codes represent procedures and services that are widely accepted and used in clinical practice, which includes office visit evaluations like 99213. Established patient visits typically involve a review of systems, a medical history update, and a physical examination, all of which fall under the activity characterized by this code.

Other choices, while they are important medical procedures, do not represent a physical examination in the same way. For example, 93000 pertains to an electrocardiogram, which is a diagnostic test rather than an evaluation of overall health. The code 20610 refers to an arthrocentesis, a specific procedure involving the joint that is not a comprehensive examination. Lastly, 36415, which covers the collection of a venous blood sample, is also more procedural in nature rather than encompassing the comprehensive evaluation typically associated with a physical examination.

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