An 89-year-old female patient is admitted to the skilled nursing facility after being
seen in the office earlier today. The daughter brought the patient to the office. As a
part of the detailed history, conducted with the patient's daughter, it is found that the
patient was diagnosed with dementia last year. The patient was moved to this city
from Anytown so that the daughter could care for her mother. The patient is
noncontributory, and the physician relies on medical record documentation brought
in by the daughter from her mother's previous physician. Of late, the patient has
become more and more withdrawn and noncommunicative. She has wandered away
from the daughter's home twice in the last week, and on the last occasion, was
found walking on the street. After a detailed history and comprehensive
examination, it is decided that the patient will be admitted to the nursing facility
today because of senile dementia. The physician spent 45 minutes with the patient
and in preparation of the medical documentation for admittance to the nursing
facility. The medical decision making was of high complexity.
Code the procedure(s) and diagnosis(es).