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inittial office visit, 25-year-old male, with boil on back: physician took a brief history , performed a limited examination of the back, and there were little risk of complications and minimal treatment options.
office visit, established patient is a 67-year-old female, with controlled diabetes mellitus, complaining of lack of sensation in her feet, expanded problem-focused history and examination
first hospital visit, admitting physician, comprehensive history, examination, and moderate decision making
initial office consultation; detailed history and examination, low complexity medical decision making
hospital visit to previously admitted patient, problem-focused history and examination, 10 minutes spent at bedside
emergency department service for patient following a car accident; comprehensive history and examination, highly complex decision making
subsequent care for new patient in a long -term care facility; patient regaining movement and has an excellent prognosis
55--minute medical conference, with other health care providers, related to the patient's overall care
one-hour physician attendance as standby during delivery; mother has uncontrolled diabetes mellitus
primary care physician sends a patient to a cardiologist for an evaluation of a complicated vascular problem; during the hour-long encounter, the specialist performs a comprehensive history and examination, and follows up the visit with a written report to the PCP: MDM was moderate
thoracic surgeon provides a second opinion on the appropriateness of a single bypass procedure as requested by a third-party payer; a detailed history and examination are obtained; MDM is of low complexity
99243 - 32
during an annual physical examination, a 45-year-old established patient complains of general tiredness and severe shortness of breath during mild activity; physician performs a detailed cardiovascular assessment with additional detailed history; following complex MDM, the physician also schedules an immediate heart study
99214 - 25, 99396
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