A new patient presented with throbbing left sided pain at the physician's office. The physician performed a medically appropriate history and physical examination with a low level of medical decision making (MDM) assessment and plan. The total time for the visit was 35 minutes. What would be the appropriate code to report for this scenario? ...
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Article Overview
This article explains a simple evaluation and management coding scenario for a new patient office visit. It is aimed at coding professionals and clinicians who need to understand how visit level, documentation, and reported time are discussed in relation to office encounter coding.
Why This Topic Matters
Short scenario-based articles like this help readers quickly determine whether the content applies to office visit E/M coding and documentation review. It is useful for anyone checking coding support material for new patient encounters and time-based reporting.
What You Will Learn
- How a new patient office visit scenario is evaluated at a high level
- How visit documentation and reported time are discussed in office encounter coding
- What kind of coding question the article is intended to answer for a new patient encounter
- How the article frames the relationship between medical decision making and time in a brief scenario
Who Should Read This
- Medical coders
- Coding auditors
- Physician office staff
- Clinical documentation professionals
- Billers
Codes Discussed
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