CPT Knowledgebase - Jun 4, 2024
A patient with dementia lives in an assisted living facility. The patient is experiencing some anxiety and mild agitation during meals, which is new. The facility staff and the family concur that medical evaluation is needed, and the facility calls the patient's established primary care physician (PCP) to see the patient at the facility. The PCP visited the patient and spent 30 minutes with the patient and obtained medically appropriate history from the staff and family. The medications were reviewed, and non-pharmacologic interventions were recommended. A complete blood count, basic metabolic panel, and urinalysis were ordered. Moderate-level medical decision making (MDM) was documented. What would be the appropriate code to report for this scenario?To view the Official AMA answer and 1000s more like this:
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