CPT Knowledgebase - Nov 5, 2024

A patient schedules an audio-only visit with their physician. The patient has a history of asthma and reports feeling shorter of breath than usual over the past week. After 5 minutes of discussion, the physician makes a same-day in-office appointment for the patient to perform a more comprehensive evaluation. During the visit, the patient reports a cough and shortness of breath with a low-grade fever. The patient does not have a fever, other vital signs are stable, and pulse oximetry on room air is 97%. Lung sounds with mild wheezing in the bases of the right lobe. The physician orders a chest x-ray which shows early pneumonia. The physician prescribes antibiotics as well as refills on the patient's inhalers and instructs them to schedule a follow-up appointment in one week. How would this visit be reported?

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