CPT Knowledgebase - Nov 1, 2022

Question: A patient presents with calf pain and the physician orders a STAT ultrasound to rule out deep vein thrombosis (DVT). Following the review of the test results, the physician later documents that the patient is stable enough that there is no concern for pulmonary embolism. Does this scenario meet a moderate MDM (99214, 99204) based on the number and/or complexity of problems addressed and risk of complications and/or morbidity or mortality of patient management due to the need to initiate or forego further testing, treatment, and/or hospitalization?

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