Which code is used for a moderate level re-exam?

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Multiple Choice

Which code is used for a moderate level re-exam?

Explanation:
When coding a re-exam for an established patient, you select the level of service that best matches the amount of history taken, the extent of the physical exam performed, and the level of medical decision making required. A moderate level re-exam involves more detailed history and examination and a moderate level of decision making. CPT assigns this combination to the middle level code, which is commonly used for about 25 minutes of face-to-face work with the patient. Therefore, the appropriate code for a moderate level re-exam is 99214.

When coding a re-exam for an established patient, you select the level of service that best matches the amount of history taken, the extent of the physical exam performed, and the level of medical decision making required. A moderate level re-exam involves more detailed history and examination and a moderate level of decision making. CPT assigns this combination to the middle level code, which is commonly used for about 25 minutes of face-to-face work with the patient. Therefore, the appropriate code for a moderate level re-exam is 99214.

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