A 60-year-old male established patient saw his physician for a routine physical examination, and this was completed and documented.

Scenario 1 A 60-year-old male established patient saw his physician for a routine physical examination, and this was completed and documented. During this visit, the physician found a mass in the abdomen and scheduled an abdominal CT scan, and he wrote orders for blood work and a urinalysis. The physician performed and documented a separate medically appropriate history and exam and low-level of medical decision-making. No further explanation is needed, just provide the codes for each scenario.