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December 21, 2022

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

Can you help me with the right CPT code for this scenario?

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.

Reference

Herzing discussion assignment

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