A 38-year-old man presents his regular clinic for a same day appointment to address his severe abdominal pain, diarrhea, and headache. His regular physician is not available and the new physician sees the patient. The physician documents a detailed history, expanded problem focused physical examination, and a moderate medical decision making. What is the MOST appropriate overall level for the E/M
service?
A. Office or other outpatient site, new patient Level 4
B. Office or other outpatient site, established patient Level 3
C. Office or other outpatient site, new patient, Level 3
D. Office or other outpatient site, established patient, Level 4
D
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