To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

A. History and examination
B. History and medical decision making
C. Examination only
D. History, examination, and medical decision making


Answer: History, examination, and medical decision making

Health Professions

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You cannot locate a radial pulse on a 54-year-old male who is alert, confused, and breathing adequately. Which of the following should you do immediately?

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