Office Visit Date of Service: 9/5/11 Last Date of Treatment

Short Answer

Office Visit Date of service: 9/5/11 Last date of treatment: 8/14/07. The patient is seen for a chief complaint of shortness of breath, malaise, and fatigue. The physician performs a detailed history, comprehensive examination, and medical decision-making is of moderate complexity. What is the correct E/M code for this service?