December 2025 pages 26-32
Questions and Answers
Evaluation and Management (E/M): Services Guidelines
Question: An established patient being treated for obesity presents for a follow-up weight-loss check. The nurse notes that the patient continues to lose weight but has not reached her final weight-loss goal. Would the complexity of problems addressed be considered low-level medical decision making (MDM) for a stable condition because she is losing weight and making progress toward her short-term goals, or moderate-level MDM with exacerbation/progression because she has not reached her final weight-loss goal?
Answer: For a nursing visit, code 99211, Office or other outpatient...
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