If a patient presents with a new workers' compensation injury to the right shoulder with

If a patient presents with a new workers' compensation injury to the right shoulder with subjective and objective information and findings consistent with a rotator cuff tear, and an X ray and magnetic resonance imaging are ordered, does the injury qualify as a high-level complexity because a rotator cuff tear "poses a threat to bodily function?" What would be the appropriate E/M code to report for this scenario?

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CPT Knowledgebase - Dec 4, 2025