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Leveling a Visit for an Acute Uncomplicated Illness

Leveling a Visit for an Acute Uncomplicated Illness

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The September 2025 issue of CPT® Assistant raised important questions about how to appropriately level an evaluation and management (E/M) encounter when the presenting problem is an acute, uncomplicated illness or injury. A growing number of providers have been assigning Level 4 codes simply because an antibiotic was prescribed. However, this approach may not be […]

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