Performing patient activities

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A 63-year-old female new patient with hypertension presents for a primary care visit after moving to the area. Blood pressure is adequately controlled with medication. Dr W reviews the medical history form completed by the patient and vital signs obtained by the medical assistant. The diagnosis of hypertension is confirmed with no new conditions identified. Time is spent discussing the ongoing treatment with the patient, including options for lifestyle modification, instructions to continue the current medication, and a discussion of preventive health care needs. A prescription is written to refill the current medication, with further discussion about joining Dr W's practice for ongoing primary care. A progress note is dictated after the encounter. Dr W spends 42 minutes performing patient activities. Using time as the basis for code selection, which E/M code(s) should be reported for this case study?

Reference no: EM133145584

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