Example cited initial exam for 70 year old female with polyarthalgia, or 63 year old man with chest pain on exertion. A detailed history, a detailed exam, medical decision making of low complexity. Presenting problems are of moderate severity, typically 30 minutes face to face with the patient. Example cited- initial office visit for a 48 year old man with recurrent low back pain radiating to the leg. A problem focused history, a problem focused exam, straightforward medical decision.
Problems are usually self limiting or minor.
Typically 10 minutes Example cited is initial office visit for contusion of a finger, or 10 year old with a 24 rash and itching with positive history of contact with poison oak withing 48 hrs. May not require the presence of a physician. A problem focused history, a problem focused exam. Problems are usually self limiting or minor. Typically 10 minutes face to face with the patient.