Under the 2021 E/M guidelines for outpatient visits, the level of service for established patients is based primarily on which two elements?

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Multiple choice — select the best answer

AHistory and physical exam
BChief complaint and time
CMedical decision making or total time
DNumber of diagnoses and risk

✓ Correct answer: C. Medical decision making or total time Since 2021, outpatient E/M levels for established patients are determined by either medical decision making (MDM) or total time on the date of the encounter — not the three-component history/exam/MDM framework.

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Topic: CPT & Outpatient

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Under the 2021 E/M guidelines for outpatient visits, the level of service for established patients is based primarily on which two elements?

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