solved

Case 1. Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable:
Location: New Hope Family Center
Encounter Date: 11/10/xx
Provider: Lee Jones, MD
Patient: David Johnson
Gender: M
Age: 39-year-old established patient
Reason for the Encounter/Chief Complaint: Annual physical exam
Height: 6’3″. Weight: 195.
PFSH: Patient is on no current medications. Has allergies in the spring, but over-the-counter medication is effective. Does not smoke. Parents are still living and healthy.
HEENT: Head—Normocephalic. Eyes—Conjunctivae pink.
Neck: Two skin tags.
Cardiovascular: Normal sinus rhythm
Abdomen: Firm, nontender; no hepatosplenomegaly
Rectal: Normal
Genitalia: Normal
Integumentary: Warm. Dry. Normal, except for the skin tags on the right side of the neck.
Extremities: Normal, Pedal pulses normal.
Neurovascular: Intact
Impression: Normal, healthy 39-year-old male. Two skin tags irritated by his shirt collar. Skin tags were electrosurgically destroyed.

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