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Medical Note: a 15-year-old male is being admitted by her family practice physicians with a

Medical Note: a 15-year-old male is being admitted by her family practice physicians with a 2-week history of fatigue and fever. It has been progressively getting worse. He is suffering from dehydration. The patients mother called the physician, and it was determined her son should be admitted to the hospital. At the hospital upon admission, the physician performed a comprehensive history to look for explanations for his fatigue, including recent activity level and recent sleep habits. A medically appropriate history and exam are performed, and he is diagnosed with mononucleosis. MDM is low. What E/M CPT code should be reported? Hint: pay close attention to the type of service here.

 
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