code the E/M code and any other

code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable: Location: University Health Center Encounter Date: 08/07/xx Provider: Marta Ghost, MD Patient: Mark Lighthouse Gender: M Age: 48-year-old established patient After seeing his doctor in the office with complaints of chest pain, headache, fatigue and having a syncope episode, the patient was admitted to main hospital for observation. The attending physician completed a medically appropriate history that included a complete HPI, review of all body systems and a complete past, family, and social history. The physician performs a medically appropriate examination with all body system normal. The patient does admit to a great deal of stress and anxiety at work and home. His mom moved in with him and his wife and it is stressing everyone out. Medical decision-making is of moderate complexity. On the second day of care, the physician continues to observe the patient when he conducts a medically appropriate examination and the patient is still feeling stress out. Medical decision making of moderate complexity The patient is subsequently discharged home the next day with a diagnosis of mild depression, stress and anxiety. The patient was in observation status for three days. What CPT code(s) are assigned on the first day? What CPT code(s) are assigned on the second day? What CPT code(s) are assigned on the third day?

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