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Evaluation and Management Services are the most common codes used in a physician's office. The three key components that drive the selection process are:

• History
• Examination
• Medical decision making

Review the Table 1 "Key elements that define E/M services as listed below:

History

Examination

Medical Decision Making

Problem-focused

Problem-focused

Straightforward

Expanded problem-focused

Expanded Problem-focused

Low complexity

Detailed

Detailed

Moderate complexity

Comprehensive

Comprehensive

High complexity

• Choose one of the unique combinations using the three essential factors (History, Examination, and Medical Decision Making) and review its definitions and components. Review the material in your text including the Tables 7.2, 7.3, 7.4, and 7.5 to fully describe the elements required and differentiate between the elements.

• Provide relevant examples of content when applicable.

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