The physician evaluates a 68-year-old new patient who wasadmitted to Observation status earlier today. According to thefamily, the patient complained about headaches and blurred visionlast week and then became confused and disoriented two days ago.The physician performed a comprehensive history and exam, at whichtime he noted decreased response to light in one eye and BP of220/100, but the family denied any previously known or treatedhypertension. Suspicious for increased intracranial pressure,medical decision making is listed as high complexity. The patienthad a CAT scan of the brain without contrast which was positive forbrain lesions. An A-scan bilateral ophthalmology biometry was thenperformed, and patient was sent to the radiology department forsimple therapeutic radiology treatment planning.
E&M code: _______
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ICD-10-CM code: _______
