Problem: A 33-year-old male patient goes A new patient was seen in the physician's office for abdominal pain. The physician performs a comprehensive history and examination. Medical decision making is of moderate complexity. What is the E/M used to report this service? his family physician for a tetanus shot after stepping on a rusty nail at the beach. While there, he asks the physician to look at his left hand. The physician examines the wound and tells him to keep the wound clean and bandaged. The physician documents a brief HPI and performs a limited exam on the left hand. Medical decision-making is straightforward. What is the E/M code and modifier used to report this service? Looking for Assignment Help?