Instructions: Review each case and assign CPT code(s) and appropriate modifier(s). Please be aware that when an answer consists of more than one code, there will be an answer blank for each code.
Domiciliary Care, Rest Home, Custodial Care Services: An established patient diagnosed with fetal alcohol syndrome and self-abuse receives evaluation and management services for active treatment in an intermediary care facility for individuals with intellectual disability (ICF/ID). The ICF/ID physician documents an expanded problem focused history, expanded problem focused examination, and moderate complexity of medical decision making.
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