CPT® code

follow up appointment for post mastectomy complicated by atrial fibrillation and embolism requuiring embolectomy, pleral effusion requiring pleuracentesis

re: CPT® code

Complex enough to be 99215, depends on what is done and how much time spent. Unless you are the surgeon and then it's bundled

re: CPT® code

What's in the documentation? Medical decision making alone does not determine the CPT® code.

See this Codapedia article:

http://codapedia.com/article_294_Is-medical-decision-making-a-trump-card-in-E-M-services.cfm