An infant discharged from the neonatal intensive care unit on home oxygen one month ago is seen in the pediatric office. The physician examines the patient; reviews patient history, including home oxygen saturation records; and counsels the patient’s parents about weaning the home oxygen in small increments. After reducing the oxygen, the patient is monitored in the office with frequent assessments by clinical staff for a 2-hour period following the physician’s face-to-face encounter. The physician remains in the office suite providing supervision and revisits the patient periodically throughout this time. The physician’s evaluation and management (E/M) service supports reporting of established patient office or other outpatient E/M code 99214, which has a typical time of 25 minutes. The total time of the patient encounter was 2 hours and 25 minutes, with 45 minutes of physician face-to-face time. Clinical staff spent a total of 80 minutes of face-to-face time with...

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