PHYSICAL EXAM OF BOARDING PARENT with E/M visit

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A patient was seen for an office visit.

CC: Elevated cholesterol
HPI: Unable to take statins - causes muscle pain
Review of Surgical HX, Allergies, Social Hx, and Family Hx
Review of 3 systems
Problem Focused Exam
A: Elevated Lipids, Cough
P: Counsel Re: diet, exercise
Ordered CMP, Lipid Panel and CXR

In addition, at same encounter, patient was seen for a Boarding Parent Physical to become a foster parent. The physical form included Physical exam: Skin, BP, Vision, Lungs, Neuromuscular, Hearing, Abdomen, Throat, Urinalysis, Heart, General Health. TB History, and an assessment of physically fit or unfit. Along with a urinalysis without microscopy.

How would I code this encounter?

I was going to use 99213, modifier 25, 81002, what code would I use for the boarding home PE form?

Any help on this would be appreciated :confused:

Thanks to all who respond
 
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