There is an issue my ofice is having with determing levels with established patients. The requirements per CPT guidlines is you only need 2/3 components to meet a level. Now our question is due to EMR's, comprehensive History and PE is very common. Or comprehensive and Detailed history and PE. Now if you add this to a system such as 3M, it gives you level 5 and level 4. regardless of the MDM. I find it hard to not have to bring MDM into consideration, so I wanted other opinions on how others are basing this. Are you using the MDM to bring it down a level? Thank you in advance!