Mr. Jones is a new patient, seen by an orthopedic surgeon for severe hip pain. The orthopedic surgeon provides a comprehensive history, detailed examination, and medical decision making of moderate complexity. It is determined that Mr. Jones has a fractured radius that will require surgical intervention. Mr. Jones is instructed to elevate and ice the extremity, do diminish swelling, and is scheduled to undergo an outpatient surgical procedure to reduce the fracture later that day.

What is the correct CPT code for the office visit?

Which modifier would you append to the office visit?