Anyone who I can’t help but isnt looking for opioids or a complicated second opinion is a 99203.
1-The worried well, patients with mild intermittent disc pain who have already failed PT.
2- Medicaid patients with more mental problems than medical problems, so quick visit to say I can’t help them.
3- Obese patients axial pain, <40yrs. Quickly tell them gently that there is no easy magic bullet, they have to lose 50-150 lbs, period if they want less pain.
Those all take less than 6 minutes and so I can’t justify a level 4.