A 76-year-old male patient was diagnosed with advanced Alzheimer’s disease about 1 year ago and has been in this facility for approximately 8 months. He was seen today by the nursing facility’s physician over concern of the development of urinary and fecal incontinence, as well as a number of other medical problems that have appeared to increase in severity. In addition to the detailed interval history, the physician spoke with family members and the nursing staff. Then, the physician reviewed the patient’s record to create an extended history necessary for an extended review of systems. The physician performed a medically appropriate physical exam to assess all body systems. Afterward, he wrote all new orders due to the dramatic change in the patient’s physical and mental condition. A new complex treatment plan was created. Medical Decision was of high level. What is the E/M code used to report this service?