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1. Printable template - 90792 - (revised 12/7/2017) 2. Fill-in template - 90792 - (revised 12/7/2017) 4. Printable template - 99204 or 99205 - (revised 12/7/2017) 5. Fill-in Template -99204 or 99205 - (revised 12/7/2017) 6. Instructions - 99204 or 99205 7. Printable template - E/M Outpatient Counseling and Coordination of Care - (revised 12/7/2017) 8. Fill-in template - E/M Outpatient Counseling and Coordination of Care - (revised 12/7/2017) 9. Instructions - E/M Outpatient Counseling and Coordination of Care 10. Printable template - E/M and Psychotherapy - (revised 12/7/2017) 11. Fill-in template - E/M and Psychotherapy - (revised 12/7/2017) 12. Instructions - E/M and Psychotherapy 13. Printable template - 99358 16. Printable template - 90846 or 90847 |