[Verified Answer]: A 72-year-old patient suffered a CVA

A 72-year-old patient suffered a CVA. Today the patient is admitted to a skilled nursing facility for rehab and medical care. The SNF medical director documents a comprehensive history, including the patient’s chief complaint of paralysis and weakness, an extended HPI and a complete ROS. A detailed exam of the patient’s cardiovascular, respiratory, musculoskeletal, neurological and genitourinary systems is documented. The physician orders a multidisciplinary rehab care plan for the patient and the continued treatment of the patient’s other medical conditions, including hypertension and diabetes. The MDM is high. What is the CPT code?