Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: ■ A comprehensive history; ■ A comprehensive examination; and ■ Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission to outpatient hospital “observation status” are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit