Which of the following is NOT a requirement for a level 4 office visit?

For a level 4 office visit, the documentation must meet specific criteria that reflect the complexity and thoroughness of the visit. These criteria typically include having a detailed history of present illness with at least four elements, a comprehensive physical examination with twelve or more elements, and a level of medical decision-making that is classified as moderate complexity.

The requirement concerning consultation with a physician or pharmacist is not a standard part of the criteria used to determine the level of the office visit. While collaboration and discussions with other healthcare providers can enhance patient care and may be beneficial in complex cases, they are not explicitly required for the classification of an office visit as level 4. Thus, this option does not align with the established requirements for coding or defining a level 4 visit in terms of documentation and decision-making practices in clinical settings.