Coding for Ankle Pain-Level IV Established Code?

From Family Practice Management, February 2006 http://www.aafp.org/fpm/20060200/34codi.html the article suggests coding a level IV visit for acuter ankle pain... hmmm....a red flag??? HPI and new problem/X-ray) CC: Ankle pain HPI: 35-year-old male with sharp pain in left ankle. It began two weeks ago and has gotten worse in the past three days. PH: Left ankle injury due to football in 1999. ROS: No neurological symptoms. No rashes. EXAM: Pain with palpation over medial malleolus. No bruising. Range of motion good but produces pain. Neuro intact. No rash. DATA: Ankle X-ray ordered. I reviewed results personally and found no signs of fracture or dislocation. A/P: Left ankle pain, likely strain or tendonitis. Referred to sports medicine department to evaluate and treat.