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EM Coding Alert

E/M Coding:

Distinguish Between Mentions and Discussions

Published on Thu Mar 06, 2025

Question: A provider wrote that they made a diagnosis and then discussed with the patient the possibility of surgery if the condition doesn’t resolve within a certain timeframe. Does this affect leveling for medical decision making (MDM) for evaluation and management (E/M) services? Oregon Subscriber Answer: According to the AMA CPT® Evaluation and Management (E/M) Code and Guideline Changes, [...]
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