EM Coding Alert

You Be the Coder:

Remember Time or MDM When Selecting E/M Code Choice

Question: Encounter notes indicate that the provider performed an office evaluation and management (E/M) service that lasted 33 minutes and included low-complexity medical decision making (MDM). Final diagnosis was “constricted hip joint.” What is the best coding strategy for this encounter? Arizona Subscriber Answer: We’ll code the E/M first, and then the diagnosis. For the E/M you need to know if the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.