You Be the Coder:
Select E/M Level Code, Go All-Out on Diagnosis
Published on Tue Jan 25, 2022
Question: Notes indicate the provider performed a level-four office evaluation and management (E/M) service for an established patient that lasted 42 minutes and included moderate medical decision making (MDM). Final diagnosis was “displ. Osteochon. Fx, L patella.” How should I report this encounter? New Hampshire Subscriber Answer: You’ll report 99215 (Office or other outpatient visit for the evaluation and management [...]