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Neurology & Pain Management Coding Alert

You Be the Coder:

Get to the Most Correct E/M Level

Published on Fri Aug 20, 2021

Question: Notes indicate that the provider performed an office evaluation and management (E/M) service for a new patient. Final diagnosis was concussion. During the encounter, the provider performed moderate-level medical decision making (MDM), but the visit lasted 27 minutes. How should I report this encounter? Massachusetts Subscriber Answer: Provided the notes support that the physician performed moderate-level MDM, you should [...]
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