Question: Encounter notes indicate that the provider performed a level-five evaluation and management (E/M) service for an established patient suffering from nontraumatic intracerebral hemorrhage. How should I report this encounter? Texas Subscriber Answer: The diagnosis code you choose for this 99215 (Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.) encounter will depend on the “geography” of the hemorrhage (or hemorrhages). Go back and check the notes. Then, choose from one of the following diagnosis codes: