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Pediatric Coding Alert

You Be the Coder:

Drive This E/M Level With Documentation Detail

Published on Tue Mar 08, 2022

Question: How would you level this office/outpatient evaluation and management (E/M) encounter? A 5-year-old established patient came back with his mother for a follow-up after our pediatrician noticed a heart murmur during a previous visit and ordered an electrocardiogram (ECG). The test results came back with normal readings. The pediatrician noted they had reviewed the test and previous records. The pediatrician [...]
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