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Urology Coding Alert

Evaluation and Management:

4 FAQs Ease the Stress of Choosing Physical Examination Levels 4 FAQs Ease the Stress of Choosing Physical Examination Levels

Published on Fri Jun 17, 2011

1995 vs. 1997 guidelines: Choose one per claim, but feel free to use either one for different claims.1. How Do I Determine the Physical Examination Level?There are two sets of guidelines you should be familiar with before trying to determine the level of the physical examination key component for your E/M coding: 1995 and 1997 guidelines.Both sets of guidelines help you determine which of the following four levels of examinations your urologist completed during an E/M service: problem-focused, expanded problem focused, detailed, and comprehensive. The level of exam is a factor in determining which code you can report: 99201- 99205 (Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components ...) for new patients or 99212-99215 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components [...]
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