Amci
I've been watching AMCI YouTube videos and find them very beneficial. There is a video about "CHUN" = Circle, Highlight, Underline, Notate. It's a great way to mark up your CPT code book to make it much easier to find codes and pick out the essentials, thus saving us time on the exam. I do recommend watching the AMCI YouTube video on CPT and HCPCS Modifiers, and the E/M coding ones too---those one's in particular by AMCI are outstanding and for E/M, they place great emphasis on determining the location, and knowing E/M guidelines. Here is what I learned about E/M coding for the CPC Exam:
1. We code only one E/M Service per doctor per day, UNLESS it's prolonged services or critical care.
2. If Time is documented, then time takes precedence over the H.E.M. (History, Exam, Medical Decision Making) i.e. we go by the time to find the E/M code if it's documented.
3. Location is the end-result place where the service takes place, i.e. the location of the actual treatment.
4. Consultations require the R's: Request, Rendered service and Report, and the consult is done by another physician.
5. When an E/M code DOESN'T match a 3 of 3 H.E.M. requirement, we select the LOWEST code where at least 1 component matches.
6. When an E/M code DOESN'T match a code with 2 of 3 requirements, we select the SECOND LOWEST code that has at least 1 component matching.
7. An Annual Physical Exam (or Annual Exam) falls under the Preventative Medicine Services section of E/M.
8. I recommend highlight the time for all the E/M codes in your CPT code book. This will make it easier to find codes if time is documented.
Here is the link to the AMCI E/M video (highly recommend):
https://www.youtube.com/watch?v=h0mVFCirHBE
Here is the link to the Modifiers video (also highly recommend):
https://www.youtube.com/watch?v=vzjEuDS510I
The best part? Watching these YouTube videos is absolutely FREE!
Sincerely,
Jacob