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Evaluation & management codes enable the physician to be reimbursed for all of these services:
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Talking with the patient & the family, consulting with other healthcare professionals, Reviewing data such as test results.
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Evaluation & management codes enable the physician to be reimbursed for all of these services:
Talking with the patient & the family, consulting with other healthcare professionals, Reviewing data such as test results.
Often, finding the correct E/M code begins with knowing
where the patient met with the physician
a patient who has not seen a particular physician in the last 3 years is categorized as:
a new patient
The three key componets of many E/M codes include all of the following:
Hhistory, Exam, & medical decision making
Levels of patient history include following:
Expanded problem-focused, Comprehensive, & Detailed
Body areas that might be included in a physical exam include:
each extremity
When services are provided at different levels, the guidelines states that you should code to the level of:
All must be met or exceeded.
If __________________ of the time with the patient is spent counseling, you should use time rather than key componets to determine the level of service code.
51% or more
A consultation is expected to be a ___________________ relationship with the patient
temporary
a patient seen in the office & then admitted to the hospital the same day should be coded with E/M codes from subsections.
Initial hospital care only
A preventive medical E/M encounter may include any of these services:
Admission into the hospital
If the physician finds a health concern during a preventive medicine exam, requiring additional E/M services, you should code this
separately & additionally
E/M services provided to a patient in an assisted living facility would use a code from the subsection:
Domiciliary, rest home, & custodial care setting
If a patient is discharged from the hospital & admitted into an SNF on the same day by the same physician, code the E/M services with
a hospital discharge code & addmission to a nursing facility code.
Care plan oversight provided for a patient in the hospice setting are coded from the
99377-99380 range
Critical care codes are determined by:
length of time
a 3 day male is admitted into the NICU for complications of his low birth weight status. The doctor saw him yesterday, & is in again today. You will code today's E/M services from the
99298-99300 range
Mary goes to see the doctor for an appointment, after a full history, exam, & comprehensive MDM, the doctor recommends that she be admitted into a psychiatric residential treatment center. He takes her over & she is admitted that afternoon. You will code the E/M services with
Admission to nursing facility code.
Confrencing with other healthcare professionals reguarding management &/or treatment of a patient is
coded from 99366-99368
a modifier
explains an unsual circumstance

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