Does anyone remember the good old days, when you didn't need to know the patient's insurance to select a category of code? Now, correct selection of an E/M category of code requires the clinician and coder to consider:
Where the service was performed
The status of the patient (Observation vs inpatient vs ED patient)
Whether the patient self referred, was sent for an opinion
Is new or estabilshed
This article has a one page pdf file attached to help with the decision making process. For any insurances that follow Medicare rules on consults, select the category of code as if they were Medicare patients when using this chart.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
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