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Mid-Level E/M Coding Breakdown

Posted on 09. Mar, 2009 by in Toolkit

Our chart shows you how to choose among 99212, 99213 & 99214.

You can’t use just history and examination to boost an established office visit from a level two to a level three, or a level three to a level four.

Medical necessity should serve as the overarching criteria that steers the key components of history and exam that the pediatrician performs.

You also need documentation of two of the listed three key components of history, examination, and medical decision making. (Or, when the physician spends the majority of the encounter’s face-to-face time on counseling and/or coordination of care, she can use time as the controlling factor in selecting the E/M service level.)

Click here for chart.

Expert E/M coding advice from Deborah Grider, Bruce Rappaport, Marvel Hammer, Jillian Harrington & more.

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