All about Evaluation and Management (E and M) procedure codes. Office visit, hospital visit, Hospital care procedure codes. Service codes 99201,99203,99205, 99211, 99212, 99213, 99214, 99215,99221, 99222, 99223, 99231, 99233, 96150 - 96154, G0425 - G0427. How and what code to use for proper E & M Billing.
Friday, June 3, 2016
What is Medical decision making
Medical Decision Making
Medical decision making refers to the complexity of establishing a diagnosis and/or selecting a management option, which is determined by considering the following factors:
** The number of possible diagnoses and/or the number of management options that must be considered;
** The amount and/or complexity of medical records, diagnostic tests, and/or other information that must be obtained, reviewed, and analyzed; and
** The risk of significant complications, morbidity, and/or mortality as well as comorbidities associated with the patient’s presenting problem(s), the diagnostic procedure(s), and/or the possible management options.
The chart below depicts the elements for each level of medical decision making. Note that to qualify for a given type of medical decision making, two of the three elements must either be met or exceeded.
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E & M visit Basic
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