This guide is offered as a reference tool and does not replace content found in the "1995 Documentation Guidelines for Evaluation and Management Services" and the "1997 Documentation Guidelines for Evaluation and Management Services." These publications are available in the Reference Section of this guide and at http://www.cms.gov/MLNProducts/Downloads/1995dg.pdf and http://www.cms.gov/MLNProducts/Downloads/MASTER1.pdf on the Centers for Medicare & Medicaid Services website.
Note: Either version of the documentation guidelines, not a combination of the two, may be used by the provider for a patient encounter.
The Table of Contents for this 89 page guide includes:
Page - Item
03 MEDICAL RECORD DOCUMENTATION 03 General Principles of Evaluation and Management Documentation 04 Common Sets of Codes Used to Bill for Evaluation and Management Services 05 Evaluation and Management Service Providers 07 EVALUATION AND MANAGEMENT BILLING AND CODING CONSIDERATIONS 07 Selecting the Code That Best Represents the Service Furnished 21 Other Considerations 22 REFERENCE SECTION 22 Resources 23 "1995 Documentation Guidelines for Evaluation and Management Services" 39 "1997 Documentation Guidelines for Evaluation and Management Services"
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