Does the E/M Office or Other Outpatient Services guidelines provide guidance for when a patients

Does the E/M Office or Other Outpatient Services guidelines provide guidance for when a patients condition could be considered with severe exacerbation, progression, or side effects of treatment? In addition, is the physician or other qualified health care professionals (QHPs) documentation of the status as severe exacerbation sufficient? It is difficult for a coder to determine what is considered regular exacerbation vs severe exacerbation without other clinical indicators documented to make the distinction.

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CPT Knowledgebase - Sep 9, 2021