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BC Advantage - 2016 Issue 10

E/M 101

E/M stands for "evaluation and management". E/M coding is the process by which provider-patient encounters are translated into five digit CPT codes to facilitate billing. CPT stands for "current procedural terminology." These are the numeric codes which are submitted to insurers for payment. Most billable procedures have their own CPT codes. Some procedures are new or unusual so they use unspecified codes.The CPT codes which describe provider-patient encounters are often referred to as "E/M codes" There are different E/M codes for different types of encounters such as office visits or hospital visits. Within each type of encounter...

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