tci ED Coding & Reimbursement Alert - 2015 Issue 7

E/M Coding: Documented H&P And NOPP Will Determine the Difference in Your Level 3 and Level 4 Claims

It’s not just about counting bullets anymore. If you’re like most ED coders, determining exactly when you should report a level 3 or  level 4 evaluation and management (E/M) codes requires some real sleuthing: Unless you can identify certain distinguishing details, your E/M coding could be error-ridden. Read on for advice on how to tame the level 3/level 4 beast. The challenge: Identifying the difference between a 99283 and a 99284 can be difficult, even for an experienced coder, because  of the “urgency of presentation” statement as defined in the nature of the presenting...

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