tci E/M Coding Alert - 2019 Issue Q4

Guidelines: Take Your ED E/M Coding to the Next Level

Does your documentation justify those 99285s? You know that E/Ms, especially high-level E/Ms, require meticulous documentation. You also know that’s especially true in emergency departments (EDs), where coding 99285 (Emergency department visit for the evaluation and management of a patient...) means you have to calculate with total precision the elements and the high-complexity medical decision making (MDM) that go into justifying the code choice. But do you know that even if you do calculate 99285 by the book, the code may not be the right way to go under certain circumstances? Read through to the example at...

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