tci General Surgery Coding Alert - 2024 Issue Q2

E/M Coding: Follow These 5 Tips to Solidify Your Inpatient Care Coding

Stay on top of the hospital E/M revisions. For the last year, you have been using a revised set of codes to document hospital admission, observation care, and same-day observation and discharge evaluation and management (E/M) services. The revisions have enabled you to use the same medical decision making (MDM) elements with the exception of a few elements added to the table from 2021 to 2023 that CPT® introduced in 2021 for the office/outpatient E/M services to determine appropriate service levels. You’ve also been using revised time parameters for determining those service levels, when applicable. So, this...

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