tci Part B Insider - 2012 Issue 35

Part B Mythbuster: No 'Standard' Code Applies to Specialty E/M Services

Select the appropriate code based on the documentation--not the specialty or diagnosis.When it comes to a joint injection or a chest x-ray, you may know the standard codes for each service by heart. When you're evaluating codes for an E/M service, however, the issue isn't so clear-cut.Consider this question submitted to the Insider from a subscriber: "Which code should we report for evaluation of knee pain? We can't decide whether it should be 99212 or 99213."This question supports a common myth--that each type of diagnosis has a standard E/M code associated with it. However, your E/M...

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