Age and E/M level: No automatic linkage

Article Overview

This short coding article addresses evaluation and management (E/M) level selection in pediatric visits and clarifies the relationship between age, medical decision-making, and code assignment. It is intended for pediatric coders, physicians, and billing staff who need to understand why coding must be based on documented services rather than assumptions tied to a child’s age. The discussion stays at a general level while referencing common E/M concepts and a specific higher-level office visit code as an example.