DecisionHealth, DecisionHealth - 2023 Issue 11 (November)

E/M coding scenario: How a dyspnea case meets a Level 4 visit

Under the current E/M guidelines for level-based services, previously vital components of code level selection — namely, the history and exam components — no longer factor into the level of decision-making. Instead, determining a level of service comes down to one of two components: Medical decision-making (MDM) or time.

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