DecisionHealth, DecisionHealth - 2026 Issue 7 (July)
E/M coding scenario: Suspected MS meets a level 5 established office 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. The following coding scenario provides a closer look at the MDM guidelines that dictate code choice. T
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