decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Evaluation and Management Services / EM Classification
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Article Overview
This article explains how evaluation and management services are organized into broad categories and subcategories across settings such as office, hospital, emergency department, home, nursing facility, consultation, preventive medicine, case management, and other special E/M services. It is useful for coders and billing staff who need a high-level reference to the structure of E/M classification and the associated code ranges.
Why This Topic Matters
Evaluation and management coding is foundational to accurate professional service reporting across many care settings. Understanding the classification structure helps users identify the relevant service family and navigate the code ranges discussed in the article.
Article Sections
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E/M service categories and subcategories
Introduces the overall framework used to organize evaluation and management services. It outlines the major service categories and the types of subcategories used to distinguish settings and patient types.
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Category/subcategory table
Presents the service classification table that lists the broad E/M groupings and their related code ranges. The table spans office, hospital, emergency, home, nursing facility, preventive medicine, and other E/M service groupings.
What You Will Learn
- How evaluation and management services are grouped into major service categories
- What kinds of subcategories are used to distinguish E/M services
- Which broad care settings are included in the classification framework
- Where to look for the code ranges associated with common E/M service groupings
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Clinical documentation specialists
- Compliance teams
Codes Discussed
Code Ranges Discussed
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