decisionhealth Newsletters, Coder Pink Sheets - 2002 Issue 12 (December)
E/M Guidelines
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Article Overview
This article covers anticipated updates to evaluation and management (E/M) coding, including changes to code descriptors and the use of benchmark clinical examples as a future method for level selection. It is relevant to coders, physicians, specialty societies, and compliance professionals who follow CPT development, documentation policy, and the transition away from older E/M documentation guidelines. The discussion also touches on the role of the AMA CPT Editorial Panel, specialty societies, the RUC, HHS, and CMS in the development and review process.
Why This Topic Matters
The topic matters because changes to E/M coding structure and documentation expectations can affect how services are documented, reviewed, and compared across specialties. Readers monitoring coding policy need to understand the direction of future guidance and the organizations involved.
What You Will Learn
- The general direction of planned E/M coding updates
- How clinical examples are expected to fit into future E/M level selection
- Which organizations are involved in developing and reviewing the changes
- Why existing E/M documentation guidance may become less central
Who Should Read This
- Medical coders
- Physicians
- Compliance professionals
- Revenue cycle staff
- Specialty society coding leaders
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