DecisionHealth, DecisionHealth - 2026 Issue 4 (April)

E/M: Patient, treatment are factors when you level risk based on a procedure

Consider both the type of procedure and factors specific to the patient when you select the level of risk for an E/M encounter, said Doris Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, president, DB Healthcare Consulting and Education. Her remarks were in response to questions during the 2025 Advanced Specialty Coding Summit: Pain Management, but they apply across E/M coding situations.

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