tci E/M Coding Alert - 2018 Issue 8

You Be the Coder: Choose 1995 or 1997 Based on Exam, Encounter

Question: We have traditionally used the 1995 E/M guidelines when making our code selections, but our office manager just went to a seminar where she heard that the 1997 guidelines were better suited for our specialty when it comes to the exam. Is this accurate? Will it make a big difference for us to change? New York Subscriber Answer: Both sets of guidelines help you determine which exam level you performed: Problem-focused, expanded problem-focused, detailed, and comprehensive. But the exam element is the most significant difference between the two sets of guidelines. 1997: The 1997 guidelines include specific physical...

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