tci E/M Coding Alert - 2019 Issue 1

Reader Question: Extend Your HPI Knowledge to Assign E/M Levels Correctly

Question: One of our physician assistants believes that if she has an extended HPI, she can report the high-level E/M codes. We believe there’s more to it than that. Can you advise? Michigan Subscriber Answer: No, an extended history of present illness (HPI) does not guarantee a higher-level E/M code but without an extended HPI you aren’t able to report a high-level E/M. Your physician must document an extended HPI to document a detailed or comprehensive history. An extended HPI is a requirement for 99203-99205 (Office or other outpatient visit for the evaluation and management of a...

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