📌 Coding Tip of the Week
Read the Assessment & Plan First
Many coders struggle with E/M levels because they focus on the code description before understanding the story behind the encounter.
Before assigning an E/M level, ask:
✅ Why did the patient come in?
✅ What conditions were evaluated?
✅ Were medications prescribed or adjusted?
✅ Were tests ordered or reviewed?
✅ Was additional work performed?
The answers often reveal the correct level of medical decision-making.
💡 Lovely's Quick Tip
The Assessment & Plan often tells the entire story.
If you understand the story, the E/M level becomes easier.
OBGYN Corner
Common E/M Mistake
Many coders memorize 99213 and 99214 descriptions but miss the provider's actual thought process.
Remember:
Problems addressed
Data reviewed
Risk of management
These elements work together.
Coming Next Week
Modifier 25
When is an E/M service truly separate and significant?
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