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ED Coding and Reimbursement Alert

You Be the Coder:

Is This Enough Documentation For A Separately Reportable E/M Service?

Published on Thu Sep 19, 2013

Question: My group wants to report an E/M code along with this chart for a laceration repair, but I’m uncomfortable with the documentation as it appears justifying the addition service. Do you agree? Physician Documentation: HPI: The patient has a laceration related to: cooking, from a knife, occurred at home, and there are no complication factors. Cut with a knife. [...]
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