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EM Coding Alert

E/M Coding:

Fight for Your Right — if the Documentation Supports Your Claim

Published on Tue Jun 03, 2025

Question: My billing department billed CPT® code 99214 for an established patient whose encounter lasted 30 minutes. The patient’s insurance carrier is requesting records for a pre-payment review. We submitted the office visit notes. The carrier reviewed the records and denied the evaluation and management (E/M) claim, saying the level of service was not documented in the medical record. We [...]
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