Advanced Search

Revenue Cycle Insider

E/M Coding:

Rely on E/M to Report This Physical Exam Component

Published on Fri Feb 13, 2026

You’ve reached your limit of free articles. Already a subscriber? Log in.

Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:

Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

February 2026

Path/Lab Coding:
Get Up to Speed With the 2026 Category 1 and PLA Code Changes
Also, gain valuable insights into CLFS payments. In January, path/lab coders saw updates to both [...]

Primary Care Coding:
Find Clarity Coding This Perioral Dermatitis Encounter
Question: The notes for a primary care encounter say: Patient scheduled an appointment with their [...]

E/M Coding:
Rely on E/M to Report This Physical Exam Component
Question: A provider in my office examined a patient with male anatomy worried about a [...]

Gastroenterology Coding:
Find Out When to Use a History of UC Code
Question: When can ulcerative colitis (UC) in remission be called history of UC? Does the [...]

Gastroenterology Coding:
Pinpoint the Correct EGD Code for This Gastritis Case
Question: I have an op note for a diagnostic esophagogastroduodenoscopy (EGD) procedure. The patient presented [...]

Diagnostic Radiology Coding:
Can You Report Technical and Professional Components on Different Dates of Service?
Question: What date of service (DOS) should we use for billing the professional component of [...]

Practice Management:
Make Sure Staff Use Their Individual Logins
Question: I work for an independent practice that is being purchased by a larger organization. [...]

Compliance:
Look to Location-Specific Guidance for These Documentation Attestations
Question: How much time does a physician have to make an attestation for documentation that [...]

Pediatric Coding:
Use These New Immunization Counseling Codes in Your Practice, Part 2
Documentation will be key to new code reimbursement. Last month, Revenue Cycle Insider discussed in detail three [...]

Ob-Gyn Coding:
Learn How to Code a Repeat Pap Smear Plus UTI Evaluation
Question: A Medicare patient who is high risk due to their sexual behavior came in [...]

Medicare Regulations:
Don’t Use Q6 for Global Services or Fees
Question: I work for a surgical practice, and one of our providers is going out [...]

Gastroenterology Coding:
Learn 9 Tips for Demystifying Cirrhosis Coding
Pay attention to whether the cirrhosis is specified and whether complications are present. Struggling to navigate the tangled [...]

Oncology/Hematology Coding:
Take These 3 Steps to Determine Correct Lesion Removal Code
Question: A post-mastectomy patient with a diagnosis of invasive ductal carcinoma, coded to C50.911, went [...]

Emergency Department Coding:
Do Extra Leg Work for This Unspecified Dx
Question: Encounter notes indicate that a patient suffers from an acute embolism in their right [...]

ICD-10-CM Coding:
Back to ICD-10-CM Basics: Every Fundamental That Coders Need to Know
Whether you’re new to coding or you’re a seasoned professional, mastering the basics of ICD-10-CM [...]

Oncology/Hematology Coding:
Know When to Tie Receptor Status Codes to Breast Cancer Dx
Question: If a patient has current breast cancer, instructions for the C50.- codes tell you [...]

Practice Management:
Take These 6 Tips to Ensure Workplace Safety
Let OSHA standards and recommendations be your guide. In 2020, more workers in healthcare and [...]

Pulmonology Coding:
Identify the Correct ICD-10-CM Codes for Cystic Fibrosis
Use 4th and 5th characters for CF with manifestations. According to the Cystic Fibrosis [...]

ICD-10-CM Coding:
Remember the 7th Character in Complication Coding
Question: I work at a behavioral health facility that offers transcranial magnetic stimulation (TMS) treatment. [...]

Medicare Regulations:
Fight Back Against Parenteral Nutrition Claim Denials
Don’t let parenteral nutrition claims tank your patient care, compliance, or revenue cycle. Parenteral nutrition [...]

Oncology/Hematology Coding:
Get the Answers to Your Frequently Asked Ovarian Cancer Coding Questions
Understand functional activity to paint the complete picture. Even the most experienced oncology coder can [...]

Pediatric Coding:
Don’t Sugarcoat This Gummy Encounter
Question: A 14-year-old existing patient was brought into our office after their parent found them [...]

Diagnostic Radiology Coding:
Code Head, Brain, and Neck CT Scans With This Detailed Guide – Part 1
Explore the many reasons why head, brain, and neck CT scans are performed. Computed tomography [...]

General Surgery Coding:
Assess These Ablation Differences
Question: The surgeon’s operative report mentions they used laser ablation to control the patient’s bleeding [...]

Neurology & Pain Management Coding:
Name Gait Abnormality, Nail Dx Coding
Question: If a patient has a diagnosis of abnormal gait, am I able to assign [...]

Anesthesia Coding:
How to Code Services Involving Triple Lumen Catheters
Know which CPT® codes to look to for insertion, repair, replacement, and removal. A triple [...]

Ob-Gyn Coding:
Use This Practical Guide to Confidently Code Obstetric Ultrasounds
Learn the difference between a standard complete exam and a detailed fetal anatomic exam. Obstetric [...]

Otolaryngology Coding:
Pick These Codes Only for Post-Surgical Tonsillectomy Care
Question: I have a question about the tonsillectomy/adenoidectomy hemostasis codes (42960-42972). Are they for use [...]

Anesthesia Coding:
Rely on Areola Tissue Definition for Correct Procedure Code
Question: How is an injection to the areola coded? My provider wants me to use [...]

Cardiology Coding:
Atrial Fibrillation Ablations: A Practical Guide to Submitting Medical Claims, Part 2
Don’t forget to distinguish between the primary procedure code and add-on codes. Knowing how to [...]

View All