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EM Coding Alert

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Count Time in this Ortho E/M Encounter

Published on Wed Dec 22, 2021

Question: How should I code this follow-up visit? A patient returned to our pediatrician after injuring her left shoulder. Our Encounter notes indicate that the provider performed an evaluation and management (E/M) service for an established patient that lasted 29 minutes; the provider performed moderate medical decision making (MDM). Final diagnosis was “osteoporosis, R ankle, w/path fracture.” What is the [...]
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