You Be the Coder:
Making the Best E/M Decision
Published on Mon Feb 15, 2021
Question: During an office evaluation and management (E/M) service for a new patient, the provider diagnoses ‘classical migraine.’ Total encounter time was 27 minutes and medical decision making (MDM) was low. How should I report this encounter? Pennsylvania Subscriber Answer: First, the E/M. Since you can report office/outpatient E/Ms by total encounter time or MDM, it behooves you choose time [...]