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Oncology & Hematology Coding Alert

E/M:

Compare 1995 and 1997 Exam Level Guidelines With At-A-Glance Tool

Published on Wed Sep 07, 2011

Be sure you choose the single set that's most advantageous to your code choice.With two sets of guidelines -- 1995 and 1997　-- for assigning an E/M physical examination level, you may have a hard time keeping the requirements for each level straight. Clip this chart from Suzan Berman, CPC, CEMC, CEDC, senior manager of coding education and documentation compliance with UPMC in Pittsburgh, Pa., and keep it near your desk for quick access to the exam level details for office and outpatient visits. Note: The 1997 column refers to the General Multi-System Exam (GMSE) requirements. Check the 1997 guidelines for additional details if you're reporting a single-organ system examination. Those exam requirements differ significantly. When applying 1997 guidelines, use the system that provides the greatest advantage for the physician, depending on the specialty and the examination performed and documented.Also remember that the physical exam component is only one of the components [...]
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