Ophthalmology and Optometry Coding Alert

Think E/M Service When You Say 'Yes' to 5 Items

These questions let you ditch eye codes with confidence. Frustrated counting E/M codes' HPI, ROS, and exam elements? Financially, you're better off with eye codes provided documentation supports choosing this code set rather than E/M services."Currently, eye codes pay more than E/M codes,"  pointed out Raequell Duran, CPC, in "Eye Code or E/M Code? The Wrong Answer Can Cost You Big" at The Coding Institute's National Coding and Reimbursement Conference. To focus on the correct code set -- and prevent leaving dollars on the table, spot these differences. 1. Does Documentation Contain HEM? E/M codes have national coding guidelines that detail the documentation necessary to support a given level of service (such as 99203, Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity ...). You can choose to use [...]
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